Mobile access to Health Documents (MHD)
5.0.1-current - ci-build
Mobile access to Health Documents (MHD)
5.0.1-current - ci-build
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 5.0.1-current 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
<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: extension = ->Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234); identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0,UUID:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d; status = current; type = Attending Discharge summary; category = History of Immunization note; facilityType = Children's hospital; practiceSetting = Adult mental illness - specialty (qualifier value); 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"/>
<type>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType"/>
<code value="entryUUID"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType"/>
<code value="uniqueId"/>
</coding>
</type>
<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="extensions"/>
<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>DocumentReference Source Patient</b>: <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></p><p><b>identifier</b>: Identifier type for XDS UniqueId/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0, Identifier type for XDS entryUUID/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d</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>context</b>: Identifier: <code>https://www.example.org/encounters</code>/S100</p><p><b>facilityType</b>: <span title="Codes:{http://snomed.info/sct 82242000}">Children's hospital</span></p><p><b>practiceSetting</b>: <span title="Codes:{http://snomed.info/sct 408467006}">Adult mental illness - specialty (qualifier value)</span></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><h3>Profiles</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><a href="http://tx.fhir.org/r5/ValueSet/formatcode#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)</td></tr></table></blockquote><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>
<extension
url="http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient">
<valueReference>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00888800004"/>
</valueReference>
</extension>
<identifier>
<type>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType"/>
<code value="uniqueId"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType"/>
<code value="entryUUID"/>
</coding>
</type>
<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>
<context>
<identifier>
<system value="https://www.example.org/encounters"/>
<value value="S100"/>
</identifier>
</context>
<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>
<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>
<profile>
<valueCoding>
<system
value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
<code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
</valueCoding>
</profile>
</content>
</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="completed"/>
<class>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</coding>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<actualPeriod>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</actualPeriod>
<admission>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</admission>
</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"/>
<medication>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</concept>
</medication>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<requester>
<reference value="Practitioner/fdoc-practitioner"/>
</requester>
<reason>
<concept>
<text value="Management of Asthma"/>
</concept>
</reason>
<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="recorded"/>
<medication>
<concept>
<text value="Ventolin Inhaler"/>
</concept>
</medication>
<subject>
<reference value="Patient/fdoc-patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
<reason>
<concept>
<text value="Management of Asthma"/>
</concept>
</reason>
</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>
<coding>
<system
value="http://hl7.org/fhir/allergy-intolerance-type"/>
<code value="allergy"/>
</coding>
</type>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference value="Patient/fdoc-patient"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<concept>
<text value="Hives"/>
</concept>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>
</resource>
<request>
<method value="POST"/>
<url value="Bundle"/>
</request>
</entry>
</Bundle>
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#5.0.1-current based on FHIR 5.0.0. Generated 2026-01-13
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