2.16.840.1.113883.10.22.1.1/static-2017-04-11T000000

Id	2.16.840.1.113883.10.22.1.1	Effective Date	valid from 2017‑04‑11
Status	Draft	Version Label
Name	HL7-IPS	Display Name	International Patient Summary
Description 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) care of a patient." The IPS templates aim to: Serve for both cross-jurisdictional (through adaptation/extension for multi-language and realm scenarios, including translation) and national (through localization) patient summaries. Support emergency care and unplanned care in any country (home and foreign), regardless of language Define value sets based on international vocabularies that are usable and understandable in any country
Context	Pathname /
Classification	CDA Document Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 0 templates, Uses 20 templates Uses as Name Version 2.16.840.1.113883.10.22.2.1 Include IPS CDA recordTarget 2017‑04‑11 2.16.840.1.113883.10.22.2.2 Include IPS CDA author 2017‑04‑11 2.16.840.1.113883.10.22.2.3 Include IPS CDA custodian 2017‑04‑11 2.16.840.1.113883.10.22.2.4 Include IPS CDA legalAuthenticator 2017‑04‑11 2.16.840.1.113883.10.22.2.5 Include IPS Patient Contacts 2017‑04‑12 2.16.840.1.113883.10.22.2.6 Include IPS CDA documentationOf 2017‑04‑12 2.16.840.1.113883.10.22.2.7 Include IPS CDA relatedDocument 2017‑04‑12 2.16.840.1.113883.10.22.3.1 Containment IPS Medication Summary Section DYNAMIC 2.16.840.1.113883.10.22.3.2 Containment IPS Allergies and Intolerances Section DYNAMIC 2.16.840.1.113883.10.22.3.3 Containment IPS Problems Section DYNAMIC 2.16.840.1.113883.10.22.3.4 Containment IPS History of Procedures Section DYNAMIC 2.16.840.1.113883.10.22.3.5 Containment IPS Immunizations Section DYNAMIC 2.16.840.1.113883.10.22.3.6 Containment IPS Medical Devices Section DYNAMIC 2.16.840.1.113883.10.22.3.7 Containment IPS History of Past Illness Section DYNAMIC 2.16.840.1.113883.10.22.3.14 Containment IPS Results Section 2017‑04‑30 2.16.840.1.113883.10.22.3.8 Containment IPS Functional Status Section 2017‑04‑13 2.16.840.1.113883.10.22.3.9 Containment IPS Plan of Treatment Section 2017‑04‑13 2.16.840.1.113883.10.22.3.10 Containment IPS Social History Section 2017‑04‑13 2.16.840.1.113883.10.22.3.11 Containment IPS History of Pregnancy Section 2017‑04‑13 2.16.840.1.113883.10.22.3.12 Containment IPS Advance Directives Section 2017‑04‑13
Relationship	Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.1.3 (2013‑12‑20) Adaptation: template 2.16.840.1.113883.10.12.1 (2005‑09‑07)
Example	Example <ClinicalDocument>   <realmCode code="ES"/>  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>  <templateId root="2.16.840.1.113883.3.1937.777.13.10.30"/>  <id root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031"/>  <code displayName="Patient Summary" code="60591-5" codeSystem="2.16.840.1.113883.6.1"/>  <title>Patient Summary</title>  <effectiveTime value="20111113125600+0200"/>  <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25"/>  <languageCode code="es-ES"/>  <setId root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031S"/>  <versionNumber value="2"/>  <!-- include template 2.16.840.1.113883.3.1937.777.13.10.33 'IPS CDA recordTarget' (dynamic) 1..1 M -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.34 'IPS CDA author' (dynamic) 1..* M -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.36 'IPS CDA custodian' (dynamic) 1..1 M -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.37 'IPS CDA legalAuthenticator' (dynamic) 0..1 R -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.39 'IPS Patient Contacts' (dynamic) 0..* O -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.40 'IPS CDA documentationOf ' (dynamic) 1..1 M -->   <!-- include template 2.16.840.1.113883.3.1937.777.13.10.42 'IPS CDA relatedDocument' (dynamic) 0..