<MessageHeader xmlns="http://hl7.org/fhir">
  <id value="MessageHeader-Extension-ResponseRequest-Example" />
  <!-- **************extension start************** -->
  <extension url="http://hl7.org/fhir/StructureDefinition/messageheader-response-request">
    <valueCode value="always" />
  </extension>
  <!-- **************extension end************** -->
  <eventCoding>
    <system value="http://snomed.info/sct" />
    <code value="306689006" />
    <display value="Discharge to home" />
  </eventCoding>
  <destination>
    <endpoint value="urn:nhs:addressing:asid:477121007825" />
    <receiver>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
        <value value="RY6" />
      </identifier>
      <display value="LEEDS COMMUNITY HEALTHCARE NHS TRUST" />
    </receiver>
  </destination>
  <sender>
    <reference value="https://directory.spineservices.nhs.uk/Organization/X26" />
  </sender>
  <source>
    <endpoint value="NOROT003" />
  </source>
  <focus>
    <reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
  </focus>
</MessageHeader>