DK MedCom Messaging
3.0.0 - release
DK MedCom Messaging
3.0.0 - release
This page is part of the DK MedCom Messaging (v3.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-message | Version: 3.0.0 | |||
| Active as of 2025-05-14 | Computable Name: MedComMessagingMessage | |||
Base resource for all MedCom messages.
This profile describes the Bundle resource that shall be used in all MedCom FHIR Messages. MedComMessagingMessage is the root in all messages, as shown on the figure below. As this profile is the used in a message, shall the element type in MedComMessagingMessage always be message. This entails that the first resource in the entry element shall be a MedComMessagingMessageHeader.
For each messaging standard e.g., HospitalNotification or CareCommunication is a different set of profiles defined, but common to them both is that all included profiles shall be referenced from the entry element. Due to the different requirements for each standard, it should be expected that the MedComMessagingMessage is inherited in each standard.
Please refer to the tab "Snapshot Table(Must support)" below for the definition of the required content of a MedComMessagingMessage.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Bundle |
C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource medcom-messaging-1: The MessageHeader resource shall conform to medcom-messaging-messageHeader profile medcom-messaging-2: There shall be at least one Provenance resource in a MedCom message |
  id |
SΣ | 1..1 | id | Logical id of this artifact |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| type |
SΣ | 1..1 | code | Always message Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. ele-1: All FHIR elements must have a @value or children Required Pattern: message |
| timestamp |
SΣ | 1..1 | instant | When the bundle was assembled ele-1: All FHIR elements must have a @value or children |
  entry |
SΣC | 0..* | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 resource |
SΣ | 0..1 | Resource | Each MedCom message shall contain a MedComMessagingMessageHeader and MedComMessagingProvenance. Please refer to invariant medcom-messaging-1, medcom-messaging-2, and medcom-messaging-3. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Bundle.type | required | Pattern: messagehttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') | |
| bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') | |
| bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) | |
| bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) | |
| bdl-5 | error | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() | |
| bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() | |
| bdl-8 | error | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() | |
| bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) | |
| bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) | |
| bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) | |
| bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) | |
| 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() | |
| medcom-messaging-1 | error | Bundle | The MessageHeader resource shall conform to medcom-messaging-messageHeader profile : entry[0].resource.conformsTo('http://medcomfhir.dk/ig/messaging/StructureDefinition/medcom-messaging-messageHeader') | |
| medcom-messaging-2 | error | Bundle | There shall be at least one Provenance resource in a MedCom message : entry.resource.ofType(Provenance).exists() |
Other representations of profile: CSV, Excel, Schematron
