ðə saɪtˈeɪʃən stˈaɪl ɹˌɛkəmˈɛndᵻd baɪ ðɪ ˈaɪkmdʒ ɹˌɛkəmɛndˈeɪʃənz, wˌɪtʃ ɪz ˈɔːlsoʊ nˈoʊn æz ðə væŋkˈuːvɚ sˈɪstəm, ɪz ðə stˈaɪl jˈuːzd baɪ ðə juːnˈaɪɾᵻd stˈeɪts nˈæʃənəl lˈaɪbɹɛɹi ʌv mˈɛdəsən ˌɛnˌɛlˈɛm, kˈoʊdᵻfˌaɪd ɪn sˈaɪɾɪŋ mˈɛdəsən.
The citation style recommended by the ICMJE Recommendations, which is also known as the Vancouver system, is the style used by the United States National Library of Medicine (NLM), codified in Citing Medicine.