Mobile access to Health Documents (MHD)
4.2.1 - Trial-Implementation
Mobile access to Health Documents (MHD)
4.2.1 - Trial-Implementation
This page is part of the IHE Mobile Access to Health Documents (v4.2.1: Publication) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002\"> </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\">Resource DocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00333300002" </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>: id:\u00a0urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0</p><p><b>identifier</b>: id:\u00a0urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: current</p><p><b>type</b>: Attending Discharge summary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#28655-9)</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>: <a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300006\"> </a></p><blockquote><p/><p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300006\"> </a></p><p><b>identifier</b>: id:\u00a023</p><p><b>name</b>: Adam Careful </p></blockquote><p><b>securityLabel</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#N)</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>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td>en</td><td><code>urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003</code></td><td>Discharge Summary from Responsible Clinician</td><td>2013-05-28 22:12:21+0000</td></tr></table><p><b>format</b>: mimeType Sufficient (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:xds:2017:mimeTypeSufficient = 'mimeType Sufficient', stated as 'null')</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Encounter/doc-example\">http://example.org/fhir/Encounter/doc-example</a></td><td>Children's hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED 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/\">SNOMED CT</a>#408467006)</span></td><td><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300004\"> </a><blockquote><p/><p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300004\"> </a></p><p><b>identifier</b>: id:\u00a0mrn-1234</p><p><b>name</b>: Dee Schmidt </p></blockquote></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 ( id:\u00a0mrn-1234)</p><hr/></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #aaaaaaaa-bbbb-cccc-dddd-e00333300006</b><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300006\"> </a></p><p><b>identifier</b>: id:\u00a023</p><p><b>name</b>: Adam Careful </p></blockquote></div>"
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"resourceType" : "Patient",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00333300004",
"identifier" : [
{
"system" : "http://example.org/patients",
"value" : "mrn-1234"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Dee"
]
}
]
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"resourceType" : "Practitioner",
"id" : "aaaaaaaa-bbbb-cccc-dddd-e00333300006",
"identifier" : [
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"system" : "http://www.acme.org/practitioners",
"value" : "23"
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"name" : [
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"family" : "Careful",
"given" : [
"Adam"
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"prefix" : [
"Dr"
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"masterIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
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"identifier" : [
{
"use" : "official",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d"
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
}
],
"subject" : {
"reference" : "Patient/ex-patient"
},
"date" : "2020-02-01T23:50:50-05:00",
"author" : [
{
"reference" : "#aaaaaaaa-bbbb-cccc-dddd-e00333300006"
}
],
"securityLabel" : [
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"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N"
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"content" : [
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"attachment" : {
"contentType" : "application/fhir+json",
"language" : "en",
"url" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003",
"title" : "Discharge Summary from Responsible Clinician",
"creation" : "2013-05-28T22:12:21Z"
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"format" : {
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"code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient"
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"context" : {
"encounter" : [
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"facilityType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82242000"
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"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "408467006"
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"sourcePatientInfo" : {
"reference" : "#aaaaaaaa-bbbb-cccc-dddd-e00333300004"
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"request" : {
"method" : "POST",
"url" : "DocumentReference"
}
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{
"fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003",
"resource" : {
"resourceType" : "Bundle",
"id" : "father",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
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"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"type" : "document",
"timestamp" : "2013-05-28T22:12:21Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57",
"resource" : {
"resourceType" : "Composition",
"id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
"meta" : {
"lastUpdated" : "2013-05-28T22:12:21Z"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "28655-9"
}
],
"text" : "Discharge Summary from Responsible Clinician"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"encounter" : {
"reference" : "http://example.org/fhir/Encounter/doc-example"
},
"date" : "2013-02-01T12:30:02Z",
"author" : [
{
"reference" : "Practitioner/ex-practitioner"
}
],
"title" : "Discharge Summary",
"confidentiality" : "N",
"section" : [
{
"title" : "Reason for admission",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Details</td>\n\n <td/>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>\n\n <td/>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"entry" : [
{
"reference" : "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"
}
]
},
{
"title" : "Medications on Discharge",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Medication</td>\n\n <td>Last Change</td>\n\n <td>Last ChangeReason</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Theophylline 200mg BD after meals</td>\n\n <td>continued</td>\n\n </tr>\n\n <tr>\n\n <td>Ventolin Inhaler</td>\n\n <td>stopped</td>\n\n <td>Getting side effect of tremor</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"mode" : "working",
"entry" : [
{
"reference" : "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"
},
{
"reference" : "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"
}
]
},
{
"title" : "Known allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Allergen</td>\n\n <td>Reaction</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Doxycycline</td>\n\n <td>Hives</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"
},
"entry" : [
{
"reference" : "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/ex-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ex-practitioner",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Dr Adam Careful</p>\n\n </div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/ex-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "ex-patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <h1>Eve Everywoman</h1>\n\n </div>"
},
"active" : true,
"name" : [
{
"text" : "Eve Everywoman",
"family" : "Everywoman1",
"given" : [
"Eve"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-2003",
"use" : "work"
}
],
"gender" : "female",
"birthDate" : "1955-01-06",
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/doc-example",
"resource" : {
"resourceType" : "Encounter",
"id" : "doc-example",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Admitted to Orthopedics Service,\n Middlemore Hospital between Jan 20 and Feb ist 2013 </div>"
},
"identifier" : [
{
"value" : "S100"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"text" : "Orthopedic Admission"
}
],
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"period" : {
"start" : "2013-01-20T12:30:02Z",
"end" : "2013-02-01T12:30:02Z"
},
"hospitalization" : {
"dischargeDisposition" : {
"text" : "Discharged to care of GP"
}
}
}
},
{
"fullUrl" : "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81",
"resource" : {
"resourceType" : "Observation",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Acute Asthmatic attack. Was wheezing\n for days prior to admission. </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46241-6"
}
],
"text" : "Reason for admission"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"encounter" : {
"reference" : "http://example.org/fhir/Encounter/doc-example"
},
"valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission."
}
},
{
"fullUrl" : "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86",
"resource" : {
"resourceType" : "MedicationRequest",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Theophylline 200mg twice a day</p>\n\n </div>"
},
"status" : "unknown",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66493003"
}
],
"text" : "Theophylline 200mg"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"requester" : {
"reference" : "http://example.org/fhir/Practitioner/ex-practitioner"
},
"reasonCode" : [
{
"text" : "Management of Asthma"
}
],
"dosageInstruction" : [
{
"additionalInstruction" : [
{
"text" : "Take with Food"
}
],
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1",
"resource" : {
"resourceType" : "MedicationStatement",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Ventolin inhaler discontinued</p>\n\n </div>"
},
"status" : "active",
"statusReason" : [
{
"text" : "Management of Asthma"
}
],
"medicationCodeableConcept" : {
"text" : "Ventolin Inhaler"
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"dateAsserted" : "2013-05-05T16:13:03Z"
}
},
{
"fullUrl" : "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637",
"resource" : {
"resourceType" : "AllergyIntolerance",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Sensitivity to Doxycycline :\n Hives</div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "allergy",
"criticality" : "high",
"code" : {
"text" : "Doxycycline"
},
"patient" : {
"reference" : "http://example.org/fhir/Patient/ex-patient"
},
"recordedDate" : "2012-09-17",
"reaction" : [
{
"manifestation" : [
{
"text" : "Hives"
}
]
}
]
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Bundle"
}
}
]
}
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.1 based on FHIR 4.0.1. Generated 2023-08-02
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