Mobile access to Health Documents (MHD)
4.2.2-current - ci-build International flag

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 4.2.2-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions

Example Bundle: Example Provide Bundle with a FHIR-Document

Bundle ex-comprehensiveProvideDocumentBundleDocument of type transaction

Entry 1 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001



Resource List:

SubmissionSet with Patient

Entry 2 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002


POST DocumentReference

Resource DocumentReference:

Generated Narrative: DocumentReference

Resource DocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00333300002"

Profile: MHD DocumentReference Comprehensive

Security Labels:

identifier: URI/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0, URI/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: OFFICIAL)

status: CURRENT

type: Attend D/C sum (LOINC#28655-9)

category: Hx of Immunization (LOINC#11369-6)

subject: Patient/ex-patient " SCHMIDT"


date: Feb 2, 2020, 4:50:50 AM



name: Adam Careful

securityLabel: normal (Confidentiality#N)



*application/fhir+jsonenurn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003Discharge Summary from Responsible Clinician2013-05-28 22:12:21+0000

Dee Schmidt (no stated gender), DoB Unknown (

Generated Narrative: Practitioner #aaaaaaaa-bbbb-cccc-dddd-e00333300006


name: Adam Careful

Entry 3 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003


POST Bundle

Resource Bundle:

Eve Everywoman

Generated Narrative: Composition

Resource Composition "180f219f-97a8-486d-99d9-ed631fe4fc57" Updated "2013-05-28 22:12:21+0000"

Security Labels:

status: FINAL

type: Discharge Summary from Responsible Clinician (LOINC#28655-9)

encounter: See above (

date: 2013-02-01 12:30:02+0000

author: See above (Practitioner/ex-practitioner)

title: Discharge Summary

Reason for admission

Acute Asthmatic attack. Was wheezing for days prior to admission.

Medications on Discharge

Medication Last Change Last ChangeReason
Theophylline 200mg BD after meals continued
Ventolin Inhaler stopped Getting side effect of tremor

Known allergies

Allergen Reaction
Doxycycline Hives

Additional Document Content

2. (Practitioner/ex-practitioner)

Dr Adam Careful

3. (Patient/ex-patient)

Eve Everywoman

4. (Encounter/doc-example)

Admitted to Orthopedics Service, Middlemore Hospital between Jan 20 and Feb ist 2013

5. urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81 (Observation/null)

Acute Asthmatic attack. Was wheezing for days prior to admission.

6. urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86 (MedicationRequest/null)

Theophylline 200mg twice a day

7. urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1 (MedicationStatement/null)

Ventolin inhaler discontinued

8. urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637 (AllergyIntolerance/null)

Sensitivity to Doxycycline : Hives