Message Header

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.

The MessageHeader resource is defined in order to support Messaging using FHIR resources. The principle usage of the MessageHeader resource is when messages are exchanged. However, as a resource that can be used with the RESTful framework, the MessageHeader resource has the normal resource end-point ([base-url]/MessageHeader), which is used to manage a set of static messages resources. This could be used to make an archive of past messages available. Creating or updating Message resources in this fashion does not represent the actual occurrence of any event, nor can it trigger any logic associated with the actual event. It is just for managing a set of message resources.

Message header profile has minor modifications from standard to have the event custom defined valueset binding and at the same time endpoint field will have environment actual endpoint for uudev,uutest etc..


Overview

The below overview shows the elements of the resource, data type and the cardinality of each. Further details like "Binding"/"Fixed values"/"contraints" etc can be found on clicking on each element.

Canonical URL - http://roche.com/fhir/rdc/StructureDefinition/patient-v2

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textI0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
systemΣ0..1uri
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
nameΣ0..1string
targetΣ I0..1Reference(Device)
endpointΣ1..1uri
receiverΣ I0..1Reference(Practitioner | Organization)
senderΣ I0..1Reference(Practitioner | Organization)
timestampΣ1..1instant
entererΣ I0..1Reference(Practitioner)
authorΣ I0..1Reference(Practitioner)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
nameΣ0..1string
softwareΣ0..1string
versionΣ0..1string
contactΣ I0..1ContactPoint
endpointΣ1..1uri
responsibleΣ I0..1Reference(Practitioner | Organization)
reasonΣ0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
identifierΣ1..1id
codeΣ1..1codeBinding
detailsΣ I0..1Reference(OperationOutcome)
focusΣ I0..*Reference(Resource)

Details

MessageHeader
DefinitionThe 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.
Cardinality0...*
Invariants
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    contained.text.empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    contained.where(('#'+id in %resource.descendants().reference).not()).empty()
Mappings
  • rim: Entity. Role, or Act
  • v2: MSH / MSA / ERR
  • rim: Message
  • w5: infrastructure.exchange
MessageHeader.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
Typeid
SummaryTrue
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
Comments

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.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
Binding
A human language.
Common Languages (extensible)
Comments

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).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.text
DefinitionA human-readable narrative that contains a summary of the resource, and may 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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, html, xhtml, display
Comments

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 "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
MessageHeader.contained
DefinitionThese 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.
Cardinality0...*
TypeResource
Aliasinline resources, anonymous resources, contained resources
Comments

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.

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
MessageHeader.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. In order 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.modifierExtension
DefinitionMay 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. Usually modifier elements provide negation or qualification. In order 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.
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.event
DefinitionCode 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 "http://hl7.org/fhir/message-events".
Cardinality1...1
TypeCoding
Binding
One of the message events defined as part of FHIR.
messageHeaderEvents (required)
SummaryTrue
Requirements

Drives the behavior associated with this message.

Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
  • v2: MSH-9.2
  • rim: ./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code
  • w5: what
MessageHeader.event.id
Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.event.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.event.system
DefinitionThe identification of the code system that defines the meaning of the symbol in the code.
Cardinality0...1
Typeuri
SummaryTrue
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
  • ACSPIX2FHIR: http://roche.com/fhir/rdc/message-type
  • GREENDOT: http://roche.com/fhir/rdc/message-type
MessageHeader.event.version
DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality0...1
Typestring
SummaryTrue
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MessageHeader.event.code
DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality0...1
Typecode
SummaryTrue
Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
  • ACSPIX2FHIR: new-bundle
  • GREENDOT: new-bundle
MessageHeader.event.display
DefinitionA representation of the meaning of the code in the system, following the rules of the system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
  • ACSPIX2FHIR: New bundle generated
  • GREENDOT: New bundle generated
MessageHeader.event.userSelected
DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).
Cardinality0...1
Typeboolean
SummaryTrue
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MessageHeader.destination
DefinitionThe destination application which the message is intended for.
Cardinality0...*
TypeBackboneElement
SummaryTrue
Requirements

Indicates where message is to be sent for routing purposes. Allows verification of "am I the intended recipient".

