Difference between revisions of "MHD Implementation Guide"

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= Examples =
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This page is Deprecated!!! Please see [[Mobile access to Health Documents (MHD)]]
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These examples are of MHD objects, objects that conform to both the FHIR spec and the semantic requirements of Document Sharing, basically XDS encoded in FHIR.  Since they obey both sets of rules it seemed they needed a name so for now that name is MHD objects.
 
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Sorry for the horrible use of codes but remember that famous quote from Star Trek (with apologies):  ''Darn-it Jim, I'm an engineer, not a doctor''.
 
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== Minimal DocumentReference ==
 
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This is the most basic MHD DocumentReference object.  It contains the attributes required by XDS and by FHIR and includes nothing extra. The target of the reference #binary is not included.  This has been validated with the FHIR schema but not yet tested against any of the FHIR test servers.
 
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<pre>
 
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<?xml version="1.0" encoding="UTF-8"?>
 
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<!-- DocumentReference
 
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    This is the absolute minimalistic coding of an MHD DocumentReference with
 
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    requirements coming from both FHIR and XDS.
 
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-->
 
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<DocumentReference xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 
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    xsi:schemaLocation="http://hl7.org/fhir file:/Users/bmajur/Documents/HL7/FHIR/Schema/fhir-all-xsd/fhir-all.xsd"
 
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    xmlns="http://hl7.org/fhir">
 
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    <!-- DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo
 
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        coded as extension with a reference from the Patient resource representing
 
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        the sourcePatient (information stored outside XDS environment on the patient -->
 
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    <extension url="http://ihe.net/fhir/Profile/XDS/extensions#sourcePatient">
 
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        <valueResource>
 
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            <reference value="#sourcepatient"/>
 
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        </valueResource>
 
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    </extension>
 
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    <text>
 
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        <status value="generated"/>
 
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        <div xmlns="http://www.w3.org/1999/xhtml"/>
 
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    </text>
 
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    <contained>
 
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        <!-- only detail is Patient ID
 
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            referenced by <subject/> DocumentEntry.patientId
 
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            this is the Affinity Domain patientID -->
 
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        <Patient id="patient">
 
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            <identifier>
 
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                <system value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/>
 
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                <value value="1234"/>
 
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            </identifier>
 
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        </Patient>
 
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    </contained>
 
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    <contained>
 
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        <!-- this could contain the full sourcePatientInfo detail
 
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            referenced by <subject/> DocumentEntry.patientId
 
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            this is the Source patientID -->
 
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        <Patient id="sourcepatient">
 
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            <identifier>
 
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                <value value="DTG1234"/>
 
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            </identifier>
 
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        </Patient>
 
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    </contained>
 
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    <contained>
 
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        <!-- DocumentEntry.author.authorPerson -->
 
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        <Practitioner id="docdave">
 
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            <name>
 
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                <family value="Careful"/>
 
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                <given value="Dave"/>
 
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                <prefix value="Dr"/>
 
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            </name>
 
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        </Practitioner>
 
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    </contained>
 
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    <!-- DocumentEntry.uniqueId -->
 
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    <masterIdentifier>
 
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        <system value="urn:ietf:rfc:3986"/>
 
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        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/>
 
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    </masterIdentifier>
 
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    <!-- DocumentEntry.patientId -->
 
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    <subject>
 
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        <reference value="#patient"/>
 
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    </subject>
 
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    <!-- DocumentEntry.typeCode -->
 
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    <type>
 
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        <coding>
 
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            <system value="urn:oid:2.16.840.1.113883.6.1"/>
 
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            <code value="28651-8"/>
 
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            <display value="Nurse Transfer note"/>
 
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        </coding>
 
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    </type>
 
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    <!-- DocumentEntry.classCode -->
 
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    <class>
 
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        <coding>
 
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            <system value="urn:oid:1.3.6.1.4.1.21367.100.1"/>
 
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            <code value="DEMO-Pt Mgmt"/>
 
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            <display value="Patient Management"/>
 
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        </coding>
 
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    </class>
 
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    <!-- DocumentEntry.author
 
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        this is required by FHIR and optional in XDS -->
 
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    <author>
 
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        <reference value="#docdave"/>
 
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    </author>
 
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    <!-- DocumentEntry.creationTime -->
 
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    <created value="2005-12-24T09:35:00"/>
 
