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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "ex-fhir-document-bundle"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]
] ; #
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" ]
] ; #
fhir:type [ fhir:v "document"] ; #
fhir:timestamp [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/ex-practitioner"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Practitioner/ex-practitioner> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/ex-patient"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Patient/ex-patient> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Encounter/doc-example"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Encounter/doc-example> )
] [
fhir:fullUrl [ fhir:v "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"^^xsd:anyURI ] ;
( fhir:resource <urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81> )
] [
fhir:fullUrl [ fhir:v "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"^^xsd:anyURI ] ;
( fhir:resource <urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86> )
] [
fhir:fullUrl [ fhir:v "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"^^xsd:anyURI ] ;
( fhir:resource <urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1> )
] [
fhir:fullUrl [ fhir:v "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"^^xsd:anyURI ] ;
( fhir:resource <urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637> )
] ) . #
<http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> a fhir:Composition ;
fhir:id [ fhir:v "180f219f-97a8-486d-99d9-ed631fe4fc57"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:type [
( fhir:coding [
a loinc:28655-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "28655-9" ] ] ) ;
fhir:text [ fhir:v "Discharge Summary from Responsible Clinician" ]
] ; #
fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/doc-example" ]
] ; #
fhir:date [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime] ; #
fhir:author ( [
fhir:reference [ fhir:v "Practitioner/ex-practitioner" ]
] ) ; #
fhir:title [ fhir:v "Discharge Summary"] ; #
fhir:confidentiality [ fhir:v "N"] ; #
fhir:section ( [
fhir:title [ fhir:v "Reason for admission" ] ;
fhir:code [
( fhir:coding [
a loinc:29299-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29299-5" ] ;
fhir:display [ fhir:v "Reason for visit Narrative" ] ] ) ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir: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>"^^rdf:XMLLiteral ] ;
( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81" ] ] )
] [
fhir:title [ fhir:v "Medications on Discharge" ] ;
fhir:code [
( fhir:coding [
a loinc:10183-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10183-2" ] ;
fhir:display [ fhir:v "Hospital discharge medications Narrative" ] ] ) ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir: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>"^^rdf:XMLLiteral ] ;
fhir:mode [ fhir:v "working" ] ;
( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86" ] ] [
fhir:reference [ fhir:v "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1" ] ] )
] [
fhir:title [ fhir:v "Known allergies" ] ;
fhir:code [
( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ] ] ) ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir: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>"^^rdf:XMLLiteral ] ;
( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637" ] ] )
] ) . #
<http://example.org/fhir/Practitioner/ex-practitioner> a fhir:Practitioner ;
fhir:id [ fhir:v "ex-practitioner"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ] ;
fhir:value [ fhir:v "23" ]
] ) ; #
fhir:name ( [
fhir:family [ fhir:v "Careful" ] ;
( fhir:given [ fhir:v "Adam" ] ) ;
( fhir:prefix [ fhir:v "Dr" ] )
] ) . #
<http://example.org/fhir/Patient/ex-patient> a fhir:Patient ;
fhir:id [ fhir:v "ex-patient"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-patient\"> </a>\n\n <h1>Eve Everywoman</h1>\n\n </div>"^^rdf:XMLLiteral
] ; #
fhir:active [ fhir:v true] ; #
fhir:name ( [
fhir:text [ fhir:v "Eve Everywoman" ] ;
fhir:family [ fhir:v "Everywoman1" ] ;
( fhir:given [ fhir:v "Eve" ] )
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-555-2003" ] ;
fhir:use [ fhir:v "work" ]
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:birthDate [ fhir:v "1955-01-06"^^xsd:date] ; #
fhir:address ( [
fhir:use [ fhir:v "home" ] ;
( fhir:line [ fhir:v "2222 Home Street" ] )
] ) . #
<http://example.org/fhir/Encounter/doc-example> a fhir:Encounter ;
fhir:id [ fhir:v "doc-example"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:value [ fhir:v "S100" ]
] ) ; #
fhir:status [ fhir:v "finished"] ; #
fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IMP" ] ;
fhir:display [ fhir:v "inpatient encounter" ]
] ; #
fhir:type ( [
fhir:text [ fhir:v "Orthopedic Admission" ]
] ) ; #
fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2013-01-20T12:30:02Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime ]
] ; #
fhir:hospitalization [
fhir:dischargeDisposition [
fhir:text [ fhir:v "Discharged to care of GP" ] ]
] . #
<urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81> a fhir:Observation ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:46241-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "46241-6" ] ] ) ;
fhir:text [ fhir:v "Reason for admission" ]
] ; #
fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/doc-example" ]
] ; #
fhir:value [
a fhir:string ;
fhir:v "Acute Asthmatic attack. Was wheezing for days prior to admission."
] . #
<urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86> a fhir:MedicationRequest ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "unknown"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:medication [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:66493003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "66493003" ] ] ) ;
fhir:text [ fhir:v "Theophylline 200mg" ]
] ; #
fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:requester [
fhir:link <http://example.org/fhir/Practitioner/ex-practitioner> ;
fhir:reference [ fhir:v "http://example.org/fhir/Practitioner/ex-practitioner" ]
] ; #
fhir:reasonCode ( [
fhir:text [ fhir:v "Management of Asthma" ]
] ) ; #
fhir:dosageInstruction ( [
( fhir:additionalInstruction [
fhir:text [ fhir:v "Take with Food" ] ] ) ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ] ] ;
fhir:route [
( fhir:coding [
a sct:394899003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394899003" ] ;
fhir:display [ fhir:v "oral administration of treatment" ] ] ) ] ;
( fhir:doseAndRate [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ] ] ) ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablet" ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAB" ] ] ] )
] ) . #
<urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1> a fhir:MedicationStatement ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_null\"> </a>\n\n <p>Ventolin inhaler discontinued</p>\n\n </div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:statusReason ( [
fhir:text [ fhir:v "Management of Asthma" ]
] ) ; #
fhir:medication [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Ventolin Inhaler" ]
] ; #
fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:dateAsserted [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime] . #
<urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637> a fhir:AllergyIntolerance ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_null\"> </a>Sensitivity to Doxycycline :\n Hives</div>"^^rdf:XMLLiteral
] ; #
fhir:clinicalStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ] ] )
] ; #
fhir:verificationStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ] ] )
] ; #
fhir:type [ fhir:v "allergy"] ; #
fhir:criticality [ fhir:v "high"] ; #
fhir:code [
fhir:text [ fhir:v "Doxycycline" ]
] ; #
fhir:patient [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
] ; #
fhir:recordedDate [ fhir:v "2012-09-17"^^xsd:date] ; #
fhir:reaction ( [
( fhir:manifestation [
fhir:text [ fhir:v "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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