EN ISO 27269:2025

Health informatics - International patient summary (ISO 27269:2025)

This document defines the core data set for a concise international patient summary (IPS), which supports continuity of care for a person and assists with coordination of their care.
This document provides an abstract definition of a patient summary from which derived models are implementable.
This document does not cover the workflow processes of data entry, data collection, data summarization, subsequent data presentation, assimilation, or aggregation. Furthermore, this document does not cover the summarization act itself, i.e. the intelligence, skills and competences, that results in the data summarization workflow. It is not an implementation guide that is concerned with the various technical layers beneath the application layer. Representation by various coding schemes, additional structures and terminologies are not part of this document.

Medizinische Informatik - Internationale Patienten-Kurzakte (ISO 27269:2025)

Dieses Dokument legt den Kerndatensatz für eine präzise internationale Patienten-Kurzakte (IPS) fest, die die Kontinuität der Versorgung für eine Person und die Koordinierung der geleisteten Gesundheitsversorgung unterstützt.
Dieses Dokument enthält eine abstrakte Definition einer Patienten-Kurzakte, von der abgeleitete Modelle implementiert werden können.
Dieses Dokument deckt nicht die Arbeitsabläufe der Dateneingabe, der Datenerhebung, der Datenzusammenfassung, der nachfolgenden Datendarstellung, Datenassimilation oder Datenverdichtung ab. Darüber hinaus befasst sich dieses Dokument nicht mit dem eigentlichen Zusammenfassungsvorgang, d. h. mit der Intelligenz/Fähigkeiten/Kompetenzen, die zu dem Arbeitsablauf der Datenzusammenfassung führt. Es stellt keine Leitlinie zur Implementierung dar, die sich mit den verschiedenen technischen Abstufungen unter der Anwendungsstufe befasst. Die Darstellung durch verschiedene Kodierverfahren, zusätzliche Strukturen und Terminologien sind nicht Teil dieses Dokuments.

Informatique de santé - Résumé international du dossier médical du patient (ISO 27269:2025)

Le présent document définit le jeu de données de base d’un résumé international du dossier médical du patient (IPS) concis, qui sert à étayer la continuité des soins pour une personne et aide à la coordination de ses soins.
Le présent document fournit une définition abstraite du résumé du dossier médical du patient, à partir de laquelle des modèles dérivés peuvent être mis en œuvre.
Le présent document ne couvre pas les processus des séquences de tâches, à savoir saisie, collecte, compilation des données, pas plus que la présentation ultérieure, l’assimilation ou l’agrégation de ces données. De plus, le présent document ne couvre pas l’acte de compilation proprement dite, c’est-à-dire l’intelligence, les savoir-faire et les compétences qui résultent de la séquence de tâches liée à la compilation des données. Il ne s’agit pas d’un guide d’implémentation traitant des différentes couches techniques se trouvant sous la couche application. La représentation par différents schémas de codage, les structures et les terminologies supplémentaires ne font pas partie du présent document.

Zdravstvena informatika - Mednarodni povzetek podatkov o pacientu (ISO 27269:2025)

General Information

• Status: Published
• Publication Date: 16-Sep-2025
• ICS: 35.240.80 - IT applications in health care technology
• Technical Committee: CEN/TC 251 - Medical informatics
• Drafting Committee: CEN/TC 251/WG 1 - Information models
• Current Stage: 6060 - Definitive text made available (DAV) - Publishing
• Start Date: 17-Sep-2025
• Completion Date: 17-Sep-2025
• Ref Project: SIST EN ISO 27269:2025 - Health informatics - International patient summary (ISO 27269:2025)

Relations

• Replaces: EN ISO 27269:2022 - Health informatics - International patient summary (ISO 27269:2021)
• Effective Date: 17-Aug-2022

Overview

EN ISO 27269:2025 - published as ISO 27269:2025 and endorsed as EN ISO 27269:2025 - specifies the core data set for an International Patient Summary (IPS). The document provides an abstract, implementation-neutral definition of a concise patient summary designed to support continuity of care, cross‑border care and care coordination. It defines IPS data blocks, descriptors and patterns from which derived technical models can be implemented, but it is not an implementation guide and does not prescribe workflow, summarization processes, or coding schemes.

Keywords: International patient summary, IPS, ISO 27269:2025, health informatics, patient summary data set, continuity of care, interoperability, electronic health records.

Key Topics and Technical Requirements

• Core IPS Data Blocks: Organizes the IPS into modular sections (data blocks) that describe essential patient information needed for safe care transitions.
• Descriptors and Patterns: Defines descriptors for IPS elements and reusable patterns and data types such as Person Name, Identifier, Address, Telecom, Coded Element, DateTime, Period, Quantity, Text, List, Reference, Range, Ratio, General Time Specification (GTS) and others.
• Conformance Detail: Specifies rules for conformance to the abstract IPS model and how derived models should relate to the IPS definition.
• Model Extensibility: Provides guidance on how the abstract model can be extended while preserving the integrity of the core data set.
• IPS Document Metadata: Defines document-level descriptors (purpose, definition, business rules, inclusion criteria, currency, examples) to ensure predictable use of the IPS.
• Feature-level Definitions: Details features such as Patient Attributes and other IPS data block features with purpose, business rules and handling of missing data.

