# FHIR International Patient Summary (FIPS) Home - FHIR International Patient Summary v1.0.0-comment

* [**Table of Contents**](toc.md)
* **FHIR International Patient Summary (FIPS) Home**

## FHIR International Patient Summary (FIPS) Home

| | |
| :--- | :--- |
| *Official URL*:https://profiles.ihe.net/PCC/FIIO/ImplementationGuide/ihe.pcc.fiio | *Version*:1.0.0-comment |
| Active as of 2026-03-03 | *Computable Name*:IHE_PCC_FIIO |

**This IPS profile uses the Health Level 7's FHIR International Patient Summary (IPS) that realizes the CEN EN 17269 IPS dataset to profile additional implementation options that can be incorporated into the IPS document. This is a Content Module profile that defines these additional Implementation options.**

| |
| :--- |
| [Significant Changes, Open and Closed Issues](issues.md) |

### Organization of This Guide

This guide is organized into the following sections:

* Volume 1: 
* [Introduction](volume-1.md)
* [Actors, Transactions, and Content](volume-1.md#actors-and-transactions)
* [Actor Options](volume-1.md#actor-options)
* [Actor Required Groupings](volume-1.md#required-groupings)
* [Overview](volume-1.md#overview)
* [Security Considerations](volume-1.md#security-considerations)
* [Cross Profile Considerations](volume-1.md#other-grouping)
 
* Volume 3: Metadata and Content 
* [FHIR Content Modules](volume-3.md#fhir-contentModules)
 
* Other 
* [Changes to Other IHE Specifications](other.md)
* [Download and Analysis](download.md)
* [Test Plan](testplan.md)
 

Click on any of the links above, see the [Table of Contents](toc.md) and the index of [Artifacts](artifacts.md) defined as part of this implementation guide.

### Conformance Expectations

IHE uses the normative words: "MUST", "MUST NOT", "REQUIRED", "SHALL", "SHALL NOT", "SHOULD", "SHOULD NOT", "RECOMMENDED", "MAY", and "OPTIONAL" according to [standards conventions](https://profiles.ihe.net/GeneralIntro/ch-E.html).

#### Must Support

The use of `mustSupport` in StructureDefinition profiles equivalent to the IHE use of **R2** as defined in [Appendix Z](https://profiles.ihe.net/ITI/TF/Volume2/ch-Z.html#z.10-profiling-conventions-for-constraints-on-fhir).

mustSupport of true - only has a meaning on items that are minimal cardinality of zero (0), and applies only to the source actor populating the data. The source actor shall populate the elements marked with MustSupport, if the concept is supported by the actor, a value exists, and security and consent rules permit. The consuming actors should handle these elements being populated or being absent/empty. Note that sometimes mustSupport will appear on elements with a minimal cardinality greater than zero (0), this is due to inheritance from a less constrained profile.



