DECOR Information for Project: International Patient Summary (IPS) (hl7ips-)

Templates

HTML Name Effective Date Version Label
Templates with direct association to a transaction
html draft International Patient Summary 2.16.840.1.113883.10.22.1.1 2020‑07‑14 16:08:21 2021
The International Patient Summary is a "Minimal and non-exhaustive Patient Summary, specialty-agnostic, condition-independent, but readily usable by all clinicians for the unscheduled (cross-border...
Transaction Direction Schematron
IPS Created rotate stationary hl7ips-hl7ips1.sch
CDA Document Level Template
html draft International Patient Summary 2.16.840.1.113883.10.22.1.1 2020‑07‑14 16:08:21 2021
The International Patient Summary is a "Minimal and non-exhaustive Patient Summary, specialty-agnostic, condition-independent, but readily usable by all clinicians for the unscheduled (cross-border...
CDA Header Level Template
html active CDA AssignedEntity 2.16.840.1.113883.10.12.153
ref
ad1bbr-
2005‑09‑07
Template CDA AssignedEntity (prototype, directly derived from POCD_RM000040 MIF)
html active CDA Organization 2.16.840.1.113883.10.12.151
ref
ad1bbr-
2005‑09‑07
Template CDA Organization (prototype, directly derived from POCD_RM000040 MIF)
html active CDA Person 2.16.840.1.113883.10.12.152
ref
ad1bbr-
2005‑09‑07
Template CDA Person (prototype, directly derived from POCD_RM000040 MIF)
html pending IPS CDA author 2.16.840.1.113883.10.22.2.2 2017‑04‑11 STU1
A CDA document shall have at least one author. Authors could be either human (ClinicalDocument/author/assignedAuthor/assignedPerson) either devices (ClinicalDocument/author/assignedAuthor/assignedAuth...
html draft IPS CDA custodian 2.16.840.1.113883.10.22.2.3 2021‑08‑04 12:13:07 2021
The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. This information is required by the CDA R2 standard...
html pending IPS CDA documentationOf  2.16.840.1.113883.10.22.2.6 2017‑04‑12 STU1
The documentationOf relationship in an International Patient Summary contains the representation of providers who are wholly or partially responsible for the safety and well-being of a subject of care...
html pending IPS CDA legalAuthenticator 2.16.840.1.113883.10.22.2.4 2017‑04‑11 STU1
The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that ...
html pending IPS CDA Organization 2.16.840.1.113883.10.22.9.1 2017‑04‑11 STU1
This is a reusable template providing essential information for describing / identifying an organization.
html pending IPS CDA Person 2.16.840.1.113883.10.22.9.3 2017‑04‑12 STU1
Person name
html draft IPS CDA recordTarget 2.16.840.1.113883.10.22.2.1 2021‑09‑02 12:10:24 2021
The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole ...
html pending IPS CDA relatedDocument 2.16.840.1.113883.10.22.2.7 2017‑04‑12 STU1
An IPS may have three types of parent document: A superseded version that the present instance of the document wholly replaces (typeCode = RP...
html pending IPS Patient Contacts 2.16.840.1.113883.10.22.2.5 2017‑04‑12 STU1
The IPS may record several kinds of patient contacts, including parents, relatives, caregivers, and others related in some way to the patient. A patient contact may be an individual or an organization...
CDA Section Level Template
html active IHE Coded Vital Signs Section 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2
ref
IHE-PCC-
2015‑10‑05 15:57:07 2014
The vital signs section contains coded measurement results of a patient’s vital signs.
html pending IPS Advance Directives Section 2.16.840.1.113883.10.22.3.12 2020‑05‑08 16:38:49 TI-2020
The advance directive section shall contain a narrative description of patient's advance directive. The optional author and informant elements are used when ne...
html draft IPS Allergies and Intolerances Section 2.16.840.1.113883.10.22.3.2 2024‑08‑04 10:07:36 STU2
This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optio...
html pending IPS Functional Status Section 2.16.840.1.113883.10.22.3.8 2020‑05‑08 19:17:37 TI-2020
The functional status section shall contain a narrative description of capability of the patient to perform acts of daily living, including possible needs of the patient to be continuously assessed by...
html pending IPS History of Past Illness Section 2.16.840.1.113883.10.22.3.7 2017‑04‑12 STU1
The History of Past Illness section contains a narrative description and coded entries of the conditions the patient suffered in the past.  The optional author and informant elements are used when nec...
