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: UnContainedComprehensiveDocumentReference - Mappings

Active as of 2026-10-13

Mappings for the IHE.MHD.UnContained.Comprehensive.DocumentReference resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameXDS and MHD MappingWorkflow PatternFHIR CompositionRIM MappingCDA (R2)FiveWs Pattern MappingHL7 v2 MappingXDS metadata equivalentdoco
DocumentReference
Used in the context of the IHE MHD ImplementationGuide
Event
when describing a Composition
Document[classCode="DOC" and moodCode="EVN"]
when describing a CDA
DocumentReference / id
DocumentReference / meta
DocumentReference / meta / id
n/a
DocumentReference / meta / extension
n/a
DocumentReference / meta / versionId
DocumentReference / meta / lastUpdated
DocumentReference / meta / source
DocumentReference / meta / profile
DocumentEntry.limitedMetadata
DocumentReference / meta / security
DocumentReference / meta / tag
DocumentReference / implicitRules
DocumentReference / language
DocumentReference / text
Act.text?
DocumentReference / contained
N/A
DocumentReference / Slices for extension
DocumentReference / Slices for extension / extension:homeCommunityId
DocumentEntry.homeCommunityId
DocumentReference / modifierExtension
DocumentReference / masterIdentifier
DocumentEntry.uniqueId
Event.identifier
Composition.identifier
.id
ClinicalDocument/id
FiveWs.identifier
TXA-12
DocumentEntry.uniqueId
DocumentReference / Slices for identifier
DocumentEntry.entryUUID
Event.identifier
.id / .setId
FiveWs.identifier
TXA-16?
DocumentEntry.entryUUID
DocumentReference / Slices for identifier / identifier:entryUUID
Event.identifier
.id / .setId
FiveWs.identifier
TXA-16?
DocumentEntry.entryUUID
DocumentReference / Slices for identifier / identifier:uniqueId
Event.identifier
.id / .setId
FiveWs.identifier
TXA-16?
DocumentEntry.entryUUID
DocumentReference / status
DocumentEntry.availabilityStatus
Event.status
  • .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
  • .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
  • .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
FiveWs.status
TXA-19
DocumentEntry.availabilityStatus
DocumentReference / docStatus
Composition.status
.statusCode
FiveWs.status
TXA-17
DocumentReference / type
DocumentEntry.typeCode
Event.code
Composition.type
./code
  • ClinicalDocument/code/@code The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC
  • in which case the mapping step can be omitted.
FiveWs.class
TXA-2
DocumentEntry.type
DocumentReference / category
DocumentEntry.classCode
Composition.class
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
  • Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service
  • based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
FiveWs.class
DocumentEntry.class
DocumentReference / subject
DocumentEntry.patientId
Event.subject
Composition.subject
.participation[typeCode="SBJ"].role[typeCode="PAT"]
ClinicalDocument/recordTarget/
FiveWs.subject
PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)
DocumentEntry.patientId
DocumentReference / date
Event.occurrence[x]
Composition.date
.availabilityTime[type="TS"]
FiveWs.recorded
DocumentReference / author
DocumentEntry.author
Event.performer.actor
Composition.author
.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
ClinicalDocument/author
TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
DocumentEntry.author
DocumentReference / authenticator
DocumentEntry.legalAuthenticator
Event.performer.actor
Composition.attester
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
ClinicalDocument/legalAuthenticator
FiveWs.witness
TXA-10
DocumentEntry.legalAuthenticator
DocumentReference / custodian
not mapped
Event.performer.actor
Composition.custodian
.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
DocumentReference / relatesTo
DocumentEntry Associations
Composition.relatesTo
.outboundRelationship
DocumentEntry Associations
DocumentReference / relatesTo / id
n/a
DocumentReference / relatesTo / extension
n/a
DocumentReference / relatesTo / modifierExtension
N/A
DocumentReference / relatesTo / code
DocumentEntry Associations.type
Composition.relatesTo.code
.outboundRelationship.typeCode
DocumentEntry Associations type
DocumentReference / relatesTo / target
DocumentEntry Associations.reference
Composition.relatesTo.target
  • .target[classCode="DOC"
  • moodCode="EVN"].id
DocumentEntry Associations reference
DocumentReference / description
DocumentEntry.comments
.outboundRelationship[typeCode="SUBJ"].target.text
TXA-25
DocumentEntry.comments
