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<StructureDefinition xmlns="http://hl7.org/fhir">
 <id value="medcom-careCommunication-messageHeader" />
 <text>
 <status value="extensions" />
 <div xmlns="http://www.w3.org/1999/xhtml">
 <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
 <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top">
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
 </th>
 <th style="width: 100px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
 
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
 <img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit" />
 </a>
 
 </th>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy" />
 <a href="StructureDefinition-medcom-careCommunication-messageHeader-definitions.html#MessageHeader">MessageHeader</a>
 <a name="MessageHeader"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 0
 ..
 *
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="StructureDefinition-medcom-messaging-messageHeader.html">MedComMessagingMessageHeader</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 A resource that describes a message that is exchanged between systems
 </td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy" />
 <a href="StructureDefinition-medcom-careCommunication-messageHeader-definitions.html#MessageHeader.eventCoding">eventCoding</a>
 <a name="MessageHeader.eventCoding"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 1
 ..
 1
 </td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 Code for the event this message represents or link to event definition
 
 Required Pattern: 
 At least the following
 </td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy" />
 <a href="http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system">system</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identity of the terminology system Fixed Value: <a style="color: darkgreen" href="CodeSystem-medcom-messaging-eventCodes.html">http://medcom.dk/fhir/medcom-core/CodeSystem/medcom-messaging-eventCodes</a></td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_fixed.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Fixed Value" class="hierarchy" />
 <a href="http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code">code</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Symbol in syntax defined by the system Fixed Value: care-communication-message</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="StructureDefinition-medcom-careCommunication-messageHeader-definitions.html#MessageHeader.focus">focus</a>
 <a name="MessageHeader.focus"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-medcom-careCommunication-communication.html">MedComCareCommunication</a>)<a href="http://hl7.org/fhir/R4/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/R4/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/R4/valueset-resource-aggregation-mode.html">}</a></td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 The actual content of the message
 </td>
 </tr>
 <tr>
 <td colspan="5" class="hierarchy">
 
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
 <img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
 </td>
 </tr>
 </table>
 </div>
 </text>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
 <valueString value="Foundation.Other" />
 </extension>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
 <valueCode value="not-classified" />
 </extension>
 <url value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-careCommunication-messageHeader" />
 <version value="0.9" />
 <name value="MedComCareCommunicationMessageHeader" />
 <status value="active" />
 <date value="2020-10-23T08:18:40+00:00" />
 <publisher value="MedCom" />
 <contact>
 <name value="MedCom" />
 <telecom>
 <system value="url" />
 <value value="http://www.medcom.dk" />
 </telecom>
 </contact>
 <description value="Message header for care communication message" />
 <jurisdiction>
 <coding>
 <system value="urn:iso:std:iso:3166" />
 <code value="DK" />
 <display value="Denmark" />
 </coding>
 </jurisdiction>
 <fhirVersion value="4.0.1" />
 <mapping>
 <identity value="v2" />
 <uri value="http://hl7.org/v2" />
 <name value="HL7 v2 Mapping" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <uri value="http://hl7.org/v3" />
 <name value="RIM Mapping" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <uri value="http://hl7.org/fhir/fivews" />
 <name value="FiveWs Pattern Mapping" />
 </mapping>
 <kind value="resource" />
 <abstract value="false" />
 <type value="MessageHeader" />
 <baseDefinition value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-messaging-messageHeader" />
 <derivation value="constraint" />
 <snapshot>
 <element id="MessageHeader">
 <path value="MessageHeader" />
 <short value="A resource that describes a message that is exchanged between systems" />
 <definition value="The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle." />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="MessageHeader" />
 <min value="0" />
 <max value="*" />
 </base>
 <constraint>
 <key value="dom-2" />
 <severity value="error" />
 <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
 <expression value="contained.contained.empty()" />
 <xpath value="not(parent::f:contained and f:contained)" />
 <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
 </constraint>
 <constraint>
 <key value="dom-3" />
 <severity value="error" />
 <human value="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" />
 <expression value="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()" />
 <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
 <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
 </constraint>
 <constraint>
 <key value="dom-4" />
 <severity value="error" />
 <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
 <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
 <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