html pending IPS History of Pregnancy Section 2.16.840.1.113883.10.22.3.11 2020‑05‑07 18:46:08 TI-2020
The history of pregnancy section shall contain information about whether the patient is currently pregnant (optional with the Expected Delivery Date) or not. I...
html pending IPS History of Procedures Section 2.16.840.1.113883.10.22.3.4 2017‑03‑27 STU1
The History of Procedures Section contains a description of the  patient past procedures that are pertinent to the scope of this document. Procedures may refer for ...
html pending IPS Immunizations Section 2.16.840.1.113883.10.22.3.5 2017‑04‑05 STU1
The Immunizations Section defines a patient's current immunization status and pertinent immunization history. The primary use case for the Immunization Section is to enable communication of a patient...
html draft IPS Medical Devices Section 2.16.840.1.113883.10.22.3.6 2021‑10‑20 17:11:42 2021
The medical devices section contains narrative text and coded entries describing the patient history of medical device use. Medical devices include, but are not limited to, implanted devices and devi...
html pending IPS Medication Summary Section 2.16.840.1.113883.10.22.3.1 2016‑11‑11 STU1
The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary. The actual content could depen...
html pending IPS Plan of Care Section 2.16.840.1.113883.10.22.3.9 2020‑05‑08 18:28:38 TI-2020
The care plan section contains a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the conditio...
html pending IPS Problems Section 2.16.840.1.113883.10.22.3.3 2017‑02‑15 STU1
The IPS problem section lists and describes clinical problems or conditions currently being monitored for the patient. This section can record different kinds of  problems as, but not limited to,  chr...
html pending IPS Results Section 2.16.840.1.113883.10.22.3.14 2017‑04‑30 STU1
This section assembles relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Some of these results may be laboratory results, oth...
html pending IPS Social History Section 2.16.840.1.113883.10.22.3.10 2020‑05‑10 18:52:32 TI-2020
The social history section contains a description of the person’s Health related “lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) The opti...
html draft IPS Translation Section 2.16.840.1.113883.10.22.3.15 2021‑09‑02 12:04:41 2021
Template CDA Section to carry the translations of a Parent Section
CDA Entry Level Template
html active CDA Author (Body) 2.16.840.1.113883.10.12.318
ref
ad1bbr-
2005‑09‑07
Template CDA Author (prototype, directly derived from POCD_RM000040 MIF)
html active CDA Device 2.16.840.1.113883.10.12.315
ref
ad1bbr-
2005‑09‑07
Template CDA Device (prototype, directly derived from POCD_RM000040 MIF)
html active CDA Informant (Body) 2.16.840.1.113883.10.12.319
ref
ad1bbr-
2005‑09‑07
Template CDA Informant Body (prototype, directly derived from POCD_RM000040 MIF)
html active CDA Performer (Body) 2.16.840.1.113883.10.12.323
ref
ad1bbr-
2005‑09‑07
Template CDA Performer (Body) (prototype, directly derived from POCD_RM000040 MIF)
html active CDA RelatedEntity 2.16.840.1.113883.10.12.316
ref
ad1bbr-
2005‑09‑07
Template CDA RelatedEntity (prototype, directly derived from POCD_RM000040 MIF)
html active IHE Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
ref
IHE-PCC-
2016‑09‑29 09:22:49 2014
A vital signs observation is a simple observation that uses a specific vocabulary, and inherits  constraints from CCD.
html active IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1
ref
IHE-PCC-
2013‑12‑20 2014
A vital signs organizer collects vital signs observations.
html pending IPS Advance Directive Observation 2.16.840.1.113883.10.22.4.37 2020‑05‑08 16:21:54 TI-2020
This clinical statement represents Advance Directive Observation findings (e.g., “resuscitation status is Full Code”) rather than orders. It should not be considered a legal document or a substitute f...
html pending IPS Advance Directive Organizer 2.16.840.1.113883.10.22.4.46 2020‑05‑08 16:11:48 TI-2020
This clinical statement groups a set of advance directive observations.
html draft IPS Allergy and Intolerance Concern 2.16.840.1.113883.10.22.4.5 2024‑08‑04 10:09:24 STU2
This template reflects an ongoing concern on behalf of the person that placed the allergy on a patient’s allergy list. A concern may refer to one or more allergies or intolerances. There are diffe...
