Mobile access to Health Documents (MHD)
4.2.3-current - ci-build
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-fhir-document-bundle",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"type" : "document",
"timestamp" : "2013-05-28T22:12:21Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57",
"resource" : {
"resourceType" : "Composition",
"id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 180f219f-97a8-486d-99d9-ed631fe4fc57</b></p><a name=\"180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><a name=\"hc180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2013-05-28 22:12:21+0000</p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 28655-9}\">Discharge Summary from Responsible Clinician</span></p><p><b>encounter</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Encounter/doc-example\">Encounter: identifier = S100; status = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000</a></p><p><b>date</b>: 2013-02-01 12:30:02+0000</p><p><b>author</b>: <a href=\"Practitioner-ex-practitioner.html\">Practitioner: telecom = JohnMoehrke@gmail.com</a></p><p><b>title</b>: Discharge Summary</p><p><b>confidentiality</b>: normal</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
],
"text" : "Discharge Summary from Responsible Clinician"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"encounter" : {
"reference" : "http://example.org/fhir/Encounter/doc-example"
},
"date" : "2013-02-01T12:30:02Z",
"author" : [
{
🔗 "reference" : "Practitioner/ex-practitioner"
}
],
"title" : "Discharge Summary",
"confidentiality" : "N",
"section" : [
{
"title" : "Reason for admission",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Details</td>\n\n <td/>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>\n\n <td/>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"entry" : [
{
"reference" : "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"
}
]
},
{
"title" : "Medications on Discharge",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Medication</td>\n\n <td>Last Change</td>\n\n <td>Last ChangeReason</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Theophylline 200mg BD after meals</td>\n\n <td>continued</td>\n\n </tr>\n\n <tr>\n\n <td>Ventolin Inhaler</td>\n\n <td>stopped</td>\n\n <td>Getting side effect of tremor</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"mode" : "working",
"entry" : [
{
"reference" : "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"
},
{
"reference" : "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"
}
]
},
{
"title" : "Known allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Allergen</td>\n\n <td>Reaction</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Doxycycline</td>\n\n <td>Hives</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"entry" : [
{
"reference" : "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/ex-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ex-practitioner",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ex-practitioner\"> </a>\n\n <p>Dr Adam Careful</p>\n\n </div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/ex-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "ex-patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-patient\"> </a>\n\n <h1>Eve Everywoman</h1>\n\n </div>"
},
"active" : true,
"name" : [
{
"text" : "Eve Everywoman",
"family" : "Everywoman1",
"given" : [
"Eve"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-2003",
"use" : "work"
}
],
"gender" : "female",
"birthDate" : "1955-01-06",
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/doc-example",
"resource" : {
"resourceType" : "Encounter",
"id" : "doc-example",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_doc-example\"> </a> Admitted to Orthopedics Service,\n Middlemore Hospital between Jan 20 and Feb ist 2013 </div>"
},
"identifier" : [
{
"value" : "S100"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"text" : "Orthopedic Admission"
}
],
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"period" : {
"start" : "2013-01-20T12:30:02Z",
"end" : "2013-02-01T12:30:02Z"
},
"hospitalization" : {
"dischargeDisposition" : {
"text" : "Discharged to care of GP"
}
}
}
},
{
"fullUrl" : "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81",
"resource" : {
"resourceType" : "Observation",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a> Acute Asthmatic attack. Was wheezing\n for days prior to admission. </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46241-6"
}
],
"text" : "Reason for admission"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"encounter" : {
"reference" : "http://example.org/fhir/Encounter/doc-example"
},
"valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission."
}
},
{
"fullUrl" : "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86",
"resource" : {
"resourceType" : "MedicationRequest",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_null\"> </a>\n\n <p>Theophylline 200mg twice a day</p>\n\n </div>"
},
"status" : "unknown",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66493003"
}
],
"text" : "Theophylline 200mg"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"requester" : {
"reference" : "http://example.org/fhir/Practitioner/ex-practitioner"
},
"reasonCode" : [
{
"text" : "Management of Asthma"
}
],
"dosageInstruction" : [
{
"additionalInstruction" : [
{
"text" : "Take with Food"
}
],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1",
"resource" : {
"resourceType" : "MedicationStatement",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_null\"> </a>\n\n <p>Ventolin inhaler discontinued</p>\n\n </div>"
},
"status" : "active",
"statusReason" : [
{
"text" : "Management of Asthma"
}
],
"medicationCodeableConcept" : {
"text" : "Ventolin Inhaler"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"dateAsserted" : "2013-05-05T16:13:03Z"
}
},
{
"fullUrl" : "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637",
"resource" : {
"resourceType" : "AllergyIntolerance",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_null\"> </a>Sensitivity to Doxycycline :\n Hives</div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "allergy",
"criticality" : "high",
"code" : {
"text" : "Doxycycline"
},
"patient" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"recordedDate" : "2012-09-17",
"reaction" : [
{
"manifestation" : [
{
"text" : "Hives"
}
]
}
]
}
}
]
}
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.3-current based on FHIR 4.0.1. Generated 2025-10-06
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