* R -->   <component>     <structuredBody classCode="DOCBODY">       <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.3 'IPS Medication Summary Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.5 'IPS Allergies and Intolerances Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.8 'IPS Problems Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.19 'IPS History of Procedures Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.25 'IPS Immunizations Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.31 'IPS Medical Devices Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.43 'IPS History of Past Illness Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.54 'IPS Results Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.44 'IPS Functional Status Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.45 'IPS Plan of Treatment Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.46 'IPS Social History Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.48 'IPS History of Pregnancy Section' (dynamic) -->       </component>      <component>         <!-- template 2.16.840.1.113883.3.1937.777.13.10.47 'IPS Advance Directives Section' (dynamic) -->       </component>    </structuredBody>  </component></ClinicalDocument>
Item DT Card Conf Description Label hl7:ClinicalDocument R CDA header (HL7‑IPS hl7:realmCode CS 1 … 1 R (HL7‑IPS hl7:typeId II 1 … 1 M The clinical document typeId identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier. (HL7‑IPS @root uid 1 … 1 F 2.16.840.1.113883.1.3 @extension st 1 … 1 F POCD_HD000040   Example <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> hl7:templateId II 1 … 1 M (HL7‑IPS @root uid 1 … 1 F 2.16.840.1.113883.10.22.1.1 hl7:id II 1 … 1 M Unique identifier of this instance of the Patient Summary. (HL7‑IPS hl7:code CE.IPS 1 … 1 M Determines the document type that is the "Patient Summary" document (HL7‑IPS @displayName 1 … 1 R @code CONF 1 … 1 F 60591-5 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)   Example <code code="60591-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Summary"/> hl7:translation CD.IPS 0 … * R This element can be here used either to provide the originally used document code if this IPS is the result of a transformation ; either to indicate that this Patient Summary has been assembled or that is the result of a human curation. (HL7‑IPS where [1] hl7:title ST 1 … 1 M ClinicalDocument/title is used for display purposes. (HL7‑IPS   Example <title>Patient Summary</title>   Example <title>Profilo Sanitario Sintetico</title> hl7:effectiveTime TS.IPS.TZ 1 … 1 M Time of creation of the Patient Summary (HL7‑IPS   Example <effectiveTime value="20111113125600+0200"/> hl7:confidentialityCode CE.IPS 1 … 1 R (HL7‑IPS   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)   Example <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> hl7:language​Code CS 1 … 1 M Document Language Code (HL7‑IPS   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.19 Language Code (2017‑04‑11)   Example <languageCode code="en-GB"/>   Schematron assert role  error     test matches(@code,'[a-z]{2}-[A-Z]{2}')     Message The language code SHALL be in the form nn-CC where nn is ISO-639-1 and CC is ISO-3166   hl7:setId II 0 … 1 R This attribute “represents an identifier that is common across all document revisions”. In the case the IPS instance is generated as result of one or more transformations (translation/transcoding) the setId is supposed to remain unchanged across all those transformations. Implementers are recommended to use this attribute. (HL7‑IPS hl7:versionNumber 0 … 1 R (HL7‑IPS Included 1 … 1 M from 2.16.840.1.113883.10.22.2.1 IPS CDA recordTarget (2017‑04‑11) hl7:recordTarget 1 … 1 M (HL7‑IPS @typeCode cs 0 … 1 F RCT @context​Control​Code cs 0 … 1 F OP   Example <recordTarget typeCode="RCT" contextControlCode="OP">   <patientRole classCode="PAT">     <id root="1.2.3.999" extension="--example only--"/>    <addr>       <streetAddressLine>HSE M CASSAR STR</streetAddressLine>      <city>ISLA</city>      <country>MT</country>    </addr>    <telecom use="HP" value="tel:+356124567891"/>    <telecom use="WP" value="mailto:elif@foo.too.mt"/>    <patient>       <name>         <family>BORG</family>        <given>TANIA</given>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>      <birthTime value="19430130"/>      <!