International Patient Summary
An International Patient Summary (IPS) document is an electronic health record extract of the essential health information intended for use in unscheduled, cross-border care scenarios. The IPS is also emerging as a potential source document that could be re-used to support use cases beyond the original scope such as vaccine credentialing for COVID19.
IHE USA is supporting the adoption and implementation of IPS by supporting development of the specification, educational programming events, and testing through our Global Health Standards Acceleration efforts.
IHE Deep Dive: How the International Patient Summary Works (25 min - Video)
The International Patient Summary, developed collaboratively between ONC, HL7®International, IHE International, and the European Commission is designed to support patient mobility abroad by providing a standardized set of basic personal and medical data at the point of care.
Presented by IHE International Board Member Michael Nusbaum, BASC, MHSA, FHIMSS and Rob Hausam, MD, HL7 Vocabulary and Orders/Observation workgroup Co-Chair and HL7 FHIR Connectathon track lead, this IHE Deep Dive session will focus on how to integrate the International Patient Summary profile, the IPS projects from across the world and the importance of collaborative interoperability efforts that span the globe.
NEW: The IPS has its own website: https://international-patient-summary.net
Interested stakeholders are welcome to join the cross-SDO joint working groups for the International Patient Summary. More information can be found here: https://confluence.hl7.org/display/PC/Bi-weekly+Cross-SDO+Collaboration+Meeting+-+IPS
How are the ONC and IHE USA Driving HL7 FHIR Adoption?
The objectives of the work done by the IHE USA Cooperative Agreement project team are to:
Catalog IHE Profiles that utilize the FHIR standard to enable cross community health information exchange
Identify and prioritize new profiling opportunities to leverage the FHIR standard
Accelerate the development of robust, real world testing processes and adoption of the updated FHIR-focused IHE profiles and HL7 implementation guides
Actively engage with HL7 and IHE International on lessons learned through profiling improvements and real-world testing
Strengthen and streamline cross-organizational collaboration efforts between SDOs, interoperability test tool developers, FHIR champions and other vital stakeholders.
21st Century Cures Act and its Impact on Interoperability
The 21st Century Cures Act, signed into law in 2016, is designed to enable interoperability through initiatives such as the Trusted Exchange Framework and Common Agreement (TEFCA), US Core Data for Interoperability (USCDI), and the Interoperability, Information Blocking, and the ONC Health IT Certification Program final rule.
The 21st Century Cures Act requires that developers of certified health IT publish Application Programming Interfaces (APIs), a software intermediary that allows two applications to talk to each other, to be used to enable interoperability “without special effort.” The law’s certification criterion require standardized API access for single patient and population services using the HL7® Fast Healthcare Interoperability Resources (FHIR®) standard. The purpose of HL7 FHIR is to ease interoperability between legacy healthcare systems, making it easier to access health information on a wide variety of devices, and to allow third-party application developers to design innovative medical applications which can be easily be integrated into disparate systems.
Why is the ONC Partnering with IHE USA to Drive FHIR Adoption?
As part of a multi-year cooperative agreement, the Office of the National Coordinator for Health Information Technology (ONC) and Integrating the Healthcare Enterprise (IHE) USA are working together to accelerate the adoption of FHIR-based IHE integration profiles to drive the adoption of the FHIR standard in compliance with the 21st Century Cures Act.
IHE USA is a national deployment committee of the standards development organization (SDO) IHE International. IHE USA engages the US-based health IT community to adopt and use world-class standards, tools, and services for interoperability to deliver on its vision of improved quality, value, and safety in healthcare by enabling rapid, scalable, and secure access to health information at the point of care.
Which IHE Integration Profiles Are Being Leveraged to Move FHIR Standard Adoption Forward?
IHE Integration Profiles are guides that provide a common language for purchasers and vendors to define the integration needs of healthcare settings and the integration capabilities of health IT products. IHE profiles provide healthcare professionals seeking to acquire or upgrade systems a convenient, reliable tool that reduces the complexity, cost and anxiety of implementing interoperable systems by offering a way to specify a level of compliance to standards sufficient to achieve truly efficient interoperability
The IHE USA Cooperative Agreement project team is engaging stakeholders across the health IT industry to update and drive adoption of the following IHE Integration Profiles.
Defines one standardized interface to health documents (a.k.a. an API) for use by mobile devices so that deployment of mobile applications is more consistent and reusable
Supports discovery of care services
resources using a RESTful interface in interrelated, federated environments
Provides a transaction for mobile and lightweight browser-based applications to query a Patient Identifier Cross-Reference Manager for a list of patient identifiers based on the patient identifier in a different domain and retrieve a patient’s cross-domain identifiers information into the application
Provides the structures and transactions for sending the patient's paramedicine encounter information to the receiving facility
Uses a query and a SEND transaction to move quality measurement data across several EMR entities that will allow for these data to be used for quality and registry measurement for Hospitals and emergency medical system (EMS) companies.
Provides a methodology for a standard approach to share post-discharge documentation to the EMS transport team that informs them of important patient care information.