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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SOΣ	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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)
system	SΣ	1..1	uri	Identity of the terminology system
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
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	SΣ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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]	S	1..1	Coding	Value of extension
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: primary Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	SΣ	0..*	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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]	S	1..1	Coding	Value of extension
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: cc Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
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()
txt-1	error	MessageHeader.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	MessageHeader.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SO	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
system	S	1..1	uri	Identity of the terminology system
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for destination	S	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
value[x]
system		1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Required Pattern: primary
endpoint	SO	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SO	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	S	0..*	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
value[x]
system		1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Required Pattern: cc
endpoint	SO	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SO	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SO	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
source	S	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
endpoint	SO	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
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    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SOΣ	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
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	SΣ	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
extension: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]	S	1..1	Coding	Value of extension
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	SΣ	1..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	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: primary Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
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	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	SΣ	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
extension: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]	S	1..1	Coding	Value of extension
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	SΣ	1..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	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: cc Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
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	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
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|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
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|4.0.1 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()
txt-1	error	MessageHeader.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	MessageHeader.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SOΣ	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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)
system	SΣ	1..1	uri	Identity of the terminology system
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for destination	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
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	SΣ	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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]	S	1..1	Coding	Value of extension
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: primary Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	SΣ	0..*	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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]	S	1..1	Coding	Value of extension
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: cc Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
definition	SΣ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
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()
txt-1	error	MessageHeader.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	MessageHeader.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Differential View

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SO	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: MedComMessagingMessageTypes (required)
system	S	1..1	uri	Identity of the terminology system
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for destination	S	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
value[x]
system		1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Required Pattern: primary
endpoint	SO	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SO	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	S	0..*	BackboneElement	Message destination application(s)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	(Complex)	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
value[x]
system		1..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Required Pattern: cc
endpoint	SO	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SO	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SO	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
source	S	1..1	BackboneElement	Contains the information about the target for the Acknowledgement message.
endpoint	SO	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SOΣ	1..1	id	Each message shall include a globally unique id. Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SΣ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:extension('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension').value.code
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	SΣ	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
extension: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]	S	1..1	Coding	Value of extension
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	SΣ	1..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	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: primary Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
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	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
destination:cc	SΣ	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
extension: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]	S	1..1	Coding	Value of extension
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	SΣ	1..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	SOΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: cc Obligations Actor Source SHALL:in-narrative Producer of FHIR resources from MedComDestinationUseExtension
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	SOΣ	1..1	url	Actual destination address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
receiver	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The carbon copy reciever of the message. Is only used when a message has multiple recievers. Obligations Actor SHALL:in-narrative Producer of FHIR resources
sender	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	1..1	url	Actual message source address or id Obligations Actor SHALL:in-narrative Producer of FHIR resources
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|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
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|4.0.1 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()
txt-1	error	MessageHeader.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	MessageHeader.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from MessageHeader

Summary

Mandatory: 9 elements(3 nested mandatory elements)
Must-Support: 20 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)