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

## : DocumentReference for Comprehensive fully filled metadata - JSON Representation

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    {
      "resourceType" : "DocumentReference",
      "id" : "ex-DocumentReferenceComprehensive",
      "meta" : {
        "profile" : [
          🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"
        ],
        "security" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code" : "HTEST"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference ex-DocumentReferenceComprehensive</b></p><a name=\"ex-DocumentReferenceComprehensive\"> </a><a name=\"hcex-DocumentReferenceComprehensive\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html\">MHD DocumentReference Comprehensive</a></p><p style=\"margin-bottom: 0px\">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340\u00a0(use:\u00a0usual,\u00a0)</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 55107-7}\">Addendum Document</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 11369-6}\">History of Immunization note</span></p><p><b>subject</b>: <a href=\"Patient-ex-patient.html\">John Schmidt  Other, DoB: 1923-07-25</a></p><p><b>date</b>: 2020-12-31 23:50:50-0500</p><p><b>author</b>: <a href=\"#hcex-DocumentReferenceComprehensive/in-author\">Practitioner: telecom = JohnMoehrke@gmail.com</a></p><p><b>authenticator</b>: <a href=\"#hcex-DocumentReferenceComprehensive/in-author\">Practitioner: telecom = JohnMoehrke@gmail.com</a></p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>Appends</td><td><a href=\"DocumentReference-ex-documentreference.html\">DocumentReference: status = current</a></td></tr></table><p><b>description</b>: Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p><p><b>securityLabel</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality N}\">normal</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>text/plain</td><td>English</td><td><a href=\"http://example.com/nowhere.txt\">http://example.com/nowhere.txt</a></td><td>190</td><td><code>OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA==</code></td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31 23:50:50-0500</td></tr></table><p><b>format</b>: <a href=\"https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.4.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58iti.58xds-sd.58text.582008\">IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds-sd:text:2008</a> (ITI XDS-SD TEXT)</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode ACCTRECEIVABLE}\">account receivable</span></td><td>2020-12-31 23:50:50-0500 --&gt; 2020-12-31 23:50:50-0500</td><td><span title=\"Codes:{http://snomed.info/sct 82242000}\">Children's hospital</span></td><td><span title=\"Codes:{http://snomed.info/sct 408467006}\">Adult mental illness - specialty (qualifier value)</span></td><td><a href=\"#hcex-DocumentReferenceComprehensive/in-patient\">Anonymous Patient (no stated gender), DoB Unknown</a></td><td>Identifier: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #in-author</b></p><a name=\"ex-DocumentReferenceComprehensive/in-author\"> </a><a name=\"hcex-DocumentReferenceComprehensive/in-author\"> </a><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #in-patient</b></p><a name=\"ex-DocumentReferenceComprehensive/in-patient\"> </a><a name=\"hcex-DocumentReferenceComprehensive/in-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient (no stated gender), DoB Unknown</p><hr/></blockquote></div>"
      },
      "contained" : [
        {
          "resourceType" : "Practitioner",
          "id" : "in-author",
          "telecom" : [
            {
              "system" : "email",
              "value" : "JohnMoehrke@gmail.com"
            }
          ]
        },
        {
          "resourceType" : "Patient",
          "id" : "in-patient"
        }
      ],
      "masterIdentifier" : {
        "use" : "usual",
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
      },
      "identifier" : [
        {
          "use" : "official",
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"
        }
      ],
      "status" : "current",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55107-7"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11369-6"
            }
          ]
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/ex-patient"
      },
      "date" : "2020-12-31T23:50:50-05:00",
      "author" : [
        {
          "reference" : "#in-author"
        }
      ],
      "authenticator" : {
        "reference" : "#in-author"
      },
      "relatesTo" : [
        {
          "code" : "appends",
          "target" : {
            🔗 "reference" : "DocumentReference/ex-documentreference"
          }
        }
      ],
      "description" : "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.",
      "securityLabel" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "N"
            }
          ]
        }
      ],
      "content" : [
        {
          "attachment" : {
            "contentType" : "text/plain",
            "language" : "en",
            "url" : "http://example.com/nowhere.txt",
            "size" : 190,
            "hash" : "OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA==",
            "title" : "DocumentReference for Comprehensive fully filled metadata",
            "creation" : "2020-12-31T23:50:50-05:00"
          },
          "format" : {
            "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
            "code" : "urn:ihe:iti:xds-sd:text:2008"
          }
        }
      ],
      "context" : {
        "event" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "ACCTRECEIVABLE"
              }
            ]
          }
        ],
        "period" : {
          "start" : "2020-12-31T23:50:50-05:00",
          "end" : "2020-12-31T23:50:50-05:00"
        },
        "facilityType" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "82242000"
            }
          ]
        },
        "practiceSetting" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "408467006"
            }
          ]
        },
        "sourcePatientInfo" : {
          "reference" : "#in-patient"
        },
        "related" : [
          {
            "identifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"
            }
          }
        ]
      }
    }