Important exclusions (scope limitations):

• Does not cover data entry workflows, summarization workflow, the act of summarization (clinical judgement and skills), or implementation-level technical layers.
• Representation by specific coding schemes, terminologies or transport formats is not part of this document.

Practical Applications

• Creates a standardized, implementation-neutral basis for producing concise patient summaries used in:
  • Cross‑border emergency care and referrals
  • Transitions between care settings (hospital → primary care)
  • Telemedicine and remote consultations
  • Health information exchange (HIE) initiatives and national IPS strategies
• Enables health IT architects and standards leads to design derived models that map the IPS core data set into local EHR and interoperability technologies.

Who should use this standard

• Health informatics architects and implementers
• EHR vendors and health IT integrators
• Health information exchange operators and regional/national health authorities
• Standards bodies and policy makers defining cross‑border health data practices

Related Standards (if applicable)

• Prepared by ISO/TC 215 in collaboration with CEN/TC 251; this edition supersedes EN ISO 27269:2022.
• Use the IPS as a conceptual foundation when mapping to technical specifications and terminology standards employed locally or nationally.

Standards Content (Sample)

SLOVENSKI STANDARD
01-december-2025
Nadomešča:
SIST EN ISO 27269:2022
Zdravstvena informatika - Mednarodni povzetek podatkov o pacientu (ISO
27269:2025)
Health informatics - International patient summary (ISO 27269:2025)
Medizinische Informatik - Internationale Patienten-Kurzakte (ISO 27269:2025)
Informatique de santé - Résumé international du dossier médical du patient (ISO
27269:2025)
Ta slovenski standard je istoveten z: EN ISO 27269:2025
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 27269
EUROPEAN STANDARD
NORME EUROPÉENNE
September 2025
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN ISO 27269:2022
English Version
Health informatics - International patient summary (ISO
27269:2025)
Informatique de santé - Résumé international du Medizinische Informatik - Internationale Patienten-
dossier médical du patient (ISO 27269:2025) Kurzakte (ISO 27269:2025)
This European Standard was approved by CEN on 14 September 2025.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2025 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 27269:2025 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 27269:2025) has been prepared by Technical Committee ISO/TC 215 "Health
informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics” the
secretariat of which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by March 2026, and conflicting national standards shall
be withdrawn at the latest by March 2026.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document supersedes EN ISO 27269:2022.
Any feedback and questions on this document should be directed to the users’ national standards
body/national committee. A complete listing of these bodies can be found on the CEN website.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and the
United Kingdom.
Endorsement notice
The text of ISO 27269:2025 has been approved by CEN as EN ISO 27269:2025 without any modification.

International
Standard
ISO 27269
Second edition
Health informatics — International
2025-09
patient summary
Informatique de santé — Résumé international du dossier
médical du patient
Reference number
ISO 27269:2025(en) © ISO 2025
ISO 27269:2025(en)
© ISO 2025
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: [phone]
Email: [e-mail]
Website: www.iso.org
Published in Switzerland
ii
ISO 27269:2025(en)
Contents Page
Foreword .xii
Introduction .xiii
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
3.1 Healthcare .1
3.2 Healthcare actor .2
3.3 Healthcare matter .2
3.4 Healthcare activity .3
3.5 Healthcare planning .3
3.6 Responsibility .4
3.7 Information management .4
3.7.1 Concepts .4
3.7.2 Technology .5
3.7.3 Models .6
3.8 Data .7
3.9 Process .8
4 Abbreviations . 8
5 International patient summary Data Blocks . 9
5.1 Introduction to the IPS Data Blocks .9
5.2 Conformance detail .9
6 Descriptors for the IPS Data Set .11
6.1 General .11
6.2 Patterns within the IPS Data Set . 12
6.2.1 Patterns and data types . 12
6.2.2 Label Concept . 13
6.2.3 List. 13
6.2.4 Reference . 13
6.2.5 Person Name .14
6.2.6 Coded Element .14
6.2.7 Date Time .14
6.2.8 Identifier . 15
6.2.9 Address . 15
6.2.10 Telecom . 15
6.2.11 Organization Name . 15
6.2.12 Text . 15
6.2.13 Any .16
6.2.14 Range .16
6.2.15 Quantity .16
6.2.16 Period .16
6.2.17 General time specification (GTS) .17
6.2.18 String .17
6.2.19 Ratio.17
6.3 Model extensibility .17
7 IPS Document.18
7.1 Description .18
7.2 Detailed description of the IPS Document descriptors .18
7.2.1 Purpose .18
7.2.2 Definition .19
7.2.3 Business rules .19
7.2.4 Missing .19
7.2.5 Format.19

