Mobile access to Health Documents (MHD)
4.2.5 - trial-use 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 4.2.5 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

Resource Profile: MHD Provide Document Bundle Response

Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.ProvideDocumentBundleResponse Version: 4.2.5
Active as of 2026-10-13 Computable Name: ProvideDocumentBundleResponse

A profile on the Bundle transaction-response for ITI-65 Provide Document Bundle response.

  • shall be a transaction response
  • shall have at least 1 entry for each entry in the request, in the same order as received in the request
    • entry response location must be indicated

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
Bundle.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Bundle.type This element is included in summaries. 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Required Pattern: transaction-response
Bundle.entry This element is included in summaries. C 1..* BackboneElement One entry for each entry in the request, in the same order as received
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
Bundle.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response This element is included in summaries. C 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response.status This element is included in summaries. 1..1 string Status response code (text optional)
Bundle.entry.response.location This element is included in summaries. 1..1 uri The location (if the operation returns a location)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle 0..* Bundle Contains a collection of resources
Bundle.type 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Required Pattern: transaction-response
Bundle.entry 1..* BackboneElement One entry for each entry in the request, in the same order as received
Bundle.entry.response 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.location 1..1 uri The location (if the operation returns a location)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
Bundle.id This element is included in summaries. 0..1 id Logical id of this artifact
Bundle.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Bundle.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Bundle.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Bundle.identifier This element is included in summaries. 0..1 Identifier Persistent identifier for the bundle
Bundle.type This element is included in summaries. 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Required Pattern: transaction-response
Bundle.timestamp This element is included in summaries. 0..1 instant When the bundle was assembled
Bundle.total This element is included in summaries. C 0..1 unsignedInt If search, the total number of matches
Bundle.link This element is included in summaries. 0..* BackboneElement Links related to this Bundle
Bundle.link.id 0..1 string Unique id for inter-element referencing
Bundle.link.extension 0..* Extension Additional content defined by implementations
Bundle.link.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.link.relation This element is included in summaries. 1..1 string See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
Bundle.link.url This element is included in summaries. 1..1 uri Reference details for the link
Bundle.entry This element is included in summaries. C 1..* BackboneElement One entry for each entry in the request, in the same order as received
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
Bundle.entry.id 0..1 string Unique id for inter-element referencing
Bundle.entry.extension 0..* Extension Additional content defined by implementations
Bundle.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.link This element is included in summaries. 0..* See link (Bundle) Links related to this entry
Bundle.entry.fullUrl This element is included in summaries. 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
Bundle.entry.resource This element is included in summaries. 0..1 Resource A resource in the bundle
Bundle.entry.search This element is included in summaries. C 0..1 BackboneElement Search related information
Bundle.entry.search.id 0..1 string Unique id for inter-element referencing
Bundle.entry.search.extension 0..* Extension Additional content defined by implementations
Bundle.entry.search.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.search.mode This element is included in summaries. 0..1 code match | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
Bundle.entry.search.score This element is included in summaries. 0..1 decimal Search ranking (between 0 and 1)
Bundle.entry.request This element is included in summaries. C 0..1 BackboneElement Additional execution information (transaction/batch/history)
Bundle.entry.request.id 0..1 string Unique id for inter-element referencing
Bundle.entry.request.extension 0..* Extension Additional content defined by implementations
Bundle.entry.request.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.request.method This element is included in summaries. 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
Bundle.entry.request.url This element is included in summaries. 1..1 uri URL for HTTP equivalent of this entry
Bundle.entry.request.ifNoneMatch This element is included in summaries. 0..1 string For managing cache currency
Bundle.entry.request.ifModifiedSince This element is included in summaries. 0..1 instant For managing cache currency
Bundle.entry.request.ifMatch This element is included in summaries. 0..1 string For managing update contention
Bundle.entry.request.ifNoneExist This element is included in summaries. 0..1 string For conditional creates
Bundle.entry.response This element is included in summaries. C 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.id 0..1 string Unique id for inter-element referencing
Bundle.entry.response.extension 0..* Extension Additional content defined by implementations
Bundle.entry.response.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response.status This element is included in summaries. 1..1 string Status response code (text optional)
Bundle.entry.response.location This element is included in summaries. 1..1 uri The location (if the operation returns a location)
Bundle.entry.response.etag This element is included in summaries. 0..1 string The Etag for the resource (if relevant)
Bundle.entry.response.lastModified This element is included in summaries. 0..1 instant Server's date time modified
Bundle.entry.response.outcome This element is included in summaries. 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
Bundle.signature This element is included in summaries. 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Bundle

