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

## : Example Provide Bundle with a FHIR-Document - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="ex-comprehensiveProvideDocumentBundleDocument"/>
      <meta>
        <profile
                 value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"/>
        <security>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
          <code value="HTEST"/>
        </security>
      </meta>
      <type value="transaction"/>
      <timestamp value="2004-10-25T23:50:50-05:00"/>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800001"/>
        <resource>
          <List>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00888800001"/>
            <meta>
              <profile
                       value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"/>
              <security>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                <code value="HTEST"/>
              </security>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_aaaaaaaa-bbbb-cccc-dddd-e00888800001"> </a><p class="res-header-id"><b>Generated Narrative: List aaaaaaaa-bbbb-cccc-dddd-e00888800001</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00888800001"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00888800001"> </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.SubmissionSet.html">MHD SubmissionSet Comprehensive</a></p><p style="margin-bottom: 0px">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><table class="clstu"><tr><td>Date: 2004-10-25 23:50:50-0500 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: SubmissionSet as a FHIR List </td></tr><tr><td>Subject: <a href="Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Patient/fdoc-patient">Eve Everywoman Female, DoB: 1955-01-06</a></td></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="Bundle-ex-comprehensiveProvideDocumentBundleDocument.html#urn-uuid-aaaaaaaa-bbbb-cccc-dddd-e00888800002">DocumentReference: masterIdentifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0 (use: usual, ); identifier = UUID:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, ); status = current; type = Attending Discharge summary; category = History of Immunization note; date = 2020-02-01 23:50:50-0500; securityLabel = normal</a></td></tr></table></div>
            </text>
            <extension
                       url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="225728007"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId">
              <valueIdentifier>
                <value value="urn:oid:1.2.3.4"/>
              </valueIdentifier>
            </extension>
            <identifier>
              <use value="official"/>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219"/>
            </identifier>
            <identifier>
              <use value="usual"/>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:oid:1.2.129.6.58.92.88337.1"/>
            </identifier>
            <status value="current"/>
            <mode value="working"/>
            <code>
              <coding>
                <system
                        value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
                <code value="submissionset"/>
              </coding>
            </code>
            <subject>
              <reference value="http://example.org/fhir/Patient/fdoc-patient"/>
            </subject>
            <date value="2004-10-25T23:50:50-05:00"/>
            <entry>
              <item>
                <reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002"/>
              </item>
            </entry>
          </List>
        </resource>
        <request>
          <method value="POST"/>
          <url value="List"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002"/>
        <resource>
          <DocumentReference>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00888800002"/>
            <meta>
              <profile
                       value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"/>
              <security>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                <code value="HTEST"/>
              </security>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_aaaaaaaa-bbbb-cccc-dddd-e00888800002"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00888800002</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00888800002"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00888800002"> </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

    This 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:

    Note 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.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0 (use: usual, )</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

    This 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:

    Note 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.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, )</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 28655-9}">Attending Discharge summary</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="Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Patient/fdoc-patient">Eve Everywoman Female, DoB: 1955-01-06</a></p><p><b>date</b>: 2020-02-01 23:50:50-0500</p><p><b>author</b>: <a href="#hcaaaaaaaa-bbbb-cccc-dddd-e00888800002/fdoc-practitioner">Practitioner Adam Careful </a></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>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/fhir+json</td><td>English</td><td><a href="Bundle-ex-comprehensiveProvideDocumentBundleDocument.html#urn-uuid-aaaaaaaa-bbbb-cccc-dddd-e00888800003">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000</a></td><td>Discharge Summary from Responsible Clinician</td><td>2013-05-28 22:12:21+0000</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.582017.58mimeTypeSufficient">IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds:2017:mimeTypeSufficient</a> (mimeType Sufficient)</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</td><td>Identifier: <code>https://www.example.org/encounters</code>/S100</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="#hcaaaaaaaa-bbbb-cccc-dddd-e00888800002/aaaaaaaa-bbbb-cccc-dddd-e00888800004">Dee Schmidt  (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</a></td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #fdoc-practitioner</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00888800002/fdoc-practitioner"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00888800002/fdoc-practitioner"> </a><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient #aaaaaaaa-bbbb-cccc-dddd-e00888800004</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00888800002/aaaaaaaa-bbbb-cccc-dddd-e00888800004"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00888800002/aaaaaaaa-bbbb-cccc-dddd-e00888800004"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Dee Schmidt  (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</p><hr/></blockquote></div>
            </text>
            <contained>
              <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>
            </contained>
            <contained>
              <Patient>
                <id value="aaaaaaaa-bbbb-cccc-dddd-e00888800004"/>
                <identifier>
                  <system value="http://example.org/patients"/>
                  <value value="mrn-1234"/>
                </identifier>
                <name>
                  <family value="Schmidt"/>
                  <given value="Dee"/>
                </name>
              </Patient>
            </contained>
            <masterIdentifier>
              <use value="usual"/>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
            </masterIdentifier>
            <identifier>
              <use value="official"/>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d"/>
            </identifier>
            <status value="current"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="28655-9"/>
              </coding>
            </type>
            <category>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11369-6"/>
              </coding>
            </category>
            <subject>
              <reference value="http://example.org/fhir/Patient/fdoc-patient"/>
            </subject>
            <date value="2020-02-01T23:50:50-05:00"/>
            <author>
              <reference value="#fdoc-practitioner"/>
            </author>
            <securityLabel>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                <code value="N"/>
                <display value="normal"/>
              </coding>
            </securityLabel>
            <content>
              <attachment>
                <contentType value="application/fhir+json"/>
                <language value="en"/>
                <url value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003"/>
                <title value="Discharge Summary from Responsible Clinician"/>
                <creation value="2013-05-28T22:12:21Z"/>
              </attachment>
              <format>
                <system
                        value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
                <code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
              </format>
            </content>
            <context>
              <encounter>
                <identifier>
                  <system value="https://www.example.org/encounters"/>
                  <value value="S100"/>
                </identifier>
              </encounter>
              <facilityType>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="82242000"/>
                </coding>
              </facilityType>
              <practiceSetting>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="408467006"/>
                </coding>
              </practiceSetting>
              <sourcePatientInfo>
                <reference value="#aaaaaaaa-bbbb-cccc-dddd-e00888800004"/>
              </sourcePatientInfo>
            </context>
          </DocumentReference>
        </resource>
        <request>
          <method value="POST"/>
          <url value="DocumentReference"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003"/>
        <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>
        <request>
          <method value="POST"/>
          <url value="Bundle"/>
        </request>
      </entry>
    </Bundle>