Comments

There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ./communicationFunction[typeCode="RCV"]
  • w5: who.focus
MessageHeader.destination.id
Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.destination.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.destination.modifierExtension
DefinitionMay 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.destination.name
DefinitionHuman-readable name for the target system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

May be used for routing of response and/or to support audit.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-5
  • rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]/name[type='ST' and isNormalDatatype()])
MessageHeader.destination.target
DefinitionIdentifies the target end system in situations where the initial message transmission is to an intermediary system.
Cardinality0...1
TypeReference(Device)
SummaryTrue
Requirements

Supports multi-hop routing.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]
MessageHeader.destination.endpoint
DefinitionIndicates where the message should be routed to.
Cardinality1...1
Typeuri
SummaryTrue
Requirements

Identifies where to route the message.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-25 (or MSH-6)
  • rim: ./telecom
MessageHeader.receiver
DefinitionAllows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.
Cardinality0...1
TypeReference(Practitioner | Organization)
SummaryTrue
Requirements

Allows routing beyond just the application level.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
  • rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
  • w5: who.focus
MessageHeader.sender
DefinitionIdentifies the sending system to allow the use of a trust relationship.
Cardinality0...1
TypeReference(Practitioner | Organization)
SummaryTrue
Requirements

Allows routing beyond just the application level.

Comments

Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
  • rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
  • w5: who.focus
MessageHeader.timestamp
DefinitionThe time that the message was sent.
Cardinality1...1
Typeinstant
SummaryTrue
Requirements

Allows limited detection of out-of-order and delayed transmission. Also supports audit.

Comments

Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-7
  • rim: ./creationTime[isNormalDatatype()]
  • w5: when.init
  • ACSPIX2FHIR: CurrentDateTime
  • GREENDOT: CurrentDateTime
MessageHeader.enterer
DefinitionThe 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.
Cardinality0...1
TypeReference(Practitioner)
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request, but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="ENT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])
  • w5: who.author
MessageHeader.author
DefinitionThe 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.
Cardinality0...1
TypeReference(Practitioner)
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request, but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="AUT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])
  • w5: who.author
MessageHeader.source
DefinitionThe source application from which this message originated.
Cardinality1...1
TypeBackboneElement
SummaryTrue
Requirements

Allows replies, supports audit.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: unique(./communicationFunction[typeCode="SND"])
  • w5: who.actor
MessageHeader.source.id
Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.source.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.source.modifierExtension
DefinitionMay 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.source.name
DefinitionHuman-readable name for the source system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

May be used to support audit.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-3
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])
  • ACSPIX2FHIR: metadata.source
  • GREENDOT: GreenDot
MessageHeader.source.software
DefinitionMay include configuration or other information useful in debugging.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Supports audit and possibly interface engine behavior.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: SFT-3 ( +SFT-1)
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])
  • ACSPIX2FHIR: metadata.software
  • GREENDOT: GreenDot
MessageHeader.source.version
DefinitionCan convey versions of multiple systems in situations where a message passes through multiple hands.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Supports audit and possibly interface engine behavior.

Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: SFT-2
  • rim: (Not supported)
  • ACSPIX2FHIR: metadata.version
  • GREENDOT: metadata.version
MessageHeader.source.contact
DefinitionAn e-mail, phone, website or other contact point to use to resolve issues with message communications.
Cardinality0...1
TypeContactPoint
SummaryTrue
Requirements

Allows escalation of technical issues.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • cpt-2: A system is required if a value is provided.
    value.empty() or system.exists()
Mappings
  • rim: n/a
  • v2: XTN
  • rim: TEL
  • servd: ContactPoint
  • v2: (MSH-22?)
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/scopesRole[normalRole() and classCode="CON" and layer[classCode="PSN"]/telecom[isNormalDatatype()])
MessageHeader.source.endpoint
DefinitionActual endpoint: "https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message"
Cardinality1...1
Typeuri
SummaryTrue
Requirements

Identifies where to send responses, may influence security permissions.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-24
  • rim: ./telecom[isNormalDatatype()]
  • ACSPIX2FHIR: https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message
  • GREENDOT: https://uuxxx-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message
MessageHeader.responsible
DefinitionThe 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.
Cardinality0...1
TypeReference(Practitioner | Organization)
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request, but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: ORC-12 / PRT-5:PRT-4='OP' / PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode="PSN" and determinerCode="INST"] or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/scoper[isNormalEntity() and classCode="ORG" and determinerCode="INST"])
  • w5: who.witness
MessageHeader.reason
DefinitionCoded indication of the cause for the event - indicates a reason for the occurrence of the event that is a focus of this message.
Cardinality0...1
TypeCodeableConcept
Binding
Reason for event occurrence
Example Message Reason Codes (example)
SummaryTrue
Requirements

