Mobile access to Health Documents (MHD)
4.2.3-current - ci-build
Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 4.2.3-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ex-comprehensiveProvideDocumentBundleComplete",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"type" : "transaction",
"timestamp" : "2004-10-05T11:50:50-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500001",
"resource" : {
"resourceType" : "List",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500001",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">SubmissionSet with Patient</div>"
},
"contained" : [
{
"resourceType" : "Practitioner",
"id" : "in-practitionerRecipient",
"telecom" : [
{
"system" : "email",
"value" : "JohnMoehrke@gmail.com"
}
]
},
{
"resourceType" : "Practitioner",
"id" : "in-practitionerAuthor",
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
},
{
"resourceType" : "Organization",
"id" : "in-organizationAuthor",
"name" : "my Hospital"
}
],
"extension" : [
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "225728007"
}
]
}
},
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId",
"valueIdentifier" : {
"value" : "urn:oid:1.2.3.4"
}
},
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient",
"valueReference" : {
"reference" : "#in-practitionerRecipient"
}
}
],
"identifier" : [
{
"use" : "usual",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46349"
}
],
"status" : "current",
"mode" : "working",
"title" : "Hello World SubmissionSet",
"code" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
"code" : "submissionset"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2004-10-25T23:50:50-05:00",
"source" : {
"extension" : [
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg",
"valueReference" : {
"reference" : "#in-organizationAuthor"
}
}
],
"reference" : "#in-practitionerAuthor"
},
"note" : [
{
"text" : "Comments about Hello World SubmissionSet"
}
],
"entry" : [
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"
}
},
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500002",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_aaaaaaaa-bbbb-cccc-dddd-e00555500002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00555500002</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00555500002\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002-en-US\"> </a><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 11369-6}\">History of Immunization Narrative</span></p><p><b>subject</b>: <a href=\"Patient-ex-patient.html\">John Schmidt Other, DoB: 1923-07-25</a></p><p><b>date</b>: 2020-02-01 23:50:50-0500</p><p><b>author</b>: </p><ul><li><a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor\">Organization my Hospital</a></li><li><a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor\">Practitioner: telecom = iti@ihe.net</a></li></ul><p><b>authenticator</b>: <a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor\">Organization my Hospital</a></p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>Appends</td><td><a href=\"DocumentReference-ex-DocumentReferenceComprehensive.html\">DocumentReference: masterIdentifier = OID:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340; identifier = UUID:0c287d32-01e3-4d87-9953-9fcc9404eb21\u00a0(use:\u00a0official,\u00a0); status = current; type = Addendum Document; category = History of Immunization Narrative; date = 2020-12-31 23:50:50-0500; description = Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.; securityLabel = normal</a></td></tr></table><p><b>description</b>: a complete comprehensive metadata document reference</p><p><b>securityLabel</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality R}\">restricted</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>text/plain</td><td>English</td><td><a href=\"Bundle-ex-comprehensiveProvideDocumentBundleComplete.html#urn-uuid-aaaaaaaa-bbbb-cccc-dddd-e00555500003\">Bundle: type = transaction; timestamp = 2004-10-05 11:50:50-0500</a></td><td>11</td><td><code>MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA==</code></td><td>Hello World</td><td>2020-02-01 23:50:50-0500</td></tr></table><p><b>format</b>: <a href=\"https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.3.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58iti.58xds-sd.58text.582008\">IHE Format Code set for use with Document Sharing urn:ihe:iti:xds-sd:text:2008</a>: ITI XDS-SD TEXT</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PATDOC}\">patient documentation task</span></td><td>1990-02-01 23:50:50-0500 --> 2020-02-01 23:50:50-0500</td><td><span title=\"Codes:{http://snomed.info/sct 82242000}\">Children's hospital</span></td><td><span title=\"Codes:{http://snomed.info/sct 408467006}\">Adult mental illness - specialty (qualifier value)</span></td><td><a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5\">Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</a></td><td>Identifier: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #in-patient5</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</p><hr/></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #in-organizationAuthor</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor-en-US\"> </a><p><b>name</b>: my Hospital</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #in-practitionerAuthor</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor-en-US\"> </a><p><b>telecom</b>: <a href=\"mailto:iti@ihe.net\">iti@ihe.net</a></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "in-patient5",
"identifier" : [
{
"system" : "http://example.org/patients",
"value" : "mrn-1234"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Dee"
]
}
]
},
{
"resourceType" : "Organization",
"id" : "in-organizationAuthor",
"name" : "my Hospital"
},
{
"resourceType" : "Practitioner",
"id" : "in-practitionerAuthor",
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
}
],
"masterIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012"
},
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2020-02-01T23:50:50-05:00",
"author" : [
{
"reference" : "#in-organizationAuthor"
},
{
"reference" : "#in-practitionerAuthor"
}
],
"authenticator" : {
"reference" : "#in-organizationAuthor"
},
"relatesTo" : [
{
"code" : "appends",
"target" : {
🔗 "reference" : "DocumentReference/ex-DocumentReferenceComprehensive"
}
}
],
"description" : "a complete comprehensive metadata document reference",
"securityLabel" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "R"
}
]
}
],
"content" : [
{
"attachment" : {
"contentType" : "text/plain",
"language" : "en",
"url" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"size" : 11,
"hash" : "MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA==",
"title" : "Hello World",
"creation" : "2020-02-01T23:50:50-05:00"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds-sd:text:2008"
}
}
],
"context" : {
"event" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PATDOC"
}
]
}
],
"period" : {
"start" : "1990-02-01T23:50:50-05:00",
"end" : "2020-02-01T23:50:50-05:00"
},
"facilityType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82242000"
}
]
},
"practiceSetting" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "408467006"
}
]
},
"sourcePatientInfo" : {
"reference" : "#in-patient5"
},
"related" : [
{
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad"
}
}
]
}
},
"request" : {
"method" : "POST",
"url" : "DocumentReference"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004",
"resource" : {
"resourceType" : "List",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500004",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.Folder"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Folder with Patient</div>"
},
"extension" : [
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "225728007"
}
]
}
},
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "284548004"
}
]
}
}
],
"identifier" : [
{
"use" : "usual",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46350"
}
],
"status" : "current",
"mode" : "working",
"title" : "Example Folder with comprehensive metadata",
"code" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
"code" : "folder"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2004-12-25T23:50:50-05:00",
"note" : [
{
"text" : "Folder for submission"
}
],
"entry" : [
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"resource" : {
"resourceType" : "Binary",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"meta" : {
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"contentType" : "text/plain",
"data" : "SGVsbG8gV29ybGQ="
},
"request" : {
"method" : "POST",
"url" : "Binary"
}
}
]
}