DocumentReference / securityLabel
DocumentEntry.confidentialityCode
  • Composition.confidentiality
  • Composition.meta.security
.confidentialityCode
ClinicalDocument/confidentialityCode/@code
TXA-18
DocumentEntry.confidentialityCode
DocumentReference / content
Bundle(Composition+*)
document.text
DocumentReference / content / id
n/a
DocumentReference / content / extension
n/a
DocumentReference / content / modifierExtension
N/A
DocumentReference / content / attachment
  • Composition.language
  • Composition.title
  • Composition.date
document.text
  • ClinicalDocument/languageCode
  • ClinicalDocument/title
  • ClinicalDocument/date
TXA-3 for mime type
  • DocumentEntry.mimeType
  • DocumentEntry.languageCode
  • DocumentEntry.URI
  • DocumentEntry.size
  • DocumentEntry.hash
  • DocumentEntry.title
  • DocumentEntry.creationTime
DocumentReference / content / attachment / id
n/a
DocumentReference / content / attachment / extension
n/a
DocumentReference / content / attachment / contentType
DocumentEntry.mimeType
  • ./mediaType
  • ./charset
ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
DocumentReference / content / attachment / language
DocumentEntry.languageCode
./language
DocumentReference / content / attachment / data
./data
ED.5
DocumentReference / content / attachment / url
DocumentEntry.repositoryUniqueId+DocumentEntry.uniqueId or DocumentEntry.URI
./reference/literal
RP.1+RP.2 - if they refer to a URL (see v2.6)
DocumentReference / content / attachment / size
DocumentEntry.size
N/A (needs data type R3 proposal)
DocumentReference / content / attachment / hash
DocumentEntry.hash
:ED/integrityCheckAlgorithm="SHA-1"]
DocumentReference / content / attachment / title
DocumentEntry.title
./title/data
DocumentReference / content / attachment / creation
DocumentEntry.creationTime
N/A (needs data type R3 proposal)
DocumentReference / content / format
DocumentEntry.formatCode
Composition.meta.profile
document.text
derived from the IHE Profile or Implementation Guide templateID
DocumentEntry.formatCode
DocumentReference / context
outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
DocumentReference / context / id
n/a
DocumentReference / context / extension
n/a
DocumentReference / context / modifierExtension
N/A
DocumentReference / context / encounter
ihe:iti:xds:2015:encounterId
Event.context
Composition.encounter
  • unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]
  • priorityNumber)/target[moodCode="EVN" and classCode=("ENC"
  • "PCPR") and isNormalAct])
FiveWs.context
DocumentReference / context / event
DocumentEntry.eventCodeList
Composition.event.code
.code
DocumentEntry.eventCodeList
DocumentReference / context / period
Composition.event.period
.effectiveTime
ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value
  • DocumentEntry.serviceStartTime
  • DocumentEntry.serviceStopTime
DocumentReference / context / period / id
n/a
DocumentReference / context / period / extension
n/a
DocumentReference / context / period / start
DocumentEntry.serviceStartTime
./low
DR.1
DocumentReference / context / period / end
DocumentEntry.serviceStopTime
./high
DR.2
DocumentReference / context / facilityType
DocumentEntry.healthcareFacilityTypeCode
usually from a mapping to a local ValueSet
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code
DocumentEntry.healthcareFacilityTypeCode
DocumentReference / context / practiceSetting
DocumentEntry.practiceSettingCode
usually from a mapping to a local ValueSet
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
usually from a mapping to a local ValueSet
DocumentEntry.practiceSettingCode
DocumentReference / context / sourcePatientInfo
Composition.subject
.participation[typeCode="SBJ"].role[typeCode="PAT"]
ClinicalDocument/recordTarget/
  • DocumentEntry.sourcePatientInfo
  • DocumentEntry.sourcePatientId
DocumentReference / context / sourcePatientInfo / id
n/a
DocumentReference / context / sourcePatientInfo / extension
n/a
DocumentReference / context / sourcePatientInfo / reference
DocumentEntry.sourcePatientInfo
N/A
DocumentReference / context / sourcePatientInfo / type
N/A
DocumentReference / context / sourcePatientInfo / identifier
DocumentEntry.sourcePatientId
.identifier
DocumentReference / context / sourcePatientInfo / display
N/A
DocumentReference / context / related
DocumentEntry.referenceIdList using CXi encoding for type when possible
Composition.event.detail
./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct]
ClinicalDocument/relatedDocument
DocumentEntry.referenceIdList

doco Documentation for this format