 <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
 </constraint>
 <constraint>
 <key value="dom-5" />
 <severity value="error" />
 <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
 <expression value="contained.meta.security.empty()" />
 <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
 <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
 </constraint>
 <constraint>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
 <valueBoolean value="true" />
 </extension>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
 <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
 </extension>
 <key value="dom-6" />
 <severity value="warning" />
 <human value="A resource should have narrative for robust management" />
 <expression value="text.`div`.exists()" />
 <xpath value="exists(f:text/h:div)" />
 <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="Entity. Role, or Act" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="MSH / MSA / ERR" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="Message" />
 </mapping>
 </element>
 <element id="MessageHeader.id">
 <path value="MessageHeader.id" />
 <short value="Logical id of this artifact" />
 <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
 <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Resource.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="true" />
 </element>
 <element id="MessageHeader.meta">
 <path value="MessageHeader.meta" />
 <short value="Metadata about the resource" />
 <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Resource.meta" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Meta" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 </element>
 <element id="MessageHeader.implicitRules">
 <path value="MessageHeader.implicitRules" />
 <short value="A set of rules under which this content was created" />
 <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
 <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Resource.implicitRules" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="uri" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
 <isSummary value="true" />
 </element>
 <element id="MessageHeader.language">
 <path value="MessageHeader.language" />
 <short value="Language of the resource content" />
 <definition value="The base language in which the resource is written." />
 <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Resource.language" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="code" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <binding>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
 <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
 </extension>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
 <valueString value="Language" />
 </extension>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
 <valueBoolean value="true" />
 </extension>
 <strength value="preferred" />
 <description value="A human language." />
 <valueSet value="http://hl7.org/fhir/ValueSet/languages" />
 </binding>
 </element>
 <element id="MessageHeader.text">
 <path value="MessageHeader.text" />
 <short value="Text summary of the resource, for human interpretation" />
 <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
 <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later." />
 <alias value="narrative" />
 <alias value="html" />
 <alias value="xhtml" />
 <alias value="display" />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="DomainResource.text" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Narrative" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="Act.text?" />
 </mapping>
 </element>
 <element id="MessageHeader.contained">
 <path value="MessageHeader.contained" />
 <short value="Contained, inline Resources" />
 <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
 <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
 <alias value="inline resources" />
 <alias value="anonymous resources" />
 <alias value="contained resources" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="DomainResource.contained" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Resource" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.extension">
 <path value="MessageHeader.extension" />
 <short value="Additional content defined by implementations" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="DomainResource.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.modifierExtension">
 <path value="MessageHeader.modifierExtension" />
 <short value="Extensions that cannot be ignored" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="DomainResource.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.event[x]">
 <path value="MessageHeader.event[x]" />
 <slicing>
 <discriminator>
 <type value="type" />
 <path value="$this" />
 </discriminator>
 <ordered value="false" />
 <rules value="closed" />
 </slicing>
 <short value="Code for the event this message represents or link to event definition" />
 <definition value="Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value &quot;http://terminology.hl7.org/CodeSystem/message-events&quot;. Alternatively uri to the EventDefinition." />
 <comment value="The time of the event will be found in the focus resource. The time of the message will be found in [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp)." />
 <requirements value="Drives the behavior associated with this message." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.event[x]" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <binding>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
 <valueString value="MessageEvent" />
 </extension>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
 <valueBoolean value="true" />
 </extension>
 <strength value="example" />
 <description value="One of the message events defined as part of this version of FHIR." />
 <valueSet value="http://hl7.org/fhir/ValueSet/message-events" />
