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

## : DocumentReference for Comprehensive fully filled metadata for a Deferred Creation - XML Representation

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    <DocumentReference xmlns="http://hl7.org/fhir">
      <id value="ex-DocumentReferenceComprehensiveDelayedAssembly"/>
      <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"><p class="res-header-id"><b>Generated Narrative: DocumentReference ex-DocumentReferenceComprehensiveDelayedAssembly</b></p><a name="ex-DocumentReferenceComprehensiveDelayedAssembly"> </a><a name="hcex-DocumentReferenceComprehensiveDelayedAssembly"> </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="#hcex-DocumentReferenceComprehensiveDelayedAssembly/in-patient">Anonymous Patient (no stated gender), DoB Unknown</a></p><p><b>Holds values from DocumentEntry.referenceIdList that are not appropriate for .context or .basedOn</b>: <a href="http://terminology.hl7.org/7.0.1/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:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759</p><p><b>identifier</b>: Identifier type for XDS UniqueId/urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.47340, Identifier type for XDS entryUUID/urn:uuid:0c287d32-01e3-4d87-9953-9fcc9407eb21</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 55107-7}">Addendum Document</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="Patient-ex-patient.html">John Schmidt  Other, DoB: 1923-07-25</a></p><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode ACCTRECEIVABLE}">account receivable</span></td></tr></table><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>period</b>: 2020-12-31 23:50:50-0500 --&gt; 2020-12-31 23:50:50-0500</p><p><b>date</b>: 2020-12-31 23:50:50-0500</p><p><b>author</b>: <a href="#hcex-DocumentReferenceComprehensiveDelayedAssembly/in-author">Practitioner: telecom = JohnMoehrke@gmail.com</a></p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/composition-attestation-mode professional}">Professional</span></td><td><a href="#hcex-DocumentReferenceComprehensiveDelayedAssembly/in-author">Practitioner: telecom = JohnMoehrke@gmail.com</a></td></tr></table><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/document-relationship-type appends}">Appends</span></td><td><a href="DocumentReference-ex-documentreference.html">DocumentReference: status = current</a></td></tr></table><p><b>description</b>: </p><div><p>Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p>
    </div><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>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>text/plain</td><td>English</td><td><a href="http://example.com/nowhere.txt">http://example.com/nowhere.txt</a></td><td>0</td><td><code>ZGEzOWEzZWU1ZTZiNGIwZDMyNTViZmVmOTU2MDE4OTBhZmQ4MDcwOQ==</code></td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31 23:50:50-0500</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-sd.58text.582008">IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds-sd:text:2008</a> (ITI XDS-SD TEXT)</td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #in-author</b></p><a name="ex-DocumentReferenceComprehensiveDelayedAssembly/in-author"> </a><a name="hcex-DocumentReferenceComprehensiveDelayedAssembly/in-author"> </a><p><b>telecom</b>: <a href="mailto:JohnMoehrke@gmail.com">JohnMoehrke@gmail.com</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient #in-patient</b></p><a name="ex-DocumentReferenceComprehensiveDelayedAssembly/in-patient"> </a><a name="hcex-DocumentReferenceComprehensiveDelayedAssembly/in-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient (no stated gender), DoB Unknown</p><hr/></blockquote></div>
      </text>
      <contained>
        <Practitioner>
          <id value="in-author"/>
          <telecom>
            <system value="email"/>
            <value value="JohnMoehrke@gmail.com"/>
          </telecom>
        </Practitioner>
      </contained>
      <contained>
        <Patient>
          <id value="in-patient"/>
        </Patient>
      </contained>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient">
        <valueReference>
          <reference value="#in-patient"/>
        </valueReference>
      </extension>
      <extension
                 url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-referenceId">
        <valueIdentifier>
          <system value="urn:ietf:rfc:3986"/>
          <value
                 value="urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"/>
        </valueIdentifier>
      </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:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.47340"/>
      </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:0c287d32-01e3-4d87-9953-9fcc9407eb21"/>
      </identifier>
      <status value="current"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="55107-7"/>
        </coding>
      </type>
      <category>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11369-6"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/ex-patient"/>
      </subject>
      <event>
        <concept>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="ACCTRECEIVABLE"/>
          </coding>
        </concept>
      </event>
      <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>
      <period>
        <start value="2020-12-31T23:50:50-05:00"/>
        <end value="2020-12-31T23:50:50-05:00"/>
      </period>
      <date value="2020-12-31T23:50:50-05:00"/>
      <author>
        <reference value="#in-author"/>
      </author>
      <attester>
        <mode>
          <coding>
            <system value="http://hl7.org/fhir/composition-attestation-mode"/>
            <code value="professional"/>
          </coding>
        </mode>
        <party>
          <reference value="#in-author"/>
        </party>
      </attester>
      <relatesTo>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/document-relationship-type"/>
            <code value="appends"/>
          </coding>
        </code>
        <target>🔗
          <reference value="DocumentReference/ex-documentreference"/>
        </target>
      </relatesTo>
      <description
                   value="Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements."/>
      <securityLabel>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
          <code value="N"/>
        </coding>
      </securityLabel>
      <content>
        <attachment>
          <contentType value="text/plain"/>
          <language value="en"/>
          <url value="http://example.com/nowhere.txt"/>
          <size value="0"/>
          <hash value="ZGEzOWEzZWU1ZTZiNGIwZDMyNTViZmVmOTU2MDE4OTBhZmQ4MDcwOQ=="/>
          <title
                 value="DocumentReference for Comprehensive fully filled metadata"/>
          <creation value="2020-12-31T23:50:50-05:00"/>
        </attachment>
        <profile>
          <valueCoding>
            <system
                    value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
            <code value="urn:ihe:iti:xds-sd:text:2008"/>
          </valueCoding>
        </profile>
      </content>
    </DocumentReference>