Medtech IPS - Medtech ALEX® Implementation Guide v0.0.1

Medtech ALEX® Implementation Guide
0.0.1 - draft International flag

Medtech ALEX® Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Medtech IPS

Official URL: https://fhir.medtechglobal.com/StructureDefinition/medtech-ips-bundle				Version: 0.0.1
Draft as of 2025-08-12				Computable Name: MedtechIpsBundle

This profile represents the constraints applied to the Bundle resource by the Medtech FHIR International Patient Summary (IPS)

An International Patient Summary (IPS) bundle is an electronic health record extract containing essential healthcare information about a subject of care, comprising at least the required elements of the IPS dataset. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care', but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.

Usages:

Examples for this Profile: Bundle/MedtechIpsBundleExample

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	International Patient Summary Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-ips-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document \| message \| transaction \| transaction-response \| batch \| batch-response \| history \| searchset \| collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	2..*	BackboneElement	Entry resource in the patient summary bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechPatient	Information about an individual or animal receiving health care services
entry:allergyintolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechCondition	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechDevice	Item used in healthcare
entry:diagnosticreport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:documentreference	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechDocumentReference	A reference to a document
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechImmunization	Immunization event information
entry:medicationstatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechMedicationStatement	Record of medication being taken by a patient
entry:practitionerrole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechPractitionerRole	Roles/organizations the practitioner is associated with
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedtechScreeningObservation	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: document `http://hl7.org/fhir/ValueSet/bundle-type\|4.0.1` From the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:allergyintolerance.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:device.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:diagnosticreport.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:documentreference.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:immunization.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:medicationstatement.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:practitionerrole.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:observation.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation	must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-ips-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first. : entry.tail().where(resource is Composition).empty()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	International Patient Summary Bundle Constraints: bdl-ips-1
identifier		1..1	Identifier	Persistent identifier for the bundle
type		1..1	code	document \| message \| transaction \| transaction-response \| batch \| batch-response \| history \| searchset \| collection Fixed Value: document
timestamp		1..1	instant	When the bundle was assembled
link		0..0
Slices for entry		2..*	BackboneElement	Entry resource in the patient summary bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
fullUrl		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
search		0..0
request		0..0
response		0..0
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechPatient	Information about an individual or animal receiving health care services
entry:allergyintolerance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechCondition	Detailed information about conditions, problems or diagnoses
entry:device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechDevice	Item used in healthcare
entry:diagnosticreport		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:documentreference		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechDocumentReference	A reference to a document
entry:immunization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechImmunization	Immunization event information
entry:medicationstatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechMedicationStatement	Record of medication being taken by a patient
entry:practitionerrole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechPractitionerRole	Roles/organizations the practitioner is associated with
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedtechScreeningObservation	Measurements and simple assertions
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-ips-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first. : entry.tail().where(resource is Composition).empty()