-- Optional guardian information ; see example below-->       <!-- Optional languageCommunication information see example below -->     </patient>  </patientRole></recordTarget> hl7:patientRole 1 … 1 M (HL7‑IPS @classCode cs 0 … 1 F PAT hl7:id II 1 … * R Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number) (HL7‑IPS hl7:addr AD.IPS 1 … 1 R The patient address. (HL7‑IPS @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.   Example <addr use="HP">   <country>TR</country>  <city>Ankara</city>  <streetAddressLine>Silikon Blok Kat:1</streetAddressLine></addr>   Example <addr use="WP">   <state>FI</state>  <city>FIRENZE</city>  <country>IT</country>  <postalCode>50122</postalCode>  <streetAddressLine>Palazzo Vecchio, Piazza della Signoria</streetAddressLine></addr>   Example <addr nullFlavor="NI"/> hl7:streetAddressLine 0 … * C Patient's Number of Street/Patient's Number of Street (HL7‑IPS hl7:city 0 … 1 C Patient's City (HL7‑IPS hl7:postalCode 0 … 1 C Patient's Postal Code (HL7‑IPS hl7:state 0 … 1 C Patient's State or Province (HL7‑IPS hl7:country 0 … 1 C Patient's Country. (HL7‑IPS hl7:telecom TEL 1 … * R Patient’s telecom information : e.g. telephone number, e-mail address.  (HL7‑IPS @use set_cs 0 … 1     CONF The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.   Example <telecom use="HP" value="tel:+356124567891"/>   Example <telecom use="WP" value="mailto:elif@foo.too.mt"/>   Example <telecom nullFlavor="NI"/> hl7:patient 1 … 1 M (HL7‑IPS @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Patient Name (HL7‑IPS hl7:family 1 … * M Patient's Family Name/Surname (HL7‑IPS hl7:given 1 … * M Patient's Given Name (HL7‑IPS hl7:administrative​Gender​Code CE.IPS 1 … 1 R Patient's Gender (HL7‑IPS @nullFlavor cs 0 … 1 F UNK   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)   Example <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female">   <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode> hl7:birthTime TS 1 … 1 M Patient's Date of Birth. The patient date of birth may be a partial date such as only the year. (HL7‑IPS hl7:guardian 0 … * R The guardians of a patient. Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact. (HL7‑IPS @classCode cs 1 … 1 F GUARD   Example <guardian classCode="GUARD">   <code code="AUNT" displayName="aunt" codeSystem="2.16.840.1.113883.5.111">     <translation displayName="tante"/>  </code>  <addr nullFlavor="NI"/>  <telecom use="MC" value="tel:+33-12345678"/>  <guardianPerson>     <name>       <family>Curie</family>      <given>Marie</given>    </name>  </guardianPerson></guardian> hl7:code CD.IPS 0 … 1 R The relationship between the patient and the guardian or other contact may be recorded in the <code> element.  (HL7‑IPS   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC) hl7:addr AD.IPS 1 … 1 R (HL7‑IPS @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. hl7:streetAddressLine 0 … * R Guardian's Number of Street/Guardian's Number of Street (HL7‑IPS hl7:city 0 … 1 R Guardian's City (HL7‑IPS hl7:postalCode 0 … 1 R Guardian's Postal Code (HL7‑IPS hl7:state 0 … 1 R Guardian's State or Province (HL7‑IPS hl7:country 0 … 1 R Guardian's Country. (HL7‑IPS hl7:telecom TEL 1 … * R Guardian’s telecom information: e.g. telephone number; e-mail address.  (HL7‑IPS @use set_cs 0 … 1     CONF The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present. hl7:guardian​Person 1 … 1 R (HL7‑IPS hl7:name PN 1 … * R Patient Guardian's Name (HL7‑IPS hl7:family ENXP 1 … * R Patient Guardian's Family Name/Surname (HL7‑IPS hl7:given ENXP 1 … * R Patient Guardian's Given Name (HL7‑IPS hl7:language​Communication 0 … * R (HL7‑IPS hl7:language​Code CS 1 … 1 R Patient’s language (HL7‑IPS   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.19 Language Code (2017‑04‑11)   Example British English <languageCode code="en-GB"/>   Example Amurdak (Australia) <languageCode code="amg-AU"/>   Schematron assert role  error     test matches(@code,'[a-z]{2}-[A-Z]{2}')     Message The language code SHALL be in the form nn-CC where nn is ISO-639-1 and CC is ISO-3166   Included 1 … * M from 2.16.840.1.113883.10.22.2.2 IPS CDA author (2017‑04‑11) hl7:author 1 … * M (HL7‑IPS @typeCode cs 0 … 1 F AUT @context​Control​Code cs 0 … 1 F OP   Example <author>   <time value="201212290600+0100"/>  <assignedAuthor>     <id root="2.16.840.1.113883.2.9.4.3.2" extension="RSSMRA00A01F205F" assigningAuthorityName="Ministero Economia e Finanze"/>    <addr use="WP">       <streetAddressLine>Viale della Cristallina 3</streetAddressLine>      <city>Bologna</city>      <state>BO</state>      <postalCode>40121</postalCode>      <country>IT</country>    </addr>    <telecom use="WP" value="tel:+39-051-34343434"/>    <assignedPerson>       <name>         <given>Paolo</given>        <family>Rossi</family>      </name>    </assignedPerson>  </assignedAuthor>  <representedOrganization>     <!-- template 2.16.840.1.113883.3.1937.777.13.10.35 'IPS CDA Organization' (dynamic) -->   </representedOrganization></author> hl7:functionCode CE.IPS 0 … 1 R (HL7‑IPS   Example <functionCode code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors"/> hl7:time TS.IPS.TZ 1 … 1 R The author/time element represents the start time of the author’s participation in the creation of the clinical document.  (HL7‑IPS   Example <time value="201212290600+0100"/> hl7:assignedAuthor 1 … 1 R (HL7‑IPS @classCode cs 0 … 1 F ASSIGNED hl7:id II 1 … * R Author Identifier(s) (HL7‑IPS @nullFlavor cs 0 … 1     Constraint If assignedAuthor has an associated representedOrganization with no assignedPerson or assignedAuthoringDevice, then the value for "ClinicalDocument/author/assignedAuthor/id/@nullFlavor" SHALL be "NA" "Not applicable"  hl7:code CE.IPS 0 … 1 R (HL7‑IPS hl7:addr AD.IPS 1 … * R (HL7‑IPS   Example <addr use="WP">   <streetAddressLine>Viale della Cristallina 3</streetAddressLine>  <city>Bologna</city>  <state>BO</state>  <postalCode>40121</postalCode>  <country>IT</country></addr> hl7:telecom TEL.IPS 1 … * R Attribute @value SHALL contain a URI if element telecom is used. The URI scheme SHALL be one of URLScheme (HL7‑IPS @use set_cs 0 … 1     CONF The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @value st 0 … 1     Example <telecom use="WP" value="tel:+39-051-34343434"/>   Example <telecom nullFlavor="NI"/> Choice 0 … 1 Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device containing template 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) hl7:assigned​Person 0 … 1 C (HL7‑IPS @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … 1 R Name of the person (e.g. the Healthcare Professional)  authoring this document (HL7‑IPS   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R (HL7‑IPS hl7:given 1 … * R (HL7‑IPS hl7:assigned​Authoring​Device 0 … 1 C Contains 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) (HL7‑IPS   Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> hl7:represented​Organization 0 … 1 R Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (HL7‑IPS Included 1 … 1 M from 2.16.840.1.113883.10.22.2.3 IPS CDA custodian (2017‑04‑11) hl7:custodian 1 … 1 M (HL7‑IPS @typeCode cs 0 … 1 F CST   Example <custodian typeCode="CST">   <assignedCustodian classCode="ASSIGNED">     <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">       <!