# MHD DocumentReference for Simplified Publish - Mobile access to Health Documents (MHD) v4.2.4-current

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

## Resource Profile: MHD DocumentReference for Simplified Publish 

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

 
A profile on the DocumentReference resource for MHD Simplified Publish constraints. 
* 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)
 
Simplified Publish 
* Similar to Minimal Metadata constraints 
* must be status current
* must have a patient indicated
 
* uses attachment.data to carry the document, rather than attachment.url 
* so that the Simplified Publish is a simple POST of the DocumentReference
* Document Recipient is expected to extract the .data, use .url
 
 

**Usages:**

* Examples for this Profile: [DocumentReference/ex-DocumentReferenceSimplifiedPublish](DocumentReference-ex-DocumentReferenceSimplifiedPublish.md)
* CapabilityStatements using this Profile: [Document Recipient implementing Simplified Publish Option](CapabilityStatement-IHE.MHD.DocumentRecipient.Simplified.md) and [Document Source (publisher) implementing the Simplified Publish Option](CapabilityStatement-IHE.MHD.DocumentSource.Simplified.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/ihe.iti.mhd|current/StructureDefinition/IHE.MHD.SimplifiedPublish.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.SimplifiedPublish.DocumentReference.csv), [Excel](StructureDefinition-IHE.MHD.SimplifiedPublish.DocumentReference.xlsx), [Schematron](StructureDefinition-IHE.MHD.SimplifiedPublish.DocumentReference.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "IHE.MHD.SimplifiedPublish.DocumentReference",
  "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference",
  "version" : "4.2.4-current",
  "name" : "SimplifiedPublishDocumentReference",
  "title" : "MHD DocumentReference for Simplified Publish",
  "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 Simplified Publish constraints. \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)\n\nSimplified Publish\n- Similar to Minimal Metadata constraints\n  - must be status current\n  - must have a patient indicated\n- uses attachment.data to carry the document, rather than attachment.url\n  - so that the Simplified Publish is a simple POST of the DocumentReference\n  - Document Recipient is expected to extract the .data, use .url",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "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" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "DocumentReference",
        "path" : "DocumentReference"
      },
      {
        "id" : "DocumentReference.modifierExtension",
        "path" : "DocumentReference.modifierExtension",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.identifier",
        "path" : "DocumentReference.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "type"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "DocumentReference.identifier:entryUUID",
        "path" : "DocumentReference.identifier",
        "sliceName" : "entryUUID",
        "short" : "Business identifier for the DocumentReference",
        "definition" : "The Business identifier for the DocumentReference which maps to the DocumentEntry.entryUUID in XDS. This is used to refer to the DocumentReference itself as a record of the Document's metadata, as opposed to the UniqueId element which identifies the document which is pointed at by the document reference. This element SHALL NOT be provided by the client for simplified publish and will instead be assigned by the server.",
        "min" : 0,
        "max" : "0",
        "type" : [
          {
            "code" : "Identifier",
            "profile" : [
              "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier"
            ]
          }
        ]
      },
      {
        "id" : "DocumentReference.identifier:uniqueId",
        "path" : "DocumentReference.identifier",
        "sliceName" : "uniqueId",
        "short" : "Unique identifier for the referenced Document",
        "definition" : "The unique identifier for the referenced Document which maps to the DocumentEntry.uniqueId in XDS. This is used to identify the document which is pointed at by the DocumentReference Resource, as opposed to the entryUUID element which identifies the DocumentReference Resource itself.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Identifier",
            "profile" : [
              "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.status",
        "path" : "DocumentReference.status",
        "patternCode" : "current"
      },
      {
        "id" : "DocumentReference.docStatus",
        "path" : "DocumentReference.docStatus",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.type",
        "path" : "DocumentReference.type",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.category",
        "path" : "DocumentReference.category",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.subject",
        "path" : "DocumentReference.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }
        ]
      },
      {
        "id" : "DocumentReference.date",
        "path" : "DocumentReference.date",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.author",
        "path" : "DocumentReference.author",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.relatesTo",
        "path" : "DocumentReference.relatesTo",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.securityLabel",
        "path" : "DocumentReference.securityLabel",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content",
        "path" : "DocumentReference.content",
        "definition" : "The document and format referenced.",
        "max" : "1"
      },
      {
        "id" : "DocumentReference.content.attachment.contentType",
        "path" : "DocumentReference.content.attachment.contentType",
        "min" : 1
      },
      {
        "id" : "DocumentReference.content.attachment.language",
        "path" : "DocumentReference.content.attachment.language",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content.attachment.data",
        "path" : "DocumentReference.content.attachment.data",
        "short" : "The document is contained in the .data element, base64 encoded",
        "min" : 1
      },
      {
        "id" : "DocumentReference.content.attachment.url",
        "path" : "DocumentReference.content.attachment.url",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.content.attachment.creation",
        "path" : "DocumentReference.content.attachment.creation",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content.format",
        "path" : "DocumentReference.content.format",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.context.period",
        "path" : "DocumentReference.context.period",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.context.facilityType",
        "path" : "DocumentReference.context.facilityType",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.context.practiceSetting",
        "path" : "DocumentReference.context.practiceSetting",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.context.sourcePatientInfo",
        "path" : "DocumentReference.context.sourcePatientInfo",
        "mustSupport" : true
      }
    ]
  }
}

```
