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 https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions

Example Bundle: Provide Document Bundle with Minimal metadata of one document with sourcePatientInfo

Example of a minimal Provide Document Bundle for a push to an email intended recipient.

  • The bundle contains
    • SubmissionSet - identifies to whom this is going and one documentReference
    • DocumentReference - One DocumentReference
    • Binary - the document
    • the Patient is contained in the DocumentReference. This would be more classic XDR/XDM model. Note there is no mention of the patient in the SubmissionSet in this case (hence minimal metadata), and if multiple documents were sent they would implicitly be the same patient, presumably with the same contained Patient; but given it is a contained Patinet there is no way to computably prove this beyond exact comparison of the contained object.

Response example

Bundle ex-minimalProvideDocumentBundleSimpleContained of type transaction

Entry 1 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00222200001

Request:

POST List

Resource List:

SubmissionSet with Patient

Entry 2 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00222200002

Request:

POST DocumentReference

Resource DocumentReference:

Generated Narrative: DocumentReference

Resource DocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00222200002"

Profile: MHD DocumentReference Minimal

Security Labels: http://terminology.hl7.org/CodeSystem/v3-ActReason

identifier: URI/urn:oid:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012

status: CURRENT

content

Attachments

-ContentTypeUrlSizeHash
*text/plainurn:uuid:aaaaaaaa-bbbb-cccc-dddd-e0022220000311(base64 data - 40 bytes)

Dee Schmidt (no stated gender), DoB Unknown

Entry 3 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00222200003

Request:

POST Binary

Resource Binary:

Generated Narrative: Binary

Resource Binary "aaaaaaaa-bbbb-cccc-dddd-e00222200003"

Security Labels: http://terminology.hl7.org/CodeSystem/v3-ActReason

contentType: text/plain

data: (base64 data - 11 bytes)