html pending IPS Allergy Certainty Observation 2.16.840.1.113883.10.22.10 2018‑02‑07 12:00:44 STU1
This observation represents the certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
html draft IPS Allergy or Intolerance 2.16.840.1.113883.10.22.4.1 2024‑08‑04 09:48:50 STU2
This template reflects a discrete observation about a patient's allergy or intolerance. Because it is a discrete observation, it will have a statusCode of "completed". The effective...
html pending IPS Allergy Status Observation 2.16.840.1.113883.10.22.4.21 2017‑05‑24 STU1
This subordinated observation used by the allergy observation records information about the current status of an allergy or intolerance, for example, whether it is active, in remission, resolved, et c...
html pending IPS Body Author 2.16.840.1.113883.10.22.4.14 2017‑03‑02 STU1
This template represents the Author Participation (including the author timestamp). CDA R2 requires that Author and Author timestamp be asserted in the document header. From there, authorship propagat...
html pending IPS CDA Device 2.16.840.1.113883.10.22.9.2 2017‑04‑12 STU1
This template provides basic information about a device
html draft IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 2024‑06‑10 09:59:19 STU1
This observation represents the verification status to support the clinical status of the condition.
html pending IPS Comment Activity 2.16.840.1.113883.10.22.4.22 2017‑04‑05 STU1
Comments are free text data that cannot otherwise be recorded using data elements already defined by this specification. They are not to be used to record information that can be recorded elsewhere. F...
html pending IPS Criticality Observation 2.16.840.1.113883.10.22.4.18 2017‑03‑27 STU1
This observation represents the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual. When the ...
html draft IPS Immunization 2.16.840.1.113883.10.22.4.15 2024‑08‑04 21:20:24 STU2
An Immunization entry describes immunization substance administrations that have actually occurred. 
html draft IPS Immunization Medication Information 2.16.840.1.113883.10.22.4.16 2024‑08‑04 21:16:00 STU2
The Immunization Medication Information represents product information about the immunization substance. The vaccine manufacturer and vaccine lot number are typically recorded in the medical record an...
html pending IPS Internal Reference 2.16.840.1.113883.10.22.4.31 2017‑05‑02 STU1
This template is used to reference (point to) information contained in other entries within the same document.
html draft IPS Laboratory Result Observation 2.16.840.1.113883.10.22.4.13 2024‑08‑04 11:10:20 STU2
This template constrains the results of a clinical laboratory observation. The result observation includes a statusCode to allow recording the status of an observation. “Pending” results (e.g., a test...
html draft IPS Manufactured Material 2.16.840.1.113883.10.22.4.3 2024‑08‑04 10:47:30 STU2
This entry provides details about the medicinal product. Due to the current absence of global product identifiers the product is described through a set of identification and descrip...
html pending IPS Medical Device 2.16.840.1.113883.10.22.4.26 2017‑04‑11 STU1
The medical devices entry content module describes the kind of device that is, or has been used by the patient
html draft IPS Medication Information (detail) 2.16.840.1.113883.10.22.4.2 2024‑08‑04 10:45:46 STU2
This entry describes the consumable subject of the medication statement. All the information about the  medication is provided in the included IPS Manufactured Material template.
html draft IPS Medication Statement 2.16.840.1.113883.10.22.4.4 2024‑08‑04 10:41:54 STU2
An IPS Medication entry describes a medication statement, that is a substance administration that has actually occurred (e.g., pills ingested or injections given) or are intended to occur (e.g., "take...
html draft IPS ObservationMedia 2.16.840.1.113883.10.22.4.23 2021‑09‑02 12:02:16 2021
Template CDA ObservationMedia for IPS (prototype, directly derived from POCD_RM000040 MIF) This element is intended to carry a small multimedia content, like an image or a graph to be rendered in the ...
html draft IPS Pathology Result Observation 2.16.840.1.113883.10.22.4.11 2024‑08‑04 11:10:42 STU2
This template constrains the results of an  anatomic pathology observation. The result observation includes a statusCode to allow recording the status of an observation. “Pending” results (e.g., a tes...
