International Patient Summary Implementation Guide
2.0.0 - STU 2

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

## Terminology

Page standards status: Informative

### Code Systems

These code systems have been defined for this implementation guide:

### Value Sets

These value sets have been defined for this implementation guide:

- Allergies & Intolerances - IPS
- Allergy Reaction - IPS
- Body Site - IPS
- Current Smoking Status - IPS
- Diagnostics Report Status Codes - IPS
- Healthcare Professional Roles - IPS
- Imaging Study Status Codes - IPS
- Medical Devices - IPS
- Medications - example (IPS)
- Medications - IPS
- Medicine Active Substances - IPS
- Medicine EDQM Doseform - IPS
- Medicine EDQM Route of Administration - IPS
- Personal Relationship - IPS [Deprecated]
- Pregnancy Outcome - IPS
- Pregnancy Expected Delivery Date Method - IPS
- Pregnancy Status - IPS
- Problem Type (LOINC)
- Problem Type - IPS
- Problems - IPS
- Procedures - IPS
- Results Blood Group - IPS
- Results Coded Values Laboratory/Pathology - IPS
- Results Laboratory/Pathology Observation - IPS
- Results Microorganism - IPS
- Results Pathology - IPS
- Results Presence/Absence - IPS
- Results Radiology Component - IPS
- Results Radiology Observation - IPS
- Results Specimen Collection Method - IPS
- Results Specimen Type - IPS
- Results Status Codes - IPS
- Vaccine Target Diseases - IPS
- Vaccines - IPS
- Vaccines WHO ATC - IPS
- WHO ATC - IPS

### Note

Many of the same (or similar related) terminology artifacts specified by this guide are also published in the ART-DECOR IPS repository.

### IP Statements

This publication includes IP covered under the following statements.

- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: Patient/eumfh-39-07
- Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission. For information and exceptions regarding use of CDC material please see https://www.cdc.gov/other/agencymaterials.html
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  - Vaccine Administered Code Set (CVX): Bundle/bundle-ips-all-sections and Bundle/bundle-no-info-required-sections
- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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  - Unified Code for Units of Measure (UCUM): Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 11 more, Bundle/bundle-ips-all-sections, Bundle/bundle-minimal, Medication/eumfh-39-07-1, MedicationRequest/eumfh-39-07-1-request, MedicationStatement/eumfh-39-07-1, Observation/alcohol-use-example, Observation/hemoglobin, Observation/ips-example-imaging-5, Observation/pregnancy-outcome-example, Observation/serum-creatinine-adult and Observation/urine-wbc-range
- These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association.
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  - DICOM Controlled Terminology Definitions: ImagingStudy/TII-ImagingStudy-5-1, Observation/ips-example-imaging-4, ObservationResultsRadiologyUvIps and ResultsRadiologyComponentUvIps
- This artifact includes content from International Standard Classification of Occupations (ISCO). ISCO is copyright International Labour Organization (ILO). Terms & Conditions in http://www.ilo.org/global/copyright/lang--en/index.htm
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  - International Standard Classification of Occupations (ISCO): HealthcareProfessionalRolesUvIps and PractitionerRoleUvIps
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  - LOINC: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 33 more, Bundle/bundle-ips-all-sections, Bundle/bundle-minimal, Bundle/bundle-no-info-required-sections, Composition/composition-minimal, CompositionUvIps, Condition/eumfh-39-07-1, DiagnosticReport/hemoglobin, ImagingStudy/TII-ImagingStudy-5-1, Observation/alcohol-use-example, Observation/hemoglobin, Observation/ips-example-imaging-1, Observation/ips-example-imaging-4, Observation/ips-example-imaging-5, Observation/pathology-cancer, Observation/pregnancy-edd-example, Observation/pregnancy-outcome-example, Observation/pregnancy-status-example, Observation/serum-creatinine-adult, Observation/tobacco-use-example, Observation/urine-wbc-range, ObservationAlcoholUseUvIps, ObservationPregnancyEddUvIps, ObservationPregnancyOutcomeUvIps, ObservationPregnancyStatusUvIps, ObservationResultsLaboratoryPathologyUvIps, ObservationResultsRadiologyUvIps, ObservationTobaccoUseUvIps, PregnanciesSummaryUvIps, PregnancyExpectedDeliveryDateMethodUvIps, ProblemTypeLoinc, ResultsLaboratoryPathologyObservationUvIps, ResultsRadiologyComponentUvIps and ResultsRadiologyObservationUvIps
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AllergiesIntolerancesUvIps, AllergyIntolerance/allergyintolerance-multiple-codings... Show 49 more, AllergyIntolerance/allergyintolerance-with-abatement, AllergyIntolerance/eumfh-39-07-1, AllergyIntoleranceUvIps, AllergyReactionUvIps, Best Hospital Laboratory, BodySiteUvIps, Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization, Bundle/bundle-ips-all-sections, Bundle/bundle-minimal, Bundle/bundle-no-info-required-sections, Condition/eumfh-39-07-1, ConditionUvIps, CurrentSmokingStatusUvIps, Device/eumfh-70-275-1, DeviceUvIps, Flag/546482, ImagingStudy/TII-ImagingStudy-5-1, Immunization/75680, ImmunizationUvIps, MedicalDevicesUvIps, MedicationIPS, MedicationRequestIPS, MedicationStatementIPS, MedicationsExampleUvIps, MedicationsUvIps, MedicineActiveSubstancesUvIps, Observation/pathology-cancer, Observation/serum-creatinine-adult, ObservationPregnancyStatusUvIps, ObservationResultsRadiologyUvIps, ObservationTobaccoUseUvIps, PregnancyStatusUvIps, ProblemsUvIps, Procedure/eumfh-39-07-1, Procedure/procedure-missing-performed, ProcedureUvIps, ProceduresUvIps, ResultsBloodGroupUvIps, ResultsMicroorganismUvIps, ResultsPathologyUvIps, ResultsPresenceAbsenceUvIps, ResultsRadiologyComponentUvIps, ResultsSpecimenCollectionMethodUvIps, ResultsSpecimenTypeUvIps, Specimen/specimen-example-1, SpecimenUvIps, VaccineTargetDiseasesUvIps and VaccinesUvIps
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  - AllergyIntolerance Clinical Status Codes: AllergyIntolerance/allergyintolerance-multiple-codings, AllergyIntolerance/allergyintolerance-with-abatement... Show 5 more, AllergyIntolerance/eumfh-39-07-1, Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization, Bundle/bundle-ips-all-sections and Bundle/bundle-minimal
  - AllergyIntolerance Verification Status: AllergyIntolerance/allergyintolerance-multiple-codings, AllergyIntolerance/allergyintolerance-with-abatement... Show 5 more, AllergyIntolerance/eumfh-39-07-1, Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization, Bundle/bundle-ips-all-sections and Bundle/bundle-minimal
  - Condition Category Codes: ConditionUvIps and ProblemTypeUvIps
  - Condition Clinical Status Codes: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization, Bundle/bundle-ips-all-sections, Bundle/bundle-minimal and Condition/eumfh-39-07-1
  - ConditionVerificationStatus: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization, Bundle/bundle-ips-all-sections and Bundle/bundle-minimal
  - Consent Category Codes: Bundle/bundle-ips-all-sections
  - Consent PolicyRule Codes: Bundle/bundle-ips-all-sections
  - Consent Scope Codes: Bundle/bundle-ips-all-sections
  - DataAbsentReason: Observation/pathology-suppressed-data
  - Flag Category: Bundle/bundle-ips-all-sections and Flag/546482
  - List Empty Reasons: Bundle/bundle-no-info-required-sections
  - Observation Category Codes: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 11 more, Bundle/bundle-ips-all-sections, Observation/hemoglobin, Observation/ips-example-imaging-1, Observation/ips-example-imaging-4, Observation/ips-example-imaging-5, Observation/pathology-cancer, Observation/pathology-suppressed-data, Observation/serum-creatinine-adult, Observation/urine-wbc-range, ObservationResultsLaboratoryPathologyUvIps and ObservationResultsRadiologyUvIps
  - Organization type: Bundle/IPS-examples-Bundle-01 and Bundle/IPS-examples-Bundle-with-immunization
  - Observation Reference Range Meaning Codes: Observation/serum-creatinine-adult and Observation/urine-wbc-range
  - diagnosticServiceSectionId: DiagnosticReport/hemoglobin
  - contactRole2: Bundle/bundle-ips-all-sections and Bundle/bundle-no-info-required-sections
  - degreeLicenseCertificate: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization and Bundle/bundle-minimal
  - ActClass: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 5 more, Bundle/bundle-ips-all-sections, Bundle/bundle-minimal, Bundle/bundle-no-info-required-sections, Composition/composition-minimal and CompositionUvIps
  - Confidentiality: Bundle/bundle-ips-all-sections
  - MaritalStatus: Bundle/bundle-ips-all-sections and Bundle/bundle-no-info-required-sections
  - ObservationInterpretation: Observation/serum-creatinine-adult and Observation/urine-wbc-range
  - RoleCode: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 4 more, Bundle/bundle-minimal, Bundle/bundle-no-info-required-sections, Patient/patient-example-female and PersonalRelationshipUvIps
  - RouteOfAdministration: Bundle/bundle-ips-all-sections and Bundle/bundle-no-info-required-sections
- Unless otherwise indicated, reproduction of material posted on Council of Europe websites, and reproduction of photographs for which the Council of Europe holds copyright – see legal notice \“photo credits\” – is authorised for private use and for informational and educational uses relating to the Council of Europe’s work. This authorisation is subject to the condition that the source be indicated and no charge made for reproduction. Persons wishing to make some other use than those specified above, including commercial use, of information and text posted on these sites are asked to apply for prior written authorisation to the Council of Europe, Directorate of Communication.
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  - EDQM Standard Terms: Bundle/IPS-examples-Bundle-01, Bundle/IPS-examples-Bundle-with-immunization... Show 5 more, Bundle/bundle-minimal, Immunization/75680, Medication/eumfh-39-07-1, MedicineDoseFormUvIps and MedicineRouteOfAdministrationUvIps
- Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.
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  - RxNorm: Medication/eumfh-39-07-1 and MedicationsExampleUvIps