Scope and usage

​This profile describes the MessageHeader resource that shall be used in all MedCom FHIR Messages. A MedComMessagingMessageHeader shall include a sender and receiver and it may include a carbon-copy receiver, however this is depended on type of standard. Each MedComMessagingMessageHeader shall include a globally unique id, which is used to describe the message history from the MedComMessagingProvenance profile.

The element event shall be defined in accordance with the type of standard the message concerns e.g., HospitalNotification and CareCommunication. Due to the different requirements for each standard, it should be expected that the MedComMessagingMessageHeader is inherited in each standard.

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

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

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	S	1..1	id	Each message shall include a globally unique id.
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.
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
code		1..1	code	Symbol in syntax defined by the system
Slices for destination		1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:primary		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
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
endpoint	S	1..1	url	Actual destination address or id
receiver	S	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
destination:cc		0..*	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
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: cc
endpoint	S	1..1	url	Actual destination address or id
receiver	S	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers.
sender	S	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	S	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
endpoint	S	1..1	url	Actual message source address or id
definition	S	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id	SΣ	1..1	id	Each message shall include a globally unique id.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value ele-1: All FHIR elements must have a @value or children
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	Σ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
destination:primary	Σ	1..1	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension ele-1: All FHIR elements must have a @value or children 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
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message ele-1: All FHIR elements must have a @value or children
destination:cc	Σ	0..*	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension ele-1: All FHIR elements must have a @value or children 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: cc
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message ele-1: All FHIR elements must have a @value or children
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual message source address or id ele-1: All FHIR elements must have a @value or children
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes 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..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
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
destination:cc	Σ	0..*	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: cc
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 carbon copy reciever of the message. Is only used when a message has multiple recievers.
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	Σ	0..*	Reference(Resource)	The actual content of the message
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	required	MedComMessagingMessageTypes 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 MessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	S	1..1	id	Each message shall include a globally unique id.
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.
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
code		1..1	code	Symbol in syntax defined by the system
Slices for destination		1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:primary		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
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
endpoint	S	1..1	url	Actual destination address or id
receiver	S	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
destination:cc		0..*	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
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: cc
endpoint	S	1..1	url	Actual destination address or id
receiver	S	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers.
sender	S	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	S	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
endpoint	S	1..1	url	Actual message source address or id
definition	S	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes http://medcomfhir.dk/ig/terminology/ValueSet/medcom-messaging-messageTypes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id	SΣ	1..1	id	Each message shall include a globally unique id.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value ele-1: All FHIR elements must have a @value or children
destination:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	Σ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
destination:primary	Σ	1..1	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension ele-1: All FHIR elements must have a @value or children 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
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message ele-1: All FHIR elements must have a @value or children
destination:cc	Σ	0..*	BackboneElement	Message destination application(s) ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension"
value[x]		1..1	Coding	Value of extension ele-1: All FHIR elements must have a @value or children 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: cc
system	Σ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual destination address or id ele-1: All FHIR elements must have a @value or children
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message ele-1: All FHIR elements must have a @value or children
source	SΣ	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	SΣ	1..1	url	Actual message source address or id ele-1: All FHIR elements must have a @value or children
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	required	MedComMessagingMessageTypes 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..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
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
destination:cc	Σ	0..*	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: cc
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 carbon copy reciever of the message. Is only used when a message has multiple recievers.
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	Σ	0..*	Reference(Resource)	The actual content of the message
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	required	MedComMessagingMessageTypes 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 MessageHeader

Summary

Mandatory: 8 elements(3 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• MedComMessagingOrganization (http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-organization)

Extensions

This structure refers to these extensions:

• http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MessageHeader.destination (Closed)