 </binding>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.what[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="MSH-9.2" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./payload[classCode=&quot;CACT&quot; and moodCode=&quot;EVN&quot; and isNormalAct()]/code[isNormalDatatype()]/code" />
 </mapping>
 </element>
 <element id="MessageHeader.event[x]:eventCoding">
 <path value="MessageHeader.event[x]" />
 <sliceName value="eventCoding" />
 <short value="Code for the event this message represents or link to event definition" />
 <definition value="Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value &quot;http://terminology.hl7.org/CodeSystem/message-events&quot;. Alternatively uri to the EventDefinition." />
 <comment value="The time of the event will be found in the focus resource. The time of the message will be found in [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp)." />
 <requirements value="Drives the behavior associated with this message." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.event[x]" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <patternCoding>
 <system value="http://medcom.dk/fhir/medcom-core/CodeSystem/medcom-messaging-eventCodes" />
 <code value="care-communication-message" />
 </patternCoding>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <binding>
 <strength value="required" />
 <valueSet value="http://medcom.dk/fhir/medcom-core/ValueSet/medcom-messaging-messageTypes" />
 </binding>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.what[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="MSH-9.2" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./payload[classCode=&quot;CACT&quot; and moodCode=&quot;EVN&quot; and isNormalAct()]/code[isNormalDatatype()]/code" />
 </mapping>
 </element>
 <element id="MessageHeader.destination">
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
 <valueString value="MessageDestination" />
 </extension>
 <path value="MessageHeader.destination" />
 <slicing>
 <discriminator>
 <type value="value" />
 <path value="$this.extension.value" />
 </discriminator>
 <rules value="closed" />
 </slicing>
 <short value="Message destination application(s)" />
 <definition value="The destination application which the message is intended for." />
 <comment value="There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system." />
 <requirements value="Indicates where message is to be sent for routing purposes. Allows verification of &quot;am I the intended recipient&quot;." />
 <min value="1" />
 <max value="*" />
 <base>
 <path value="MessageHeader.destination" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="BackboneElement" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./communicationFunction[typeCode=&quot;RCV&quot;]" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.id">
 <path value="MessageHeader.destination.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.extension">
 <path value="MessageHeader.destination.extension" />
 <slicing>
 <discriminator>
 <type value="value" />
 <path value="url" />
 </discriminator>
 <ordered value="false" />
 <rules value="open" />
 </slicing>
 <short value="Extension" />
 <definition value="An Extension" />
 <min value="1" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 </element>
 <element id="MessageHeader.destination.extension:use">
 <path value="MessageHeader.destination.extension" />
 <sliceName value="use" />
 <short value="Extension" />
 <definition value="An Extension" />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 <profile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-messaging-destinationUseExtension" />
 </type>
 <condition value="ele-1" />
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 </element>
 <element id="MessageHeader.destination.modifierExtension">
 <path value="MessageHeader.destination.modifierExtension" />
 <short value="Extensions that cannot be ignored even if unrecognized" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <alias value="modifiers" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="BackboneElement.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.name">
 <path value="MessageHeader.destination.name" />
 <short value="Name of system" />
 <definition value="Human-readable name for the target system." />
 <requirements value="May be used for routing of response and/or to support audit." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.name" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-5" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]/name[type='ST' and isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.target">
 <path value="MessageHeader.destination.target" />
 <short value="Particular delivery destination within the destination" />
 <definition value="Identifies the target end system in situations where the initial message transmission is to an intermediary system." />
 <requirements value="Supports multi-hop routing." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.target" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.endpoint">
 <path value="MessageHeader.destination.endpoint" />
 <short value="Actual destination address or id" />
 <definition value="Indicates where the message should be routed to." />
 <comment value="The id may be a non-resolvable URI for systems that do not use standard network-based addresses." />
 <requirements value="Identifies where to route the message." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.endpoint" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="url" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-25 (or MSH-6)" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./telecom" />
 </mapping>
 </element>
 <element id="MessageHeader.destination.receiver">
 <path value="MessageHeader.destination.receiver" />
 <short value="Intended &quot;real-world&quot; recipient for the data" />
