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 SubmissionSet Comprehensive UnContained

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

A profile on the List resource for MHD UnContained Comprehensive SubmissionSet.

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
List C 0..* SubmissionSet A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.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
List.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..1 CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId 1..1 Identifier Publisher organization identity of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient 0..* Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) Intended recipient of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 SubmissionSetUniqueIdIdentifier SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier SubmissionSet.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern: At least the following
List.code.id 0..1 string Unique id for inter-element referencing
List.code.extension 0..* Extension Additional content defined by implementations
List.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
List.code.coding.id 0..1 string Unique id for inter-element referencing
List.code.coding.extension 0..* Extension Additional content defined by implementations
List.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
List.code.coding.version 0..1 string Version of the system - if relevant
List.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: submissionset
List.code.coding.display 0..1 string Representation defined by the system
List.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
List.code.text 0..1 string Plain text representation of the concept
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 1..1 dateTime When the list was prepared
List.source This element must be supported. This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
List.source.Slices for extension Content/Rules for all slices
List.source.Slices for extension.extension:authorOrg 0..1 Reference(Organization) Author organization of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.note 0..1 Annotation Comments about the list

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SubmissionSet

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List SubmissionSet
List.extension 2..* Extension Extension
List.Slices for extension Content/Rules for all slices
List.Slices for extension.extension:designationType 1..1 DesignationType Clinical code of the List
List.subject 1..1 Reference(Patient) If all resources have the same subject

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* SubmissionSet A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.id This element is included in summaries. 0..1 id Logical id of this artifact
List.meta This element is included in summaries. 0..1 Meta Metadata about the resource
List.meta.id 0..1 string Unique id for inter-element referencing
List.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
List.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
List.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
List.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
List.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
List.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
List.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
List.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
List.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
List.contained 0..* Resource Contained, inline Resources
List.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..1 CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId 1..1 Identifier Publisher organization identity of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient 0..* Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) Intended recipient of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 SubmissionSetUniqueIdIdentifier SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier SubmissionSet.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working
List.title This element is included in summaries. 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern: At least the following
List.code.id 0..1 string Unique id for inter-element referencing
List.code.extension 0..* Extension Additional content defined by implementations
List.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
List.code.coding.id 0..1 string Unique id for inter-element referencing
List.code.coding.extension 0..* Extension Additional content defined by implementations
List.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
List.code.coding.version 0..1 string Version of the system - if relevant
List.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: submissionset
List.code.coding.display 0..1 string Representation defined by the system
List.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
List.code.text 0..1 string Plain text representation of the concept
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 1..1 dateTime When the list was prepared
List.source This element must be supported. This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
List.source.id 0..1 string Unique id for inter-element referencing
List.source.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.source.Slices for extension.extension:authorOrg 0..1 Reference(Organization) Author organization of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.source.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
List.source.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
List.source.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
List.source.display This element is included in summaries. 0..1 string Text alternative for the resource
List.note 0..1 Annotation Comments about the list
List.entry C 0..* BackboneElement Entries in the list
List.entry.id 0..1 string Unique id for inter-element referencing
List.entry.extension 0..* Extension Additional content defined by implementations
List.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
List.entry.item 1..1 Reference(DocumentReference | List) Actual entry

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG
List.source.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SubmissionSet

Summary

Mandatory: 2 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* SubmissionSet A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.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
List.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..1 CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId 1..1 Identifier Publisher organization identity of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient 0..* Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) Intended recipient of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 SubmissionSetUniqueIdIdentifier SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier SubmissionSet.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern: At least the following
List.code.id 0..1 string Unique id for inter-element referencing
List.code.extension 0..* Extension Additional content defined by implementations
List.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
List.code.coding.id 0..1 string Unique id for inter-element referencing
List.code.coding.extension 0..* Extension Additional content defined by implementations
List.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
List.code.coding.version 0..1 string Version of the system - if relevant
List.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: submissionset
List.code.coding.display 0..1 string Representation defined by the system
List.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
List.code.text 0..1 string Plain text representation of the concept
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 1..1 dateTime When the list was prepared
List.source This element must be supported. This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
List.source.Slices for extension Content/Rules for all slices
List.source.Slices for extension.extension:authorOrg 0..1 Reference(Organization) Author organization of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.note 0..1 Annotation Comments about the list

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from SubmissionSet

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List SubmissionSet
List.extension 2..* Extension Extension
List.Slices for extension Content/Rules for all slices
List.Slices for extension.extension:designationType 1..1 DesignationType Clinical code of the List
List.subject 1..1 Reference(Patient) If all resources have the same subject

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* SubmissionSet A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.id This element is included in summaries. 0..1 id Logical id of this artifact
List.meta This element is included in summaries. 0..1 Meta Metadata about the resource
List.meta.id 0..1 string Unique id for inter-element referencing
List.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
List.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
List.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
List.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
List.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
List.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
List.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
List.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
List.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
List.contained 0..* Resource Contained, inline Resources
List.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..1 CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for extension.extension:sourceId 1..1 Identifier Publisher organization identity of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
List.Slices for extension.extension:intendedRecipient 0..* Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) Intended recipient of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 SubmissionSetUniqueIdIdentifier SubmissionSet.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier SubmissionSet.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working
List.title This element is included in summaries. 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern: At least the following
List.code.id 0..1 string Unique id for inter-element referencing
List.code.extension 0..* Extension Additional content defined by implementations
List.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
List.code.coding.id 0..1 string Unique id for inter-element referencing
List.code.coding.extension 0..* Extension Additional content defined by implementations
List.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
List.code.coding.version 0..1 string Version of the system - if relevant
List.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: submissionset
List.code.coding.display 0..1 string Representation defined by the system
List.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
List.code.text 0..1 string Plain text representation of the concept
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 1..1 dateTime When the list was prepared
List.source This element must be supported. This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
List.source.id 0..1 string Unique id for inter-element referencing
List.source.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.source.Slices for extension.extension:authorOrg 0..1 Reference(Organization) Author organization of the SubmissionSet
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
List.source.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
List.source.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
List.source.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
List.source.display This element is included in summaries. 0..1 string Text alternative for the resource
List.note 0..1 Annotation Comments about the list
List.entry C 0..* BackboneElement Entries in the list
List.entry.id 0..1 string Unique id for inter-element referencing
List.entry.extension 0..* Extension Additional content defined by implementations
List.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
List.entry.item 1..1 Reference(DocumentReference | List) Actual entry

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG
List.source.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SubmissionSet

Summary

Mandatory: 2 elements

 

Other representations of profile: CSV, Excel, Schematron