Mobile access to Health Documents (MHD)
4.2.4-current - ci-build
Mobile access to Health Documents (MHD)
4.2.4-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 4.2.4-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
{
"resourceType" : "Bundle",
"id" : "ex-comprehensiveProvideDocumentBundleDocument",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"type" : "transaction",
"timestamp" : "2004-10-25T23:50:50-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800001",
"resource" : {
"resourceType" : "List",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800001",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "generated",
"div" : "<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: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0,UUID:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d; 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>"
},
"extension" : [
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "225728007"
}
]
}
},
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId",
"valueIdentifier" : {
"value" : "urn:oid:1.2.3.4"
}
}
],
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType",
"code" : "entryUUID"
}
]
},
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType",
"code" : "uniqueId"
}
]
},
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.129.6.58.92.88337.1"
}
],
"status" : "current",
"mode" : "working",
"code" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
"code" : "submissionset"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/fdoc-patient"
},
"date" : "2004-10-25T23:50:50-05:00",
"entry" : [
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800002",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "generated",
"div" : "<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>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>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>"
},
"contained" : [
{
"resourceType" : "Practitioner",
"id" : "fdoc-practitioner",
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
]
},
{
"resourceType" : "Patient",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800004",
"identifier" : [
{
"system" : "http://example.org/patients",
"value" : "mrn-1234"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Dee"
]
}
]
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType",
"code" : "uniqueId"
}
]
},
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
{
"type" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType",
"code" : "entryUUID"
}
]
},
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d"
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
}
],
"subject" : {
"reference" : "http://example.org/fhir/Patient/fdoc-patient"
},
"date" : "2020-02-01T23:50:50-05:00",
"author" : [
{
"reference" : "#fdoc-practitioner"
}
],
"securityLabel" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "normal"
}
]
}
],
"content" : [
{
"attachment" : {
"contentType" : "application/fhir+json",
"language" : "en",
"url" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003",
"title" : "Discharge Summary from Responsible Clinician",
"creation" : "2013-05-28T22:12:21Z"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient"
}
}
],
"context" : {
"encounter" : [
{
"identifier" : {
"system" : "https://www.example.org/encounters",
"value" : "S100"
}
}
],
"facilityType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82242000"
}
]
},
"practiceSetting" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "408467006"
}
]
},
"sourcePatientInfo" : {
"reference" : "#aaaaaaaa-bbbb-cccc-dddd-e00888800004"
}
}
},
"request" : {
"method" : "POST",
"url" : "DocumentReference"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003",
"resource" : {
"resourceType" : "Bundle",
"id" : "ex-fhir-document-bundle",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"type" : "document",
"timestamp" : "2013-05-28T22:12:21Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57",
"resource" : {
"resourceType" : "Composition",
"id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
],
"text" : "Discharge Summary from Responsible Clinician"
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"encounter" : {
"reference" : "Encounter/fdoc-encounter"
},
"date" : "2013-02-01T12:30:02Z",
"author" : [
{
"reference" : "Practitioner/fdoc-practitioner"
}
],
"title" : "Discharge Summary",
"section" : [
{
"title" : "Reason for admission",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<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>"
},
"entry" : [
{
"reference" : "Observation/fdoc-observation"
}
]
},
{
"title" : "Medications on Discharge",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<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>"
},
"entry" : [
{
"reference" : "MedicationRequest/fdoc-medicationrequest"
},
{
"reference" : "MedicationStatement/fdoc-medicationstatement"
}
]
},
{
"title" : "Known allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "additional",
"div" : "<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>"
},
"entry" : [
{
"reference" : "AllergyIntolerance/fdoc-allergyintolerance"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/fdoc-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "fdoc-practitioner",
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/fdoc-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "fdoc-patient",
"active" : true,
"name" : [
{
"text" : "Eve Everywoman",
"family" : "Everywoman1",
"given" : [
"Eve"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-2003",
"use" : "work"
}
],
"gender" : "female",
"birthDate" : "1955-01-06",
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/fdoc-encounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "fdoc-encounter",
"identifier" : [
{
"system" : "http://www.example.org/encounters",
"value" : "S100"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"text" : "Orthopedic Admission"
}
],
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"period" : {
"start" : "2013-01-20T12:30:02Z",
"end" : "2013-02-01T12:30:02Z"
},
"hospitalization" : {
"dischargeDisposition" : {
"text" : "Discharged to care of GP"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/fdoc-observation",
"resource" : {
"resourceType" : "Observation",
"id" : "fdoc-observation",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46241-6"
}
],
"text" : "Reason for admission"
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"encounter" : {
"reference" : "Encounter/fdoc-encounter"
},
"valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission."
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/fdoc-medicationrequest",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "fdoc-medicationrequest",
"status" : "unknown",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66493003"
}
],
"text" : "Theophylline 200mg"
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"requester" : {
"reference" : "Practitioner/fdoc-practitioner"
},
"reasonCode" : [
{
"text" : "Management of Asthma"
}
],
"dosageInstruction" : [
{
"additionalInstruction" : [
{
"text" : "Take with Food"
}
],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationStatement/fdoc-medicationstatement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "fdoc-medicationstatement",
"status" : "active",
"statusReason" : [
{
"text" : "Management of Asthma"
}
],
"medicationCodeableConcept" : {
"text" : "Ventolin Inhaler"
},
"subject" : {
"reference" : "Patient/fdoc-patient"
},
"dateAsserted" : "2013-05-05T16:13:03Z"
}
},
{
"fullUrl" : "http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "fdoc-allergyintolerance",
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "allergy",
"criticality" : "high",
"code" : {
"text" : "Doxycycline"
},
"patient" : {
"reference" : "Patient/fdoc-patient"
},
"recordedDate" : "2012-09-17",
"reaction" : [
{
"manifestation" : [
{
"text" : "Hives"
}
]
}
]
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Bundle"
}
}
]
}
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.4-current based on FHIR 4.0.1. Generated 2026-01-13
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