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IHE MHD Mobile Health Documents

FHIR counterpart of XDS, for mobile and web apps.

Definition

MHD uses FHIR resources DocumentReference, DocumentManifest (R4) / List (R5). Actors: Document Source, Document Recipient, Document Responder, Document Consumer. Transport layer JSON/XML over HTTP REST. Compatible with TEFCA via Sub-IG MHD for HIE. Supported by smile CDR, HAPI FHIR, Microsoft Healthcare APIs.

Origin

IHE ITI Technical Committee, MHD trial implementation 2012, finalized 2015, FHIR R4 version 2019, FHIR R5 version 2024.

Usage

Targets mobile patient apps, web portals, cloud integrations with REST architectures. Used by Argonaut Project and Da Vinci Project.

Related terms

  • IHE XDS — pendant SOAP historique.
  • FHIR — fondation transport.
  • Argonaut — consommateur principal.

Last updated: May 18, 2026