DK MedCom acknowledgement
2.0.2 - Release Denmark flag

DK MedCom acknowledgement, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 2.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk-medcom-acknowledgement/ and changes regularly. See the Directory of published versions

Resource Profile: MedComAcknowledgementOperationOutcome

Official URL: http://medcomfhir.dk/ig/acknowledgement/StructureDefinition/medcom-acknowledgement-operationoutcome Version: 2.0.2
Active as of 2025-11-05 Computable Name: MedComAcknowledgementOperationOutcome

This profile provides detailed information about the outcome of an attempted system operation, such as delivering a message. It shall only be used when the attempt fails.

Scope and usage

This profile is called MedComAcknowledgementOperationOutcome and is used to give a detailed describtion of errors occuring when exchanging FHIR messages. Succes or fail in message exchange can be found in the element MessageHeader.response.code. MedComAcknowledgementOperationOutcome can be seen as a help for IT-vendors to identify potential errors in their systems, as it least shall contain a description of the issue, including a severity and an error or warning code. It may include several issues.

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

When to include an OperationOutcome

MedComAcknowledgementOperationOutcome should not be included when the message exchange goes well, corresponding to the value 'ok' in MessageHeader.response.code. However, may be included when the MessageHeader.response.code is 'ok', e.g. in cases where the received message is valid, but it is a dublet of a previous sent message. In this case an OperationOutcome with a value of OperationOutcome.issue.severity 'information' and a relevant code could be included. An OperationOutcome resource shall be included when the element MessageHeader.response.code is different from 'ok'.

OperationOutCome.issue.details.coding

​The CodeSystem MedComAcknowledgementIssueDetailsand ValueSetMedComAcknowledgementIssueDetailValues used in the element OperationOutCome.issue.details.coding are used to describe the issue of receiving a message more detailed. Currently, the two terminologies are fairly empty, as MedCom wants input from IT-vendors on which issue codes provide value in IT-systems. Across sectors there must be an agreed list of codes. Therefore, the ValueSet has a status as 'draft' and vendors should expect the CodeSystem and ValueSet to be extended. For relevant input regarding the issue codes, please contact MedCom.

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
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text SΣ 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome 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 OperationOutcome 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 OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome 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 OperationOutcome

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... issue S 1..* BackboneElement A single issue associated with the action
.... severity S 1..1 code fatal | error | warning | information
.... code S 1..1 code Error or warning code
.... details S 0..1 CodeableConcept Additional details about the error
..... coding S 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... 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
... 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
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... 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
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.language Base preferred Common Languages 📍4.0.1 FHIR Std.
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome 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 OperationOutcome 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 OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome 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 OperationOutcome

Summary

Must-Support: 6 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text SΣ 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome 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 OperationOutcome 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 OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome 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 OperationOutcome

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... issue S 1..* BackboneElement A single issue associated with the action
.... severity S 1..1 code fatal | error | warning | information
.... code S 1..1 code Error or warning code
.... details S 0..1 CodeableConcept Additional details about the error
..... coding S 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... 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
... 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
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... 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
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: MedComAcknowledgementIssueDetailValues (required)
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.language Base preferred Common Languages 📍4.0.1 FHIR Std.
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details.coding Base required MedComAcknowledgementIssueDetailValues 📦1.4.0 DK MedCom Terminology v1.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome 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 OperationOutcome 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 OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome 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 OperationOutcome

Summary

Must-Support: 6 elements

 

Other representations of profile: CSV, Excel, Schematron