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

## : ex-input-doc-bundle - XML Representation

Raw xml | Download

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="ex-input-doc-bundle"/>
      <meta>
        <profile
                 value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.GenerateMetadata.Parameters.In"/>
      </meta>
      <parameter>
        <name value="document"/>
        <resource>
          <Bundle>
            <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>
                  <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"/>
                  <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"/>
                  <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"/>
                  <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"/>
                  <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"/>
                  <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"/>
                  <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"/>
                  <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>
        </resource>
      </parameter>
    </Parameters>