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    <!-- required by FHIR - when was DocumentReference created -->
 
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    <indexed value="2005-12-24T09:35:00"/>
 
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    <!-- DocumentEntry.availabilityStatus (Approved)  
 
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        FHIR requires this on submission -->
 
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    <status value="current"/>
 
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    <!-- DocumentEntry.confidentialityCode -->
 
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    <confidentiality>
 
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        <coding>
 
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            <system value="urn:oid:2.16.840.1.113883.5.25"/>
 
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            <code value="N"/>
 
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            <display value="Normal"/>
 
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        </coding>
 
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    </confidentiality>
 
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    <!-- DocumentEntry.languageCode -->
 
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    <primaryLanguage value="en-US"/>
 
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    <!-- DocumentEntry.mimeType -->
 
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    <mimeType value="text/plain"/>
 
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    <format value="urn:wustl:mir:ppoc:1999"/>
 
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    <location value="#binary1"/>
 
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    <!-- DocumentEntry.formatCode -
 
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        not a coded value like in XDS -->
 
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    <context>
 
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        <!-- DocumentEntry.healthcareFacilityTypeCode -->
 
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        <facilityType>
 
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            <coding>
 
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                <system value="urn:oid:2.16.840.1.113883.5.11"/>
 
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                <code value="PEDHO"/>
 
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                <display value="Pediatric oncology clinic"/>
 
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            </coding>
 
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        </facilityType>
 
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    </context>
 
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</DocumentReference>
 
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</pre>
 
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== Minimal DocumentManifest ==
 
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This is the most basic MHD DocumentManifest object. It contains the attributes required by XDS and by FHIR and includes nothing extra. This has been validated with the FHIR schema but not yet tested against any of the FHIR test servers.
 
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<pre>
 
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<?xml version="1.0" encoding="UTF-8"?>
 
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<!-- DocumentManifest
 
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    This is the absolute minimalistic coding of an MHD DocumentManifest with
 
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    requirements coming from both FHIR and XDS.
 
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-->
 
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<DocumentManifest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 
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    xsi:schemaLocation="http://hl7.org/fhir file:/Users/bmajur/Documents/HL7/FHIR/Schema/fhir-all-xsd/fhir-all.xsd"
 
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    xmlns="http://hl7.org/fhir">
 
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    <!-- SubmissionSet.contentTypeCode. See Open Issue MHD022 for discussion on why this may be wrong! -->
 
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    <extension url="http://ihe.net/fhir/Profile/XDS/extensions#contentTypeCode">
 
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        <valueCodeableConcept>
 
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            <coding>
 
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                <system value="2.16.840.1.113883.6.1"/>
 
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                <code value="28570-0"/>
 
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                <display value="Procedure Note"/>
 
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            </coding>
 
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        </valueCodeableConcept>
 
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    </extension>
 
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    <text>
 
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        <status value="generated"/>
 
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        <div xmlns="http://www.w3.org/1999/xhtml"/>
 
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    </text>
 
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    <contained>
 
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        <!-- only detail is Patient ID
 
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            referenced by <subject/> SubmissionSet.patientId
 
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            this is the Affinity Domain patientID -->
 
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        <Patient id="patient">
 
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            <identifier>
 
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                <system value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/>
 
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                <value value="1234"/>
 
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            </identifier>
 
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        </Patient>
 
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    </contained>
 
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    <!-- SubmissionSet.uniqueId -->
 
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    <masterIdentifier>
 
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        <system value="urn:ietf:rfc:3986"/>
 
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        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.8"/>
 
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    </masterIdentifier>
 
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    <!-- DocumentEntry.patientId -->
 
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    <subject>
 
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        <reference value="#patient"/>
 
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    </subject>
 
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    <!-- SubmissionSet.availabilityStatus
 
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        FHIR requires this on submission -->
 
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    <status value="current"/>
 
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    <!-- This takes the place of the HasMember association placing
 
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        a DocumentEntry/DocumentReference in the SubmissionSet. The
 
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        referenced value is not present in the example since this is an example
 
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        of just the DocumentManifest object. -->
 
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    <content>
 
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        <reference value="#DocumentEntry1"/>
 
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    </content>
 
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</DocumentManifest>
 
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</pre>
 

Latest revision as of 11:04, 3 April 2019

This page is Deprecated!!! Please see Mobile access to Health Documents (MHD)

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