IHE PCC - Routine Interfacility Patient Transport (RIPT), published by IHE Patient Care Coordination. This is not an authorized publication; it is the continuous build for version 2.0.0-draft). This version is based on the current content of https://github.com/IHE/PCC.RIPT/ and changes regularly. See the Directory of published versions

RIPT Volume 4

National Extensions for the United States of America (USA)

Comment Submission

This national extension document was authored under the sponsorship and supervision of the IHE Patient Care Coordination Technical Committee who welcome comments on this document and the IHE USA initiative. Comments should be directed to: http://www.ihe.net/PCC_Public_Comments

Referral for Interfacility Patient Transport (RIPT)

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**RIPT US Volume 3 Constraints **

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RIPT US Volume 3 Attribute Constraints

The following attribute cardinalities constraints apply in the US.

Table 4.I.2.1.1-1: US Attribute Cardinality Constraints

Attribute	Cardinality
Race	RE [0..*]
Ethnicity	RE [0..1]

RIPT US Volume 3 Section Constraints

The following additional cardinality constraints apply to the Referral for Interfacility Patient Transport document specification and entries in Table 6.3.1.D.5-1 Referral for Interfacility Patient Transport (RIPT) Document Content Module Specification

FHIR

For Use in the United states the following Structured Definitions should be replaced within the RIPT Composition:

RIPT US Resource Constraints

International	US Relm
StructureDefinition/Patient-uv-ips	StructureDefinition/us-core-patient

CDA

The following additional cardinality constraints apply to the Referral for Interfacility Patient Transport document specification and entries:

**Table 4.I.2.1.2-1: PCS US Section Constraints **

Cardinality	Section Element	Value Set OID	Specification Document	Vocabulary Constraint
RE [0..1]	Payor	1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7	PCC TF-2: 6.3.3.7.1	6.3.D2.5.3

RIPT Value Set Binding for US Realm Concept Domains

This section defines the actual value sets and code systems for any coded concepts that were described by concept domains in the main profile and binds the value set to the coded concepts.

Value Set Binding for US Realm Concept Domains is same in FHIR as in CDA. When Using the FHIR Option for RIPT in the USA the us-core-patient and us-core-location structure definitions are to be used in place of the Patient and Location structure definitions. Table 4.I.2.2-1: RIPT Value Set Binding for US Realm Concept Domains

UV Concept Domain	US Realm Vocabulary Binding or Single Code Binding	Value Set OID
Ethnicity	Ethnicity Group	2.16.840.1.114222.4.11.837
Race	RaceCategory	2.16.840.1.114222.4.11.836
sDTCRaceCode	Race	2.16.840.1.113883.1.11.14914
Religious Affiliation	HL7 Religious Affiliation	2.16.840.1.113883.1.11.19185
Language Communication	Language	2.16.840.1.113883.1.11.11526
Data Enterer	Assigned entity	2.16.840.1.113883.4.6
Confidentiality code	HL7 BasicConfidentialityKind	2.16.840.1.113883.1.11.16926