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

## : Provide Document Bundle with complete Comprehensive metadata of one document - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="ex-comprehensiveProvideDocumentBundleComplete"/>
      <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="2004-10-05T11:50:50-05:00"/>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500001"/>
        <resource>
          <List>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00555500001"/>
            <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="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_aaaaaaaa-bbbb-cccc-dddd-e00555500001"> </a>SubmissionSet with Patient</div>
            </text>
            <contained>
              <Practitioner>
                <id value="in-practitionerRecipient"/>
                <telecom>
                  <system value="email"/>
                  <value value="JohnMoehrke@gmail.com"/>
                </telecom>
              </Practitioner>
            </contained>
            <contained>
              <Practitioner>
                <id value="in-practitionerAuthor"/>
                <telecom>
                  <system value="email"/>
                  <value value="iti@ihe.net"/>
                </telecom>
              </Practitioner>
            </contained>
            <contained>
              <Organization>
                <id value="in-organizationAuthor"/>
                <name value="my Hospital"/>
              </Organization>
            </contained>
            <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>
            <extension
                       url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient">
              <valueReference>
                <reference value="#in-practitionerRecipient"/>
              </valueReference>
            </extension>
            <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:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46349"/>
            </identifier>
            <status value="current"/>
            <mode value="working"/>
            <title value="Hello World SubmissionSet"/>
            <code>
              <coding>
                <system
                        value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
                <code value="submissionset"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/ex-patient"/>
            </subject>
            <date value="2004-10-25T23:50:50-05:00"/>
            <source>
              <extension
                         url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg">
                <valueReference>
                  <reference value="#in-organizationAuthor"/>
                </valueReference>
              </extension>
              <reference value="#in-practitionerAuthor"/>
            </source>
            <note>
              <text value="Comments about Hello World SubmissionSet"/>
            </note>
            <entry>
              <item>
                <reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
              </item>
            </entry>
            <entry>
              <item>
                <reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
              </item>
            </entry>
          </List>
        </resource>
        <request>
          <method value="POST"/>
          <url value="List"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
        <resource>
          <DocumentReference>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
            <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-e00555500002"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00555500002</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00555500002"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00555500002"> </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-e00555500002/in-patient5">Dee Schmidt  (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</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:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad</p><p><b>identifier</b>: Identifier type for XDS UniqueId/urn:oid:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary 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 PATDOC}">patient documentation task</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>: 1990-02-01 23:50:50-0500 --&gt; 2020-02-01 23:50:50-0500</p><p><b>date</b>: 2020-02-01 23:50:50-0500</p><p><b>author</b>: </p><ul><li><a href="#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor">Organization my Hospital</a></li><li><a href="#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor">Practitioner: telecom = iti@ihe.net</a></li></ul><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="#hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor">Organization my Hospital</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-DocumentReferenceComprehensive.html">DocumentReference: extension = -&gt;Anonymous Patient (no stated gender), DoB Unknown,OID:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759; identifier = OID:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340,UUID:0c287d32-01e3-4d87-9953-9fcc9404eb21; status = current; type = Addendum Document; category = History of Immunization note; facilityType = Children's hospital; practiceSetting = Adult mental illness - specialty (qualifier value); period = 2020-12-31 23:50:50-0500 --&gt; 2020-12-31 23:50:50-0500; date = 2020-12-31 23:50:50-0500; description = Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.; securityLabel = normal</a></td></tr></table><p><b>description</b>: </p><div><p>a complete comprehensive metadata document reference</p>
    </div><p><b>securityLabel</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality R}">restricted</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="Bundle-ex-comprehensiveProvideDocumentBundleComplete.html#urn-uuid-aaaaaaaa-bbbb-cccc-dddd-e00555500003">Binary: text/plain (16 bytes base64)</a></td><td>11</td><td><code>MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA==</code></td><td>Hello World</td><td>2020-02-01 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: Patient #in-patient5</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-patient5"> </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><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization #in-organizationAuthor</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-organizationAuthor"> </a><p><b>name</b>: my Hospital</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #in-practitionerAuthor</b></p><a name="aaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00555500002/in-practitionerAuthor"> </a><p><b>telecom</b>: <a href="mailto:iti@ihe.net">iti@ihe.net</a></p></blockquote></div>
