Mobile access to Health Documents (MHD)
4.2.3 - Trial-Implementation 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 4.2.3 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

Example Bundle: Example Provide Bundle with a FHIR-Document

Profile: MHD Comprehensive Provide Document Bundle

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

Bundle ex-comprehensiveProvideDocumentBundleDocument of type transaction

Entry 1 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800001

Resource List:

Profile: MHD SubmissionSet Comprehensive

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

Date: 2004-10-25 23:50:50-0500 Mode: Working List Status: Current Code: SubmissionSet as a FHIR List
Subject: Eve Everywoman Female, DoB: 1955-01-06
Items
DocumentReference: masterIdentifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0 (use: usual, ); identifier = UUID:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, ); status = current; type = Attending Discharge summary; category = History of Immunization note; date = 2020-02-01 23:50:50-0500; securityLabel = normal

Request:

POST List

Entry 2 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002

Resource DocumentReference:

Profile: MHD DocumentReference Comprehensive

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

identifier: Uniform Resource Identifier (URI)/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0 (use: usual, ), Uniform Resource Identifier (URI)/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, )

status: Current

type: Attending Discharge summary

category: History of Immunization note

subject: Eve Everywoman Female, DoB: 1955-01-06

context

Identifier: https://www.example.org/encounters/S100

date: 2020-02-01 23:50:50-0500

author: Practitioner Adam Careful

securityLabel: normal

content

Attachments

-ContentTypeLanguageUrlTitleCreation
*application/fhir+jsonenBundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000Discharge Summary from Responsible Clinician2013-05-28 22:12:21+0000

identifier: http://www.acme.org/practitioners/23

name: Adam Careful

Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

Request:

POST DocumentReference

Entry 3 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003

Resource Bundle:

Document Subject

Eve Everywoman Female, DoB: 1955-01-06

Active:true
Contact Detail
  • ph: 555-555-2003(Work)
  • 2222 Home Street (home)

Document Content

Reason for admission

Details
Acute Asthmatic attack. Was wheezing for days prior to admission.

Medications on Discharge

MedicationLast ChangeLast ChangeReason
Theophylline 200mg BD after mealscontinued
Ventolin InhalerstoppedGetting side effect of tremor

Known allergies

AllergenReaction
DoxycyclineHives

Additional Resources Included in Document

Entry 2 - fullUrl = http://example.org/fhir/Practitioner/fdoc-practitioner

Resource Practitioner:

identifier: http://www.acme.org/practitioners/23

name: Adam Careful

Entry 3 - fullUrl = http://example.org/fhir/Patient/fdoc-patient

Resource Patient:

Eve Everywoman Female, DoB: 1955-01-06

Active:true
Contact Detail
  • ph: 555-555-2003(Work)
  • 2222 Home Street (home)

Entry 4 - fullUrl = http://example.org/fhir/Encounter/fdoc-encounter

Resource Encounter:

identifier: http://www.example.org/encounters/S100

status: completed

class: inpatient encounter

type: Orthopedic Admission

subject: Eve Everywoman Female, DoB: 1955-01-06

Entry 5 - fullUrl = http://example.org/fhir/Observation/fdoc-observation

Resource Observation:

status: Final

code: Reason for admission

subject: Eve Everywoman Female, DoB: 1955-01-06

encounter: Encounter: identifier = http://www.example.org/encounters#S100; status = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

value: Acute Asthmatic attack. Was wheezing for days prior to admission.

Entry 6 - fullUrl = http://example.org/fhir/MedicationRequest/fdoc-medicationrequest

Resource MedicationRequest:

status: Unknown

intent: Order

subject: Eve Everywoman Female, DoB: 1955-01-06

requester: Practitioner Adam Careful

dosageInstruction

additionalInstruction: Take with Food

timing: 2 per 1 day

route: oral administration of treatment

DoseAndRates

-TypeDose[x]
*Ordered1 tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

Entry 7 - fullUrl = http://example.org/fhir/MedicationStatement/fdoc-medicationstatement

Resource MedicationStatement:

status: active

status: recorded

subject: Eve Everywoman Female, DoB: 1955-01-06

dateAsserted: 2013-05-05 16:13:03+0000

Entry 8 - fullUrl = http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance

Resource AllergyIntolerance:

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

criticality: High Risk

code: Doxycycline

patient: Eve Everywoman Female, DoB: 1955-01-06

recordedDate: 2012-09-17

Reactions

-Manifestation
*No display for AllergyIntolerance.reaction.manifestation (concept: )

Request:

POST Bundle