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

## Extension: Intended recipient of the SubmissionSet

Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient | Version: 4.2.3
Active as of 2025-10-30 | Computable Name: IntendedRecipient

holds the identity of the organization or person the SubmissionSet is intended. For XDR and eMail (e.g. Direct) this tends to be a Practitioner or Patient with a telecom holding an email, but this is not strictly required.

Context of Use

This extension may be used on the following element(s)

- Element ID: `List`

Usage info

Usages:

- Use this Extension: MHD SubmissionSet Minimal
- Examples for this Extension: Bundle/ex-comprehensiveProvideDocumentBundleComplete, Bundle/ex-minimalProvideDocumentBundleSimple, Bundle/ex-minimalProvideDocumentBundleSimpleContained, Bundle/ex-unContainedComprehensiveProvideDocumentBundleComplete... Show 3 more, List/ex-compEmailPackage, List/ex-compSubmissionSetFull and List/ex-compSubmissionSetFullUnContained

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

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

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Intended recipient of the SubmissionSet
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient"
value[x] |  | 1..1 | Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Intended recipient of the SubmissionSet
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient"
value[x] |  | 1..1 | Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Reference: holds the identity of the organization or person the SubmissionSet is intended. For XDR and eMail (e.g. Direct) this tends to be a Practitioner or Patient with a telecom holding an email, but this is not strictly required.

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Intended recipient of the SubmissionSet
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient"
value[x] |  | 1..1 | Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Intended recipient of the SubmissionSet
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient"
value[x] |  | 1..1 | Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location) | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Reference: holds the identity of the organization or person the SubmissionSet is intended. For XDR and eMail (e.g. Direct) this tends to be a Practitioner or Patient with a telecom holding an email, but this is not strictly required.

Other representations of profile: CSV, Excel, Schematron

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`