Shared Managament of Radiation Treatments
0.0.1-current - ci-build International flag

Shared Managament of Radiation Treatments, published by IHE Radiation Oncology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RO.SMRT/ and changes regularly. See the Directory of published versions

Resource Profile: Approval Notification MessageHeader Profile

Official URL: https://profiles.ihe.net/RO/SMRT/StructureDefinition/approval-notification-messageheader Version: 0.0.1-current
Draft as of 2026-09-10 Computable Name: ApprovalNotificationMessageHeader

The Approval Notification MessageHeader Profile builds on the Notifications MessageHeader Profile and sets minimum expectations for the FHIR MessageHeader resource to record the necessary context for SMRT approval notification messaging scenario. The event code is "notification-plan-approval" and the focus of the event is the provenance resource.

Usages:

  • This Profile is not used by any profiles in this Specification

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..* 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:$this
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
.... event[x]:eventCoding SΣ 1..1 Coding Code for the event this message represents or link to event definition
Binding: http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event (extensible)
Required Pattern: At least the following
... destination SΣ 0..1 BackboneElement Message destination application(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint SΣ 1..1 url Actual destination address or id
... sender SΣ 0..1 Reference(Organization) {b} Real world sender of the message
... source SΣ 1..1 BackboneElement Message source application
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint Σ 1..1 url Actual message source address or id
... Slices for focus SΣ 1..* Reference(Resource) {b} The actual content of the message
Slice: Unordered, Open by profile:$this.resolve()
.... focus:All Slices Content/Rules for all slices
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... focus:plan-approval SΣ 1..1 Reference(SMRT Plan Approval Provenance Profile) {b} The actual content of the message
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.
MessageHeader.event[x]:eventCoding Base extensible http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event Not State Unknown
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from NotificationsMessageHeader

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* NotificationsMessageHeader A resource that describes a message that is exchanged between systems
... Slices for event[x] Content/Rules for all slices
.... event[x]:eventCoding 1..1 Coding Code for the event this message represents or link to event definition
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/RO/SMRT/CodeSystem/notification-event-codesystem
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: notification-plan-approval
... Slices for focus 1..* Reference(Resource) {b} The actual content of the message
Slice: Unordered, Open by profile:$this.resolve()
.... focus:plan-approval S 1..1 Reference(SMRT Plan Approval Provenance Profile) {b} The actual content of the message

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 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
... 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: http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event (extensible)
Required Pattern: At least the following
... 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(Organization) {b} 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 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 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.
... 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:plan-approval SΣ 1..1 Reference(SMRT Plan Approval Provenance 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

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.event[x]:eventCoding Base extensible http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event Not State Unknown
MessageHeader.reason Base example Example Message Reason Codes 📍4.0.1 FHIR Std.
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.
MessageHeader.focus.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MessageHeader.focus:plan-approval.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from NotificationsMessageHeader

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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:$this
Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
.... event[x]:eventCoding SΣ 1..1 Coding Code for the event this message represents or link to event definition
Binding: http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event (extensible)
Required Pattern: At least the following
... destination SΣ 0..1 BackboneElement Message destination application(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint SΣ 1..1 url Actual destination address or id
... sender SΣ 0..1 Reference(Organization) {b} Real world sender of the message
... source SΣ 1..1 BackboneElement Message source application
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... endpoint Σ 1..1 url Actual message source address or id
... Slices for focus SΣ 1..* Reference(Resource) {b} The actual content of the message
Slice: Unordered, Open by profile:$this.resolve()
.... focus:All Slices Content/Rules for all slices
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... focus:plan-approval SΣ 1..1 Reference(SMRT Plan Approval Provenance Profile) {b} The actual content of the message
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MessageHeader.event[x] Base example MessageEvent 📍4.0.1 FHIR Std.
MessageHeader.event[x]:eventCoding Base extensible http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event Not State Unknown
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from NotificationsMessageHeader

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MessageHeader 0..* NotificationsMessageHeader A resource that describes a message that is exchanged between systems
... Slices for event[x] Content/Rules for all slices
.... event[x]:eventCoding 1..1 Coding Code for the event this message represents or link to event definition
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://profiles.ihe.net/RO/SMRT/CodeSystem/notification-event-codesystem
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: notification-plan-approval
... Slices for focus 1..* Reference(Resource) {b} The actual content of the message
Slice: Unordered, Open by profile:$this.resolve()
.... focus:plan-approval S 1..1 Reference(SMRT Plan Approval Provenance Profile) {b} The actual content of the message

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 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
... 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: http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event (extensible)
Required Pattern: At least the following
... 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(Organization) {b} 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 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 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.
... 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:plan-approval SΣ 1..1 Reference(SMRT Plan Approval Provenance 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

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.event[x]:eventCoding Base extensible http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event Not State Unknown
MessageHeader.reason Base example Example Message Reason Codes 📍4.0.1 FHIR Std.
MessageHeader.response.​code Base required ResponseType 📍4.0.1 FHIR Std.
MessageHeader.focus.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MessageHeader.focus:plan-approval.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from NotificationsMessageHeader

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron