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BS EN 17269:2019

BS EN 17269:2019

$215.11

Health informatics. The International Patient Summary

Published By Publication Date Number of Pages
BSI 2019 86
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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.

PDF Catalog

PDF Pages PDF Title
2 undefined
10 1 Scope
2 Normative references
3 Terms and definitions
13 4 Abbreviations
14 5 Conformance
5.1 Introduction
5.2 IPS Conformance Detail
17 6 Definition and Descriptors for the IPS Data Set
6.1 International patient summary data set
6.2 IPS Terms and Descriptors
19 6.3 Patterns within the IPS Data Set
6.3.1 General
20 6.3.2 Label Concept
6.3.3 List
21 6.3.4 Reference
6.3.5 Person Name
6.3.6 Coded Element
6.3.7 Date Time
22 6.3.8 Identifier
6.3.9 Address
6.3.10 Telecom
6.3.11 Organization Name
23 6.3.12 Text
6.3.13 Any
6.3.14 Range
6.3.15 Quantity
24 6.3.16 Period
6.3.17 General Time Specification
6.3.18 Healthcare Provider
25 6.3.19 String
6.3.20 Ratio
6.4 Model Extensibility
26 7 Definition of the IPS Document or IPS
7.1 Overview Description: THE IPS DOCUMENT
27 7.2 Detailed Description: THE IPS DOCUMENT
30 8 Definition for IPS Attribute Collection: PATIENT ATTRIBUTES
8.1 Overview Description: PATIENT ATTRIBUTES
8.2 Detailed Description: PATIENT ATTRIBUTES
32 9 Definition for IPS Attribute Collection: PATIENT’S ADDRESS BOOK
9.1 Overview Description for PATIENT’S ADDRESS BOOK
33 9.2 Detailed Description for PATIENT’S ADDRESS BOOK
34 10 Definition for IPS Section: ADVANCE DIRECTIVES
10.1 Overview Description for ADVANCE DIRECTIVES
10.2 Detailed Description for ADVANCE DIRECTIVES
36 11 Definition for IPS Section: ALLERGIES and INTOLERANCES
11.1 Overview Description for ALLERGIES and INTOLERANCES
37 11.2 Detailed Description for ALLERGIES and INTOLERANCES
40 12 Definition for IPS Section: FUNCTIONAL STATUS
12.1 Overview Description for FUNCTIONAL STATUS
41 12.2 Detailed Description for FUNCTIONAL STATUS
42 13 Definition for IPS Section: HISTORY OF PAST PROBLEMS
13.1 Overview Description for HISTORY OF PAST PROBLEMS
43 13.2 Detailed Description for HISTORY OF PAST PROBLEMS
44 14 Definition for IPS Section: HISTORY OF PREGNANCY
14.1 Overview Description for HISTORY OF PREGNANCY
45 14.2 Detailed Description for HISTORY OF PREGNANCY
47 15 Definition for IPS Section: HISTORY OF PROCEDURES
15.1 Overview Description for HISTORY OF PROCEDURES
48 15.2 Detailed Description for HISTORY OF PROCEDURES
49 16 Definition for IPS Section: IMMUNIZATIONS
16.1 Overview Description for IMMUNIZATIONS
16.2 Detailed Description for IMMUNIZATIONS
51 17 Definition for IPS Section: MEDICAL DEVICES
17.1 Overview Description for MEDICAL DEVICES
17.2 Detailed Description for MEDICAL DEVICES
52 18 Definition for IPS Section: MEDICATION SUMMARY
18.1 Overview Description for MEDICATION SUMMARY
53 18.2 The IPS Medication Summary and IDMP
54 18.3 Detailed Description for MEDICATION SUMMARY
57 19 Definition for IPS Section: PLAN OF CARE
19.1 Overview Description for PLAN OF CARE
19.2 Detailed Description for PLAN OF CARE
59 20 Definition for IPS Section: PROBLEMS
20.1 Overview Description for PROBLEMS
20.2 Detailed Description for PROBLEMS
61 21 Definition for IPS Section: Results
21.1 Overview Description for RESULTS
21.2 Detailed Description for RESULTS
63 22 Definition for IPS Section: SOCIAL HISTORY
22.1 Overview Description for SOCIAL HISTORY
22.2 Detailed Description for SOCIAL HISTORY
65 23 Definition for IPS Section: Vital Signs
23.1 Overview Description for VITAL SIGNS
23.2 Detailed Description for VITAL SIGNS
67 24 Definition for IPS Attribute Collection: Cross Border
24.1 Overview Description for CROSS BORDER
24.2 Detailed Description for CROSS BORDER
68 25 Definition for IPS Attribute Collection: Provenance Metadata
25.1 Overview Description for PROVENANCE
69 25.2 Detailed Description for PROVENANCE
71 Annex A (informative)The first IPS Scenario focussed on ‘unscheduled, cross-border care’
A.1 Introduction
72 A.2 Commentary on the first IPS Scenario
74 A.3 Governance of the IPS Data Set
A.3.1 General
A.3.2 Clinical and Information Governance
75 A.4 IPS Independence and Dependence
79 Annex B (informative)Explicit Trace between eHN Guideline Version 2
B.1 General
B.2 The eHN Guideline and this IPS standard
81 B.3 The Rationale for the IPS Naming
82 B.4 Identifiers in eHN Guideline
83 Annex C (informative)The eHN Guideline, the JIC PS Standards Set, and IPS

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BS EN 17269:2019
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