Mobile access to Health Documents (MHD)
4.2.2 - Trial-Implementation
Mobile access to Health Documents (MHD)
4.2.2 - Trial-Implementation
This page is part of the IHE Mobile Access to Health Documents (v4.2.2: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ex-comprehensiveProvideDocumentBundleComplete",
"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" : "2004-10-05T11:50:50-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500001",
"resource" : {
"resourceType" : "List",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500001",
"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" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">SubmissionSet with Patient</div>"
},
"contained" : [
{
"resourceType" : "Practitioner",
"id" : "in-practitionerRecipient",
"telecom" : [
{
"system" : "email",
"value" : "JohnMoehrke@gmail.com"
}
]
},
{
"resourceType" : "Practitioner",
"id" : "in-practitionerAuthor",
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
},
{
"resourceType" : "Organization",
"id" : "in-organizationAuthor",
"name" : "my Hospital"
}
],
"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"
}
},
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient",
"valueReference" : {
"reference" : "#in-practitionerRecipient"
}
}
],
"identifier" : [
{
"use" : "usual",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46349"
}
],
"status" : "current",
"mode" : "working",
"title" : "Hello World SubmissionSet",
"code" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
"code" : "submissionset"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2004-10-25T23:50:50-05:00",
"source" : {
"extension" : [
{
"url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg",
"valueReference" : {
"reference" : "#in-organizationAuthor"
}
}
],
"reference" : "#in-practitionerAuthor"
},
"note" : [
{
"text" : "Comments about Hello World SubmissionSet"
}
],
"entry" : [
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"
}
},
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500002",
"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-e00555500002\"> </a><p><b>Generated Narrative: DocumentReference</b><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00555500002\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00555500002\"> </a></p><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\">ResourceDocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00555500002" </p><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 Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/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>: Patient summary Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#60591-5)</span></p><p><b>category</b>: History of Immunization Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href=\"Patient-ex-patient.html\">Patient/ex-patient</a> " SCHMIDT"</p><p><b>date</b>: Feb 1, 2020, 10:50:50\u202fPM</p><p><b>author</b>: </p><ul><li><a name=\"hcin-organizationAuthor\"> </a></li><li><a name=\"hcin-practitionerAuthor\"> </a></li></ul><blockquote><p/><p><a name=\"in-organizationAuthor\"> </a></p><p><a name=\"hcin-organizationAuthor\"> </a></p><p><b>name</b>: my Hospital</p></blockquote><blockquote><p/><p><a name=\"in-practitionerAuthor\"> </a></p><p><a name=\"hcin-practitionerAuthor\"> </a></p><p><b>telecom</b>: <a href=\"mailto:iti@ihe.net\">iti@ihe.net</a></p></blockquote><p><b>authenticator</b>: <a name=\"hcin-organizationAuthor\"> </a></p><blockquote><p/><p><a name=\"in-organizationAuthor\"> </a></p><p><a name=\"hcin-organizationAuthor\"> </a></p><p><b>name</b>: my Hospital</p></blockquote><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>appends</td><td><a href=\"DocumentReference-ex-DocumentReferenceComprehensive.html\">DocumentReference/ex-DocumentReferenceComprehensive</a></td></tr></table><p><b>description</b>: a complete comprehensive metadata document reference</p><p><b>securityLabel</b>: restricted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#R)</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>en</td><td><code>urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003</code></td><td>11</td><td>(base64 data - 40 bytes)</td><td>Hello World</td><td>2020-02-01 23:50:50-0500</td></tr></table><p><b>format</b>: ITI XDS-SD TEXT (Details: IHE Format Code set for use with Document Sharing code urn:ihe:iti:xds-sd:text:2008 = 'ITI XDS-SD TEXT', stated as 'null')</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td>patient documentation task <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html\">ActCode</a>#PATDOC)</span></td><td>1990-02-01 23:50:50-0500 --> 2020-02-01 23:50:50-0500</td><td>Children's hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#82242000)</span></td><td>Adult mental illness - specialty (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#408467006)</span></td><td><a name=\"hcin-patient5\"> </a><blockquote><p/><p><a name=\"in-patient5\"> </a></p><p><a name=\"hcin-patient5\"> </a></p><p><b>identifier</b>: <code>http://example.org/patients</code>/mrn-1234</p><p><b>name</b>: Dee Schmidt </p></blockquote></td><td><span><a href=\"http://terminology.hl7.org/5.3.