Scope and usage

This profile is used as the MessageHeader resource for the MedCom CareCommunication message. Constraint and rules from MedComMessagingMessageHeader are inherited to this profile, but MedComCareCommunicatonMessageHeader is further restricted as it shall contain an focus in terms of the MedComCareCommunication and the event code which shall be care-communication-message. MedComCareCommunicatonMessageHeader shall have a globally unique id. CareCommunication follows the general MedCom FHIR messaging model, except that retract-message, modified-message and the carbon-copy destination is not allowed to be used.

Please refer to the tab "Snapshot Table(Must support)" below for the definition of the required content of a MedComCareCommunicationMessageHeader.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	SΣ	1..1	Meta	Metadata about the resource
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
destination:primary	SΣ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]	S	1..1	Coding	Value of extension 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://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SΣ	1..1	code	Symbol in syntax defined by the system
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual message source address or id
focus	SΣ	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	SΣC	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

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()
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

This structure is derived from MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
meta	S	1..1	Meta	Metadata about the resource
profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
event[x]
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
destination	S	1..*	BackboneElement	Message destination application(s)
Slices for destination				Content/Rules for all slices
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension				Content/Rules for all slices
extension:use		1..1	MedComMessagingDestinationUseExtension	MedComDestinationUseExtension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
destination:cc		0..0
focus	S	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	C	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
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
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
destination:primary	SΣ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]	S	1..1	Coding	Value of extension 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://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual 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	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement 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
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	SΣ	1..1	url	Actual message source address or id
responsible	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Final responsibility for event
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response	Σ	0..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	SΣ	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	SΣC	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MessageHeader.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes 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()
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	SΣ	1..1	Meta	Metadata about the resource
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
destination:primary	SΣ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]	S	1..1	Coding	Value of extension 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://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SΣ	1..1	code	Symbol in syntax defined by the system
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual message source address or id
focus	SΣ	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	SΣC	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

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()
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

Differential View

This structure is derived from MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
meta	S	1..1	Meta	Metadata about the resource
profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
event[x]
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
destination	S	1..*	BackboneElement	Message destination application(s)
Slices for destination				Content/Rules for all slices
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension				Content/Rules for all slices
extension:use		1..1	MedComMessagingDestinationUseExtension	MedComDestinationUseExtension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
destination:cc		0..0
focus	S	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	C	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: care-communication-message
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
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
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
destination:primary	SΣ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]	S	1..1	Coding	Value of extension 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://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual 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	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement 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
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	SΣ	1..1	url	Actual message source address or id
responsible	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Final responsibility for event
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response	Σ	0..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	SΣ	1..1	Reference(MedComCareCommunication) {b}	The actual content of the message
definition	SΣC	1..1	canonical(MessageDefinition)	Link to the definition for this message Constraints: medcom-carecommunication-definition-url
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MessageHeader.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes 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()
medcom-carecommunication-definition-url	error	MessageHeader.definition	SHALL reference a MedCom CareCommunication MessageDefinition whose canonical URL starts with http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5. — that is, any version 5.x of the message definition. The current minor version the sender uses must be added in the end of the definition. : matches('^http://medcomfhir.dk/ig/messagedefinitions/MessageDefinition/MedComCareCommunicationMessageDefinition5[.][0-9]{1,2}$')

This structure is derived from MedComMessagingMessageHeader

Summary

Mandatory: 7 elements
Must-Support: 11 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• MedComCareCommunication (http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication)