Mobile access to Health Documents (MHD)
4.2.3 - Trial-Implementation
Mobile access to Health Documents (MHD)
4.2.3 - Trial-Implementation
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-fhir-document-bundle"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<type value="document"/>
<timestamp value="2013-05-28T22:12:21Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<resource>
<Composition>
<id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<text>
<status value="generated"/>
<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 = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
<text value="Discharge Summary from Responsible Clinician"/>
</type>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<encounter>
<reference value="Encounter/fdoc-encounter"/>
</encounter>
<date value="2013-02-01T12:30:02Z"/>
<author>
<reference value="Practitioner/fdoc-practitioner"/>
</author>
<title value="Discharge Summary"/>
<section>
<title value="Reason for admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>
<reference value="Observation/fdoc-observation"/>
</entry>
</section>
<section>
<title value="Medications on Discharge"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display value="Hospital discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>
<reference value="MedicationRequest/fdoc-medicationrequest"/>
</entry>
<entry>
<reference value="MedicationStatement/fdoc-medicationstatement"/>
</entry>
</section>
<section>
<title value="Known allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>
<reference value="AllergyIntolerance/fdoc-allergyintolerance"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Practitioner/fdoc-practitioner"/>
<resource>
<Practitioner>
<id value="fdoc-practitioner"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Patient/fdoc-patient"/>
<resource>
<Patient>
<id value="fdoc-patient"/>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<name>
<text value="Eve Everywoman"/>
<family value="Everywoman1"/>
<given value="Eve"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1955-01-06"/>
<address>
<use value="home"/>
<line value="2222 Home Street"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Encounter/fdoc-encounter"/>
<resource>
<Encounter>
<id value="fdoc-encounter"/>
<text>
<status value="generated"/>
<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>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</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>period</b>: 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000</p><h3>Hospitalizations</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>
</text>
<identifier>
<system value="http://www.example.org/encounters"/>
<value value="S100"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<period>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</period>
<hospitalization>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Observation/fdoc-observation"/>
<resource>
<Observation>
<id value="fdoc-observation"/>
<text>
<status value="generated"/>
<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 = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46241-6"/>
</coding>
<text value="Reason for admission"/>
</code>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<encounter>
<reference value="Encounter/fdoc-encounter"/>
</encounter>
<valueString
value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/fdoc-medicationrequest"/>
<resource>
<MedicationRequest>
<id value="fdoc-medicationrequest"/>
<text>
<status value="generated"/>
<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><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 66493003}">Theophylline 200mg</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>requester</b>: <a href="Bundle-ex-fhir-document-bundle.html#Practitioner_fdoc-practitioner">Practitioner Adam Careful </a></p><p><b>reasonCode</b>: <span title="Codes:">Management of Asthma</span></p><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>
</text>
<status value="unknown"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<requester>
<reference value="Practitioner/fdoc-practitioner"/>
</requester>
<reasonCode>
<text value="Management of Asthma"/>
</reasonCode>
<dosageInstruction>
<additionalInstruction>
<text value="Take with Food"/>
</additionalInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationStatement/fdoc-medicationstatement"/>
<resource>
<MedicationStatement>
<id value="fdoc-medicationstatement"/>
<text>
<status value="generated"/>
<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>: Active</p><p><b>statusReason</b>: <span title="Codes:">Management of Asthma</span></p><p><b>medication</b>: <span title="Codes:">Ventolin Inhaler</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>dateAsserted</b>: 2013-05-05 16:13:03+0000</p></div>
</text>
<status value="active"/>
<statusReason>
<text value="Management of Asthma"/>
</statusReason>
<medicationCodeableConcept>
<text value="Ventolin Inhaler"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance"/>
<resource>
<AllergyIntolerance>
<id value="fdoc-allergyintolerance"/>
<text>
<status value="generated"/>
<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>: Allergy</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><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Manifestation</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">Hives</span></td></tr></table></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference value="Patient/fdoc-patient"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.3 based on FHIR 4.0.1. Generated 2025-10-30
Links: Table of Contents |
QA Report
| New Issue | Issues
Version History |
|
Propose a change