2022-05 International Patient Summary

Short Description

This track will test the creation, exchange and visualization of patient summary data across jurisdictions and usage contexts using the FHIR International Patient Summary (IPS)
Implementation Guide specification.

Long Description

This track will test the creation, exchange and visualization of patient summary data across jurisdictions and usage contexts using the FHIR International Patient Summary (IPS)
Implementation Guide specification.  The track will focus on the primary theme of cross-border IPS document bundle data exchange, with additional sub-themes:

• Pilot implementations of multiple jurisdictions (e.g., GDHP) for cross-border IPS document bundle data exchange
• Test implementation of proposed Patient resource $summary operation (multiple servers, including Terminz)
  • Can generate an IPS instance for a patient based on existing data and a set of rules
  • Rules can be server-defined (default) or specified by parameter
  • Need to answer the “relevant” question for what data to include
• Enhanced IPS instance testing leveraging available testing suites
  • The Inferno testing tool (ONC/MITRE)
  • The Gazelle testing tool suite (used in common with the IHE North American and European Connectathons) (optionally, as available)
  • One or more FHIR server(s) for demonstrating and testing IPS data exchange
• Transforming IPS data to a WHO DDCC:VS vaccination certificate document including the EU DCC, Smart Health Cards, and DIVOC QR code specifications.

General track goals include:

• Promote the sharing of experiences
• Identify tools and resources for IPS examples and validation
• Identify gaps and pitfalls in the IPS adoption

An open approach will be followed, expecting attendees to actively participate in the selection and definition of the tests to be performed and topics to be discussed,
beyond those suggested by the track leaders.

Type

Test an Implementation Guide

Submitting Work Group/Project/Accelerator/Affiliate/Implementer Group  

Patient Care / HL7 sponsorship of IPS

Track Lead(s)

John D'Amore, More Informatics, johnd@moreinformatics.com

Track Lead Email(s)

johnd@moreinformatics.com

Related Tracks

International Patient Access

Vulcan/Gravitate

FHIR Version

R4

Specification(s) this track uses

IPS CI build

http://build.fhir.org/ig/HL7/fhir-ips

1.0.0 STU1 build

http://hl7.org/fhir/uv/ips/
(Note that the STU may be updated before May 2022 connectathon) 

Artifacts of focus

We're planning to focus this time on the updated IPS Bundles that include required resources of Composition, Patient, Medications (MedicationRequest/MedicationStatement), Allergies (AllergyIntolerance) and Problems (Condition) sections.
Recommended sections of Immunization and Lab Results sections may also be included.

A library of examples of IPS have been collected in the following location since September 2021: https://github.com/jddamore/IPSviewer/tree/main/samples

IPS Bundle: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Bundle-uv-ips.html

IPS Composition: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Composition-uv-ips.html

IPS Medication: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Medication-uv-ips.html

IPS MedicationRequest: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-MedicationRequest-uv-ips.html 

IPS MedicationStatement: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-MedicationStatement-uv-ips.html

IPS AllergyIntolerance: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-AllergyIntolerance-uv-ips.html

IPS Condition: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Condition-uv-ips.html

IPS Immunization: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Immunization-uv-ips.html

IPS Observation - Results (Laboratory): http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Observation-results-laboratory-uv-ips.html

IPS Patient: http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Patient-uv-ips.html

Expected participants

• IPS adopters and implementers
• GDHP Interoperability Work Stream IPS Work Group member countries and territories participating in IPS pilot implementations
• IHE IPS profile implementers and testers

Expected number of participants: 10-15

Zulip stream

https://chat.fhir.org/#narrow/stream/207835-IPS

Agenda

Track Details

• Terminz
  

  https://terminz.azurewebsites.net/fhir
  
  Will now accept (and save) POSTs of IPS Bundles that satisfy the following criteria...

  • Bundle.Type == Bundle.BundleType.Document
  • Bundle.Identifier.System == "urn:oid:2.16.724.4.8.10.200.10"
  • Contains one Composition and one Patient Resource
  • Contains at least one of each of these resources - AllergyIntolerance, Condition and MedicationStatement.
  • Includes at least one Patient.Identifier with populated system and value elements (these are used for persistence and $summary request purposes)

  The $summary operation is also provisionally defined at https://terminz.azurewebsites.net/fhir/OperationDefinition/Patient-summary

• Gravitate Health
  https://gravitate-dk-ips.trifork.dev/fhir

  The summary operation is found at: https://gravitate-dk-ips.trifork.dev/fhir/Patient/$summary

  Note: Only POST's are supported

  The body being,  e.g.:

  <Parameters xmlns="http://hl7.org/fhir"> <parameter> <name value="identifier" /> <valueIdentifier> <system value="urn:oid:1.2.3.4" /> <value value="1206450168" /> </valueIdentifier> </parameter> <parameter> <name value="profile" /> <valueUri value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips" /> </parameter> </Parameters>

  When invoked with the system identifier used above, it returns the expected IPS examples.  Both of the bundles are not entirely IPS compliant as they are lacking some data.
  [Note: Using a different system identifier the server hooks into the danish national test setup and may return unexpected results.]
  
  

• Rob Hausam's test server
  https://fhir.hausamconsulting.com
  Based on HAPI 5.4.0.  No $summary operation (yet).

• IPS Viewer:  https://www.ipsviewer.com/

• Inferno Validator: https://inferno-qa.healthit.gov/ (may be moved to DEV/PROD before May 2022) 

• ClinFHIR (not IPS specific but helpful for bundle visualization):  http://clinfhir.com/bundleVisualizer.html