Scope and usage

This profile is used as the MessageHeader resource for the MedCom HospitalNotification message. Constraints and rules from MedComMessagingMessageHeader are inherited to this profile, but MedComHospitalNotificationMessageHeader is further restricted as carbon-copy is not allowed. The MedComHospitalNotificationMessageHeader contains an id which shall be globally unique for each message and an event code which shall be hospital-notification-message for a HospitalNotification message. Additionally, is it required to include a serviceprovider organization in the message.

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

Report of admission

The request for a report of admission from a municipality shall be sent when a patient is initially admitted either as an inpatient or emergency admission or when an patient admitted as an inpatient is moved to a hospital in another region. Technically this includes setting the MessageHeader.extension.reportOfAdmissionFlag to 'true' and include a reference to the receiver of the report of admission in the element MessageHeader.extension.reportOfAdmissionRecipient. Section 2.1, in the use case document describes more thoroughly in which cases the report of admission flag shall be sat to 'true'. The request for a report of admission should be made automatically.

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

This structure is derived from MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id		1..1	id	A unique identifier for each message. This identifier should be globally unique.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
event[x]		1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
Slices for destination				Content/Rules for all slices
destination:cc		0..0
focus	S	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition		1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	A unique identifier for each message. This identifier should be globally unique.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Binding: MedComMessagingMessageTypes (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
code	Σ	1..1	code	Symbol in syntax defined by the system
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
destination:primary	Σ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual message source address or id
focus	SΣ	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition	SΣ	1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.event[x]	required	Pattern: hospital-notification-message http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

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..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	A unique identifier for each message. This identifier should be globally unique.
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	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Binding: MedComMessagingMessageTypes (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination: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
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
destination:primary	Σ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual 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	Contains the information about the target for the Acknowledgement 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
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	SΣ	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.
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	SΣ	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition	SΣ	1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	required	Pattern: hospital-notification-message http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes
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

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 MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id		1..1	id	A unique identifier for each message. This identifier should be globally unique.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
event[x]		1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
Slices for destination				Content/Rules for all slices
destination:cc		0..0
focus	S	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition		1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	A unique identifier for each message. This identifier should be globally unique.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Binding: MedComMessagingMessageTypes (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
code	Σ	1..1	code	Symbol in syntax defined by the system
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
destination:primary	Σ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual message source address or id
focus	SΣ	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition	SΣ	1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.event[x]	required	Pattern: hospital-notification-message http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

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..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	A unique identifier for each message. This identifier should be globally unique.
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	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
reportOfAdmissionFlag	SΣ	0..1	boolean	MedComReportOfAdmissionExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
reportOfAdmissionRecipient	SΣ	0..1	Reference(MedComMessagingOrganization)	MedComReportOfAdmissionRecipientExtension URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The MedComMessagingMessageHeader shall contain the event value hospital-notification-message Binding: MedComMessagingMessageTypes (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: hospital-notification-message
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination: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
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
destination:primary	Σ	1..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual 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	Contains the information about the target for the Acknowledgement 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
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	SΣ	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.
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	SΣ	1..1	Reference(MedComHospitalNotificationEncounter) {b}	The actual content of the message
definition	SΣ	1..1	canonical(MessageDefinition)	Link to the definition for this message Required Pattern: http://medcomfhir.dk/ig/hospitalnotification/medcom-hospital-notifiation-message-definition|3.0.0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	required	Pattern: hospital-notification-message http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes
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

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 MedComMessagingMessageHeader

Summary

Mandatory: 2 elements
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• MedComHospitalNotificationEncounter (http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalNotification-encounter)

Extensions

This structure refers to these extensions:

• http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionExtension
• http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension