1 Scope
This document defines the core data set for a patient summary document that supports
continuity of care for a person and coordination of healthcare. It is specifically
aimed at supporting the use case scenario for ‘unplanned, cross border care’ and is
intended to be an international patient summary (IPS). The data set is minimal and
non-exhaustive, providing a robust, well-defined core set of data items. This tight
focus on the use case enables the IPS to also be used in planned care, and for both
unplanned and planned care to be supported by this data set within local and national
contexts, thereby increasing its utility and value.
It uses the European Guideline from the eHN as the initial source for the patient
summary requirements but takes into consideration other international efforts so as
to provide an interoperable data set specification for global application.
This IPS standard provides an abstract definition of a Patient Summary from which
derived models are implementable. Due to its nature therefore, readers should be
aware that the compliance with this standard doesn’t imply automatic technical interoperability;
this result, enabled by this standard, can be reached with the conformity to standards
indicated in the associated technical specification and implementation guides.
This international standard does not cover workflow processes of data entry, data
collection, the summarization act itself, nor subsequent data presentation, nor assimilation,
nor aggregation.
It is not an implementation guide that is concerned with the various technical layers
beneath the application layer. Implementation guidance for specifically jurisdictional
concerns, e.g. Directives, terminologies, formats etc., is specified in the associated
Technical Specification (CEN/TS 17288).
In particular, representation by various coding schemes, additional structures and
terminologies are not part of this standard. Terminology and its binding are addressed
in the associated Technical Specification (CEN/TS 17288). The Identification of Medicinal Products standards (abbreviated to IDMP) are the
recommended target for the Medication Summary related to this standard but, prior
to IDMP’s full implementation in practice, this IPS standard cannot insist in its
use at this point in time and recognizes that interim schemes may be necessary until
IDMP becomes established as a norm.