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-comprehensiveProvideDocumentBundleReplace"/>
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<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"/>
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<type value="transaction"/>
<timestamp value="2020-02-02T23:50:50-05:00"/>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300001"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300001"/>
<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"/>
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</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">SubmissionSet with Patient</div>
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<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>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value
value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46347"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<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="2020-02-02T23:50:50-05:00"/>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-ffff-e00333300002"/>
<resource>
<Parameters>
<id value="aaaaaaaa-bbbb-cccc-ffff-e00333300002"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Patch.Parameters"/>
</meta>
<parameter>
<name value="operation"/>
<part>
<name value="path"/>
<valueString value="DocumentReference.status"/>
</part>
<part>
<name value="type"/>
<valueCode value="replace"/>
</part>
<part>
<name value="value"/>
<valueCode value="superseded"/>
</part>
</parameter>
</Parameters>
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<request>
<method value="PATCH"/>
<url value="DocumentReference/ex-documentreference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
<resource>
<DocumentReference>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300002"/>
<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"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_aaaaaaaa-bbbb-cccc-eeee-e00333300002"> </a><p><b>Generated Narrative: DocumentReference</b><a name="aaaaaaaa-bbbb-cccc-eeee-e00333300002"> </a><a name="hcaaaaaaaa-bbbb-cccc-eeee-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">ResourceDocumentReference "aaaaaaaa-bbbb-cccc-eeee-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>: <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 2, 2020, 10:50:50 PM</p><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>replaces</td><td><a href="DocumentReference-ex-documentreference.html">DocumentReference/ex-documentreference</a></td></tr></table><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-eeee-e00333300003</code></td><td>24</td><td>(base64 data - 40 bytes)</td><td>Thanks for all the fish</td><td>2020-02-02 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>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</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="hcaaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a><blockquote><p/><p><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a></p><p><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a></p><p><b>identifier</b>: <code>http://example.org/patients</code>/mrn-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 ( <code>http://example.org/patients</code>/mrn-1234)</p><hr/></blockquote></div>
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<Patient>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
<identifier>
<system value="http://example.org/patients"/>
<value value="mrn-1234"/>
</identifier>
<name>
<family value="Schmidt"/>
<given value="Dee"/>
</name>
</Patient>
</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="2020-02-02T23:50:50-05:00"/>
<relatesTo>
<code value="replaces"/>
<target>🔗
<reference value="DocumentReference/ex-documentreference"/>
</target>
</relatesTo>
<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-eeee-e00333300003"/>
<size value="24"/>
<hash
value="ZThlMzE3MjE0MzAwMTU4N2NiNzUwODQ0NmFhMDkyZWI1MTk5NTgwOQ=="/>
<title value="Thanks for all the fish"/>
<creation value="2020-02-02T23:50:50-05:00"/>
</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>
<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="#aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
</sourcePatientInfo>
</context>
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<request>
<method value="POST"/>
<url value="DocumentReference"/>
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<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-eeee-e00333300003"/>
<resource>
<Binary>
<id value="aaaaaaaa-bbbb-cccc-eeee-e00333300003"/>
<meta>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
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</meta>
<contentType value="text/plain"/>
<data value="VGhhbmtzIGZvciBhbGwgdGhlIGZpc2g="/>
</Binary>
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<request>
<method value="POST"/>
<url value="Binary"/>
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