Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-vacd/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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Resource Profile: CH VACD Immunization Recommendation Response MessageHeader

Definition of the MessageHeader for the immunization recommendation response.

Usage:

• Use this Resource Profile: CH VACD Message Immunization Recommendation Response
• Examples for this Resource Profile: MessageHeader/2-5-ImmunizationRecommendationResponseMessageHeader

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader
Slices for event[x]		1..1	Coding, uri	Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this
event[x]:eventCoding		0..1	Coding	Immunization Recommendation Response Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
destination		1..1	BackboneElement	Message destination application(s)
name		1..1	string	Name of system
sender		0..1	Reference(CH Core Organization)	Real world sender of the message
responsible		1..1	Reference(CH Core Organization)	Final responsibility for event
reason		1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
response		1..1	BackboneElement	If this is a reply to prior message
focus		0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for event[x]	Σ	1..1		Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. ele-1: All FHIR elements must have a @value or children
eventCoding			Coding
eventUri			uri
event[x]:eventCoding	Σ	0..1	Coding	Immunization Recommendation Response Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
destination	Σ	1..1	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
name	Σ	1..1	string	Name of system ele-1: All FHIR elements must have a @value or children
endpoint	Σ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
sender	Σ	0..1	Reference(CH Core Organization)	Real world sender of the message ele-1: All FHIR elements must have a @value or children
source	Σ	1..1	BackboneElement	Message source application ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	Σ	1..1	url	Actual message source address or id ele-1: All FHIR elements must have a @value or children
responsible	Σ	1..1	Reference(CH Core Organization)	Final responsibility for event ele-1: All FHIR elements must have a @value or children
reason	Σ	1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
response	Σ	1..1	BackboneElement	If this is a reply to prior message ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	id	Id of original message ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message. ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	example	Pattern: immunrecoresponse http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.reason	example	Pattern: SNOMED-CT Code 830152006 http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1		Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
eventCoding			Coding
eventUri			uri
event[x]:eventCoding	Σ	0..1	Coding	Immunization Recommendation Response Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
destination	Σ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	Σ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	Σ	0..1	Reference(CH Core Organization)	Real world sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	Σ	1..1	BackboneElement	Message source application
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	Σ	1..1	Reference(CH Core Organization)	Final responsibility for event
reason	Σ	1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
response	Σ	1..1	BackboneElement	If this is a reply to prior message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	1..1	id	Id of original message
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	Σ	0..1	Reference(OperationOutcome)	Specific list of hints/warnings/errors
focus	Σ	0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	example	Pattern: immunrecoresponse http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.reason	example	Pattern: SNOMED-CT Code 830152006 http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MessageHeader

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

• CH Core Organization (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization)
• CH VACD Immunization Recommendations (http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization-recommendation)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MessageHeader.event[x]

Differential View

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader
Slices for event[x]		1..1	Coding, uri	Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this
event[x]:eventCoding		0..1	Coding	Immunization Recommendation Response Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
destination		1..1	BackboneElement	Message destination application(s)
name		1..1	string	Name of system
sender		0..1	Reference(CH Core Organization)	Real world sender of the message
responsible		1..1	Reference(CH Core Organization)	Final responsibility for event
reason		1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
response		1..1	BackboneElement	If this is a reply to prior message
focus		0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for event[x]	Σ	1..1		Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. ele-1: All FHIR elements must have a @value or children
eventCoding			Coding
eventUri			uri
event[x]:eventCoding	Σ	0..1	Coding	Immunization Recommendation Response Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
destination	Σ	1..1	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
name	Σ	1..1	string	Name of system ele-1: All FHIR elements must have a @value or children
endpoint	Σ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
sender	Σ	0..1	Reference(CH Core Organization)	Real world sender of the message ele-1: All FHIR elements must have a @value or children
source	Σ	1..1	BackboneElement	Message source application ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	Σ	1..1	url	Actual message source address or id ele-1: All FHIR elements must have a @value or children
responsible	Σ	1..1	Reference(CH Core Organization)	Final responsibility for event ele-1: All FHIR elements must have a @value or children
reason	Σ	1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
response	Σ	1..1	BackboneElement	If this is a reply to prior message ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	id	Id of original message ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message. ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	example	Pattern: immunrecoresponse http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.reason	example	Pattern: SNOMED-CT Code 830152006 http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	CH VACD Immunization Recommendation Response MessageHeader
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1		Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
eventCoding			Coding
eventUri			uri
event[x]:eventCoding	Σ	0..1	Coding	Immunization Recommendation Response Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-clinical-decision-support-event-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: immunrecoresponse
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
destination	Σ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	Σ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	Σ	0..1	Reference(CH Core Organization)	Real world sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	Σ	1..1	BackboneElement	Message source application
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	Σ	1..1	Reference(CH Core Organization)	Final responsibility for event
reason	Σ	1..1	CodeableConcept	Recommendation regarding vaccination (procedure) Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 830152006
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
response	Σ	1..1	BackboneElement	If this is a reply to prior message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	1..1	id	Id of original message
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	Σ	0..1	Reference(OperationOutcome)	Specific list of hints/warnings/errors
focus	Σ	0..*	Reference(CH VACD Immunization Recommendations)	The actual content of the message
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	example	Pattern: immunrecoresponse http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.reason	example	Pattern: SNOMED-CT Code 830152006 http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MessageHeader

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

• CH Core Organization (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization)
• CH VACD Immunization Recommendations (http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-immunization-recommendation)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MessageHeader.event[x]

Other representations of profile: CSV, Excel, Schematron