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	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
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. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (required)
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/fhir/dk-medcom-terminology/CodeSystem/medcom-messaging-destinationUse
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
destination:cc	Σ	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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/fhir/dk-medcom-terminology/CodeSystem/medcom-messaging-destinationUse
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 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
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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

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	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: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (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:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension				Content/Rules for all slices
extension: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/fhir/dk-medcom-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				Content/Rules for all slices
extension: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/fhir/dk-medcom-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
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown

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	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. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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/fhir/dk-medcom-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
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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/fhir/dk-medcom-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	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown
MessageHeader.reason	Base	example	Example Message Reason Codes	📍4.0.1	FHIR Std.
MessageHeader.response.​code	Base	required	ResponseType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()

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	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
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. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (required)
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/fhir/dk-medcom-terminology/CodeSystem/medcom-messaging-destinationUse
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
destination:cc	Σ	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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/fhir/dk-medcom-terminology/CodeSystem/medcom-messaging-destinationUse
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 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
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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    Filter: Bindings Constraints Obligations
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: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (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:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
destination:primary	S	1..1	BackboneElement	Message destination application(s)
Slices for extension				Content/Rules for all slices
extension: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/fhir/dk-medcom-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				Content/Rules for all slices
extension: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/fhir/dk-medcom-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
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown

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	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. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes (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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:use	S	1..1	Coding	MedComDestinationUseExtension URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-destinationUseExtension
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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/fhir/dk-medcom-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
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		Extension Slice: Unordered, Open by value:url
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/fhir/dk-medcom-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/fhir/dk-medcom-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	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MessageHeader.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MessageHeader.event[x]	Base	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes	Not State	Unknown
MessageHeader.reason	Base	example	Example Message Reason Codes	📍4.0.1	FHIR Std.
MessageHeader.response.​code	Base	required	ResponseType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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: 14 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)