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

## Resource Profile: MHD SubmissionSet Comprehensive

Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet | Version: 5.0.0-current
Active as of 2025-10-13 | Computable Name: SubmissionSetComprehensive

A profile on the List resource for MHD Comprehensive SubmissionSet.

- MHD is based on the IHE Document Sharing model,
- the 3:4.1 Abstract Metadata Model, and
- the use defined here is FHIR List for use as a SubmissionSet implementation of the
- ebRIM implementation at 3:4.2.3.3 SubmissionSet Attributes.
- with use-cases and constraints found in 3:4.3.1 Submission Metadata Attribute Optionality for
  - MHD Comprehensive Option Document Source
  - aka the XDS Document Source requirements
  - aka the XDR Document Source requirements

Usages:

- Use this Profile: MHD Comprehensive Provide Document Bundle
- Examples for this Profile: List/ex-compEmailPackage and List/ex-compSubmissionSetList
- CapabilityStatements using this Profile: Document Responder (server)

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | SubmissionSetComprehensiveUnContained | A list is a curated collection of resources Constraints: lst-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:designationType | S | 1..1 | CodeableConcept | Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
extension:sourceId |  | 1..1 | Identifier | Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
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
Slices for identifier |  | 0..* | Identifier | Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId | S | 0..1 | SubmissionSetUniqueIdIdentifier | Business identifier
identifier:entryUUID | S | 0..* | EntryUUIDIdentifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: submissionset
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | If all resources have the same subject(s)
date | Σ | 1..1 | dateTime | When the list was prepared
source | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
Slices for extension |  |  |  | Content/Rules for all slices
extension:authorOrg |  | 0..1 | Reference(Organization) | Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
note |  | 0..1 | Annotation | Comments about the list
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
List.status | Base | required | List Status | 📍5.0.0 | FHIR Std.
List.mode | Base | required | List Mode | 📍5.0.0 | FHIR Std.
List.code | Base | required | MHD List Types ValueSet | 📦5.0.0-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | List | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
lst-1 | error | List | A list can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`

This structure is derived from SubmissionSetComprehensiveUnContained

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List |  |  | SubmissionSetComprehensiveUnContained |
source |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | SubmissionSetComprehensiveUnContained | A list is a curated collection of resources Constraints: lst-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 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".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:designationType | S | 1..1 | CodeableConcept | Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
extension:sourceId |  | 1..1 | Identifier | Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
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
Slices for identifier |  | 0..* | Identifier | Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId | S | 0..1 | SubmissionSetUniqueIdIdentifier | Business identifier
identifier:entryUUID | S | 0..* | EntryUUIDIdentifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
title | Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: submissionset
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | If all resources have the same subject(s)
date | Σ | 1..1 | dateTime | When the list was prepared
source | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
id |  | 0..1 | id | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:authorOrg |  | 0..1 | Reference(Organization) | Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ C | 0..1 | string | Text alternative for the resource
note |  | 0..1 | Annotation | Comments about the list
entry | C | 0..* | BackboneElement | Entries in the list This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item |  | 1..1 | Reference(DocumentReference | List) | Actual entry
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
List.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
List.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
List.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
List.status | Base | required | List Status | 📍5.0.0 | FHIR Std.
List.mode | Base | required | List Mode | 📍5.0.0 | FHIR Std.
List.code | Base | required | MHD List Types ValueSet | 📦5.0.0-current | This IG
List.source.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | List | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
lst-1 | error | List | A list can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`

This structure is derived from SubmissionSetComprehensiveUnContained

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | SubmissionSetComprehensiveUnContained | A list is a curated collection of resources Constraints: lst-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:designationType | S | 1..1 | CodeableConcept | Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
extension:sourceId |  | 1..1 | Identifier | Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
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
Slices for identifier |  | 0..* | Identifier | Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId | S | 0..1 | SubmissionSetUniqueIdIdentifier | Business identifier
identifier:entryUUID | S | 0..* | EntryUUIDIdentifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: submissionset
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | If all resources have the same subject(s)
date | Σ | 1..1 | dateTime | When the list was prepared
source | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
Slices for extension |  |  |  | Content/Rules for all slices
extension:authorOrg |  | 0..1 | Reference(Organization) | Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
note |  | 0..1 | Annotation | Comments about the list
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
List.status | Base | required | List Status | 📍5.0.0 | FHIR Std.
List.mode | Base | required | List Mode | 📍5.0.0 | FHIR Std.
List.code | Base | required | MHD List Types ValueSet | 📦5.0.0-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | List | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
lst-1 | error | List | A list can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`

Differential View

This structure is derived from SubmissionSetComprehensiveUnContained

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List |  |  | SubmissionSetComprehensiveUnContained |
source |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | SubmissionSetComprehensiveUnContained | A list is a curated collection of resources Constraints: lst-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 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".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:designationType | S | 1..1 | CodeableConcept | Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
extension:sourceId |  | 1..1 | Identifier | Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
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
Slices for identifier |  | 0..* | Identifier | Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId | S | 0..1 | SubmissionSetUniqueIdIdentifier | Business identifier
identifier:entryUUID | S | 0..* | EntryUUIDIdentifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
title | Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: submissionset
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | If all resources have the same subject(s)
date | Σ | 1..1 | dateTime | When the list was prepared
source | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam) {c} | Who and/or what defined the list contents (aka Author)
id |  | 0..1 | id | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:authorOrg |  | 0..1 | Reference(Organization) | Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ C | 0..1 | string | Text alternative for the resource
note |  | 0..1 | Annotation | Comments about the list
entry | C | 0..* | BackboneElement | Entries in the list This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item |  | 1..1 | Reference(DocumentReference | List) | Actual entry
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
List.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
List.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
List.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
List.status | Base | required | List Status | 📍5.0.0 | FHIR Std.
List.mode | Base | required | List Mode | 📍5.0.0 | FHIR Std.
List.code | Base | required | MHD List Types ValueSet | 📦5.0.0-current | This IG
List.source.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | List | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
lst-1 | error | List | A list can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`

This structure is derived from SubmissionSetComprehensiveUnContained

Summary

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