 <definition value="Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient." />
 <requirements value="Allows routing beyond just the application level." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.receiver" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary">
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
 <valueString value="MessageDestination" />
 </extension>
 <path value="MessageHeader.destination" />
 <sliceName value="primary" />
 <short value="Message destination application(s)" />
 <definition value="The destination application which the message is intended for." />
 <comment value="There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system." />
 <requirements value="Indicates where message is to be sent for routing purposes. Allows verification of &quot;am I the intended recipient&quot;." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="BackboneElement" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./communicationFunction[typeCode=&quot;RCV&quot;]" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.id">
 <path value="MessageHeader.destination.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.extension:use">
 <path value="MessageHeader.destination.extension" />
 <sliceName value="use" />
 <short value="Extension" />
 <definition value="An Extension" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 </element>
 <element id="MessageHeader.destination:primary.extension:use.id">
 <path value="MessageHeader.destination.extension.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.extension:use.extension">
 <path value="MessageHeader.destination.extension.extension" />
 <slicing>
 <discriminator>
 <type value="value" />
 <path value="url" />
 </discriminator>
 <description value="Extensions are always sliced by (at least) url" />
 <rules value="open" />
 </slicing>
 <short value="Additional content defined by implementations" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.extension:use.url">
 <path value="MessageHeader.destination.extension.url" />
 <representation value="xmlAttr" />
 <short value="identifies the meaning of the extension" />
 <definition value="Source of the definition for the extension code - a logical name or a URL." />
 <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="Extension.url" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="uri" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.extension:use.value[x]">
 <path value="MessageHeader.destination.extension.value[x]" />
 <slicing>
 <discriminator>
 <type value="type" />
 <path value="$this" />
 </discriminator>
 <ordered value="false" />
 <rules value="closed" />
 </slicing>
 <short value="Value of extension" />
 <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Extension.value[x]" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.extension:use.value[x]:valueCoding">
 <path value="MessageHeader.destination.extension.value[x]" />
 <sliceName value="valueCoding" />
 <short value="Value of extension" />
 <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Extension.value[x]" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <patternCoding>
 <system value="http://medcom.dk/fhir/medcom-core/CodeSystem/medcom-messaging-destinationUse" />
 <code value="primary" />
 </patternCoding>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.modifierExtension">
 <path value="MessageHeader.destination.modifierExtension" />
 <short value="Extensions that cannot be ignored even if unrecognized" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <alias value="modifiers" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="BackboneElement.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.name">
 <path value="MessageHeader.destination.name" />
 <short value="Name of system" />
 <definition value="Human-readable name for the target system." />
 <requirements value="May be used for routing of response and/or to support audit." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.name" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-5" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]/name[type='ST' and isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.target">
 <path value="MessageHeader.destination.target" />
 <short value="Particular delivery destination within the destination" />
 <definition value="Identifies the target end system in situations where the initial message transmission is to an intermediary system." />
 <requirements value="Supports multi-hop routing." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.target" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.endpoint">
 <path value="MessageHeader.destination.endpoint" />
 <short value="Actual destination address or id" />
 <definition value="Indicates where the message should be routed to." />
 <comment value="The id may be a non-resolvable URI for systems that do not use standard network-based addresses." />
 <requirements value="Identifies where to route the message." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.endpoint" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="url" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-25 (or MSH-6)" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./telecom" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:primary.receiver">
 <path value="MessageHeader.destination.receiver" />
 <short value="Intended &quot;real-world&quot; recipient for the data" />
 <definition value="Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient." />
 <requirements value="Allows routing beyond just the application level." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.receiver" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-messaging-organization" />
 <aggregation value="bundled" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc">
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
