Introduction

The Da Vinci Discharge Notification MessageHeader Profile builds on the Da Vinci Notifications MessageHeader Profile and sets minimum expectations for the FHIR MessageHeader resource to record the necessary context for Da Vinci discharge notification messaging scenario. The event code is "notification-discharge" and the focus of the event is the Encounter.

Mandatory and Must Support Data Elements

The following data-elements are mandatory (i.e., data MUST be present) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each MessageHeader must have:

1. An event code of "notification-discharge"
2. An event focus reference to the Da Vinci Admit/Discharge/Transfer Notification Encounter Profile which will be bundled in the message

Examples

The following example of this profile is a freestanding resource instance which is technically invalid since the profile is defined to reference other resources within the same Da Vinci Notification Message Bundle. For examples of this profile within a bundle, see the message bundle examples which are listed on the Examples page.

• MessageHeader Example

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

This structure is derived from NotificationsMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
eventCoding	S	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
Slices for focus	S	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:discharge-notification	S	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	Coding	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..1	BackboneElement	Message destination application(s)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
sender	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Real world sender of the message
Slices for extension				Content/Rules for all slices
Device	S	0..1	(Complex)	Device as a sender URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
author	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile) {b}	The source of the decision
Slices for extension				Content/Rules for all slices
Device	S	0..1	(Complex)	Device as a author URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
source	SΣ	1..1	BackboneElement	Message source application
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual message source address or id
responsible	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Final responsibility for event
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for focus	SΣ	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:All Slices				Content/Rules for all slices
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG
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..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..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	Coding	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..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	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	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Real world sender of the message
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Device	S	0..1	(Complex)	Device as a sender URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile) {b}	The source of the decision
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Device	S	0..1	(Complex)	Device as a author URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
source	SΣ	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	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Final responsibility for event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
Slices for focus	SΣ	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus: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 Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG
MessageHeader.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.responsible.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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
MessageHeader.focus.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.focus:discharge-notification.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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()

Differential View

This structure is derived from NotificationsMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
eventCoding	S	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
Slices for focus	S	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:discharge-notification	S	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	Coding	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..1	BackboneElement	Message destination application(s)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
sender	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Real world sender of the message
Slices for extension				Content/Rules for all slices
Device	S	0..1	(Complex)	Device as a sender URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
author	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile) {b}	The source of the decision
Slices for extension				Content/Rules for all slices
Device	S	0..1	(Complex)	Device as a author URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
source	SΣ	1..1	BackboneElement	Message source application
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual message source address or id
responsible	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Final responsibility for event
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for focus	SΣ	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:All Slices				Content/Rules for all slices
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG
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..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..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	Coding	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..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	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	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Real world sender of the message
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Device	S	0..1	(Complex)	Device as a sender URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile) {b}	The source of the decision
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Device	S	0..1	(Complex)	Device as a author URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x]	S	1..1	Reference(Device) {b}	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
source	SΣ	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	SΣ	0..1	Reference(HRex Practitioner Profile | HRex PractitionerRole Profile | HRex Organization Profile) {b}	Final responsibility for event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
Slices for focus	SΣ	1..*	Reference(Resource) {b}	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus: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 Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Discharge/Transfer Notification Encounter Profile) {b}	The actual content of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events from the FHIR Standard
MessageHeader.event[x]:eventCoding	extensible	NotificationDischargeEventValueSet http://hl7.org/fhir/us/davinci-alerts/ValueSet/notification-discharge-event from this IG
MessageHeader.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.responsible.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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
MessageHeader.focus.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MessageHeader.focus:discharge-notification.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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 NotificationsMessageHeader

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• Da Vinci Admit/Discharge/Transfer Notification Encounter Profile (http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/adt-notification-encounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MessageHeader.focus

Maturity: 2