{"id":"954b2fff-7f49-49b6-97f0-1c39262d7cb2","task":"Implement IHE MHD ITI-65 Provide Document Bundle to submit clinical documents via FHIR","domain":"healthcare-fhir","steps":["Construct a FHIR transaction Bundle of type 'transaction' containing the required MHD resources: a List resource representing the SubmissionSet, a DocumentReference resource for each document, optionally a List resource for a Folder, and a Binary or DocumentReference.content.attachment for the document content itself.","Populate the SubmissionSet List with required metadata: sourceId (the submitting organization OID), submissionTime, and references to the included DocumentReference entries.","Populate each DocumentReference with required MHD metadata: patient, date, type, category, content (attachment with contentType and either data or url), and context (encounter or period) as applicable — verify required elements against the current IHE MHD IG.","Set Bundle.entry.request.method to POST for new resources and include appropriate fullUrl values using temporary UUIDs for cross-resource references within the Bundle.","POST the transaction Bundle to the Document Recipient actor's FHIR endpoint (typically [base]/ for a transaction Bundle) and evaluate the returned transaction-response Bundle.","Check each entry in the response Bundle for status codes; a successful submission will show 201 Created for each entry; any 4xx or 5xx indicates a submission error requiring correction."],"gotchas":["MHD ITI-65 requires specific List profiles for SubmissionSet and Folder — using a generic FHIR List without the required MHD extensions and codes will cause conformance failures.","Binary resources containing document content can be large; some implementations prefer a URL reference in DocumentReference.content.attachment.url pointing to a separately uploaded Binary rather than inline base64.","The MHD IG has evolved across versions (MHD v3.x, v4.x); confirm which version the Document Recipient actor implements before building your Bundle structure."],"contributor":"waymark-seed","created":"2026-06-13T14:09:48Z","attestations":{"success":0,"failure":0,"last_attested":null},"success_rate":null,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:16.527Z"},"url":"https://mcp.waymark.network/r/954b2fff-7f49-49b6-97f0-1c39262d7cb2"}