HackMDInternational Patient Summary (IPS)
官方說明 : https://hl7.org/fhir/uv/ips/
An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.
IPS FHIR Document
實務上，IPS的主要產物為FHIR Document(Composite)，格式定義請參考
https://hl7.org/fhir/uv/ips/StructureDefinition-Composition-uv-ips.html
由上圖可知，除Header外，共計14個section：
-Required : Medication Summary, Allergies and Intolerances和Problem List。
-Recommended : Immunizations, History of Procedures, Medical Devices和Diagnostic Results。
-Optional : Vital Signs, Past history of illnesses, Pregnancy (status and history summary), Social History, Plan of Care, Functional Status和Advance Directives
目前TW Core IG大約僅涵蓋三到四項，可以預期IPS在台灣的推廣還有一段路要走。目前國內廣泛使用的HAPI FHIR JPA Server已經支援FHIR Opreation $summary，可直接產生IPS FHIR Document。今年的FHIR DevDays與IPS相關的內容如下：
- IPS: Current state and API | DevDays 2023 Amsterdam : https://www.youtube.com/watch?v=6LPN_P2tYZY&list=PLKuZNI94tzWY1J988TdEGhJ69r4DnTiAN&index=63&t=2087s
- Let’s Build! Patient Mediated IPS exchange with SMART Health Links : https://www.devdays.com/wp-content/uploads/2023/08/230607_JohnDAmore_Patient_Mediated_IPS_exchange_with_SMART_Health_Links.pdf
IPS vs SHL - SMART Health Links
John D'Amore在DevDays 2023展示了這個流程，詳細步驟如下：
- 產生IPS檔案(HAPI FHIR operation $Summary)
- 產生SMART Health Links QR Code (https://shlink.ips.health/create)
- Patient提供QR Code給醫療單位
- 使用瀏覽器或Web App，透過SMART Health Links取得資料
- Patient和醫療單位可檢視IPS內容(https://www.ipsviewer.com/)
另外，Patient資料可透過Synthea產生合成資料，或是使用ips網站提供的模擬資料(https://ips.health/fhir/Patient/98549f1a-e0d5-4454-849c-f5b97d3ed299/$summary)
產生的QR Code如下：
掃描之後，可看到以下畫面：
