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# Scenario IPS Originated 2.16.840.1.113883.3.1937.777.13.3.1

Name | Details [‑]
--- | ---
IPS Originated hl7ips-scenario-1
Effective date | 2017‑04‑07 11:10:54
IPS Group hl7ips-transaction-4
Effective date | 2024‑08‑02 - 2024 |  |
IPS Created hl7ips-transaction-3Show diagram
Effective date | 2024‑08‑02 - 2024 |  |
Label | hl7ips1-2024-08-02
| Actor | Sender (organization) IPS Creator
| Associations | Dataset (for transaction) CEN/TC 251 prEN 17269(2.16.840.1.113883.3.1937.777.13.1.2 / DYNAMIC) Template International Patient Summary (2.16.840.1.113883.10.22.1.2 / 2024‑08‑02 13:02:39)
| Contained concepts
Concept | Card/Conf | Id
--- | --- | ---
| Patient Attributes
| 1 … 1 Required | hl7ips-dataelement-2.1link
| Collection of data used for identification and assurance of identity within a patient summary. Every PS conformant to IPS must contain ’Patient’s Name’ from this IPS collection. Insurance information is necessary in some countries
|  | Patient's name
| 1 … * Required | hl7ips-dataelement-3link
| The name of a person is a familiar, cross-sector idea, independent of a particular use case. It is explained in the Primitive Values clause. It requires family and given name components.
|  | Patient’s address and telecom
| 0 … * Required | hl7ips-dataelement-155link
| This Label Concept positions the nested attributes. However, it is useful to note that the patient’s address is administrative but can also be used in the clinical process to assist with the verification of the patient’s identification.
|  |  | Address
| 0 … * Required | hl7ips-dataelement-162link
|  |  | Telecoms
| 0 … * Required | hl7ips-dataelement-100link
|  | Administrative gender
| 0 … 1 Required | hl7ips-dataelement-4link
| Some countries require ‘gender’ as part of their identification of the patient. Administrative gender SHALL be specified from a value set including, ‘Male’, ‘Female’, ‘Unknown’, ‘Neutral’
|  | Date of birth
| 1 … 1 Required | hl7ips-dataelement-5link
|  | Patient’s preferred language
| 0 … 1 | hl7ips-dataelement-135link
|  | Healthcare related Identifiers
| 0 … * Required | hl7ips-dataelement-202link
| A list of patient identifiers. Notes: Arguably a national health number would be of more use locally than for cross-border purposes. It is also possible, even probable, that a person will have several numbers, each one related to one or more healthcare providers. In an international context, a national healthcare identifier may be useful. However not all countries have such a registration scheme in place.
|  |  | Patient identifier
| 0 … * Required | hl7ips-dataelement-6link
| Note, Patient Number is often used as a synonym, albeit that the identifier is not necessarily numeric; some jurisdictions use the Social Security Number as a healthcare identifier.
|  | Insurance information
| 0 … * | hl7ips-dataelement-203link
| Insurance information is not always required in a patient summary. However, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care. In those countries that require such information, it must be present.
|  |  | Insurance identifier
| 0 … * Required | hl7ips-dataelement-7link
| Patient’s Address Book
| 0 … 1 Required | hl7ips-dataelement-154link
| People and organizations address details relevant for the planned and unplanned care. Considered to be generic to the English language and not specific to this standard. Notes: A list relating to people or organisations details who might need to be contacted for this care event; it is not to do with previous care events involving this patient. These entities can be considered as providers (person or organisation) who are wholly or partially responsible for the safety and well-being of the subject of care.
|  | Preferred Healthcare providers
| 0 … 1 Required | hl7ips-dataelement-163link
| If known, this information shall be provided. Note it is not necessarily the case that Preferred Healthcare Provider is the same party as the source of the patient summary; the latter is given by the Provenance meta data. ‘Preferred’ indicates the most relevant entity to be contacted for use in this patient summary.
|  |  | Healthcare Provider (person)
| 0 … * Conditional | hl7ips-dataelement-165link
Card/Conf | Condition
--- | ---
0 … * | exist(Healthcare Provider (organisation))
1 … * Required | otherwise
|  |  |  | Name
| 1 … * Required | hl7ips-dataelement-121link
| It requires family and given name components.