html draft IPS Planned Act 2.16.840.1.113883.10.22.4.39 2022‑07‑15 13:55:11 2022
This template represents a Planned Act. It may be a wrapper for intervention-type activities considered to be parts of the same intervention; or it could be used to describe planned acts not represent...
html pending IPS Planned Encounter 2.16.840.1.113883.10.22.4.40 2020‑05‑08 18:18:38 TI-2020
An Encounter is an interaction between a patient and care provider(s) for the purpose of providing healthcare-related service(s). Healthcare services include health assessment. Examp...
html pending IPS Planned Immunization 2.16.840.1.113883.10.22.4.47 2020‑05‑08 17:29:18 TI-2020
A Planned Immunization entry describes the intent of administrating immunization substance. 
html pending IPS Planned Observation 2.16.840.1.113883.10.22.4.41 2020‑05‑08 18:34:42 TI-2020
The observation request entry is used to record goals, plans or intention for an observation to be performed (e.g., assessment, laboratory test, imaging study, et cetera).
html pending IPS Planned Procedure 2.16.840.1.113883.10.22.4.38 2020‑05‑08 17:38:48 TI-2020
The procedure entry is used to record procedures which are planned for in the future.
html draft IPS Pregnancy Expected Delivery Date Observation 2.16.840.1.113883.10.22.4.29 2024‑08‑04 11:02:42 STU2
This observation records the Pregnancy Expected Delivery Date for pregnant patients, expressed as a time stamp. The code reflects the method (operationalisation) of how the date was determined, e.g. c...
html pending IPS Pregnancy Observation 2.16.840.1.113883.10.22.4.36 2020‑05‑07 18:36:37 TI-2020
A pregnancy observation is a Simple Observation that uses a specific vocabulary to record observations about a patient's current or historical pregnancies.
html pending IPS Pregnancy Outcome Observation 2.16.840.1.113883.10.22.4.28 2017‑04‑13 STU1
A pregnancy outcome observation records a summary over all pregnancies.
html draft IPS Pregnancy Status Observation 2.16.840.1.113883.10.22.4.27 2020‑07‑14 16:31:53 2021
A pregnancy status observation records whether the patient is currently pregnant or not. If pregnant, an Expected Delivery Date may be specified as an subordinate observation.
html draft IPS Problem Concern Entry 2.16.840.1.113883.10.22.4.7 2021‑08‑04 08:49:27 2021
This template reflects an ongoing concern on behalf of the provider that placed the concern on a patient’s problem list.  The purpose of the concern act is that of supporting the tra...
html draft IPS Problem Entry 2.16.840.1.113883.10.22.4.8 2024‑08‑04 11:06:03 2021
This template reflects a discrete observation about a patient's problem. Because it is a discrete observation, it will have a statusCode of "completed". The effectiveTime, also referred to as the “bio...
html pending IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 2017‑03‑29 STU1
This subordinated observation used by the problem observation records information about the current status of a condition, for example, whether it is active, in remission, resolved, et cetera.
html draft IPS Procedure Entry 2.16.840.1.113883.10.22.4.17 2024‑08‑04 11:08:35 STU2
The procedure entry is used to record procedures that have occurred, or which are planned for in the future.
html draft IPS Radiology Result Observation 2.16.840.1.113883.10.22.4.12 2024‑08‑04 20:18:00 STU2
This template represents an observation produced as one of the results of a radiology or other imaging study performed on a patient.  In most cases, in the context of a patient summary this observat...
html draft IPS Radiology Result Observation Component 2.16.840.1.113883.10.22.17 2024‑08‑04 20:18:47 STU2
IPS Radiology Result Observation Component The component carries additional detailed radiological results. Depending on it's type the code and value have different constraints to reflect proper result...
html draft IPS Reaction Manifestation 2.16.840.1.113883.10.22.4.6 2024‑08‑04 10:18:47 STU2
This clinical statement represents the response to an undesired symptom, finding, etc. due to administered or exposed substance. This reaction may be an undesired symptom, finding, etc. or it could be...
html pending IPS Result Observation 2.16.840.1.113883.10.22.4.10 2017‑03‑02 STU1
This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized b...