iii
ISO 27269:2025(en)
7.2.6 Inclusion criteria .19
7.2.7 Currency .19
7.2.8 Further details .19
7.2.9 Examples .19
7.3 IPS Sections and IPS Features as IPS Data Blocks . 20
7.4 IPS Data Blocks that are ‘Optional’ . 20
7.5 Candidate IPS data .21
8 IPS Data Block Feature: Patient Attributes .21
8.1 Description .21
8.2 Detailed description of the IPS Feature ‘Patient Attributes’ . 22
8.2.1 Purpose . 22
8.2.2 Definition . 22
8.2.3 Business rules . 22
8.2.4 Missing . 22
8.2.5 Format. 22
8.2.6 Inclusion criteria . 22
8.2.7 Currency . 22
8.2.8 Further details . 22
8.2.9 Examples . 22
8.3 Patient’s name . 23
8.4 Patient’s address and telecom . . 23
8.5 Patient’s address type . 23
8.6 Administrative gender. 23
8.7 Healthcare related identifiers . 23
8.8 Patient identifier . 23
8.9 Insurance information . 23
9 IPS Feature: Healthcare Provider .23
9.1 Description . 23
9.2 Detailed description of the IPS Feature ‘Healthcare Provider’ .24
9.2.1 Purpose .24
9.2.2 Definition .24
9.2.3 Business rules .24
9.2.4 Missing .24
9.2.5 Format.24
9.2.6 Inclusion criteria .24
9.2.7 Currency .24
9.2.8 Further details .24
9.2.9 Examples . 25
9.3 Role of Healthcare Provider (person) . 25
9.4 Role of Healthcare Provider (organization) . 25
10 IPS Feature: Patient Address-book .25
10.1 Description . 25
10.2 Detailed description of the IPS Feature ‘Patient Address-book’ . 25
10.2.1 Purpose . 25
10.2.2 Definition . 25
10.2.3 Business rules . 26
10.2.4 Missing . 26
10.2.5 Format. 26
10.2.6 Inclusion criteria . 26
10.2.7 Currency . 26
10.2.8 Further details . 26
10.2.9 Examples . 26
10.3 Healthcare providers (Persons and Organizations) . 26
10.4 Others’ address details. 26
11 IPS Section: Advance Directive .27
11.1 Description .27
11.2 Detailed description of the IPS Section ‘Advance Directive’ .27

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ISO 27269:2025(en)
11.2.1 Purpose .27
11.2.2 Definition .27
11.2.3 Business rules .27
11.2.4 Missing .27
11.2.5 Format. 28
11.2.6 Inclusion criteria . 28
11.2.7 Currency . 28
11.2.8 Further details . 28
11.2.9 Examples . 28
11.3 Advance Directives . 28
11.4 Person authorizing directive . 28
11.5 Directive category . 28
11.6 Directive description . 29
11.7 Reference . 29
12 IPS Section: Allergies and Intolerances .29
12.1 Description . 29
12.2 Detailed description of the IPS Section ‘Allergies and Intolerances’ . 30
12.2.1 Purpose . 30
12.2.2 Definition . 30
12.2.3 Business rules . 30
12.2.4 Missing . 30
12.2.5 Format.31
12.2.6 Inclusion criteria .31
12.2.7 Currency .31
12.2.8 Further details .31
12.2.9 Examples .31
12.3 Allergies and Intolerances content status .31
12.4 Allergies and Intolerances .31
12.5 Allergy and Intolerance description . .31
12.6 Clinical status of the condition.31
12.7 Onset date .32
12.8 End date .32
12.9 Criticality .32
12.10 Certainty .32
12.11 Type of propensity .32
12.12 Diagnosis . . 33
12.13 Reaction . 33
12.14 Manifestation of the reaction . 33
12.15 Severity . 33
12.16 Agent code . 33
12.17 Category. 33
13 IPS Section: Functional Status .34
13.1 Description . 34
13.2 Detailed Description of the optional IPS Section ‘Functional Status’ . 34
13.2.1 Purpose . 34
13.2.2 Definition . 34
13.2.3 Business rules . 34
13.2.4 Missing . 34
13.2.5 Format. 35
13.2.6 Inclusion criteria . 35
13.2.7 Currency . 35
13.2.8 Further details . 35
13.2.9 Examples . 35
13.3 Disabilities . 35
13.4 Disability description . 35
13.5 Disability code . 35
13.6 Functional assessments . 35
13.7 Functional assessment . 35

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ISO 27269:2025(en)
13.8 Functional assessment description . 36
13.9 Functional assessment . 36
14 IPS Section: History of Past Problems .36
14.1 Description . 36
14.2 Detailed description of the IPS Section ‘History of Past Problems’ . 36
14.2.1 Purpose . 36
14.2.2 Definition .37
14.2.3 Business rules .37
14.2.4 Missing .37
14.2.5 Format.37
14.2.6 Inclusion criteria .37
14.2.7 Currency .37
14.2.8 Further details .37
14.2.9 Examples .37
14.3 Past problems .37
14.4 Problem .37
14.5 Problem type . 38
14.6 Description . 38
14.7 Severity . 38
14.8 Problem status . . 38
14.9 Date resolv
...