ListMhd - Guía MHD para el Intercambio de Información de Salud en Chile

Guía MHD para el Intercambio de Información de Salud en Chile, published by Hl7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/MHD-CL/ and changes regularly. See the Directory of published versions

Resource Profile: ListMhd

Official URL: https://hl7chile.cl/fhir/ig/mhd/StructureDefinition/ListMhd				Version: 0.1.0
Draft as of 2026-10-23				Computable Name: ListMhd
Other Identifiers: OID:2.16.840.1.113883.2.22.40.14.42.2

Perfil asociado al listado de documentos referenciados para HSI en un modelo MHD

Usages:

Use this Profile: BundleMhd
Examples for this Profile: List/EjemploListMhd
CapabilityStatements using this Profile: Capacidades para Cliente MHD and MHD Responder

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
List	C	0..*	SubmissionSet	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
List.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
List.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
List.Slices for extension.extension:designationType	This element must be supported.	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId		0..1	oid	The homeCommunityId where the artifact resides URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient		0..*	Reference(Practitioner \| Organization \| Patient \| RelatedPerson \| Group \| Device \| Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:type
List.Slices for identifier.identifier:uniqueId	This element must be supported.	0..1	SubmissionSetUniqueIdIdentifier	SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID	This element must be supported.	0..1	EntryUUIDIdentifier	SubmissionSet.entryUUID
List.status	This element is a modifier element. This element is included in summaries.	1..1	code	current \| retired \| entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current (extensions allowed)
List.mode	This element is a modifier element. This element is included in summaries.	1..1	code	working \| snapshot \| changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working (extensions allowed)
List.code	This element is included in summaries.	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: `{ "coding" : [ { "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes", "code" : "submissionset" } ] }`
List.subject	This element must be supported. This element is included in summaries.	0..1	Reference(CL Paciente)	If all resources have the same subject
List.date	This element is included in summaries.	1..1	dateTime	When the list was prepared
List.source	This element must be supported. This element is included in summaries.	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	Who and/or what defined the list contents (aka Author)
List.source.Slices for extension				Content/Rules for all slices
List.source.Slices for extension.extension:authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.note		0..1	Annotation	Comments about the list
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	required	MHD List Types ValueSet	📦4.2.5	Mobile access to Health Documents v4.2

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
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()`
lst-1	error	List	A list can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	`mode = 'changes' or entry.deleted.empty()`
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	`mode = 'working' or entry.date.empty()`

This structure is derived from SubmissionSet

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
List		SubmissionSet
List.subject	0..1	Reference(CL Paciente)	If all resources have the same subject
List.entry
List.entry.item	1..1	Reference(ReferenciaDocumental)	Actual entry
Documentation for this format

Description & Constraints Filter:

List C 0..* SubmissionSet A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3

List.id This element is included in summaries. 0..1 id Logical id of this artifact

List.meta This element is included in summaries. 0..1 Meta Metadata about the resource

List.meta.id 0..1 string Unique id for inter-element referencing

List.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

List.meta.versionId This element is included in summaries. 0..1 id Version specific identifier

List.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed

List.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from

List.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to

List.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

List.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

List.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

List.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

List.contained 0..* Resource Contained, inline Resources

List.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

List.Slices for extension.extension:designationType This element must be supported. 0..1 CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType

List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId

List.Slices for extension.extension:sourceId 1..1 Identifier Publisher organization identity of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId

List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 SubmissionSetUniqueIdIdentifier SubmissionSet.uniqueId

List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier SubmissionSet.entryUUID

List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current (extensions allowed)

List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working (extensions allowed)

List.title This element is included in summaries. 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients

code

1..1

CodeableConcept

What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern:

{
  "coding" : [
    {
      "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
      "code" : "submissionset"
    }
  ]
}

List.subject This element must be supported. This element is included in summaries. 0..1 Reference(CL Paciente) If all resources have the same subject

List.date This element is included in summaries. 1..1 dateTime When the list was prepared

List.source This element must be supported. This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)

List.source.id 0..1 string Unique id for inter-element referencing

List.source.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

List.source.Slices for extension.extension:authorOrg 0..1 Reference(Organization) Author organization of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg

List.source.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

List.source.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

List.source.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

List.source.display This element is included in summaries. 0..1 string Text alternative for the resource

List.note 0..1 Annotation Comments about the list

List.entry C 0..* BackboneElement Entries in the list

List.entry.id 0..1 string Unique id for inter-element referencing

List.entry.extension 0..* Extension Additional content defined by implementations

List.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

List.entry.item 1..1 Reference(ReferenciaDocumental) Actual entry

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
List.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
List.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	required	MHD List Types ValueSet	📦4.2.5	Mobile access to Health Documents v4.2
List.source.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
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()`
lst-1	error	List	A list can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	`mode = 'changes' or entry.deleted.empty()`
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	`mode = 'working' or entry.date.empty()`

This structure is derived from SubmissionSet

Summary

Structures

This structure refers to these other structures:

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
List	C	0..*	SubmissionSet	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
List.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
List.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
List.Slices for extension.extension:designationType	This element must be supported.	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId		0..1	oid	The homeCommunityId where the artifact resides URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient		0..*	Reference(Practitioner \| Organization \| Patient \| RelatedPerson \| Group \| Device \| Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:type
List.Slices for identifier.identifier:uniqueId	This element must be supported.	0..1	SubmissionSetUniqueIdIdentifier	SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID	This element must be supported.	0..1	EntryUUIDIdentifier	SubmissionSet.entryUUID
List.status	This element is a modifier element. This element is included in summaries.	1..1	code	current \| retired \| entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current (extensions allowed)
List.mode	This element is a modifier element. This element is included in summaries.	1..1	code	working \| snapshot \| changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working (extensions allowed)
List.code	This element is included in summaries.	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: `{ "coding" : [ { "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes", "code" : "submissionset" } ] }`
List.subject	This element must be supported. This element is included in summaries.	0..1	Reference(CL Paciente)	If all resources have the same subject
List.date	This element is included in summaries.	1..1	dateTime	When the list was prepared
List.source	This element must be supported. This element is included in summaries.	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	Who and/or what defined the list contents (aka Author)
List.source.Slices for extension				Content/Rules for all slices
List.source.Slices for extension.extension:authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.note		0..1	Annotation	Comments about the list
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	required	MHD List Types ValueSet	📦4.2.5	Mobile access to Health Documents v4.2

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
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()`
lst-1	error	List	A list can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	`mode = 'changes' or entry.deleted.empty()`
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	`mode = 'working' or entry.date.empty()`

Differential View

This structure is derived from SubmissionSet

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
List		SubmissionSet
List.subject	0..1	Reference(CL Paciente)	If all resources have the same subject
List.entry
List.entry.item	1..1	Reference(ReferenciaDocumental)	Actual entry
Documentation for this format

Snapshot View