Difference between revisions of "International Patient Summary"

Revision as of 07:38, 18 March 2024

Full Title

The International Patient Summary (IPS) is a standard that facilitates clinical data sharing by patients and clinicians both within and across borders. It has emerged from collaboration across multiple standards development organizations (SDOs), including **HL7 International**, the **European Committee for Standardization (CEN)**, **Integrating the Healthcare Enterprise (IHE)**, **ISO**, and **SNOMED International**.

Context

Tthe IPS aims to enhance cross-border data exchange, allowing patients and clinicians to share critical health information seamlessly across different countries and healthcare systems. 1. **Background on the IPS**:

  - The IPS ecosystem includes standards developed by various SDOs.
  - HL7 work groups have created two implementable specifications of the IPS based on the **Clinical Document Architecture (CDA)** and **Fast Healthcare Interoperability (FHIR)** standards.
  - These specifications cover essential clinical data domains such as allergies, medications, and problems.
  - SNOMED International provides a subset of SNOMED CT codes (the Global Patient Set) for use within the IPS or other specifications.
  - The IPS has gained traction through efforts by organizations like the **World Health Organization (WHO)**, the **Global Digital Health Partnership**, and the **G7 Health Ministers**.

2. **IPS Maturity and Adoption**:

  - The IPS is still in its early adoption phase.
  - Within European nations participating in the **MyHealth@EU** (formerly eHDSI) project, the exchange of **CDA Patient Summaries** compliant with the IPS datasets has reached production usage.
  - While not all nations have fully migrated to the HL7 CDA IPS, references to it are now included in 2021 guidance¹.


Source: Conversation with Bing, 3/17/2024 (1) Advancing the International Patient Summary. https://blog.hl7.org/advancing-the-international-patient-summary-ips. (2) GUIDELINES ON THE EUROPEAN PATIENT SUMMARY DATASET. https://apps.who.int/iris/bitstream/handle/10665/332849/Eurohealth-20-1-25-28-eng.pdf?sequence=1. (3) (PDF) Interoperability standards enabling cross-border patient summary .... https://www.academia.edu/71730561/Interoperability_standards_enabling_cross_border_patient_summary_exchange. (4) Summary Report: Cross-Border Healthcare - eu-patient.eu. https://www.eu-patient.eu/globalassets/policy/cross-borderhealthcare/cbhc-summary-report-final_external.pdf.

References