Mobile access to Health Documents (MHD)
4.2.3-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 4.2.3-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

: DocumentReference for Comprehensive fully filled metadata - XML Representation

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="ex-DocumentReferenceComprehensive"/>
  <meta>
    <profile
             value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"/>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
    </security>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference </b><a name="ex-DocumentReferenceComprehensive"> </a><a name="hcex-DocumentReferenceComprehensive"> </a></p><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">ResourceDocumentReference &quot;ex-DocumentReferenceComprehensive&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html">MHD DocumentReference Comprehensive</a></p><p style="margin-bottom: 0px">Security Labels: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>masterIdentifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21 (use: official)</p><p><b>status</b>: current</p><p><b>type</b>: Addendum Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#55107-7)</span></p><p><b>category</b>: History of Immunization Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href="Patient-ex-patient.html">Patient/ex-patient</a> &quot; SCHMIDT&quot;</p><p><b>date</b>: Jan 1, 2021, 4:50:50 AM</p><p><b>author</b>: <a name="hcin-author"> </a></p><blockquote><p/><p><a name="in-author"> </a></p><p><a name="hcin-author"> </a></p><p><b>telecom</b>: <a href="mailto:JohnMoehrke@gmail.com">JohnMoehrke@gmail.com</a></p></blockquote><p><b>authenticator</b>: <a name="hcin-author"> </a></p><blockquote><p/><p><a name="in-author"> </a></p><p><a name="hcin-author"> </a></p><p><b>telecom</b>: <a href="mailto:JohnMoehrke@gmail.com">JohnMoehrke@gmail.com</a></p></blockquote><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style="display: none">*</td><td>appends</td><td><a href="DocumentReference-ex-documentreference.html">DocumentReference/ex-documentreference</a></td></tr></table><p><b>description</b>: Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p><p><b>securityLabel</b>: normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-Confidentiality.html">Confidentiality</a>#N)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>text/plain</td><td>en</td><td><a href="http://example.com/nowhere.txt">http://example.com/nowhere.txt</a></td><td>190</td><td>(base64 data - 40 bytes)</td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31 23:50:50-0500</td></tr></table><p><b>format</b>: ITI XDS-SD TEXT (Details: IHE Format Code set for use with Document Sharing code urn:ihe:iti:xds-sd:text:2008  = ' ITI XDS-SD TEXT ', stated as ' null ')</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style="display: none">*</td><td>account receivable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#ACCTRECEIVABLE)</span></td><td>2020-12-31 23:50:50-0500 --&gt; 2020-12-31 23:50:50-0500</td><td>Children's hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#82242000)</span></td><td>Adult mental illness - specialty (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#408467006)</span></td><td><a name="hcin-patient"> </a><blockquote><p/><p><a name="in-patient"> </a></p><p><a name="hcin-patient"> </a></p></blockquote></td><td><span><a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Practitioner  #in-author</b><a name="in-author"> </a><a name="hcin-author"> </a></p><p><b>telecom</b>: <a href="mailto:JohnMoehrke@gmail.com">JohnMoehrke@gmail.com</a></p></blockquote><hr/><blockquote><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Anonymous Patient</b> (no stated gender), DoB Unknown</p><hr/></blockquote></div>
  </text>
  <contained>
    <Practitioner>
      <id value="in-author"/>
      <telecom>
        <system value="email"/>
        <value value="JohnMoehrke@gmail.com"/>
      </telecom>
    </Practitioner>
  </contained>
  <contained>
    <Patient>
      <id value="in-patient"/>
    </Patient>
  </contained>
  <masterIdentifier>
    <system value="urn:ietf:rfc:3986"/>
    <value
           value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"/>
  </masterIdentifier>
  <identifier>
    <use value="official"/>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"/>
  </identifier>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="55107-7"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11369-6"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/ex-patient"/>
  </subject>
  <date value="2020-12-31T23:50:50-05:00"/>
  <author>
    <reference value="#in-author"/>
  </author>
  <authenticator>
    <reference value="#in-author"/>
  </authenticator>
  <relatesTo>
    <code value="appends"/>
    <target>🔗 
      <reference value="DocumentReference/ex-documentreference"/>
    </target>
  </relatesTo>
  <description
               value="Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements."/>
  <securityLabel>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
    </coding>
  </securityLabel>
  <content>
    <attachment>
      <contentType value="text/plain"/>
      <language value="en"/>
      <url value="http://example.com/nowhere.txt"/>
      <size value="190"/>
      <hash value="OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA=="/>
      <title
             value="DocumentReference for Comprehensive fully filled metadata"/>
      <creation value="2020-12-31T23:50:50-05:00"/>
    </attachment>
    <format>
      <system
              value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
      <code value="urn:ihe:iti:xds-sd:text:2008"/>
    </format>
  </content>
  <context>
    <event>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="ACCTRECEIVABLE"/>
      </coding>
    </event>
    <period>
      <start value="2020-12-31T23:50:50-05:00"/>
      <end value="2020-12-31T23:50:50-05:00"/>
    </period>
    <facilityType>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82242000"/>
      </coding>
    </facilityType>
    <practiceSetting>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="408467006"/>
      </coding>
    </practiceSetting>
    <sourcePatientInfo>
      <reference value="#in-patient"/>
    </sourcePatientInfo>
    <related>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value
               value="urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"/>
      </identifier>
    </related>
  </context>
</DocumentReference>