 <valueString value="MessageDestination" />
 </extension>
 <path value="MessageHeader.destination" />
 <sliceName value="cc" />
 <short value="Message destination application(s)" />
 <definition value="Shall contain carbon copy recipients of the message" />
 <comment value="There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system." />
 <requirements value="Indicates where message is to be sent for routing purposes. Allows verification of &quot;am I the intended recipient&quot;." />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="MessageHeader.destination" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="BackboneElement" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./communicationFunction[typeCode=&quot;RCV&quot;]" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.id">
 <path value="MessageHeader.destination.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.extension:use">
 <path value="MessageHeader.destination.extension" />
 <sliceName value="use" />
 <short value="Extension" />
 <definition value="An Extension" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 </element>
 <element id="MessageHeader.destination:cc.extension:use.id">
 <path value="MessageHeader.destination.extension.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.extension:use.extension">
 <path value="MessageHeader.destination.extension.extension" />
 <slicing>
 <discriminator>
 <type value="value" />
 <path value="url" />
 </discriminator>
 <description value="Extensions are always sliced by (at least) url" />
 <rules value="open" />
 </slicing>
 <short value="Additional content defined by implementations" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.extension:use.url">
 <path value="MessageHeader.destination.extension.url" />
 <representation value="xmlAttr" />
 <short value="identifies the meaning of the extension" />
 <definition value="Source of the definition for the extension code - a logical name or a URL." />
 <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="Extension.url" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="uri" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.extension:use.value[x]">
 <path value="MessageHeader.destination.extension.value[x]" />
 <slicing>
 <discriminator>
 <type value="type" />
 <path value="$this" />
 </discriminator>
 <ordered value="false" />
 <rules value="closed" />
 </slicing>
 <short value="Value of extension" />
 <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Extension.value[x]" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.extension:use.value[x]:valueCoding">
 <path value="MessageHeader.destination.extension.value[x]" />
 <sliceName value="valueCoding" />
 <short value="Value of extension" />
 <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Extension.value[x]" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Coding" />
 </type>
 <patternCoding>
 <system value="http://medcom.dk/fhir/medcom-core/CodeSystem/medcom-messaging-destinationUse" />
 <code value="cc" />
 </patternCoding>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.modifierExtension">
 <path value="MessageHeader.destination.modifierExtension" />
 <short value="Extensions that cannot be ignored even if unrecognized" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <alias value="modifiers" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="BackboneElement.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.name">
 <path value="MessageHeader.destination.name" />
 <short value="Name of system" />
 <definition value="Human-readable name for the target system." />
 <requirements value="May be used for routing of response and/or to support audit." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.name" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-5" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]/name[type='ST' and isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.target">
 <path value="MessageHeader.destination.target" />
 <short value="Particular delivery destination within the destination" />
 <definition value="Identifies the target end system in situations where the initial message transmission is to an intermediary system." />
 <requirements value="Supports multi-hop routing." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.target" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and (classCode=(&quot;DEV&quot;, &quot;PSN&quot;, &quot;ORG&quot;]" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.endpoint">
 <path value="MessageHeader.destination.endpoint" />
 <short value="Actual destination address or id" />
 <definition value="Indicates where the message should be routed to." />
 <comment value="The id may be a non-resolvable URI for systems that do not use standard network-based addresses." />
 <requirements value="Identifies where to route the message." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.endpoint" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="url" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-25 (or MSH-6)" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./telecom" />
 </mapping>
 </element>
 <element id="MessageHeader.destination:cc.receiver">
 <path value="MessageHeader.destination.receiver" />
 <short value="Intended &quot;real-world&quot; recipient for the data" />
 <definition value="Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient." />
 <requirements value="Allows routing beyond just the application level." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.destination.receiver" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-messaging-organization" />
 <aggregation value="bundled" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.sender">
 <path value="MessageHeader.sender" />
 <short value="Real world sender of the message" />
 <definition value="Identifies the sending system to allow the use of a trust relationship." />