## Resource Content

```json
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  "url" : "https://profiles.ihe.net/PCC/FIIO/ImplementationGuide/ihe.pcc.fiio",
  "version" : "1.0.0-comment",
  "name" : "IHE_PCC_FIIO",
  "title" : "FHIR International Patient Summary",
  "status" : "active",
  "date" : "2026-03-03",
  "publisher" : "IHE Patient Care Coordination Committee",
  "contact" : [{
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      "value" : "https://www.ihe.net/ihe_domains/patient_care_coordination/"
    }]
  },
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    }]
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    }]
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      "code" : "001"
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  "license" : "CC-BY-4.0",
  "fhirVersion" : ["4.0.1"],
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      "valueMarkdown" : "Automatically added as a dependency - all IGs depend on HL7 Terminology"
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    "version" : "7.0.1"
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      }],
      "reference" : {
        "reference" : "Bundle/e0e8252a-4aab-4fab-ac8f-5734abbd1ec7"
      },
      "name" : "ex-Bundle-IPS-ODH-Genny-Works",
      "description" : "This Example Bundle Represents the IPS Bundle Structure that expresses Occupation Data in the patient's record, conformant to the ODH Implementaion Option",
      "exampleCanonical" : "https://profiles.ihe.net/PCC/FIIO/StructureDefinition/IHE.FIPS.ODH.Option.Bundle"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/ex-bundle-secondaryUse-pandemnicips-patricia-jordana"
      },
      "name" : "ex-Bundle-secondaryUse-pandemnicIPS-Patricia-Jordana",
      "description" : "This Example Bundle Represents the IPS Bundle Structure that expresses data inin every section in the patient's IPS Document, conformant to the Complete Data Implementaion Option.",
      "exampleCanonical" : "https://profiles.ihe.net/PCC/FIIO/StructureDefinition/IHE.FIPS.Complete.Option.Bundle"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/IHE.FIPS.IO.Complete.Option.Composition"
      },
      "name" : "FHIR International Patient Summary Implementation Options - Complete Option Composition",
      "description" : "An International Patient Summary Document that makes all of the optional sections deffined by HL7 into Must support sections.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/IHE.FIPS.Complete.Option.Bundle"
      },
      "name" : "IHE FHIR IPS Complete Option Bundle",
      "description" : "This FHir IPS Bundle Incorperates the Complete Testing option for IPS. This Structure definition binds the Complete Option Composition to the bundle, where all optional sections (e.g., Advanced Directives, Functional Status, History of Past Illnesses, History of Pregnancy, Plan of Care, Social History, and Vital Signs) are now Must Support sections.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/IHE.FIPS.ODH.Option.Bundle"
      },
      "name" : "IHE FHIR IPS ODH Option Bundle",
      "description" : "This Bundle Deffines the additional requirements of the Occupational Data For Health (ODH) Data Elements that may be incorperated into a patient's IPS Bundle. \n\nThese data Elements utilize the International Labor Organization Codes for to occupation and industry. \n\nIn addition to the Entry requirments of IPS this Bundle requires the support of at least one of the following ODH Data Elements:\n- Past or Present Job\n- Usual Work \n\nIt also allows optional support for the following ODH Data Elements:\n- Employment Status\n- Retirement Date\n- CombatZone Period",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/313df1ad-9094-4a93-a0cc-64ee25d3d327"
      },
      "name" : "International Patient Summary",
      "description" : "This Example Composition Represents the IPS Compsition Structure that expresses data in every section in the patient's IPS Document, conformant to the Complete Data Implementaion Option.",
      "exampleCanonical" : "https://profiles.ihe.net/PCC/FIIO/StructureDefinition/IHE.FIPS.IO.Complete.Option.Composition"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/IHE.FIPS.IO.ODH.Option.Composition"
      },
      "name" : "International Patient Summary Occupational Data For Health Implementation Option Composition",
      "description" : "An International Patient Summary Document that contains the Occupational Data for Health Information within the Social History Section. \nThis composition builds off of the origional IPS Composition deffined by HL7 with the additional constraint of the Social History section now being a Must Support section and the additonal requirement that the Occupational Data for health observations in the section are conformant to the ODH specification.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/IHE.IPS.Content-Consumer"
      },
      "name" : "IPS Content Consumer",
      "description" : "The IPS[Content Consumer](volume-1.html#Content-Consumer)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/IHE.IPS.Content-Creator"
      },
      "name" : "IPS Content Creator",
      "description" : "The IPS[Content Creator](volume-1.html#Content-Creator)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/567f7a70-6f0d-49c5-a6ca-20eff88e7c8e"
      },
      "name" : "Patient Summary of Frank MissingData",
      "description" : "This Example Composition is used to represent the Representation of Missing Data in a patient's IPS Composition.",
      "exampleCanonical" : "https://profiles.ihe.net/PCC/FIIO/StructureDefinition/IHE.FIPS.IO.Complete.Option.Composition"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/2a7a5f03-9581-4677-ba18-fbd3b221f601"
      },
      "name" : "Patient Summary of Genny Works",
      "description" : "This Example Composition Represents the IPS Composition Structure that expresses Occupation Data in the patient's record, conformant to the ODH Implementaion Option.",
      "exampleCanonical" : "https://profiles.ihe.net/PCC/FIIO/StructureDefinition/IHE.FIPS.IO.ODH.Option.Composition"
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "FHIR International Patient Summary (FIPS) Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "volume-1.html"
        }],
        "nameUrl" : "volume-1.html",
        "title" : "1:XX FHIR International Patient Summary",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "volume-3.html"
        }],
        "nameUrl" : "volume-3.html",
        "title" : "3:XX FHIR International Patient Summary",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "testplan.html"
        }],
        "nameUrl" : "testplan.html",
        "title" : "Test Plan",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "other.html"
        }],
        "nameUrl" : "other.html",
        "title" : "Changes to Other IHE Specifications",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "download.html"
        }],
        "nameUrl" : "download.html",
        "title" : "Download and Analysis",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "issues.html"
        }],
        "nameUrl" : "issues.html",
        "title" : "Significant Changes and Issues",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "fsh/resources"
    },
    {
      "code" : "path-resource",
      "value" : "fsh/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
