## Purpose The goal of this Implementation Guide is to identify the required clinical data, vocabulary and value sets for an international patient summary. The international patient summary is specified either as templated document using HL7 CDA R2, either as HL7 FHIR composition (described in this guide). The primary use case is to provide support for cross-border or cross-juridictional emergency and unplanned care. This specification aims to support: * Cross-jurisdictional patient summaries (through adaptation/extension for multi-language and realm scenarios, including translation). * Emergency and unplanned care in any country, regardless of language. * Value sets based on international vocabularies that are usable and understandable in any country. * Data and metadata for document-level provenance.