|  |  |  | Telecoms
| 0 … * Required | hl7ips-dataelement-169link
|  |  | Healthcare Provider (organisation)
| 0 … * Conditional | hl7ips-dataelement-166link
Card/Conf | Condition
--- | ---
0 … * | exist(Healthcare Provider (person))
1 … * Required | otherwise
|  |  |  | Organisation’s Name
| 1 … * Required | hl7ips-dataelement-172link
|  |  |  | Telecoms
| 0 … * Required | hl7ips-dataelement-174link
|  | Other's Contacts’ Details
| 0 … 1 | hl7ips-dataelement-164link
| The urgency of the scenario suggests that the contact details will be minimised to the most likely means of getting in touch. The role distinguishes between individuals (and organisations) by means of their function with respect to the patient’s care to enable the relevant person to be contacted by the healthcare provider at the point of care. The role can be both functional (e.g. doctor) and a specialisation (e.g. specialist).
|  |  | Contact
| 1 … * Required | hl7ips-dataelement-167link
|  |  |  | Role
| 0 … 1 Required | hl7ips-dataelement-175link
|  |  |  | Name
| 1 … * Required | hl7ips-dataelement-157link
| It requires family and given name components.
|  |  |  | Address
| 0 … * | hl7ips-dataelement-120link
| Address
|  |  |  | Telecoms
| 0 … * Required | hl7ips-dataelement-122link
| Advance Directives
| 0 … 1 | hl7ips-dataelement-8link
| Provision for healthcare decisions in the event that, in the future, a person is unable to make those decisions. A conformant IPS document may not include this section. Healthcare directives concerning life or after life wishes of the patient
|  | Advance Directives
| 1 … 1 Required | hl7ips-dataelement-24link
| A list comprising one or more advance directives Note: Although not in this version of the standard, future versions of the Advanced Directives IPS Section might also include definitions and descriptions regarding ‘CONSENT practices’ as directives and mandates from particular jurisdictions
|  |  | Advance Directive
| 1 … * Required | hl7ips-dataelement-179link
|  |  |  | Person authorising Directive
| 0 … 1 Required | hl7ips-dataelement-22link
| The source of each directive if known; the decision maker is usually the patient and/or a delegated person such as a Legal Guardian. If the authority is not the patient, then it will be someone to contact for further information and clarification of the patient’s wishes. The postal address elements are not included reflecting the urgency for the contact; however, full details should be consistent and available from the Patient’s Address Book.
|  |  |  |  | Name
| 0 … * Required | hl7ips-dataelement-118link
| It requires family and given name components.
|  |  |  |  | Telecoms
| 0 … * Required | hl7ips-dataelement-178link
|  |  |  | Directive category
| 0 … * | hl7ips-dataelement-180link
| There are Directives related to decisions prior and after death. For example, directives prior to death might relate to Blood transfusions, and Non-Resuscitation and post death directives might relate to organ donation.
|  |  |  | Description
| 0 … * Conditional | hl7ips-dataelement-26link
| Textual description of the directive. Derived models may choose to use distinct elements for each narrative directive or to collect them into a single section level narrative block.
Card/Conf | Condition
--- | ---
0 … * | exist(../Reference to Legal Document)
1 … * Required | otherwise
|  |  |  | Reference to Legal Document
| 0 … * Conditional | hl7ips-dataelement-27link
| The Directives may take the form of a reference to a legal document (e.g. Living Will) or an external textual description.
Card/Conf | Condition
--- | ---
0 … * | exists(../Description)
1 … * Required | otherwise
| Allergies and Intolerances
| 1 … 1 Required | hl7ips-dataelement-9link
| Relevant patient’s allergies and/or intolerance conditions. NOTE 1 to entry: At a minimum, it should list currently active and any relevant historical allergies and adverse reactions. NOTE 2 to entry: ‘Alerts’ was used to describe this Section in the eHN guidance -lines, but ‘Alerts’ are far more general and are not regarded here as a synonym. Every PS conformant to IPS must contain this IPS section. Allergies and Intolerances affecting the Patient.
|  | Allergies/Intolerances Content Status
| 0 … 1 Conditional | hl7ips-dataelement-182link
| As this IPS Section is mandatory for conformance, information about “known absence of allergies” or no information about allergies is required to be stated. Known Content will be accompanied by the conditional list of Allergies and intolerances.
