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 Bundle: Example Provide Bundle with a FHIR-Document

Profile: MHD Comprehensive Provide Document Bundle

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

Bundle ex-comprehensiveProvideDocumentBundleDocument of type transaction

Entry 1 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800001

Resource List:

> Profile: MHD SubmissionSet Comprehensive

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Date: 2004-10-25 23:50:50-0500 | Mode: Working List | Status: Current | Code: SubmissionSet as a FHIR List
> Subject: Eve Everywoman Female, DoB: 1955-01-06

> Items
> 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

Request:

    POST List

Entry 2 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002

Resource DocumentReference:

> Profile: MHD DocumentReference Comprehensive

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Uniform Resource Identifier (URI)/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0 (use: usual, ), Uniform Resource Identifier (URI)/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, )

> status: Current

> type: Attending Discharge summary

> category: History of Immunization note

> subject: Eve Everywoman Female, DoB: 1955-01-06

> > context

> > Identifier: `https://www.example.org/encounters`/S100

> date: 2020-02-01 23:50:50-0500

> author: Practitioner Adam Careful

> securityLabel: normal

> > content

> > ### Attachments

> > - | ContentType | Language | Url | Title | Creation
> > * | application/fhir+json | en | Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000 | Discharge Summary from Responsible Clinician | 2013-05-28 22:12:21+0000

> > identifier: `http://www.acme.org/practitioners`/23

> > name: Adam Careful

> > Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

Request:

    POST DocumentReference

Entry 3 - fullUrl = urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003

Resource Bundle:

> Document Details

> Last updated: 2013-05-28 22:12:21+0000

> Final Document at 2013-02-01 12:30:02+0000 by Practitioner Adam Careful for Eve Everywoman Female, DoB: 1955-01-06 in encounter Encounter: identifier = http://www.example.org/encounters#S100; status = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

> Document Subject

> Eve Everywoman Female, DoB: 1955-01-06

> Active: | true
> Contact Detail | ph: 555-555-2003(Work) 2222 Home Street (home)

> Document Content

> ## Reason for admission

> Details |
> Acute Asthmatic attack. Was wheezing for days prior to admission. |

> ## Medications on Discharge

> Medication | Last Change | Last ChangeReason
> Theophylline 200mg BD after meals | continued
> Ventolin Inhaler | stopped | Getting side effect of tremor

> ## Known allergies

> Allergen | Reaction
> Doxycycline | Hives

> ## Additional Resources Included in Document

> Entry 2 - fullUrl = http://example.org/fhir/Practitioner/fdoc-practitioner

> Resource Practitioner:

> > identifier: `http://www.acme.org/practitioners`/23

> > name: Adam Careful

> Entry 3 - fullUrl = http://example.org/fhir/Patient/fdoc-patient

> Resource Patient:

> > Eve Everywoman Female, DoB: 1955-01-06

> > Active: | true
> > Contact Detail | ph: 555-555-2003(Work) 2222 Home Street (home)

> Entry 4 - fullUrl = http://example.org/fhir/Encounter/fdoc-encounter

> Resource Encounter:

> > identifier: `http://www.example.org/encounters`/S100

> > status: completed

> > class: inpatient encounter

> > type: Orthopedic Admission

> > subject: Eve Everywoman Female, DoB: 1955-01-06

> Entry 5 - fullUrl = http://example.org/fhir/Observation/fdoc-observation

> Resource Observation:

> > status: Final

> > code: Reason for admission

> > subject: Eve Everywoman Female, DoB: 1955-01-06

> > encounter: Encounter: identifier = http://www.example.org/encounters#S100; status = finished; class = inpatient encounter (ActCode#IMP); type = ; period = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

> > value: Acute Asthmatic attack. Was wheezing for days prior to admission.

> Entry 6 - fullUrl = http://example.org/fhir/MedicationRequest/fdoc-medicationrequest

> Resource MedicationRequest:

> > status: Unknown

> > intent: Order

> > subject: Eve Everywoman Female, DoB: 1955-01-06

> > requester: Practitioner Adam Careful

> > > dosageInstruction

> > > additionalInstruction: Take with Food

> > > timing: 2 per 1 day

> > > route: oral administration of treatment

> > > ### DoseAndRates

> > > - | Type | Dose[x]
> > > * | Ordered | 1 tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

> Entry 7 - fullUrl = http://example.org/fhir/MedicationStatement/fdoc-medicationstatement

> Resource MedicationStatement:

> > status: active

> > status: recorded

> > subject: Eve Everywoman Female, DoB: 1955-01-06

> > dateAsserted: 2013-05-05 16:13:03+0000

> Entry 8 - fullUrl = http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance

> Resource AllergyIntolerance:

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > type: Allergy

> > criticality: High Risk

> > code: Doxycycline

> > patient: Eve Everywoman Female, DoB: 1955-01-06

> > recordedDate: 2012-09-17

> > ### Reactions

> > - | Manifestation
> > * | No display for AllergyIntolerance.reaction.manifestation (concept: )

Request:

    POST Bundle