Scope and usage

This profile is used as the MessageHeader resource for the MedCom Acknowledgement message. Constraint and rules from MedComMessagingMessageHeader is inherited to this profile. However, does MedComAcknowledgementMessageHeader not allow for a receiver of the type carbon-copy and the profile requires a response code. This code includes information about the delivery of a message e.g., if the message was delivered without error it would resolve in response code ‘ok’.

Below can the structure of a MedCom AcknowledgementMessageHeader be seen.

Please refer to the tab “Snapshot Table(Must support)” below for the definition of the required content of a MedComAcknowledgementMessageHeader.

Respons code

A MedComAcknowledgementMessageHeader is required in MedCom FHIR Messaging and follows the recommandations from HL7 FHIR ValueSet response-code

The codes here are equivalent to HL7 v3.Acknowledgement as described in the table below.

Please go to this definition of OperationOutcome to get informed how and when to use if the code response is different from “OK”.

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

This structure is derived from MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
destination:cc		0..0
source		1..1	BackboneElement	Contains information about the sender of the Acknowledgement message
response	S	1..1	BackboneElement	If this is a reply to prior message
identifier	S	1..1	id	Id of original message
code	S	1..1	code	ok | transient-error | fatal-error
details	S	0..1	Reference(MedComAcknowledgementOperationOutcome)	Specific list of hints/warnings/errors
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	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.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: MedComMessagingMessageTypes (required)
code	Σ	1..1	code	Symbol in syntax defined by the system
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
use	S	1..1	Coding	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"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains information about the sender of 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
response	SΣ	1..1	BackboneElement	If this is a reply to prior message
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	SΣ	1..1	id	Id of original message
code	SΣ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	SΣ	0..1	Reference(MedComAcknowledgementOperationOutcome)	Specific list of hints/warnings/errors
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MessageHeader.event[x]	example	MessageEvent
MessageHeader.event[x]:eventCoding	required	MedComMessagingMessageTypes
MessageHeader.response.code	required	ResponseType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	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
Slices for event[x]	Σ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: MedComMessagingMessageTypes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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
use	S	1..1	Coding	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"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	SΣ	1..1	BackboneElement	Contains information about the sender of 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	SΣ	1..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	SΣ	1..1	id	Id of original message
code	SΣ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	SΣ	0..1	Reference(MedComAcknowledgementOperationOutcome)	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	Conformance	ValueSet
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent
MessageHeader.event[x]:eventCoding	required	MedComMessagingMessageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes
MessageHeader.response.code	required	ResponseType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from MedComMessagingMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
destination:cc		0..0
source		1..1	BackboneElement	Contains information about the sender of the Acknowledgement message
response	S	1..1	BackboneElement	If this is a reply to prior message
identifier	S	1..1	id	Id of original message
code	S	1..1	code	ok | transient-error | fatal-error
details	S	0..1	Reference(MedComAcknowledgementOperationOutcome)	Specific list of hints/warnings/errors
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	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.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: MedComMessagingMessageTypes (required)
code	Σ	1..1	code	Symbol in syntax defined by the system
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
use	S	1..1	Coding	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"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
source	SΣ	1..1	BackboneElement	Contains information about the sender of 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
response	SΣ	1..1	BackboneElement	If this is a reply to prior message
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	SΣ	1..1	id	Id of original message
code	SΣ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	SΣ	0..1	Reference(MedComAcknowledgementOperationOutcome)	Specific list of hints/warnings/errors
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MessageHeader.event[x]	example	MessageEvent
MessageHeader.event[x]:eventCoding	required	MedComMessagingMessageTypes
MessageHeader.response.code	required	ResponseType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MedComMessagingMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	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
Slices for event[x]	Σ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: MedComMessagingMessageTypes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for destination	Σ	1..*	BackboneElement	Message destination application(s) Slice: Unordered, Closed by value:$this.extension.value
destination:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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
use	S	1..1	Coding	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"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: primary
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-destinationUse
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The primary reciever of the message
sender	SΣ	1..1	Reference(MedComMessagingOrganization) {b}	The actual sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	SΣ	1..1	BackboneElement	Contains information about the sender of 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	SΣ	1..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	SΣ	1..1	id	Id of original message
code	SΣ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details	SΣ	0..1	Reference(MedComAcknowledgementOperationOutcome)	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	Conformance	ValueSet
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent
MessageHeader.event[x]:eventCoding	required	MedComMessagingMessageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes
MessageHeader.response.code	required	ResponseType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MedComMessagingMessageHeader

Summary

Mandatory: 1 element
Must-Support: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• MedComAcknowledgementOperationOutcome (http://medcomfhir.dk/ig/acknowledgement/StructureDefinition/medcom-acknowledgement-operationoutcome)