            </text>
            <contained>
              <Patient>
                <id value="in-patient5"/>
                <identifier>
                  <system value="http://example.org/patients"/>
                  <value value="mrn-1234"/>
                </identifier>
                <name>
                  <family value="Schmidt"/>
                  <given value="Dee"/>
                </name>
              </Patient>
            </contained>
            <contained>
              <Organization>
                <id value="in-organizationAuthor"/>
                <name value="my Hospital"/>
              </Organization>
            </contained>
            <contained>
              <Practitioner>
                <id value="in-practitionerAuthor"/>
                <telecom>
                  <system value="email"/>
                  <value value="iti@ihe.net"/>
                </telecom>
              </Practitioner>
            </contained>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient">
              <valueReference>
                <reference value="#in-patient5"/>
              </valueReference>
            </extension>
            <extension
                       url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-referenceId">
              <valueIdentifier>
                <system value="urn:ietf:rfc:3986"/>
                <value value="urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad"/>
              </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:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012"/>
            </identifier>
            <status value="current"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
              </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="PATDOC"/>
                </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="1990-02-01T23:50:50-05:00"/>
              <end value="2020-02-01T23:50:50-05:00"/>
            </period>
            <date value="2020-02-01T23:50:50-05:00"/>
            <author>
              <reference value="#in-organizationAuthor"/>
            </author>
            <author>
              <reference value="#in-practitionerAuthor"/>
            </author>
            <attester>
              <mode>
                <coding>
                  <system
                          value="http://hl7.org/fhir/composition-attestation-mode"/>
                  <code value="professional"/>
                </coding>
              </mode>
              <party>
                <reference value="#in-organizationAuthor"/>
              </party>
            </attester>
            <relatesTo>
              <code>
                <coding>
                  <system value="http://hl7.org/fhir/document-relationship-type"/>
                  <code value="appends"/>
                </coding>
              </code>
              <target>🔗
                <reference
                           value="DocumentReference/ex-DocumentReferenceComprehensive"/>
              </target>
            </relatesTo>
            <description
                         value="a complete comprehensive metadata document reference"/>
            <securityLabel>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                <code value="R"/>
              </coding>
            </securityLabel>
            <content>
              <attachment>
                <contentType value="text/plain"/>
                <language value="en"/>
                <url value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003"/>
                <size value="11"/>
                <hash
                      value="MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA=="/>
                <title value="Hello World"/>
                <creation value="2020-02-01T23:50:50-05:00"/>
              </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>
        </resource>
        <request>
          <method value="POST"/>
          <url value="DocumentReference"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
        <resource>
          <List>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
            <meta>
              <profile
                       value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.Folder"/>
              <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="List_aaaaaaaa-bbbb-cccc-dddd-e00555500004"> </a>Folder with Patient</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-designationType">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="284548004"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <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:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46350"/>
            </identifier>
            <status value="current"/>
            <mode value="working"/>
            <title value="Example Folder with comprehensive metadata"/>
            <code>
              <coding>
                <system
                        value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
                <code value="folder"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/ex-patient"/>
            </subject>
            <date value="2004-12-25T23:50:50-05:00"/>
            <note>
              <text value="Folder for submission"/>
            </note>
            <entry>
              <item>
                <reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
              </item>
            </entry>
          </List>
        </resource>
        <request>
          <method value="POST"/>
          <url value="List"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003"/>
        <resource>
          <Binary>
            <id value="aaaaaaaa-bbbb-cccc-dddd-e00555500003"/>
            <meta>
              <security>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                <code value="HTEST"/>
              </security>
            </meta>
            <contentType value="text/plain"/>
            <data value="SGVsbG8gV29ybGQ="/>
          </Binary>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Binary"/>
        </request>
      </entry>
    </Bundle>