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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-fhir-document-bundle"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<type value="document"/>
<timestamp value="2013-05-28T22:12:21Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<resource>
<Composition>
<id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<text>
<status value="generated"/>
<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><a name="180f219f-97a8-486d-99d9-ed631fe4fc57-en-US"> </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">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
<text value="Discharge Summary from Responsible Clinician"/>
</type>
<subject>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<date value="2013-02-01T12:30:02Z"/>
<author>🔗
<reference value="Practitioner/ex-practitioner"/>
</author>
<title value="Discharge Summary"/>
<confidentiality value="N"/>
<section>
<title value="Reason for admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Details</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>
<td/>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
</entry>
</section>
<section>
<title value="Medications on Discharge"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display value="Hospital discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Medication</td>
<td>Last Change</td>
<td>Last ChangeReason</td>
</tr>
</thead>
<tbody>
<tr>
<td>Theophylline 200mg BD after meals</td>
<td>continued</td>
</tr>
<tr>
<td>Ventolin Inhaler</td>
<td>stopped</td>
<td>Getting side effect of tremor</td>
</tr>
</tbody>
</table>
</div>
</text>
<mode value="working"/>
<entry>
<reference value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
</entry>
<entry>
<reference value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
</entry>
</section>
<section>
<title value="Known allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Allergen</td>
<td>Reaction</td>
</tr>
</thead>
<tbody>
<tr>
<td>Doxycycline</td>
<td>Hives</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Practitioner/ex-practitioner"/>
<resource>
<Practitioner>
<id value="ex-practitioner"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Dr Adam Careful</p>
</div>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Patient/ex-patient"/>
<resource>
<Patient>
<id value="ex-patient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<h1>Eve Everywoman</h1>
</div>
</text>
<active value="true"/>
<name>
<text value="Eve Everywoman"/>
<family value="Everywoman1"/>
<given value="Eve"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1955-01-06"/>
<address>
<use value="home"/>
<line value="2222 Home Street"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Encounter/doc-example"/>
<resource>
<Encounter>
<id value="doc-example"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service,
Middlemore Hospital between Jan 20 and Feb ist 2013 </div>
</text>
<identifier>
<value value="S100"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<period>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</period>
<hospitalization>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
<resource>
<Observation>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing
for days prior to admission. </div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46241-6"/>
</coding>
<text value="Reason for admission"/>
</code>
<subject>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<valueString
value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
<resource>
<MedicationRequest>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Theophylline 200mg twice a day</p>
</div>
</text>
<status value="unknown"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</medicationCodeableConcept>
<subject>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<requester>
<reference
value="http://example.org/fhir/Practitioner/ex-practitioner"/>
</requester>
<reasonCode>
<text value="Management of Asthma"/>
</reasonCode>
<dosageInstruction>
<additionalInstruction>
<text value="Take with Food"/>
</additionalInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
<resource>
<MedicationStatement>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Ventolin inhaler discontinued</p>
</div>
</text>
<status value="active"/>
<statusReason>
<text value="Management of Asthma"/>
</statusReason>
<medicationCodeableConcept>
<text value="Ventolin Inhaler"/>
</medicationCodeableConcept>
<subject>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
<resource>
<AllergyIntolerance>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline :
Hives</div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference value="http://example.org/fhir/Patient/ex-patient"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
<display value="Author's Signature"/>
</type>
<when value="2015-08-31T07:42:33+10:00"/>
<who>🔗
<reference value="Device/ex-device"/>
</who>
<onBehalfOf>🔗
<reference value="Organization/ex-organization"/>
</onBehalfOf>
<sigFormat value="image/jpg"/>
<data
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"/>
</signature>
</Bundle>
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.3-current based on FHIR 4.0.1. Generated 2024-07-15
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