Patient Master Identity Registry (PMIR)
1.5.1-current - ci-build International flag

Patient Master Identity Registry (PMIR), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.5.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.PMIR/ and changes regularly. See the Directory of published versions

Resource Profile: IHE Patient Master Identity Registry MessageHeader

Official URL: https://profiles.ihe.net/ITI/PMIR/StructureDefinition/IHE.PMIR.MessageHeader Version: 1.5.1-current
Active as of 2025-10-06 Computable Name: PMIRMessageHeader

StructureDefinition for MessageHeader resource constraints in the IHE PMIR Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* MessageHeader A resource that describes a message that is exchanged between systems
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... event[x] Σ 1..1 uri Code for the event this message represents or link to event definition
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination Σ 1..* BackboneElement Message destination application(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint Σ 1..1 url Actual destination address or id
... sender SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the decision
... source Σ 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(Practitioner | PractitionerRole | Organization) Final responsibility for event
... focus Σ 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition Σ 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader MessageHeader
... event[x] 1..1 uri Code for the event this message represents or link to event definition
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination 1..* BackboneElement Message destination application(s)
... sender S 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer S 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author S 0..1 Reference(Practitioner | PractitionerRole) The source of the decision
... responsible S 0..1 Reference(Practitioner | PractitionerRole | Organization) Final responsibility for event
... focus 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* MessageHeader A resource that describes a message that is exchanged between systems
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
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] Σ 1..1 uri Code for the event this message represents or link to event definition
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination Σ 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 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author SΣ 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 SΣ 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 Σ 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition Σ 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.
MessageHeader.reason Base example Example Message Reason Codes 📍4.0.1 FHIR Std.
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* MessageHeader A resource that describes a message that is exchanged between systems
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... event[x] Σ 1..1 uri Code for the event this message represents or link to event definition
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination Σ 1..* BackboneElement Message destination application(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint Σ 1..1 url Actual destination address or id
... sender SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the decision
... source Σ 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(Practitioner | PractitionerRole | Organization) Final responsibility for event
... focus Σ 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition Σ 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 MessageHeader

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader MessageHeader
... event[x] 1..1 uri Code for the event this message represents or link to event definition
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination 1..* BackboneElement Message destination application(s)
... sender S 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer S 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author S 0..1 Reference(Practitioner | PractitionerRole) The source of the decision
... responsible S 0..1 Reference(Practitioner | PractitionerRole | Organization) Final responsibility for event
... focus 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* MessageHeader A resource that describes a message that is exchanged between systems
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
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] Σ 1..1 uri Code for the event this message represents or link to event definition
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
Required Pattern: urn:ihe:iti:pmir:2019:patient-feed
... destination Σ 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 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Real world sender of the message
... enterer SΣ 0..1 Reference(Practitioner | PractitionerRole) The source of the data entry
... author SΣ 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 SΣ 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 Σ 1..1 Reference(IHE Patient Master Identity Registry Bundle Message) The actual content of the message
... definition Σ 0..1 canonical(MessageDefinition) Link to the definition for this message
Required Pattern: https://profiles.ihe.net/ITI/PMIR/MessageDefinition/IHE.PMIR.MessageDefinition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.
MessageHeader.reason Base example Example Message Reason Codes 📍4.0.1 FHIR Std.
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron