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 for a On-Demand document - XML Representation

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="ex-DocumentReferenceComprehensiveOnDemand"/>
  <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 class="res-header-id"><b>Generated Narrative: DocumentReference ex-DocumentReferenceComprehensiveOnDemand</b></p><a name="ex-DocumentReferenceComprehensiveOnDemand"> </a><a name="hcex-DocumentReferenceComprehensiveOnDemand"> </a><a name="ex-DocumentReferenceComprehensiveOnDemand-en-US"> </a><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:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.57340</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:0c287d32-01e3-4d87-9953-9fc59407eb21 (use: official, )</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 11369-6}">History of Immunization Narrative</span></p><p><b>subject</b>: <a href="Patient-ex-patient.html">John Schmidt  Other, DoB: 1923-07-25</a></p><p><b>date</b>: 2020-01-31 23:50:50-0500</p><p><b>securityLabel</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality N}">normal</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>Creation</b></td></tr><tr><td style="display: none">*</td><td>text/plain</td><td>English</td><td><a href="http://example.com/nowhere.txt">http://example.com/nowhere.txt</a></td><td>2020-12-31 23:50:50-0500</td></tr></table><p><b>format</b>: <a href="https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.3.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58iti.58xds-sd.58text.582008">IHE Format Code set for use with Document Sharing</a> urn:ihe:iti:xds-sd:text:2008: ITI XDS-SD TEXT</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 82242000}">Children's hospital</span></td><td><span title="Codes:{http://snomed.info/sct 408467006}">Adult mental illness - specialty (qualifier value)</span></td><td><a href="#hcex-DocumentReferenceComprehensiveOnDemand/in-patient">Anonymous Patient (no stated gender), DoB Unknown</a></td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient  #in-patient</b></p><a name="ex-DocumentReferenceComprehensiveOnDemand/in-patient"> </a><a name="hcex-DocumentReferenceComprehensiveOnDemand/in-patient"> </a><a name="ex-DocumentReferenceComprehensiveOnDemand/in-patient-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient (no stated gender), DoB Unknown</p><hr/></blockquote></div>
  </text>
  <contained>
    <Patient>
      <id value="in-patient"/>
    </Patient>
  </contained>
  <masterIdentifier>
    <system value="urn:ietf:rfc:3986"/>
    <value
           value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.57340"/>
  </masterIdentifier>
  <identifier>
    <use value="official"/>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0c287d32-01e3-4d87-9953-9fc59407eb21"/>
  </identifier>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60591-5"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11369-6"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/ex-patient"/>
  </subject>
  <date value="2020-01-31T23:50:50-05:00"/>
  <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"/>
      <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>
    <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>
  </context>
</DocumentReference>