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SNOMED News Update (2)

29 August, 2022

Sorry, these terms were not explained before but here are the cut and pasted explanations:


FHIR (Fast Healthcare Interoperability Resources) - NHS Digital


Fast Healthcare Interoperability Resources (FHIR) is the global industry standard for passing healthcare data between systems. It is free, open, and designed to be quick to learn and implement.

It is important that healthcare information can be shared quickly. This makes sure that the right information is available about each patient, so that providers can make the right decisions. Data sharing goes across

organisations, and now includes mobile and cloud-based applications.

FHIR are part of an international family of standards developed by Health Level-7 UK <https://lists.hl7.org.uk/> (HL7). The information models and APIs developed using this standard provide a means of sharing health and

care information between providers and their systems no matter what setting care is delivered in.

About Health Level Seven International | HL7 International


*About HL7*

Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7 is supported by more than 1,600 members from over 50 countries, including 500+ corporate members representing healthcare providers, government stakeholders, payers, pharmaceutical companies, vendors/suppliers, and consulting firms.

EN 17269 – The International Patient Summary



*The IPS Data Model (EN 17269: 2019)*

The IPS Standard, *EN 17269


, was published by CEN in 2019. Immediately after publication, CEN/ TC 251 members agreed that EN 17269 should be fast tracked into ISO, turning the European standard into a fully international one. By doing so, the original CEN IPS project fulfilled its final commitment. In February 2022 the members of CEN/TC 251 voted unanimously to adopt the ISO 27269 <https://international-patient-summary.net/iso-27269/> International

Patient Summary as a European (EN) Standard, which is now being referred to as* EN ISO 27269


The scope of EN 17269 is an integral and formal part of the standard, stating what is in scope and what is not in its scope (note, the EN 17269 scope is directly used by ISO 27269.) The standard provides the definition

of the purpose, business rules, and data blocks of the IPS.

The versatility of the IPS design permits implementations that exchange patient summary as a document, or to use the IPS Data Blocks, which are scalable data structures, for reuse in other applications such as a vaccine

record. The IPS is not an EHR but rather a snapshot of the patient’s longitudinal healthcare record, providing a ‘front cover’ or window into the full record and any other healthcare data relevant to the patient.

The data model describes the content of the Patient summary. It is documented as a so-called “logical model”.

It does not claim to be exhaustive, rather it defines a core of ‘essential and understandable’ data that can be used in planned and unplanned care scenarios. It does not directly provide interoperability as it is not

intended to be directly implementable, but it provides a model for conformant implementations served by CDA, FHIR, and other logical models for exchange.

For more information about conformant implementations, please see our

What is Clinical Document Architecture (CDA)? - Definition from WhatIs.com (techtarget.com)


Clinical Document Architecture (CDA) is a popular, flexible markup standard developed by Health Level 7 International (HL7


that defines the structure of certain medical records, such as discharge summaries and progress notes, as a way to better exchange this information between providers and patients. These documents can include text, images

and other types of multimedia -- all integral parts of electronic health records (EHRs <https://www.techtarget.com/searchhealthit/definition/electronic-health-r...).


HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data

Email address: richardpeterfitton7 AT gmail.com