Mobile access to Health Documents (MHD)
4.2.5 - trial-use International flag

This page is part of the IHE Mobile Access to Health Documents (v4.2.5: 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

Resource Profile: MHD Folder Comprehensive

Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.Folder Version: 4.2.5
Active as of 2026-10-18 Computable Name: FolderComprehensive

A profile on the List resource for MHD Comprehensive Metadata Folder. Note UnContained has no impact on Folder.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* Folder A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
List.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..* CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 UniqueIdIdentifier Folder.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier Folder.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working (extensions allowed)
List.title This element is included in summaries. 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
      "code" : "folder"
    }
  ]
}
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.note 0..1 Annotation Comments about the list

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Folder

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List 0..* Folder A list is a curated collection of resources
List.extension 1..* Extension Extension
List.Slices for extension Content/Rules for all slices
List.Slices for extension.extension:designationType 1..* DesignationType Clinical code of the List
List.title 1..1 string Descriptive name for the list
List.subject 1..1 Reference(Patient) If all resources have the same subject

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* Folder A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.id This element is included in summaries. 0..1 id Logical id of this artifact
List.meta This element is included in summaries. 0..1 Meta Metadata about the resource
List.meta.id 0..1 string Unique id for inter-element referencing
List.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
List.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
List.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
List.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
List.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
List.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
List.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
List.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
List.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
List.contained 0..* Resource Contained, inline Resources
List.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..* CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 UniqueIdIdentifier Folder.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier Folder.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working (extensions allowed)
List.title This element is included in summaries. 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
      "code" : "folder"
    }
  ]
}
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 0..1 dateTime When the list was prepared
List.note 0..1 Annotation Comments about the list
List.entry C 0..* BackboneElement Entries in the list
List.entry.id 0..1 string Unique id for inter-element referencing
List.entry.extension 0..* Extension Additional content defined by implementations
List.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
List.entry.item 1..1 Reference(DocumentReference) Actual entry

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Folder

Summary

Mandatory: 4 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* Folder A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
List.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..* CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 UniqueIdIdentifier Folder.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier Folder.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working (extensions allowed)
List.title This element is included in summaries. 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
      "code" : "folder"
    }
  ]
}
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.note 0..1 Annotation Comments about the list

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from Folder

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List 0..* Folder A list is a curated collection of resources
List.extension 1..* Extension Extension
List.Slices for extension Content/Rules for all slices
List.Slices for extension.extension:designationType 1..* DesignationType Clinical code of the List
List.title 1..1 string Descriptive name for the list
List.subject 1..1 Reference(Patient) If all resources have the same subject

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
List C 0..* Folder A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
List.id This element is included in summaries. 0..1 id Logical id of this artifact
List.meta This element is included in summaries. 0..1 Meta Metadata about the resource
List.meta.id 0..1 string Unique id for inter-element referencing
List.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
List.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
List.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
List.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
List.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
List.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
List.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
List.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
List.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
List.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
List.contained 0..* Resource Contained, inline Resources
List.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for extension.extension:designationType This element must be supported. 1..* CodeableConcept Clinical code of the List
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
List.Slices for extension.extension:homeCommunityId 0..1 oid The homeCommunityId where the artifact resides
URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-HomeCommunityId
List.Slices for identifier 0..* Identifier Business identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
List.Slices for identifier.identifier:uniqueId This element must be supported. 0..1 UniqueIdIdentifier Folder.uniqueId
List.Slices for identifier.identifier:entryUUID This element must be supported. 0..1 EntryUUIDIdentifier Folder.entryUUID
List.status This element is a modifier element. This element is included in summaries. 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
List.mode This element is a modifier element. This element is included in summaries. 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: working (extensions allowed)
List.title This element is included in summaries. 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
List.code This element is included in summaries. 1..1 CodeableConcept What the purpose of this list is
Binding: MHD List Types ValueSet (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
      "code" : "folder"
    }
  ]
}
List.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) If all resources have the same subject
List.date This element is included in summaries. 0..1 dateTime When the list was prepared
List.note 0..1 Annotation Comments about the list
List.entry C 0..* BackboneElement Entries in the list
List.entry.id 0..1 string Unique id for inter-element referencing
List.entry.extension 0..* Extension Additional content defined by implementations
List.entry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
List.entry.item 1..1 Reference(DocumentReference) Actual entry

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required ListMode 📍4.0.1 FHIR Std.
List.code Base required MHD List Types ValueSet 📦4.2.5 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Folder

Summary

Mandatory: 4 elements

 

Other representations of profile: CSV, Excel, Schematron