html pending IPS Result Organizer 2.16.840.1.113883.10.22.4.9 2017‑03‑02 STU1
This template provides a mechanism for grouping result observations. It contains information applicable to all of the contained result observations. The Result Organizer code categorizes the contained...
html pending IPS Severity Observation 2.16.840.1.113883.10.22.4.25 2017‑04‑07 STU1
This clinical statement represents the subjective assessment of the severity of the condition as evaluated by the clinician. The Severity Observation can be associated with a Reaction Observation.  Wh...
html pending IPS Social History Alcohol Use 2.16.840.1.113883.10.22.4.35 2017‑06‑29 STU1
This template is a specialization of the Social History Observation that may be used to represent alcohol consumption habits.
html pending IPS Social History Observation 2.16.840.1.113883.10.22.4.48 2020‑05‑10 15:16:16 TI-2020
This template represents a patient's occupations, lifestyle, and environmental health risk factors. Demographic data (e.g., marital status, race, ethnicity, religious affiliation) are captured in the ...
html pending IPS Social History Tobacco Use 2.16.840.1.113883.10.22.4.34 2017‑06‑20 STU1
This template is a specialization of the Social History Observation that may be used to represent smoking or tobacco habits.
html draft IPS Specimen Collection 2.16.840.1.113883.10.22.4.30 2024‑08‑04 21:03:07 STU2
Specimen Collection is used when a set of laboratory or pathology observations  produced on one or more specimens need to be associated with the minimal characteristics of the specimen(s): specimen so...
html pending IPS Survey Observation 2.16.840.1.113883.10.22.4.43 2020‑05‑08 19:05:11 TI-2020
Survey observations are used to record responses to assessment instruments. They are simple observations conforming to the CCD Result template. The vocabulary and data type constrain...
html pending IPS Survey Panel 2.16.840.1.113883.10.22.4.42 2020‑05‑08 19:02:26 TI-2020
A survey panel collects related survey observations.
html draft UV Subordinate Substance Administration 2.16.840.1.113883.10.21.4.6
ref
pharmcda-
2023‑01‑30 09:36:00 2023
Universal Subordinate Substance Administration to convey information about dosages
html draft UV Use Period 2.16.840.1.113883.10.21.9.1
ref
pharmcda-
2023‑01‑30 09:55:27 2023
This element encodes the start and stop time of the medication regimen. This is an interval of time (xsi:type='IVL_TS'), and must be specified as shown. This is an additional constraint placed upon CD...
HL7 V2/V3 Datatype Level Template
html pending IPS Address 2.16.840.1.113883.10.22.11 2018‑04‑04 15:41:36 STU1
Reusable address template

Template Summary

Templates 84

Templates per Scenario

Templates for scenario IPS Originated hl7ips-scenario-1 as of 2017‑04‑07 11:10:54

Transaction Representing template Link as of
IPS Created hl7ips-document-template-1 International Patient Summary 2020‑07‑14 16:08:21

Item Labels per Template

Label Template id Template name Link as of
6.3.3.4.5 link11 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 IHE Coded Vital Signs Section 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 2015‑10‑05 15:57:07
6.3.4.21 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.3 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.3 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.3 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.4 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.5 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.6 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.7 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.21.9 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 IHE Vital Signs Organizer 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 2013‑12‑20
6.3.4.22 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 IHE Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 2016‑09‑29 09:22:49
6.3.4.22.2 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 IHE Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 2016‑09‑29 09:22:49
6.3.4.22.2 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 IHE Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 2016‑09‑29 09:22:49
6.3.4.22.2 link11 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 IHE Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 2016‑09‑29 09:22:49

Data sets, codes, OIDs and Rules: this information is used for rendering and validation purposes.