 <comment value="Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone." />
 <requirements value="Allows routing beyond just the application level." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.sender" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-messaging-organization" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText" />
 </mapping>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.subject" />
 </mapping>
 </element>
 <element id="MessageHeader.enterer">
 <path value="MessageHeader.enterer" />
 <short value="The source of the data entry" />
 <definition value="The person or device that performed the data entry leading to this message. When there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions." />
 <comment value="Usually only for the request but can be used in a response." />
 <requirements value="Need to know for audit/traceback requirements and possibly for authorization." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.enterer" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.author" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/participation[typeCode=&quot;ENT&quot; and isNormalParticipation]/role[classCode=&quot;ASSIGNED&quot; and isNormalRole()]/player[isNormalEntity() and classCode=(&quot;DEV&quot;, &quot;PSN&quot;) and determinerCode=&quot;INST&quot;])" />
 </mapping>
 </element>
 <element id="MessageHeader.author">
 <path value="MessageHeader.author" />
 <short value="The source of the decision" />
 <definition value="The logical author of the message - the person or device that decided the described event should happen. When there is more than one candidate, pick the most proximal to the MessageHeader. Can provide other authors in extensions." />
 <comment value="Usually only for the request but can be used in a response." />
 <requirements value="Need to know for audit/traceback requirements and possibly for authorization." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.author" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.author" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=&quot;AUT&quot; and isNormalParticipation]/role[classCode=&quot;ASSIGNED&quot; and isNormalRole()]/player[isNormalEntity() and classCode=(&quot;DEV&quot;, &quot;PSN&quot;) and determinerCode=&quot;INST&quot;])" />
 </mapping>
 </element>
 <element id="MessageHeader.source">
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
 <valueString value="MessageSource" />
 </extension>
 <path value="MessageHeader.source" />
 <short value="Message source application" />
 <definition value="The source application from which this message originated." />
 <requirements value="Allows replies, supports audit." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="BackboneElement" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.actor" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./communicationFunction[typeCode=&quot;SND&quot;])" />
 </mapping>
 </element>
 <element id="MessageHeader.source.id">
 <path value="MessageHeader.source.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.source.extension">
 <path value="MessageHeader.source.extension" />
 <short value="Additional content defined by implementations" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.source.modifierExtension">
 <path value="MessageHeader.source.modifierExtension" />
 <short value="Extensions that cannot be ignored even if unrecognized" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <alias value="modifiers" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="BackboneElement.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.source.name">
 <path value="MessageHeader.source.name" />
 <short value="Name of system" />
 <definition value="Human-readable name for the source system." />
 <requirements value="May be used to support audit." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source.name" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-3" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and classCode=&quot;DEV&quot;]/name[type='ST' and isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.source.software">
 <path value="MessageHeader.source.software" />
 <short value="Name of software running the system" />
 <definition value="May include configuration or other information useful in debugging." />
 <requirements value="Supports audit and possibly interface engine behavior." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source.software" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="SFT-3 ( +SFT-1)" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and classCode=&quot;DEV&quot;]/softwareName[isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.source.version">
 <path value="MessageHeader.source.version" />
 <short value="Version of software running" />
 <definition value="Can convey versions of multiple systems in situations where a message passes through multiple hands." />
 <requirements value="Supports audit and possibly interface engine behavior." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source.version" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="string" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="SFT-2" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="(Not supported)" />
 </mapping>
 </element>
 <element id="MessageHeader.source.contact">
 <path value="MessageHeader.source.contact" />
 <short value="Human contact for problems" />
 <definition value="An e-mail, phone, website or other contact point to use to resolve issues with message communications." />
 <requirements value="Allows escalation of technical issues." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source.contact" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="ContactPoint" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="(MSH-22?)" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./entity[determinerCode=&quot;INST&quot; and classCode=&quot;DEV&quot;]/scopesRole[normalRole() and classCode=&quot;CON&quot; and layer[classCode=&quot;PSN&quot;]/telecom[isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.source.endpoint">
 <path value="MessageHeader.source.endpoint" />
 <short value="Actual message source address or id" />
 <definition value="Identifies the routing target to send acknowledgements to." />
 <comment value="The id may be a non-resolvable URI for systems that do not use standard network-based addresses." />
 <requirements value="Identifies where to send responses, may influence security permissions." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.source.endpoint" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="url" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSH-24" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./telecom[isNormalDatatype()]" />
 </mapping>
 </element>
 <element id="MessageHeader.responsible">
 <path value="MessageHeader.responsible" />
 <short value="Final responsibility for event" />
 <definition value="The person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party." />
 <comment value="Usually only for the request but can be used in a response." />
 <requirements value="Need to know for audit/traceback requirements and possibly for authorization." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.responsible" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.witness" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="ORC-12 / PRT-5:PRT-4='OP' / PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=&quot;RESP&quot; and isNormalParticipation]/role[classCode=&quot;ASSIGNED&quot; and isNormalRole()]/player[isNormalEntity() and classCode=&quot;PSN&quot; and determinerCode=&quot;INST&quot;] or ./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=&quot;RESP&quot; and isNormalParticipation]/role[classCode=&quot;ASSIGNED&quot; and isNormalRole()]/scoper[isNormalEntity() and classCode=&quot;ORG&quot; and determinerCode=&quot;INST&quot;])" />
 </mapping>
 </element>
 <element id="MessageHeader.reason">
 <path value="MessageHeader.reason" />
 <short value="Cause of event" />
 <definition value="Coded indication of the cause for the event - indicates a reason for the occurrence of the event that is a focus of this message." />
 <requirements value="Need to be able to track why resources are being changed and report in the audit log/history of the resource. May affect authorization." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.reason" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="CodeableConcept" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <binding>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
 <valueString value="EventReason" />
 </extension>
 <strength value="example" />
 <description value="Reason for event occurrence." />
 <valueSet value="http://hl7.org/fhir/ValueSet/message-reason-encounter" />
 </binding>
 <mapping>
 <identity value="w5" />
 <map value="FiveWs.why[x]" />
 </mapping>
 <mapping>
 <identity value="v2" />
 <map value="EVN.4 / ORC.16 / OBR-31-reason for study / BPO-13-BP indication for use / RXO-20-indication / RXE-27-give indication / RXD-21-indication / RXG-22-indication / RXA-19-indication" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="unique(./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/reasonCode[isNormalDatatype()])" />
 </mapping>
 </element>
 <element id="MessageHeader.response">
 <path value="MessageHeader.response" />
 <short value="If this is a reply to prior message" />
 <definition value="Information about the message that this message is a response to. Only present if this message is a response." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.response" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="BackboneElement" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSA" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./conveyedAcknowledgement" />
 </mapping>
 </element>
 <element id="MessageHeader.response.id">
 <path value="MessageHeader.response.id" />
 <representation value="xmlAttr" />
 <short value="Unique id for inter-element referencing" />
 <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="Element.id" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
 <valueUrl value="string" />
 </extension>
 <code value="http://hl7.org/fhirpath/System.String" />
 </type>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.response.extension">
 <path value="MessageHeader.response.extension" />
 <short value="Additional content defined by implementations" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <alias value="extensions" />
 <alias value="user content" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="Element.extension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="false" />
 <mapping>
 <identity value="rim" />
 <map value="n/a" />
 </mapping>
 </element>
 <element id="MessageHeader.response.modifierExtension">
 <path value="MessageHeader.response.modifierExtension" />
 <short value="Extensions that cannot be ignored even if unrecognized" />
 <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
 <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
 <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
 <alias value="extensions" />
 <alias value="user content" />
 <alias value="modifiers" />
 <min value="0" />
 <max value="*" />
 <base>
 <path value="BackboneElement.modifierExtension" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Extension" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <constraint>
 <key value="ext-1" />
 <severity value="error" />
 <human value="Must have either extensions or value[x], not both" />
 <expression value="extension.exists() != value.exists()" />
 <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
 <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
 </constraint>
