# MHD DocumentReference Comprehensive - Mobile access to Health Documents (MHD) v4.2.4-current

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **MHD DocumentReference Comprehensive**

## Resource Profile: MHD DocumentReference Comprehensive 

| | |
| :--- | :--- |
| *Official URL*:https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference | *Version*:4.2.4-current |
| Active as of 2026-01-13 | *Computable Name*:ComprehensiveDocumentReference |

 
A profile on the DocumentReference resource for MHD Comprehensive Option with Contained (not UnContained), compatible with XDS-on-FHIR and XCA use. 
* MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model,
* the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and
* the use defined here is FHIR DocumentReference implementation of the
* ebRIM implementation at [3:4.2.3.2 Document Entry](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.2.html#4.2.3.2).
* with use-cases and constraints found in [3:4.3 Additional Document Sharing Requirements](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.3.html#4.3)
 

**Usages:**

* Use this Profile: [MHD Comprehensive Provide Document Bundle](StructureDefinition-IHE.MHD.Comprehensive.ProvideBundle.md) and [MHD Find Document References Comprehensive Response message](StructureDefinition-IHE.MHD.FindDocumentReferencesComprehensiveResponseMessage.md)
* Examples for this Profile: [DocumentReference/ex-DocumentReferenceComprehensive](DocumentReference-ex-DocumentReferenceComprehensive.md), [DocumentReference/ex-DocumentReferenceComprehensiveDelayedAssembly](DocumentReference-ex-DocumentReferenceComprehensiveDelayedAssembly.md), [DocumentReference/ex-DocumentReferenceComprehensiveOnDemand](DocumentReference-ex-DocumentReferenceComprehensiveOnDemand.md) and [DocumentReference/ex-DocumentReferenceComprehensiveWithBinary](DocumentReference-ex-DocumentReferenceComprehensiveWithBinary.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/ihe.iti.mhd|current/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.csv), [Excel](StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.xlsx), [Schematron](StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "IHE.MHD.Comprehensive.DocumentReference",
  "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference",
  "version" : "4.2.4-current",
  "name" : "ComprehensiveDocumentReference",
  "title" : "MHD DocumentReference Comprehensive",
  "status" : "active",
  "date" : "2026-01-13T00:00:58+00:00",
  "publisher" : "IHE IT Infrastructure Technical Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.ihe.net/ihe_domains/it_infrastructure/"
        }
      ]
    },
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "iti@ihe.net"
        }
      ]
    },
    {
      "name" : "IHE IT Infrastructure Technical Committee",
      "telecom" : [
        {
          "system" : "email",
          "value" : "iti@ihe.net"
        }
      ]
    }
  ],
  "description" : "A profile on the DocumentReference resource for MHD Comprehensive Option with Contained (not UnContained), compatible with XDS-on-FHIR and XCA use.\n- MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model, \n- the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and \n- the use defined here is FHIR DocumentReference implementation of the \n- ebRIM implementation at [3:4.2.3.2 Document Entry](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.2.html#4.2.3.2).\n- with use-cases and constraints found in [3:4.3 Additional Document Sharing Requirements](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.3.html#4.3)",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "DocumentEntry-Mapping",
      "uri" : "urn:ihe:iti:xds:documententry",
      "name" : "XDS and MHD Mapping"
    },
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "fhircomposition",
      "uri" : "http://hl7.org/fhir/composition",
      "name" : "FHIR Composition"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "xds",
      "uri" : "http://ihe.net/xds",
      "name" : "XDS metadata equivalent"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UnContained.Comprehensive.DocumentReference",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "DocumentReference",
        "path" : "DocumentReference"
      },
      {
        "id" : "DocumentReference.author",
        "path" : "DocumentReference.author",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ],
            "aggregation" : ["contained"]
          }
        ]
      },
      {
        "id" : "DocumentReference.authenticator",
        "path" : "DocumentReference.authenticator",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ],
            "aggregation" : ["contained"]
          }
        ]
      },
      {
        "id" : "DocumentReference.context.sourcePatientInfo",
        "path" : "DocumentReference.context.sourcePatientInfo",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"],
            "aggregation" : ["contained"]
          }
        ]
      }
    ]
  }
}

```