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../Allergy or Intolerance list)
1 … 1 Required | otherwise
|  | Allergy or Intolerance list
| 0 … 1 Conditional | hl7ips-dataelement-28link
| If allergies present then they shall be listed else give explicit reasons for why none are recorded. An ordered list comprising the name, code, a description of the Allergy/intolerance and Agent details for each Allergy/intolerance.
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../Allergies/Intolerances Content Status)
1 … 1 Required | otherwise
|  |  | Allergy/Intolerance
| 1 … * Mandatory | hl7ips-dataelement-184link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-183link
| Textual description of the allergy or intolerance. Derived models may choose to use distinct elements for each narrative statement or to collect them into a single section level narrative block.
|  |  |  | Clinical Status
| 1 … 1 Required | hl7ips-dataelement-186link
| Provides the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on.
|  |  |  | Onset date
| 1 … 1 Required | hl7ips-dataelement-187link
| It shall be provided with the highest known precision, at least year
|  |  |  | End Date
| 0 … 1 Conditional | hl7ips-dataelement-188link
| If Clinical Status is non-active then an exception can be raised to indicate inconsistency. It shall be provided with the highest known precision, at least year.
Card/Conf | Condition
--- | ---
1 … 1 Required | if clinical status non-active
0 … 0 Not permitted | otherwise
|  |  |  | Criticality
| 0 … 1 | hl7ips-dataelement-189link
| This attribute 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 ‘worst case’ result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Notes: In some contexts, the severity is used as a synonym of the criticality.
|  |  |  | Certainty
| 0 … 1 | hl7ips-dataelement-190link
| Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance
|  |  |  | Type of propensity
| 0 … 1 Required | hl7ips-dataelement-191link
| Type of allergy or intolerance.
|  |  |  | Diagnosis
| 0 … 1 | hl7ips-dataelement-185link
| A code indicating the type of reaction and the agent; an alternative option for describing an allergy to the agent. Described with Textual information if coded data are unavailable. Example: lactose intolerance
|  |  |  | Reaction
| 0 … * Required | hl7ips-dataelement-192link
| A Label Concept recognising that other data concerning the reaction may be made available in later versions of this standard.
|  |  |  |  | Manifestation of the reaction
| 0 … 1 Required | hl7ips-dataelement-193link
| Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Textual information if coded/quantified data are not available. This is typically a more complex structure than simple text. Example: “intestinal discomfort” is the manifestation of the reaction.
|  |  |  |  | Severity
| 0 … 1 Required | hl7ips-dataelement-194link
| Coded element that described the subjective assessment of the severity of the condition as evaluated by the clinician, in the case of an allergy it is used as attribute of a manifestation of a reaction. For example, a person may have a severe rash as reaction, that it is not however critical.
|  |  |  | Agent
| 1 … 1 Required | hl7ips-dataelement-173link
|  |  |  |  | Agent code
| 1 … 1 Required | hl7ips-dataelement-196link
| A specific allergen or other agent/substance to which the patient has an adverse reaction propensity. This will be taken from a list of agents and the associated code from a value set.