-- template 2.16.840.1.113883.3.1937.777.13.10.35 'IPS CDA Organization' (dynamic) -->     </representedCustodianOrganization>  </assignedCustodian></custodian> hl7:assignedCustodian 1 … 1 R (HL7‑IPS @classCode cs 0 … 1 F ASSIGNED hl7:represented​Custodian​Organization 1 … 1 R Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (HL7‑IPS @classCode cs 0 … 1 F ORG @determiner​Code cs 0 … 1 F INSTANCE Included 0 … 1 R from 2.16.840.1.113883.10.22.2.4 IPS CDA legalAuthenticator (2017‑04‑11) hl7:legalAuthenticator 0 … 1 R (HL7‑IPS   Example <legalAuthenticator>   <time value="20111013150937-0800"/>  <signatureCode code="S"/>  <assignedEntity>     <id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/>    <assignedPerson>       <name>         <given>John</given>        <family>Español Smith</family>      </name>    </assignedPerson>    <representedOrganization>       <name>Healthcare Facility's name</name>      <addr>         <country>NL</country>        <streetName>Duinweg</streetName>        <houseNumber>23</houseNumber>        <postalCode>7364 RX</postalCode>        <city>Amsterdam</city>      </addr>    </representedOrganization>  </assignedEntity></legalAuthenticator> hl7:time TS.IPS.TZ 1 … 1 M Time of signing the document (HL7‑IPS hl7:signatureCode CS 0 … 1 R Signature code (HL7‑IPS @code CONF 1 … 1 F S hl7:assignedEntity 0 … 1 R The entity that is responsible for the legal authentication of the CDA document (HL7‑IPS hl7:id 1 … * M Unique identification of legal authenticator (HL7‑IPS hl7:addr AD.IPS 1 … * R (HL7‑IPS hl7:telecom TEL.IPS 1 … * R (HL7‑IPS hl7:assigned​Person 1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.113 CDA Person (DYNAMIC) (HL7‑IPS @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … 1 R Name of the legal authenticator (HL7‑IPS   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R HP Family Name/Surname (HL7‑IPS hl7:given 1 … * R HP Given Name (HL7‑IPS hl7:represented​Organization 1 … 1 M Organization the legal authenticator is acting for Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (HL7‑IPS where [not(@nullFlavor)] Included 0 … * from 2.16.840.1.113883.10.22.2.5 IPS Patient Contacts (2017‑04‑12) hl7:participant 0 … * R Patient contacts or the Preferred Health Professional to contact in case of emergency. (HL7‑IPS where [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.2.4'] @typeCode cs 1 … 1 F IND   Example <participant typeCode="IND">   <templateId root="2.16.840.1.113883.3.1937.777.13.10.39"/>  <associatedEntity classCode="NOK">     <addr>       <streetAddressLine>Promenade des Anglais 111</streetAddressLine>      <city>Lyon</city>      <postalCode>69001</postalCode>      <country>FR</country>    </addr>    <telecom value="tel:(+33)555-20036" use="WP"/>    <associatedPerson>       <name>         <given>Martha</given>        <family>Mum</family>      </name>    </associatedPerson>  </associatedEntity></participant> hl7:templateId II 1 … 1 M (HL7‑IPS @root uid 1 … 1 F 2.16.840.1.113883.10.22.2.5 hl7:functionCode 0 … 1 C The  <functionCode> element may be used to indicate that this participant is the preferred Health Professional to contact in case of emergency. (HL7‑IPS @code CONF 1 … 1 F PCP @codeSystem 1 … 1 F 2.16.840.1.113883.5.88 (Participation Function) hl7:time IVL_TS.IPS.TZ.OPT 0 … 1 R The <time> element may be present and indicates the time of the participation. (HL7‑IPS   Example Precision Day <time value="20070213"/>   Example Precision minute (requires timezone) <time value="200702131234+0100"/> hl7:associated​Entity R The <associatedEntity> element identifies the type of contact.  (HL7‑IPS @classCode cs 1 … 1 R   CONF The value of @classCode shall be drawn from value set 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes (DYNAMIC)   Example <associatedEntity classCode="ECON">   <addr>     <streetAddressLine>Karl Strasse</streetAddressLine>    <city>Freiberg</city>    <postalCode>09599</postalCode>    <country>DE</country>  </addr>  <telecom value="tel:+49-761-11110000" use="WP"/>  <associatedPerson>     <name>       <given>Arzt</given>      <family>Guter</family>    </name>  </associatedPerson></associatedEntity> hl7:code CV.IPS 0 … 1 R This element indicates the relationship between the patient and this participant. (HL7‑IPS   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.38 epSOSPersonalRelationship (DYNAMIC)   Example <code code="AUNT" displayName="aunt" codeSystem="2.16.840.1.113883.5.111">   <translation displayName="θεία"/></code> hl7:addr AD.IPS 1 … 1 R Patient Contact's / Preferred HP's Address (HL7‑IPS @nullFlavor cs 0 … 1 F NI   Schematron assert role  error     test @nullFlavor or hl7:*     Message If addr is not nullflavored at least one sub element has to be provided   hl7:streetAddressLine 0 … * R Patient Contact's Street/Number of Street / Preferred HP's Street/Number of Street (HL7‑IPS hl7:city 0 … 1 R Patient Contact's City / Preferred HP's City (HL7‑IPS hl7:postalCode 0 … 1 R Patient Contact's Postal Code / Preferred HP's Postal Code (HL7‑IPS hl7:state 0 … 1 R Patient Contact's State or Province / Preferred HP's State or Province (HL7‑IPS hl7:country 0 … 1 R Patient Contact's Country / Preferred HP's Country. When used addr.country it is always bound to the epSOSCountry value set (HL7‑IPS hl7:telecom TEL 1 … * R Patient Contact's / Preferred HP's/Legal Organization telephone or e-mail <telecom> element is required. (HL7‑IPS @use set_cs 0 … 1     CONF The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present   Example <art:placeholder>   <telecom use="WP" value="tel:+45 20 7025 6161"/>  <telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/></art:placeholder> Choice 1 … 2 Elements to choose from: hl7:associated​Person hl7:scoping​Organization hl7:associated​Person 0 … 1 C (HL7‑IPS hl7:name PN 1 … 1 R Patient Contact's Name / Preferred HP's Name (HL7‑IPS   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R Patient Contact's Family Name/Surname / Preferred HP's Family Name/Surname (HL7‑IPS hl7:given 1 … * R Patient Contact's Given Name / Preferred HP's Given Name (HL7‑IPS hl7:scoping​Organization 0 … 1 C (HL7‑IPS hl7:name ON 1 … 1 R Organization's Name (HL7‑IPS Included 1 … 1 M from 2.16.840.1.113883.10.22.2.6 IPS CDA documentationOf (2017‑04‑12) hl7:documentationOf 1 … 1 M 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. (HL7‑IPS @typeCode cs 1 … 1 F DOC   Example <documentationOf>   <serviceEvent classCode="PCPR">     <effectiveTime>       <low nullFlavor="NI"/>      <high value="20110308"/>    </effectiveTime>    <performer typeCode="PRF">       <!-- See example below -->     </performer>  </serviceEvent></documentationOf> hl7:serviceEvent 1 … 1 R The main activity being described by a IPS is the provision of healthcare over a period of time. This is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range). For example if the IPS is generated by a GP based on information recorded in his/her EHR-S, then the low value should represent the date when the treatment relationship between the patient and the GP started; and the high value the date of the latest care event. (HL7‑IPS @classCode cs 1 … 1 F PCPR @moodCode cs 1 … 1 F EVN hl7:id II 0 … * R (HL7‑IPS hl7:effectiveTime IVL_TS 1 … 1 R (HL7‑IPS hl7:low TS 1 … 1 R (HL7‑IPS hl7:high TS 1 … 1 R (HL7‑IPS hl7:performer 0 … * R It represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient’s key healthcare providers would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors (HL7‑IPS @typeCode cs 1 … 1 R   CONF The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)   Example <performer typeCode="PRF">   <functionCode code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors">     <translation codeSystem="2.16.840.1.113883.2.9.5.1.111" code="MMG" displayName="Medico di Medicina Generale"/>  </functionCode>  <assignedEntity>     <id assigningAuthorityName="MEF" displayable="false" extension="DVLMMG57R07F205G" root="2.16.840.1.113883.2.9.4.3.2"/>    <addr nullFlavor="NI"/>    <telecom nullFlavor="NI"/>    <assignedPerson>       <name>         <family>DVALUNO</family>        <given>MMG</given>      </name>    </assignedPerson>    <representedOrganization>       <id assigningAuthorityName="A.S.L. DELLA PROVINCIA DI LECCO" extension="030305" root="2.16.840.1.113883.2.9.4.1.1"/>      <name>A.S.L. DELLA PROVINCIA DI LECCO</name>      <telecom nullFlavor="NI"/>      <addr>         <state>LECCO</state>        <city>LECCO</city>        <country>IT</country>        <postalCode>23900</postalCode>        <streetAddressLine>CORSO CARLO ALBERTO,120</streetAddressLine>      </addr>    </representedOrganization>  </assignedEntity></performer> hl7:functionCode CE.IPS 0 … 1 R It describes the professional role of the healthcare provider involved in the current or pertinent historical care of the patient. (HL7‑IPS   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (2017‑06‑21) hl7:time IVL_TS.IPS.TZ 0 … 1 R (HL7‑IPS hl7:assignedEntity 1 … 1 M (HL7‑IPS hl7:id II 1 … * R Healthcare provider ID number (HL7‑IPS hl7:code CE.IPS 0 … 1 R Healthcare provider specialty (HL7‑IPS hl7:addr AD.IPS 1 … * R (HL7‑IPS hl7:telecom TEL.IPS 1 … * R (HL7‑IPS hl7:assigned​Person 0 … 1 Contains 2.16.840.1.113883.10.22.9.3 IPS CDA Person (DYNAMIC) (HL7‑IPS hl7:represented​Organization 0 … 1 Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (HL7‑IPS Included 0 … * R from 2.16.840.1.113883.10.22.2.7 IPS CDA relatedDocument (2017‑04‑12) hl7:relatedDocument 0 … * R An IPS may have three types of parent document:  A superseded version that the present instance of the document wholly replaces (typeCode = RPLC).  A source document from which the present document is transformed (typeCode = XFRM). An IPS may be created by transformation from an already existing local Patient Summary or an IPS document. An example of this case is the creation of a derived instance in which translations are appended in order to facilitate the cross-border usage of this document; or the case in which a local patient summary is transformed to originate a new IPS instance. An original version that the present document integrates (typeCode = APND). In some cross-border services legal agreements (see e.g. the European Digital Service Infrastructure for eHealth), for liability reasons, it is required that together with the Patient Summary also a printable representation of the original national data / document this IPS comes from is also transmitted or made available for consultation. The relationship between the IPS and this content may be tracked using this relationship.  Note 1: even for countries not dealing with real documents in their National Infrastructures (e.g. data collected from local databases), this mechanism could be useful to identify the collection of data used for generating the epSOS CDAs, facilitating the information backtracking. In that case the ID might be that of the epSOS friendly document or of any other kind of intermediate document used for generating the NCP document input.  Note 2: even if no one of the allowable relationships defined by the CDA standard (XFRM, RPLC, APND) fits perfectly with the described case; the APND relationship seems to be that that fits the better. In fact “An addendum is a separate document that references the parent document, and may extend or alter the observations in the prior document. The parent document remains a current component of the patient record, and the addendum and its parent are both read by report recipients.”  (HL7‑IPS @typeCode cs 1 … 1 R   CONF The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.11610 x_ActRelationshipDocument (DYNAMIC)   Example Example of national document identified by its ID <relatedDocument typeCode="XFRM">   <!-- the IPS is obtained as trasformation of the "aa-bb-cc" document -->   <parentDocument>     <id root="aa-bb-cc"/>  </parentDocument></relatedDocument>   Example Reference to the local PS and to supporting documentation <CDAfragment>   <!-- the example starts here -->   <relatedDocument typeCode="XFRM">     <!-- the IPS is obtained as trasformation of the "aa-bb-cc" Local Patient Summary -->     <parentDocument>       <id root="aa-bb-cc"/>    </parentDocument>  </relatedDocument>  <relatedDocument typeCode="APND">     <!-- the IPS is integrated by the information provided by the "aa1-bb1-cc1" document -->     <parentDocument>       <id root="aa1-bb1-cc1"/>    </parentDocument>  </relatedDocument>  <!-- the example ends here --> </CDAfragment> hl7:parentDocument 1 … 1 R (HL7‑IPS @classCode cs 0 … 1 F DOCCLIN @moodCode cs 0 … 1 F EVN hl7:id II 1 … * R (HL7‑IPS hl7:code CD.IPS 0 … 1 R (HL7‑IPS @codeSystem CONF 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) hl7:text ED 0 … 1 R (HL7‑IPS hl7:setId II 0 … 1 R (HL7‑IPS hl7:versionNumber INT 0 … 1 R (HL7‑IPS hl7:component 1 … 1 M (HL7‑IPS hl7:structuredBody 1 … 1 M (HL7‑IPS @classCode cs 0 … 1 F DOCBODY hl7:component 1 … 1 M Contains 2.16.840.1.113883.10.22.3.1 IPS Medication Summary Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='10160-0' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 1 … 1 M Contains 2.16.840.1.113883.10.22.3.2 IPS Allergies and Intolerances Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='48765-2' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 1 … 1 M Contains 2.16.840.1.113883.10.22.3.3 IPS Problems Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='11450-4' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 R Contains 2.16.840.1.113883.10.22.3.4 IPS History of Procedures Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='10167-5' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 R Contains 2.16.840.1.113883.10.22.3.5 IPS Immunizations Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='11369-6' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 R Contains 2.16.840.1.113883.10.22.3.6 IPS Medical Devices Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='46264-8' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 R Contains 2.16.840.1.113883.10.22.3.7 IPS History of Past Illness Section (DYNAMIC) (HL7‑IPS where [hl7:section [hl7:code [(@code='11348-0' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 R Contains 2.16.840.1.113883.10.22.3.14 IPS Results Section (2017‑04‑30) (HL7‑IPS hl7:component 0 … 1 Contains 2.16.840.1.113883.10.22.3.8 IPS Functional Status Section (2017‑04‑13) (HL7‑IPS where [hl7:section [hl7:code [(@code='47420-5' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 Contains 2.16.840.1.113883.10.22.3.9 IPS Plan of Treatment Section (2017‑04‑13) (HL7‑IPS where [hl7:section [hl7:code [(@code='18776-5' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 Contains 2.16.840.1.113883.10.22.3.10 IPS Social History Section (2017‑04‑13) (HL7‑IPS where [hl7:section [hl7:code [(@code='29762-2' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 Contains 2.16.840.1.113883.10.22.3.11 IPS History of Pregnancy Section (2017‑04‑13) (HL7‑IPS where [hl7:section [hl7:code [(@code='10162-6' and @codeSystem='2.16.840.1.113883.6.1')]]] hl7:component 0 … 1 Contains 2.16.840.1.113883.10.22.3.12 IPS Advance Directives Section (2017‑04‑13) (HL7‑IPS where [hl7:section [hl7:code [(@code='42348-3' and @codeSystem='2.16.840.1.113883.6.1')]]]