Summary

Mandatory: 3 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
Bundle.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Bundle.type This element is included in summaries. 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Required Pattern: transaction-response
Bundle.entry This element is included in summaries. C 1..* BackboneElement One entry for each entry in the request, in the same order as received
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
Bundle.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response This element is included in summaries. C 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response.status This element is included in summaries. 1..1 string Status response code (text optional)
Bundle.entry.response.location This element is included in summaries. 1..1 uri The location (if the operation returns a location)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle 0..* Bundle Contains a collection of resources
Bundle.type 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Required Pattern: transaction-response
Bundle.entry 1..* BackboneElement One entry for each entry in the request, in the same order as received
Bundle.entry.response 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.location 1..1 uri The location (if the operation returns a location)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
Bundle.id This element is included in summaries. 0..1 id Logical id of this artifact
Bundle.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Bundle.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Bundle.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Bundle.identifier This element is included in summaries. 0..1 Identifier Persistent identifier for the bundle
Bundle.type This element is included in summaries. 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Required Pattern: transaction-response
Bundle.timestamp This element is included in summaries. 0..1 instant When the bundle was assembled
Bundle.total This element is included in summaries. C 0..1 unsignedInt If search, the total number of matches
Bundle.link This element is included in summaries. 0..* BackboneElement Links related to this Bundle
Bundle.link.id 0..1 string Unique id for inter-element referencing
Bundle.link.extension 0..* Extension Additional content defined by implementations
Bundle.link.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.link.relation This element is included in summaries. 1..1 string See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
Bundle.link.url This element is included in summaries. 1..1 uri Reference details for the link
Bundle.entry This element is included in summaries. C 1..* BackboneElement One entry for each entry in the request, in the same order as received
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
Bundle.entry.id 0..1 string Unique id for inter-element referencing
Bundle.entry.extension 0..* Extension Additional content defined by implementations
Bundle.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.link This element is included in summaries. 0..* See link (Bundle) Links related to this entry
Bundle.entry.fullUrl This element is included in summaries. 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
Bundle.entry.resource This element is included in summaries. 0..1 Resource A resource in the bundle
Bundle.entry.search This element is included in summaries. C 0..1 BackboneElement Search related information
Bundle.entry.search.id 0..1 string Unique id for inter-element referencing
Bundle.entry.search.extension 0..* Extension Additional content defined by implementations
Bundle.entry.search.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.search.mode This element is included in summaries. 0..1 code match | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
Bundle.entry.search.score This element is included in summaries. 0..1 decimal Search ranking (between 0 and 1)
Bundle.entry.request This element is included in summaries. C 0..1 BackboneElement Additional execution information (transaction/batch/history)
Bundle.entry.request.id 0..1 string Unique id for inter-element referencing
Bundle.entry.request.extension 0..* Extension Additional content defined by implementations
Bundle.entry.request.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.request.method This element is included in summaries. 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
Bundle.entry.request.url This element is included in summaries. 1..1 uri URL for HTTP equivalent of this entry
Bundle.entry.request.ifNoneMatch This element is included in summaries. 0..1 string For managing cache currency
Bundle.entry.request.ifModifiedSince This element is included in summaries. 0..1 instant For managing cache currency
Bundle.entry.request.ifMatch This element is included in summaries. 0..1 string For managing update contention
Bundle.entry.request.ifNoneExist This element is included in summaries. 0..1 string For conditional creates
Bundle.entry.response This element is included in summaries. C 1..1 BackboneElement Indicating the results of processing the entry
Bundle.entry.response.id 0..1 string Unique id for inter-element referencing
Bundle.entry.response.extension 0..* Extension Additional content defined by implementations
Bundle.entry.response.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Bundle.entry.response.status This element is included in summaries. 1..1 string Status response code (text optional)
Bundle.entry.response.location This element is included in summaries. 1..1 uri The location (if the operation returns a location)
Bundle.entry.response.etag This element is included in summaries. 0..1 string The Etag for the resource (if relevant)
Bundle.entry.response.lastModified This element is included in summaries. 0..1 instant Server's date time modified
Bundle.entry.response.outcome This element is included in summaries. 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
Bundle.signature This element is included in summaries. 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Bundle

Summary

Mandatory: 3 elements

 

Other representations of profile: CSV, Excel, Schematron