Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	S	1..1	id	Each message shall include a globally unique id.
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: 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
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)
use	S	1..1	Coding	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)
use	S	1..1	Coding	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	Conformance	ValueSet	URI
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
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
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
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"
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
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)
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"
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
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	Conformance	ValueSet	URI
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: 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
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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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"
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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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"
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	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

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

Summary

Mandatory: 9 elements (2 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 MessageHeader.destination is sliced based on the value of value:$this.extension.value (Closed)

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	S	1..1	id	Each message shall include a globally unique id.
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
event[x]	S	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: 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
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)
use	S	1..1	Coding	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)
use	S	1..1	Coding	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	Conformance	ValueSet	URI
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
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
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
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"
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
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)
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"
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
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	Conformance	ValueSet	URI
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	id	Each message shall include a globally unique id.
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	SΣ	1..1	Coding	The event element shall contain a value from MedComMessagingMessageTypes Binding: 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
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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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"
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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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"
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	Conformance	ValueSet	URI
MessageHeader.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MessageHeader.event[x]	required	http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes http://medcomfhir.dk/fhir/dk-medcom-terminology/ValueSet/medcom-messaging-messageTypes
MessageHeader.reason	example	ExampleMessageReasonCodes http://hl7.org/fhir/ValueSet/message-reason-encounter from the FHIR Standard
MessageHeader.response.code	required	ResponseType http://hl7.org/fhir/ValueSet/response-code|4.0.1 from the FHIR Standard

Constraints

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

Summary

Mandatory: 9 elements (2 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 MessageHeader.destination is sliced based on the value of value:$this.extension.value (Closed)