Shared Managament of Radiation Treatments
0.0.1-current - ci-build
Shared Managament of Radiation Treatments
0.0.1-current - ci-build
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
| Official URL: https://profiles.ihe.net/RO/SMRT/StructureDefinition/approval-notification-messageheader | Version: 0.0.1-current | |||
| Draft as of 2026-10-18 | 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:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MessageHeader |
0..* | NotificationsMessageHeader | A resource that describes a message that is exchanged between systems | |
  id |
1..1 | id | Logical id of this artifact | |
| implicitRules |
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] |
1..1 | Coding | Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. | |
   event[x]:eventCoding |
1..1 | Coding | Code for the event this message represents or link to event definition Binding: http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event (extensible) Required Pattern: | |
 destination |
0..1 | BackboneElement | Message destination application(s) | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 endpoint |
1..1 | url | Actual destination address or id | |
 sender |
0..1 | Reference(Organization) {b} | Real world sender of the message | |
| source |
1..1 | BackboneElement | Message source application | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| endpoint |
1..1 | url | Actual message source address or id | |
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   focus:All Slices |
Content/Rules for all slices | |||
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus:plan-approval |
1..1 | Reference(SMRT Plan Approval Provenance Profile) {b} | The actual content of the message | |
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Documentation for this format | ||||
| 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. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from NotificationsMessageHeader
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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: | |
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| focus:plan-approval |
1..1 | Reference(SMRT Plan Approval Provenance Profile) {b} | The actual content of the message | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MessageHeader |
0..* | NotificationsMessageHeader | A resource that describes a message that is exchanged between systems | |||||
| id |
1..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| Slices for event[x] |
1..1 | Coding | Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR. | |||||
| event[x]:eventCoding |
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: | |||||
| destination |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| name |
0..1 | string | Name of system | |||||
| target |
0..1 | Reference(Device) | Particular delivery destination within the destination | |||||
| endpoint |
1..1 | url | Actual destination address or id | |||||
| receiver |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Intended "real-world" recipient for the data | |||||
| sender |
0..1 | Reference(Organization) {b} | Real world sender of the message | |||||
| enterer |
0..1 | Reference(Practitioner | PractitionerRole) | The source of the data entry | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole) | The source of the decision | |||||
| source |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| name |
0..1 | string | Name of system | |||||
| software |
0..1 | string | Name of software running the system | |||||
| version |
0..1 | string | Version of software running | |||||
| contact |
0..1 | ContactPoint | Human contact for problems | |||||
| endpoint |
1..1 | url | Actual message source address or id | |||||
| responsible |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Final responsibility for event | |||||
| reason |
0..1 | CodeableConcept | Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. | |||||
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| focus:plan-approval |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| definition |
0..1 | canonical(MessageDefinition) | Link to the definition for this message | |||||
| Documentation for this format | ||||||||
| 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. |
| 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:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MessageHeader |
0..* | NotificationsMessageHeader | A resource that describes a message that is exchanged between systems | |
| id |
1..1 | id | Logical id of this artifact | |
| implicitRules |
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] |
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 |
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: | |
| destination |
0..1 | BackboneElement | Message destination application(s) | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| endpoint |
1..1 | url | Actual destination address or id | |
| sender |
0..1 | Reference(Organization) {b} | Real world sender of the message | |
| source |
1..1 | BackboneElement | Message source application | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| endpoint |
1..1 | url | Actual message source address or id | |
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| focus:All Slices |
Content/Rules for all slices | |||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus:plan-approval |
1..1 | Reference(SMRT Plan Approval Provenance Profile) {b} | The actual content of the message | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MessageHeader.event[x] | Base | example | MessageEvent | 📍4.0.1 | FHIR Std. |
| MessageHeader.event[x]:eventCoding | Base | extensible | http://hl7.org/fhir/ihe-ro/smrt/ValueSet/notification-event | Not State | Unknown |
| MessageHeader.response.code | Base | required | ResponseType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from NotificationsMessageHeader
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MessageHeader |
0..* | NotificationsMessageHeader | A resource that describes a message that is exchanged between systems | |
| Slices for event[x] |
Content/Rules for all slices | |||
| event[x]:eventCoding |
1..1 | Coding | Code for the event this message represents or link to event definition Required Pattern: | |
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| focus:plan-approval |
1..1 | Reference(SMRT Plan Approval Provenance Profile) {b} | The actual content of the message | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MessageHeader |
0..* | NotificationsMessageHeader | A resource that describes a message that is exchanged between systems | |||||
| id |
1..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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] |
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 |
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: | |||||
| destination |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| name |
0..1 | string | Name of system | |||||
| target |
0..1 | Reference(Device) | Particular delivery destination within the destination | |||||
| endpoint |
1..1 | url | Actual destination address or id | |||||
| receiver |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Intended "real-world" recipient for the data | |||||
| sender |
0..1 | Reference(Organization) {b} | Real world sender of the message | |||||
| enterer |
0..1 | Reference(Practitioner | PractitionerRole) | The source of the data entry | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole) | The source of the decision | |||||
| source |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| name |
0..1 | string | Name of system | |||||
| software |
0..1 | string | Name of software running the system | |||||
| version |
0..1 | string | Version of software running | |||||
| contact |
0..1 | ContactPoint | Human contact for problems | |||||
| endpoint |
1..1 | url | Actual message source address or id | |||||
| responsible |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Final responsibility for event | |||||
| reason |
0..1 | CodeableConcept | Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence. | |||||
| Slices for focus |
1..* | Reference(Resource) {b} | The actual content of the message Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| focus:plan-approval |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| definition |
0..1 | canonical(MessageDefinition) | Link to the definition for this message | |||||
| Documentation for this format | ||||||||
| 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. |
| 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:
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ IHE Radiation Oncology Technical Committee. Package ihe.ro.smrt#0.0.1-current based on FHIR 4.0.1. Generated 2026-10-18
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