|  |  |  |  | Category
| 0 … 1 | hl7ips-dataelement-195link
| Allergy substance category
| Functional Status
| 0 … 1 | hl7ips-dataelement-10link
|  | Disabilities List
| 0 … 1 Conditional | hl7ips-dataelement-156link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(../Functional Assessments List)
1 … 1 Required | otherwise
|  |  | Disability
| 1 … * Required | hl7ips-dataelement-29link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-197link
|  |  |  | Disability Code
| 0 … 1 | hl7ips-dataelement-198link
|  |  |  | Onset date
| 0 … 1 | hl7ips-dataelement-199link
|  | Functional Assessments List
| 0 … 1 Conditional | hl7ips-dataelement-30link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(../Disabilities List)
1 … 1 Required | otherwise
|  |  | Functional Assessment
| 1 … * Required | hl7ips-dataelement-201link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-137link
| Textual description of the functional assessment. Derived models may choose to use distinct elements for each narrative statement or to collect them into a single section level narrative block
|  |  |  | Date of assessment
| 0 … 1 Required | hl7ips-dataelement-204link
|  |  |  | Type
| 0 … 1 Required | hl7ips-dataelement-205link
|  |  |  | Result
| 0 … 1 Conditional | hl7ips-dataelement-206link
Card/Conf | Condition
--- | ---
1 … 1 Required | otherwise
0 … 0 Not permitted | IF exists(../Functional Assessment)
|  |  |  | Functional Assessment
| 0 … 1 Conditional | hl7ips-dataelement-21link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | IF exists(../Result)
1 … 1 Required | otherwise
| History of Past Illness
| 0 … 1 | hl7ips-dataelement-11link
|  | Past illness content status
| 0 … 1 Conditional | hl7ips-dataelement-208link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Past health conditions and problems])
1 … 1 Required | otherwise
|  | Past health conditions and problems list
| 0 … 1 Conditional | hl7ips-dataelement-31link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Past illness content status])
1 … 1 Required | otherwise
|  |  | Health condition / Problem
| 1 … * Required | hl7ips-dataelement-209link
|  |  |  | Problem Type
| 0 … 1 Required | hl7ips-dataelement-210link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-35link
|  |  |  | Diagnosis
| 1 … 1 Required | hl7ips-dataelement-36link
|  |  |  | Severity
| 0 … 1 | hl7ips-dataelement-136link
| Coded element that described the subjective assessment of the severity of the condition as evaluated by the clinician, in the case of an allergy it is used as attribute of a manifestation of a reaction. For example, a person may have a severe rash as reaction, that it is not however critical.
|  |  |  | Onset Date
| 1 … 1 Required | hl7ips-dataelement-32link
| Date of the first observation of adverse reactions
|  |  |  | Resolution
| 0 … 1 | hl7ips-dataelement-33link
|  |  |  | Date resolved
| 0 … 1 Conditional | hl7ips-dataelement-34link
Card/Conf | Condition
--- | ---
1 … 1 Required | IF status non-active
0 … 0 Not permitted | otherwise
|  |  |  | Specialist Contact
| 0 … * | hl7ips-dataelement-124link
| History of Pregnancy
| 0 … 1 | hl7ips-dataelement-12link
|  | Status of pregnancy
| 1 … 1 Required | hl7ips-dataelement-37link
|  |  | Pregnancy Description
| 0 … 1 Conditional | hl7ips-dataelement-225link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(../[Structured Description])
1 … 1 Required | otherwise
|  |  | Structured Description
| 0 … 1 Conditional | hl7ips-dataelement-168link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(../[Pregnancy Description])
1 … 1 Required | otherwise
|  |  |  | Date of Observation
| 1 … 1 Required | hl7ips-dataelement-211link
|  |  |  | Pregnancy State
| 1 … 1 Required | hl7ips-dataelement-212link
|  |  |  | Expected delivery date
| 0 … 1 Conditional | hl7ips-dataelement-213link
Card/Conf | Condition
--- | ---
1 … 1 Required | IF pregnant
0 … 0 Not permitted | otherwise
|  |  | Specialist Contact
| 0 … * | hl7ips-dataelement-200link
|  | Previous Pregnancies
| 0 … 1 | hl7ips-dataelement-38link
|  |  | Previous Pregnancies Description
| 0 … 1 Conditional | hl7ips-dataelement-39link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(.../[Previous Pregnancy List]) OR exists(../[Summary Metric])
1 … 1 Required | otherwise
|  |  | Previous Pregnancies List
| 0 … 1 Conditional | hl7ips-dataelement-1link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(.../[Previous Pregnancy Description]) OR exists(../[Summary Metric])
1 … 1 Required | otherwise
|  |  |  | Previous Pregnancy
| 0 … * Required | hl7ips-dataelement-40link
|  |  |  |  | Outcome date
| 0 … 1 Required | hl7ips-dataelement-41link
|  |  |  |  | Outcome
| 0 … 1 Required | hl7ips-dataelement-42link
|  |  | Summary Metric
| 0 … 1 Conditional | hl7ips-dataelement-214link
Card/Conf | Condition
--- | ---
0 … 1 | IF exists(.../[Previous Pregnancy List]) OR exists(../[[Previous Pregnancy Description])
1 … 1 Required | otherwise
|  |  | Specialist Contact
| 0 … * | hl7ips-dataelement-125link
| History of Procedures
| 0 … 1 Required | hl7ips-dataelement-13link
|  | Procedures Content Status
| 0 … 1 Conditional | hl7ips-dataelement-44link
| History of procedures informing whether there is no information about procedures or no known procedure
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Procedure list])
1 … 1 Required | otherwise
|  | Procedure list
| 0 … 1 Conditional | hl7ips-dataelement-43link
| A list of procedures performed on the subject of care
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Procedures Content Status])
1 … 1 Required | otherwise
|  |  | Procedure
| 1 … * Required | hl7ips-dataelement-47link
| Each member of the list describes the type of procedure and identifies the actual procedure performed and when it happened.
|  |  |  | Procedure code
| 1 … 1 Required | hl7ips-dataelement-49link
|  |  |  | Procedure description
| 0 … 1 Required | hl7ips-dataelement-51link
| Textual description of the procedure. Derived models may choose to use distinct elements for each narrative statement or to collect them into a single section level narrative block.
|  |  |  | Body site
| 0 … * | hl7ips-dataelement-216link
|  |  |  | Procedure date
| 1 … 1 Required | hl7ips-dataelement-48link
| Period or Date Time
| Immunizations
| 0 … 1 Required | hl7ips-dataelement-14link
|  | Immunizations Content Status
| 0 … 1 Conditional | hl7ips-dataelement-46link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Immunizations list])
1 … 1 Required | otherwise
|  | Immunizations list
| 0 … 1 Conditional | hl7ips-dataelement-50link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Immunization Content Status])
1 … 1 Required | otherwise
|  |  | Immunization
| 1 … * Required | hl7ips-dataelement-45link
| A container for information related to information of the vaccine and its administration.
|  |  |  | Vaccine for type of disease
| 1 … * Required | hl7ips-dataelement-52link
|  |  |  | Target disease list
| 0 … 1 | hl7ips-dataelement-181link
|  |  |  |  | Target disease
| 1 … * Required | hl7ips-dataelement-207link
|  |  |  | Date of Immunization
| 1 … 1 Required | hl7ips-dataelement-53link
|  |  |  | Product Administered
| 0 … 1 | hl7ips-dataelement-54link
|  |  |  |  | Brand name
| 0 … 1 Required | hl7ips-dataelement-55link
|  |  |  | Product Administration Process
| 0 … 1 Required | hl7ips-dataelement-215link
|  |  |  |  | Performer
| 0 … * | hl7ips-dataelement-56link
|  |  |  |  | Route of administration
| 0 … 1 | hl7ips-dataelement-217link
| Medical Devices
| 0 … 1 Required | hl7ips-dataelement-15link
|  | Device content Status
| 0 … 1 Conditional | hl7ips-dataelement-218link
| Records whether there is no information about devices or no known devices
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Device List])
1 … 1 Required | otherwise
|  | Device List
| 0 … 1 Conditional | hl7ips-dataelement-219link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Device content Status])
1 … 1 Required | otherwise
|  |  | Device
| 1 … * Required | hl7ips-dataelement-57link
|  |  |  | Device Type
| 1 … * Required | hl7ips-dataelement-58link
| Category of the device
|  |  |  | Device Identifier
| 0 … * Required | hl7ips-dataelement-60link
| Note, this was not part of the eHN dataset; the device identifier (e.g. UDI) has been added in the HL7 IPS as optional data. Unique and normalized identifier of the device
|  |  |  | Use start date
| 1 … 1 Required | hl7ips-dataelement-59link
| Date when the device was implantable to the patient or the external device was first in use. This field may contain only the year if the day and month are not available (ex: 01/01/2017).
|  |  |  | Use end date
| 0 … 1 | hl7ips-dataelement-150link
| Medication Summary
| 1 … 1 Required | hl7ips-dataelement-16link
|  | Medication Summary content status
| 0 … 1 Conditional | hl7ips-dataelement-220link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[List of current medication])
1 … 1 Required | otherwise
|  | List of medication
| 0 … 1 Conditional | hl7ips-dataelement-61link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Medication Summary content status])
1 … 1 Required | otherwise
|  |  | Medication
| 1 … * Required | hl7ips-dataelement-104link
|  |  |  | Reason
| 0 … 1 | hl7ips-dataelement-226link
|  |  |  | Medicinal Product
| 1 … 1 Required | hl7ips-dataelement-2link
|  |  |  |  | Product Code
| 0 … * | hl7ips-dataelement-105link
| A code identifying the medicine.
|  |  |  |  | Product Common Name (and Strength)
| 0 … 1 Required | hl7ips-dataelement-171link
|  |  |  |  | Pharmaceutical dose form
| 1 … 1 Required | hl7ips-dataelement-227link
| Physical manifestation of a Medicinal Product that contains the active ingredient(s) and/or inactive ingredient(s) that are intended to be delivered to the patient NOTE 1 Dose form, dosage form and pharmaceutical dose form are synonymous. NOTE 2 “Pharmaceutical dose form” can refer to the administered dose form or the manufactured dose form.
|  |  |  |  | Brand Name
| 0 … 1 | hl7ips-dataelement-117link
|  |  |  |  | Active ingredient List
| 1 … 1 Required | hl7ips-dataelement-170link
|  |  |  |  |  | Active Ingredient
| 1 … 1 Required | hl7ips-dataelement-129link
|  |  |  |  |  |  | Substance code
| 1 … 1 Required | hl7ips-dataelement-132link
|  |  |  |  |  |  | Strength
| 1 … 1 Required | hl7ips-dataelement-133link
|  |  |  | Administration Instruction
| 1 … 1 Required | hl7ips-dataelement-222link
|  |  |  |  | Instruction
| 0 … 1 | hl7ips-dataelement-228link
|  |  |  |  | Period of Medication Use
| 1 … 1 Required | hl7ips-dataelement-103link
| This information may be expressed using start and end date times OR indicating the duration. The first is used to indicate a specified interval (e.g. from March 15th, 2017); the latter for indicating a 'floating' period (e.g. 2 weeks). In case of unbounded period (continuous therapy) the end element will be valued with an exceptional value.
|  |  |  |  | Route of administration
| 0 … 1 | hl7ips-dataelement-102link
|  |  |  |  | Dose Instruction
| 1 … 1 Required | hl7ips-dataelement-119link
|  |  |  |  |  | Number of units per intake
| 1 … 1 Required | hl7ips-dataelement-223link
| Range or Quantity
|  |  |  |  |  | Frequency of intake
| 1 … 1 Required | hl7ips-dataelement-224link
| Plan Of Care
| 0 … 1 | hl7ips-dataelement-17link
|  | Plan Description
| 0 … 1 Conditional | hl7ips-dataelement-110link
Card/Conf | Condition
--- | ---
0 … 1 | exists(../[Plan Description list])
1 … 1 Required | otherwise
|  | Plan Description list
| 0 … 1 Conditional | hl7ips-dataelement-134link
Card/Conf | Condition
--- | ---
0 … 1 | exists(../[Plan Description])
1 … 1 Required | otherwise
|  |  | Plan
| 1 … * Required | hl7ips-dataelement-114link
|  |  |  | Plan Type
| 0 … 1 Required | hl7ips-dataelement-108link
|  |  |  | Plan Date
| 0 … 1 Required | hl7ips-dataelement-107link
|  |  | Recommendations list
| 0 … 1 Conditional | hl7ips-dataelement-109link
Card/Conf | Condition
--- | ---
0 … 1 | exists(../[Extended Plan])
1 … 1 Required | otherwise
|  |  |  | Recommendation for treatment
| 1 … 1 Required | hl7ips-dataelement-113link
|  |  |  | Given Recommendations date
| 0 … 1 Required | hl7ips-dataelement-111link
|  |  |  | Applicable dates
| 0 … 1 Required | hl7ips-dataelement-112link
|  |  | Extended Plan
| 0 … 1 Conditional | hl7ips-dataelement-116link
Card/Conf | Condition
--- | ---
0 … 1 | exists(../[Recommendations list])
1 … 1 Required | otherwise
| Problems
| 1 … 1 Required | hl7ips-dataelement-18link
|  | Problem content status
| 0 … 1 Conditional | hl7ips-dataelement-115link
| The patient has had no previous problems, or the problem information is unknown
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Problem list]
1 … 1 Required | otherwise
|  | Problem list
| 0 … 1 Conditional | hl7ips-dataelement-139link
| The problem list comprises members that are current, either because they are active, unresolved or of concern and being monitored.
