Mobile access to Health Documents (MHD)
5.0.0-current - ci-build
Mobile access to Health Documents (MHD)
5.0.0-current - ci-build
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 5.0.0-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
{
"resourceType" : "Bundle",
"id" : "ex-fhir-document-bundle",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"type" : "document",
"timestamp" : "2013-05-28T22:12:21Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57",
"resource" : {
"resourceType" : "Composition",
"id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 180f219f-97a8-486d-99d9-ed631fe4fc57</b></p><a name=\"180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><a name=\"hc180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><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\">Last updated: 2013-05-28 22:12:21+0000</p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 28655-9}\">Discharge Summary from Responsible Clinician</span></p><p><b>encounter</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Encounter_fdoc-encounter\">Encounter: identifier = http://www.example.org/encounters#S100; status = completed; class = inpatient encounter; type = ; actualPeriod = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000</a></p><p><b>date</b>: 2013-02-01 12:30:02+0000</p><p><b>author</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Practitioner_fdoc-practitioner\">Practitioner Adam Careful </a></p><p><b>title</b>: Discharge Summary</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
],
"text" : "Discharge Summary from Responsible Clinician"
},
"subject" : [
{
"reference" : "Patient/fdoc-patient"
}
],
"encounter" : {
"reference" : "Encounter/fdoc-encounter"
},
"date" : "2013-02-01T12:30:02Z",
"author" : [
{
"reference" : "Practitioner/fdoc-practitioner"
}
],
"title" : "Discharge Summary",
"section" : [
{
"title" : "Reason for admission",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Details</td><td/></tr></thead><tbody><tr><td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td><td/></tr></tbody></table></div>"
},
"entry" : [
{
"reference" : "Observation/fdoc-observation"
}
]
},
{
"title" : "Medications on Discharge",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Medication</td><td>Last Change</td><td>Last ChangeReason</td></tr></thead><tbody><tr><td>Theophylline 200mg BD after meals</td><td>continued</td></tr><tr><td>Ventolin Inhaler</td><td>stopped</td><td>Getting side effect of tremor</td></tr></tbody></table></div>"
},
"entry" : [
{
"reference" : "MedicationRequest/fdoc-medicationrequest"
},
{
"reference" : "MedicationStatement/fdoc-medicationstatement"
}
]
},
{
"title" : "Known allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Allergen</td><td>Reaction</td></tr></thead><tbody><tr><td>Doxycycline</td><td>Hives</td></tr></tbody></table></div>"
},
"entry" : [
{
"reference" : "AllergyIntolerance/fdoc-allergyintolerance"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/fdoc-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "fdoc-practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_fdoc-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner fdoc-practitioner</b></p><a name=\"fdoc-practitioner\"> </a><a name=\"hcfdoc-practitioner\"> </a><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/fdoc-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "fdoc-patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_fdoc-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient fdoc-patient</b></p><a name=\"fdoc-patient\"> </a><a name=\"hcfdoc-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Eve Everywoman Female, DoB: 1955-01-06</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-555-2003(Work)</li><li>2222 Home Street (home)</li></ul></td></tr></table></div>"
},
"active" : true,
"name" : [
{
"text" : "Eve Everywoman",
"family" : "Everywoman1",
"given" : [
"Eve"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-2003",
"use" : "work"
}
],
"gender" : "female",
"birthDate" : "1955-01-06",
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/fdoc-encounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "fdoc-encounter",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_fdoc-encounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter fdoc-encounter</b></p><a name=\"fdoc-encounter\"> </a><a name=\"hcfdoc-encounter\"> </a><p><b>identifier</b>: <code>http://www.example.org/encounters</code>/S100</p><p><b>status</b>: Completed</p><p><b>class</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes:\">Orthopedic Admission</span></p><p><b>subject</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Patient_fdoc-patient\">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>actualPeriod</b>: 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000</p><h3>Admissions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Discharged to care of GP</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://www.example.org/encounters",
"value" : "S100"
}
],
"status" : "completed",
"class" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
}
]
}
],
"type" : [
{
"text" : "Orthopedic Admission"
}
],
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"actualPeriod" : {
"start" : "2013-01-20T12:30:02Z",
"end" : "2013-02-01T12:30:02Z"
},
"admission" : {
"dischargeDisposition" : {
"text" : "Discharged to care of GP"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/fdoc-observation",
"resource" : {
"resourceType" : "Observation",
"id" : "fdoc-observation",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fdoc-observation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fdoc-observation</b></p><a name=\"fdoc-observation\"> </a><a name=\"hcfdoc-observation\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 46241-6}\">Reason for admission</span></p><p><b>subject</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Patient_fdoc-patient\">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>encounter</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Encounter_fdoc-encounter\">Encounter: identifier = http://www.example.org/encounters#S100; status = completed; class = inpatient encounter; type = ; actualPeriod = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000</a></p><p><b>value</b>: Acute Asthmatic attack. Was wheezing for days prior to admission.</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46241-6"
}
],
"text" : "Reason for admission"
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"encounter" : {
"reference" : "Encounter/fdoc-encounter"
},
"valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission."
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/fdoc-medicationrequest",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "fdoc-medicationrequest",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_fdoc-medicationrequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest fdoc-medicationrequest</b></p><a name=\"fdoc-medicationrequest\"> </a><a name=\"hcfdoc-medicationrequest\"> </a><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 66493003}\">Theophylline 200mg</span></td></tr></table><p><b>subject</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Patient_fdoc-patient\">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>requester</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Practitioner_fdoc-practitioner\">Practitioner Adam Careful </a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Management of Asthma</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>additionalInstruction</b>: <span title=\"Codes:\">Take with Food</span></p><p><b>timing</b>: 2 per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 394899003}\">oral administration of treatment</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>1 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: Orderable Drug Form codeTAB = 'Tablet')</span></td></tr></table></blockquote></div>"
},
"status" : "unknown",
"intent" : "order",
"medication" : {
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66493003"
}
],
"text" : "Theophylline 200mg"
}
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"requester" : {
"reference" : "Practitioner/fdoc-practitioner"
},
"reason" : [
{
"concept" : {
"text" : "Management of Asthma"
}
}
],
"dosageInstruction" : [
{
"additionalInstruction" : [
{
"text" : "Take with Food"
}
],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationStatement/fdoc-medicationstatement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "fdoc-medicationstatement",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_fdoc-medicationstatement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement fdoc-medicationstatement</b></p><a name=\"fdoc-medicationstatement\"> </a><a name=\"hcfdoc-medicationstatement\"> </a><p><b>status</b>: Recorded</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Ventolin Inhaler</span></td></tr></table><p><b>subject</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Patient_fdoc-patient\">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>dateAsserted</b>: 2013-05-05 16:13:03+0000</p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Management of Asthma</span></td></tr></table></div>"
},
"status" : "recorded",
"medication" : {
"concept" : {
"text" : "Ventolin Inhaler"
}
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"dateAsserted" : "2013-05-05T16:13:03Z",
"reason" : [
{
"concept" : {
"text" : "Management of Asthma"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "fdoc-allergyintolerance",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_fdoc-allergyintolerance\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance fdoc-allergyintolerance</b></p><a name=\"fdoc-allergyintolerance\"> </a><a name=\"hcfdoc-allergyintolerance\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/allergy-intolerance-type allergy}\">Allergy</span></p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:\">Doxycycline</span></p><p><b>patient</b>: <a href=\"Bundle-ex-fhir-document-bundle.html#Patient_fdoc-patient\">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>recordedDate</b>: 2012-09-17</p><blockquote><p><b>reaction</b></p><h3>Manifestations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Hives</span></td></tr></table></blockquote></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/allergy-intolerance-type",
"code" : "allergy"
}
]
},
"criticality" : "high",
"code" : {
"text" : "Doxycycline"
},
"patient" : {
"reference" : "Patient/fdoc-patient"
},
"recordedDate" : "2012-09-17",
"reaction" : [
{
"manifestation" : [
{
"concept" : {
"text" : "Hives"
}
}
]
}
]
}
}
]
}
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#5.0.0-current based on FHIR 5.0.0. Generated 2025-10-13
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