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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-comprehensiveProvideDocumentBundleReplace"/>
<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="2020-02-02T23:50:50-05:00"/>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300001"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300001"/>
<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-eeee-e00333300001"> </a>SubmissionSet 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-sourceId">
<valueIdentifier>
<value value="urn:oid:1.2.3.4"/>
</valueIdentifier>
</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:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46347"/>
</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="Patient/ex-patient"/>
</subject>
<date value="2020-02-02T23:50:50-05:00"/>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-ffff-e00333300002"/>
<resource>
<Parameters>
<id value="aaaaaaaa-bbbb-cccc-ffff-e00333300002"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Patch.Parameters"/>
</meta>
<parameter>
<name value="operation"/>
<part>
<name value="path"/>
<valueString value="DocumentReference.status"/>
</part>
<part>
<name value="type"/>
<valueCode value="replace"/>
</part>
<part>
<name value="value"/>
<valueCode value="superseded"/>
</part>
</parameter>
</Parameters>
</resource>
<request>
<method value="PATCH"/>
<url value="DocumentReference/ex-documentreference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
<resource>
<DocumentReference>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
<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="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_aaaaaaaa-bbbb-cccc-eeee-e00333300002"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-eeee-e00333300002</b></p><a name="aaaaaaaa-bbbb-cccc-eeee-e00333300002"> </a><a name="hcaaaaaaaa-bbbb-cccc-eeee-e00333300002"> </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: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><p><b>date</b>: 2020-02-02 23:50:50-0500</p><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>Replaces</td><td><a href="DocumentReference-ex-documentreference.html">DocumentReference: status = current</a></td></tr></table><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-comprehensiveProvideDocumentBundleReplace.html#urn-uuid-aaaaaaaa-bbbb-cccc-eeee-e00333300003">Binary: text/plain (32 bytes base64)</a></td><td>24</td><td><code>ZThlMzE3MjE0MzAwMTU4N2NiNzUwODQ0NmFhMDkyZWI1MTk5NTgwOQ==</code></td><td>Thanks for all the fish</td><td>2020-02-02 23:50:50-0500</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-sd.58text.582008">IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds-sd:text:2008</a> (ITI XDS-SD TEXT)</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</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-eeee-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004">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: Patient #aaaaaaaa-bbbb-cccc-dddd-e00333300004</b></p><a name="aaaaaaaa-bbbb-cccc-eeee-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a><a name="hcaaaaaaaa-bbbb-cccc-eeee-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </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>
<Patient>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
<identifier>
<system value="http://example.org/patients"/>
<value value="mrn-1234"/>
</identifier>
<name>
<family value="Schmidt"/>
<given value="Dee"/>
</name>
</Patient>
</contained>
<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>
<date value="2020-02-02T23:50:50-05:00"/>
<relatesTo>
<code value="replaces"/>
<target>🔗
<reference value="DocumentReference/ex-documentreference"/>
</target>
</relatesTo>
<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-eeee-e00333300003"/>
<size value="24"/>
<hash
value="ZThlMzE3MjE0MzAwMTU4N2NiNzUwODQ0NmFhMDkyZWI1MTk5NTgwOQ=="/>
<title value="Thanks for all the fish"/>
<creation value="2020-02-02T23:50:50-05:00"/>
</attachment>
<format>
<system
value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
<code value="urn:ihe:iti:xds-sd:text:2008"/>
</format>
</content>
<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>
<sourcePatientInfo>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
</sourcePatientInfo>
</context>
</DocumentReference>
</resource>
<request>
<method value="POST"/>
<url value="DocumentReference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300003"/>
<resource>
<Binary>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300003"/>
<meta>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<contentType value="text/plain"/>
<data value="VGhhbmtzIGZvciBhbGwgdGhlIGZpc2g="/>
</Binary>
</resource>
<request>
<method value="POST"/>
<url value="Binary"/>
</request>
</entry>
</Bundle>