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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-comprehensiveProvideDocumentBundleComplete"/>
<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="2004-10-05T11:50:50-05:00"/>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500001"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00555500001"/>
<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">SubmissionSet with Patient</div>
</text>
<contained>
<Practitioner>
<id value="in-practitionerRecipient"/>
<telecom>
<system value="email"/>
<value value="JohnMoehrke@gmail.com"/>
</telecom>
</Practitioner>
</contained>
<contained>
<Practitioner>
<id value="in-practitionerAuthor"/>
<telecom>
<system value="email"/>
<value value="iti@ihe.net"/>
</telecom>
</Practitioner>
</contained>
<contained>
<Organization>
<id value="in-organizationAuthor"/>
<name value="my Hospital"/>
</Organization>
</contained>
<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>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient">
<valueReference>
<reference value="#in-practitionerRecipient"/>
</valueReference>
</extension>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value
value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46349"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<title value="Hello World SubmissionSet"/>
<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="2004-10-25T23:50:50-05:00"/>
<source>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg">
<valueReference>
<reference value="#in-organizationAuthor"/>
</valueReference>
</extension>
<reference value="#in-practitionerAuthor"/>
</source>
<note>
<text value="Comments about Hello World SubmissionSet"/>
</note>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
<resource>
<DocumentReference>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
<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-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
This 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:
Note 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.
This 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 PM</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
This 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:
Note 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.
This 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>
</text>
<contained>
<Patient>
<id value="in-patient5"/>
<identifier>
<system value="http://example.org/patients"/>
<value value="mrn-1234"/>
</identifier>
<name>
<family value="Schmidt"/>
<given value="Dee"/>
</name>
</Patient>
</contained>
<contained>
<Organization>
<id value="in-organizationAuthor"/>
<name value="my Hospital"/>
</Organization>
</contained>
<contained>
<Practitioner>
<id value="in-practitionerAuthor"/>
<telecom>
<system value="email"/>
<value value="iti@ihe.net"/>
</telecom>
</Practitioner>
</contained>
<masterIdentifier>
<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"/>
</masterIdentifier>
<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="2020-02-01T23:50:50-05:00"/>
<author>
<reference value="#in-organizationAuthor"/>
</author>
<author>
<reference value="#in-practitionerAuthor"/>
</author>
<authenticator>
<reference value="#in-organizationAuthor"/>
</authenticator>
<relatesTo>
<code value="appends"/>
<target>🔗
<reference
value="DocumentReference/ex-DocumentReferenceComprehensive"/>
</target>
</relatesTo>
<description
value="a complete comprehensive metadata document reference"/>
<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-dddd-e00555500003"/>
<size value="11"/>
<hash
value="MGE0ZDU1YThkNzc4ZTUwMjJmYWI3MDE5NzdjNWQ4NDBiYmM0ODZkMA=="/>
<title value="Hello World"/>
<creation value="2020-02-01T23:50:50-05:00"/>
</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>
<event>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="PATDOC"/>
</coding>
</event>
<period>
<start value="1990-02-01T23:50:50-05:00"/>
<end value="2020-02-01T23:50:50-05:00"/>
</period>
<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="#in-patient5"/>
</sourcePatientInfo>
<related>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:7d5bb8ac-68ee-4926-85e7-baaaaaaaaaad"/>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
<request>
<method value="POST"/>
<url value="DocumentReference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00555500004"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.Folder"/>
<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">Folder 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-designationType">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="284548004"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value
value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46350"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<title value="Example Folder with comprehensive metadata"/>
<code>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
<code value="folder"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/ex-patient"/>
</subject>
<date value="2004-12-25T23:50:50-05:00"/>
<note>
<text value="Folder for submission"/>
</note>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500002"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00555500003"/>
<resource>
<Binary>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00555500003"/>
<meta>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<contentType value="text/plain"/>
<data value="SGVsbG8gV29ybGQ="/>
</Binary>
</resource>
<request>
<method value="POST"/>
<url value="Binary"/>
</request>
</entry>
</Bundle>
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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