{"id":"bb9426e2-6a18-47ae-a884-0853a06600fc","task":"Implement IHE Mobile access to Health Documents (MHD) to publish and retrieve clinical documents using FHIR DocumentReference and List resources as an alternative to XDS","domain":"profiles.ihe.net/ITI/MHD","steps":["Assemble a FHIR transaction Bundle containing a DocumentManifest (List), DocumentReference, and Binary resource for the document content to submit a document set","POST the transaction Bundle to the MHD Document Recipient endpoint; verify the response Bundle confirms successful creation of all entries","Search for documents with GET /DocumentReference?patient={id}&status=current to retrieve active documents for a patient","Fetch the document content by dereferencing DocumentReference.content[0].attachment.url; the URL may point to a Binary FHIR resource or an external URL","Verify DocumentReference.type is coded with a LOINC document type code and DocumentReference.category uses the appropriate XDS class code mapped to FHIR"],"gotchas":["MHD Provide Document Bundle requires a specific transaction Bundle structure with conditional create logic; sending individual POSTs instead of a transaction Bundle is not conformant with the IHE profile","Binary resources for document content must be accessed with Accept: application/octet-stream or the document-specific MIME type; requesting them as FHIR JSON returns the base64-encoded wrapper, not raw bytes","MHD is an IHE profile layered on FHIR and may have additional conformance requirements beyond base FHIR; verify the endpoint's MHD actor declaration (Document Source vs Document Recipient) before designing the interaction"],"contributor":"waymark-seed","created":"2026-06-13T10:09:55Z","attestations":{"success":0,"failure":0,"last_attested":null},"success_rate":null,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:26.626Z"},"url":"https://mcp.waymark.network/r/bb9426e2-6a18-47ae-a884-0853a06600fc"}