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad</span></td></tr></table><hr/><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Dee Schmidt </b> (no stated gender), DoB Unknown ( <code>http://example.org/patients</code>/mrn-1234)</p><hr/></blockquote><hr/><blockquote><p><b>Generated Narrative: Organization #in-organizationAuthor</b><a name=\"in-organizationAuthor\"> </a><a name=\"hcin-organizationAuthor\"> </a></p><p><b>name</b>: my Hospital</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #in-practitionerAuthor</b><a name=\"in-practitionerAuthor\"> </a><a name=\"hcin-practitionerAuthor\"> </a></p><p><b>telecom</b>: <a href=\"mailto:iti@ihe.net\">iti@ihe.net</a></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "in-patient5",
"identifier" : [
{
"system" : "http://example.org/patients",
"value" : "mrn-1234"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Dee"
]
}
]
},
{
"resourceType" : "Organization",
"id" : "in-organizationAuthor",
"name" : "my Hospital"
},
{
"resourceType" : "Practitioner",
"id" : "in-practitionerAuthor",
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
}
],
"masterIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.53432.348.12973.17740.34205.4355.50220.62012"
},
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2020-02-01T23:50:50-05:00",
"author" : [
{
"reference" : "#in-organizationAuthor"
},
{
"reference" : "#in-practitionerAuthor"
}
],
"authenticator" : {
"reference" : "#in-organizationAuthor"
},
"relatesTo" : [
{
"code" : "appends",
"target" : {
🔗 "reference" : "DocumentReference/ex-DocumentReferenceComprehensive"
}
}
],
"description" : "a complete comprehensive metadata document reference",
"securityLabel" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "R"
}
]
}
],
"content" : [
{
"attachment" : {
"contentType" : "text/plain",
"language" : "en",
"url" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"size" : 11,
"hash" : "MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA==",
"title" : "Hello World",
"creation" : "2020-02-01T23:50:50-05:00"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds-sd:text:2008"
}
}
],
"context" : {
"event" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PATDOC"
}
]
}
],
"period" : {
"start" : "1990-02-01T23:50:50-05:00",
"end" : "2020-02-01T23:50:50-05:00"
},
"facilityType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82242000"
}
]
},
"practiceSetting" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "408467006"
}
]
},
"sourcePatientInfo" : {
"reference" : "#in-patient5"
},
"related" : [
{
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad"
}
}
]
}
},
"request" : {
"method" : "POST",
"url" : "DocumentReference"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004",
"resource" : {
"resourceType" : "List",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500004",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.Folder"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Folder with Patient</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-designationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "284548004"
}
]
}
}
],
"identifier" : [
{
"use" : "usual",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46350"
}
],
"status" : "current",
"mode" : "working",
"title" : "Example Folder with comprehensive metadata",
"code" : {
"coding" : [
{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
"code" : "folder"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ex-patient"
},
"date" : "2004-12-25T23:50:50-05:00",
"note" : [
{
"text" : "Folder for submission"
}
],
"entry" : [
{
"item" : {
"reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"resource" : {
"resourceType" : "Binary",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00555500003",
"meta" : {
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"contentType" : "text/plain",
"data" : "SGVsbG8gV29ybGQ="
},
"request" : {
"method" : "POST",
"url" : "Binary"
}
}
]
}
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.2 based on FHIR 4.0.1. Generated 2024-05-18
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