 <isModifier value="true" />
 <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="N/A" />
 </mapping>
 </element>
 <element id="MessageHeader.response.identifier">
 <path value="MessageHeader.response.identifier" />
 <short value="Id of original message" />
 <definition value="The MessageHeader.id of the message to which this message is a response." />
 <requirements value="Allows receiver to know what message is being responded to." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.response.identifier" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="id" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="MSA-2" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./acknowledges.id[isNormalDatatype()]" />
 </mapping>
 </element>
 <element id="MessageHeader.response.code">
 <path value="MessageHeader.response.code" />
 <short value="ok | transient-error | fatal-error" />
 <definition value="Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not." />
 <comment value="This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus." />
 <requirements value="Allows the sender of the acknowledge message to know if the request was successful or if action is needed." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.response.code" />
 <min value="1" />
 <max value="1" />
 </base>
 <type>
 <code value="code" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <binding>
 <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
 <valueString value="ResponseType" />
 </extension>
 <strength value="required" />
 <description value="The kind of response to a message." />
 <valueSet value="http://hl7.org/fhir/ValueSet/response-code|4.0.1" />
 </binding>
 <mapping>
 <identity value="v2" />
 <map value="MSA-1" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="./typeCode[isNormalDatatype()]" />
 </mapping>
 </element>
 <element id="MessageHeader.response.details">
 <path value="MessageHeader.response.details" />
 <short value="Specific list of hints/warnings/errors" />
 <definition value="Full details of any issues found in the message." />
 <comment value="This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error." />
 <requirements value="Allows the sender of the message to determine what the specific issues are." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.response.details" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationOutcome" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="v2" />
 <map value="ERR" />
 </mapping>
 <mapping>
 <identity value="rim" />
 <map value="AcknowledgementDetail or Observation[classCode=&quot;ALRT&quot; and moodCode=&quot;EVN&quot;]" />
 </mapping>
 </element>
 <element id="MessageHeader.focus">
 <path value="MessageHeader.focus" />
 <short value="The actual content of the message" />
 <definition value="The actual data of the message - a reference to the root/focus class of the event." />
 <comment value="The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message. Only the root resource is specified. The resources it references should be contained in the bundle but are not also listed here. Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets." />
 <requirements value="Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources." />
 <min value="1" />
 <max value="1" />
 <base>
 <path value="MessageHeader.focus" />
 <min value="0" />
 <max value="*" />
 </base>
 <type>
 <code value="Reference" />
 <targetProfile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-careCommunication-communication" />
 <aggregation value="bundled" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <mustSupport value="true" />
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="unique(./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/participation[typeCode=&quot;SUBJ&quot; and isNormalParticipation]/role or ./controlAct[classCode=&quot;CACT&quot; and classCode=&quot;EVN&quot; and isNormalAct()]/outboundRelationship[typeCode=&quot;SBJ&quot; and isNormalActRelatoinship]/target)" />
 </mapping>
 </element>
 <element id="MessageHeader.definition">
 <path value="MessageHeader.definition" />
 <short value="Link to the definition for this message" />
 <definition value="Permanent link to the MessageDefinition for this message." />
 <requirements value="Allows sender to define the expected contents of the message." />
 <min value="0" />
 <max value="1" />
 <base>
 <path value="MessageHeader.definition" />
 <min value="0" />
 <max value="1" />
 </base>
 <type>
 <code value="canonical" />
 <targetProfile value="http://hl7.org/fhir/StructureDefinition/MessageDefinition" />
 </type>
 <constraint>
 <key value="ele-1" />
 <severity value="error" />
 <human value="All FHIR elements must have a @value or children" />
 <expression value="hasValue() or (children().count() &gt; id.count())" />
 <xpath value="@value|f:*|h:div" />
 <source value="http://hl7.org/fhir/StructureDefinition/Element" />
 </constraint>
 <isModifier value="false" />
 <isSummary value="true" />
 <mapping>
 <identity value="rim" />
 <map value="Not directly supported." />
 </mapping>
 </element>
 </snapshot>
 <differential>
 <element id="MessageHeader">
 <path value="MessageHeader" />
 </element>
 <element id="MessageHeader.eventCoding">
 <path value="MessageHeader.eventCoding" />
 <patternCoding>
 <system value="http://medcom.dk/fhir/medcom-core/CodeSystem/medcom-messaging-eventCodes" />
 <code value="care-communication-message" />
 </patternCoding>
 </element>
 <element id="MessageHeader.focus">
 <path value="MessageHeader.focus" />
 <min value="1" />
 <max value="1" />
 <type>
 <code value="Reference" />
 <targetProfile value="http://medcom.dk/fhir/medcom-core/StructureDefinition/medcom-careCommunication-communication" />
 <aggregation value="bundled" />
 </type>
 <mustSupport value="true" />
 </element>
 </differential>
</StructureDefinition>

name : MedComCareCommunicationMessageHeader

{

}