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Problem content status])
1 … 1 Required | otherwise
|  |  | Problem
| 1 … * Required | hl7ips-dataelement-140link
| One or more problems are listed; each comprising the same structure describing the nature of the problem and its date of onset.
|  |  |  | Problem type
| 0 … 1 Required | hl7ips-dataelement-101link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-130link
|  |  |  | Diagnosis
| 1 … 1 Required | hl7ips-dataelement-131link
| Label used to describe a problem; usually coded.
|  |  |  | Severity
| 0 … 1 Required | hl7ips-dataelement-128link
|  |  |  | Onset date
| 1 … 1 Required | hl7ips-dataelement-127link
|  |  |  | Specialist Contact
| 0 … 1 | hl7ips-dataelement-25link
| Results
| 0 … 1 Required | hl7ips-dataelement-19link
|  | Observation Results Content Status
| 0 … 1 Conditional | hl7ips-dataelement-141link
| Statement about presence/absence of content.
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Observation results list])
1 … 1 Required | otherwise
|  | Observations results list
| 0 … 1 Conditional | hl7ips-dataelement-126link
| A conditional list of all observation results pertaining to the subject of care’s health condition
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Observation results Content Status])
1 … 1 Required | otherwise
|  |  | Observation Result
| 1 … * Required | hl7ips-dataelement-106link
|  |  |  | Date of observation
| 1 … 1 Required | hl7ips-dataelement-143link
| Date Time or Period
|  |  |  | Observation Type
| 1 … 1 Required | hl7ips-dataelement-144link
| The list contains members representing the types of results. Note: the eHN give only two examples (non-exhaustive) and these may be represented in a value set with these two types included: Diagnostic results Physical findings
|  |  |  | Result Description
| 1 … * Required | hl7ips-dataelement-142link
|  |  |  | Value
| 0 … 1 Conditional | hl7ips-dataelement-145link
| The measurement value and details about how the tests were done to get the result values.
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../[Observation Result])
1 … 1 Required | otherwise
|  |  |  | Observation Result
| 0 … * Conditional | hl7ips-dataelement-23link
Card/Conf | Condition
--- | ---
0 … 0 Not permitted | exists(../Value)
1 … * Required | otherwise
|  |  |  | Performer
| 0 … * Required | hl7ips-dataelement-146link
| Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole IPS document.
|  |  |  | Observer
| 0 … * Required | hl7ips-dataelement-177link
| Social History
| 0 … 1 | hl7ips-dataelement-20link
|  | Life Style Factor list
| 1 … 1 Required | hl7ips-dataelement-147link
| An open-ended list of composite objects that describes the past and current habits of the patient with respect to a particular life style observation. If this IPS Section is present then the list shall be non-empty. Composite object describing the name of the lifestyle factor and descriptive text or structured codes providing more details, with ranges and amounts when applicable; Textual information if coded/quantified data are not available.
|  |  | Life Style Factor
| 1 … * Required | hl7ips-dataelement-148link
|  |  |  | Description
| 1 … 1 Required | hl7ips-dataelement-149link
|  |  |  | Life Style Factor
| 0 … * | hl7ips-dataelement-176link
|  |  |  | Reference date range
| 0 … 1 Required | hl7ips-dataelement-151link