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 - JSON Representation

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    {
      "resourceType" : "Parameters",
      "id" : "ex-input-doc-bundle",
      "meta" : {
        "profile" : [
          🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.GenerateMetadata.Parameters.In"
        ]
      },
      "parameter" : [
        {
          "name" : "document",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "ex-fhir-document-bundle",
            "meta" : {
              "lastUpdated" : "2013-05-28T22:12:21Z"
            },
            "identifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
            },
            "type" : "document",
            "timestamp" : "2013-05-28T22:12:21Z",
            "entry" : [
              {
                "fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57",
                "resource" : {
                  "resourceType" : "Composition",
                  "id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
                  "meta" : {
                    "lastUpdated" : "2013-05-28T22:12:21Z"
                  },
                  "status" : "final",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "28655-9"
                      }
                    ],
                    "text" : "Discharge Summary from Responsible Clinician"
                  },
                  "subject" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "encounter" : {
                    "reference" : "Encounter/fdoc-encounter"
                  },
                  "date" : "2013-02-01T12:30:02Z",
                  "author" : [
                    {
                      "reference" : "Practitioner/fdoc-practitioner"
                    }
                  ],
                  "title" : "Discharge Summary",
                  "section" : [
                    {
                      "title" : "Reason for admission",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "http://loinc.org",
                            "code" : "29299-5",
                            "display" : "Reason for visit Narrative"
                          }
                        ]
                      },
                      "text" : {
                        "status" : "additional",
                        "div" : "<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>"
                      },
                      "entry" : [
                        {
                          "reference" : "Observation/fdoc-observation"
                        }
                      ]
                    },
                    {
                      "title" : "Medications on Discharge",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "http://loinc.org",
                            "code" : "10183-2",
                            "display" : "Hospital discharge medications Narrative"
                          }
                        ]
                      },
                      "text" : {
                        "status" : "additional",
                        "div" : "<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>"
                      },
                      "entry" : [
                        {
                          "reference" : "MedicationRequest/fdoc-medicationrequest"
                        },
                        {
                          "reference" : "MedicationStatement/fdoc-medicationstatement"
                        }
                      ]
                    },
                    {
                      "title" : "Known allergies",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "http://loinc.org",
                            "code" : "48765-2",
                            "display" : "Allergies and adverse reactions Document"
                          }
                        ]
                      },
                      "text" : {
                        "status" : "additional",
                        "div" : "<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>"
                      },
                      "entry" : [
                        {
                          "reference" : "AllergyIntolerance/fdoc-allergyintolerance"
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/Practitioner/fdoc-practitioner",
                "resource" : {
                  "resourceType" : "Practitioner",
                  "id" : "fdoc-practitioner",
                  "identifier" : [
                    {
                      "system" : "http://www.acme.org/practitioners",
                      "value" : "23"
                    }
                  ],
                  "name" : [
                    {
                      "family" : "Careful",
                      "given" : [
                        "Adam"
                      ],
                      "prefix" : [
                        "Dr"
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/Patient/fdoc-patient",
                "resource" : {
                  "resourceType" : "Patient",
                  "id" : "fdoc-patient",
                  "active" : true,
                  "name" : [
                    {
                      "text" : "Eve Everywoman",
                      "family" : "Everywoman1",
                      "given" : [
                        "Eve"
                      ]
                    }
                  ],
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "555-555-2003",
                      "use" : "work"
                    }
                  ],
                  "gender" : "female",
                  "birthDate" : "1955-01-06",
                  "address" : [
                    {
                      "use" : "home",
                      "line" : [
                        "2222 Home Street"
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/Encounter/fdoc-encounter",
                "resource" : {
                  "resourceType" : "Encounter",
                  "id" : "fdoc-encounter",
                  "identifier" : [
                    {
                      "system" : "http://www.example.org/encounters",
                      "value" : "S100"
                    }
                  ],
                  "status" : "finished",
                  "class" : {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "IMP",
                    "display" : "inpatient encounter"
                  },
                  "type" : [
                    {
                      "text" : "Orthopedic Admission"
                    }
                  ],
                  "subject" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "period" : {
                    "start" : "2013-01-20T12:30:02Z",
                    "end" : "2013-02-01T12:30:02Z"
                  },
                  "hospitalization" : {
                    "dischargeDisposition" : {
                      "text" : "Discharged to care of GP"
                    }
                  }
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/Observation/fdoc-observation",
                "resource" : {
                  "resourceType" : "Observation",
                  "id" : "fdoc-observation",
                  "status" : "final",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "46241-6"
                      }
                    ],
                    "text" : "Reason for admission"
                  },
                  "subject" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "encounter" : {
                    "reference" : "Encounter/fdoc-encounter"
                  },
                  "valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission."
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/MedicationRequest/fdoc-medicationrequest",
                "resource" : {
                  "resourceType" : "MedicationRequest",
                  "id" : "fdoc-medicationrequest",
                  "status" : "unknown",
                  "intent" : "order",
                  "medicationCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "66493003"
                      }
                    ],
                    "text" : "Theophylline 200mg"
                  },
                  "subject" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "requester" : {
                    "reference" : "Practitioner/fdoc-practitioner"
                  },
                  "reasonCode" : [
                    {
                      "text" : "Management of Asthma"
                    }
                  ],
                  "dosageInstruction" : [
                    {
                      "additionalInstruction" : [
                        {
                          "text" : "Take with Food"
                        }
                      ],
                      "timing" : {
                        "repeat" : {
                          "frequency" : 2,
                          "period" : 1,
                          "periodUnit" : "d"
                        }
                      },
                      "route" : {
                        "coding" : [
                          {
                            "system" : "http://snomed.info/sct",
                            "code" : "394899003",
                            "display" : "oral administration of treatment"
                          }
                        ]
                      },
                      "doseAndRate" : [
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code" : "ordered",
                                "display" : "Ordered"
                              }
                            ]
                          },
                          "doseQuantity" : {
                            "value" : 1,
                            "unit" : "tablet",
                            "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                            "code" : "TAB"
                          }
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/MedicationStatement/fdoc-medicationstatement",
                "resource" : {
                  "resourceType" : "MedicationStatement",
                  "id" : "fdoc-medicationstatement",
                  "status" : "active",
                  "statusReason" : [
                    {
                      "text" : "Management of Asthma"
                    }
                  ],
                  "medicationCodeableConcept" : {
                    "text" : "Ventolin Inhaler"
                  },
                  "subject" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "dateAsserted" : "2013-05-05T16:13:03Z"
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance",
                "resource" : {
                  "resourceType" : "AllergyIntolerance",
                  "id" : "fdoc-allergyintolerance",
                  "clinicalStatus" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                        "code" : "active",
                        "display" : "Active"
                      }
                    ]
                  },
                  "verificationStatus" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                        "code" : "confirmed",
                        "display" : "Confirmed"
                      }
                    ]
                  },
                  "type" : "allergy",
                  "criticality" : "high",
                  "code" : {
                    "text" : "Doxycycline"
                  },
                  "patient" : {
                    "reference" : "Patient/fdoc-patient"
                  },
                  "recordedDate" : "2012-09-17",
                  "reaction" : [
                    {
                      "manifestation" : [
                        {
                          "text" : "Hives"
                        }
                      ]
                    }
                  ]
                }
              }
            ]
          }
        }
      ]
    }