Need to be able to track why resources are being changed and report in the audit log/history of the resource. May affect authorization.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: 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
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/reasonCode[isNormalDatatype()])
  • w5: why
MessageHeader.response
DefinitionInformation about the message that this message is a response to. Only present if this message is a response.
Cardinality0...1
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA
  • rim: ./conveyedAcknowledgement
MessageHeader.response.id
Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
MessageHeader.response.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.response.modifierExtension
DefinitionMay 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
MessageHeader.response.identifier
DefinitionThe MessageHeader.id of the message to which this message is a response.
Cardinality1...1
Typeid
SummaryTrue
Requirements

Allows receiver to know what message is being responded to.

Comments

RFC 4122

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA-2
  • rim: ./acknowledges.id[isNormalDatatype()]
MessageHeader.response.code
DefinitionCode that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.
Cardinality1...1
Typecode
Binding
The kind of response to a message
ResponseType (required)
SummaryTrue
Requirements

Allows the sender of the acknowledge message to know if the request was successful or if action is needed.

Comments

This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA-1
  • rim: ./typeCode[isNormalDatatype()]
MessageHeader.response.details
DefinitionFull details of any issues found in the message.
Cardinality0...1
TypeReference(OperationOutcome)
SummaryTrue
Requirements

Allows the sender of the message to determine what the specific issues are.

Comments

This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: ERR
  • rim: AcknowledgementDetail or Observation[classCode="ALRT" and moodCode="EVN"]
MessageHeader.focus
DefinitionThe actual data of the message - a reference to the root/focus class of the event.
Cardinality0...*
TypeReference(Resource)
SummaryTrue
Requirements

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.

Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="SUBJ" and isNormalParticipation]/role or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/outboundRelationship[typeCode="SBJ" and isNormalActRelatoinship]/target)

Table

MessageHeader0..*
MessageHeader.idid0..1
MessageHeader.metaMeta0..1
MessageHeader.implicitRulesuri0..1
MessageHeader.languagecode0..1
MessageHeader.textNarrative0..1
MessageHeader.containedResource0..*
MessageHeader.extensionExtension0..*
MessageHeader.modifierExtensionExtension0..*
MessageHeader.eventCoding1..1
MessageHeader.event.idstring0..1
MessageHeader.event.extensionExtension0..*
MessageHeader.event.systemuri0..1
MessageHeader.event.versionstring0..1
MessageHeader.event.codecode0..1
MessageHeader.event.displaystring0..1
MessageHeader.event.userSelectedboolean0..1
MessageHeader.destinationBackboneElement0..*
MessageHeader.destination.idstring0..1
MessageHeader.destination.extensionExtension0..*
MessageHeader.destination.modifierExtensionExtension0..*
MessageHeader.destination.namestring0..1
MessageHeader.destination.targetReference(Device)0..1
MessageHeader.destination.endpointuri1..1
MessageHeader.receiverReference(Practitioner | Organization)0..1
MessageHeader.senderReference(Practitioner | Organization)0..1
MessageHeader.timestampinstant1..1
MessageHeader.entererReference(Practitioner)0..1
MessageHeader.authorReference(Practitioner)0..1
MessageHeader.sourceBackboneElement1..1
MessageHeader.source.idstring0..1
MessageHeader.source.extensionExtension0..*
MessageHeader.source.modifierExtensionExtension0..*
MessageHeader.source.namestring0..1
MessageHeader.source.softwarestring0..1
MessageHeader.source.versionstring0..1
MessageHeader.source.contactContactPoint0..1
MessageHeader.source.endpointuri1..1
MessageHeader.responsibleReference(Practitioner | Organization)0..1
MessageHeader.reasonCodeableConcept0..1
MessageHeader.responseBackboneElement0..1
MessageHeader.response.idstring0..1
MessageHeader.response.extensionExtension0..*
MessageHeader.response.modifierExtensionExtension0..*
MessageHeader.response.identifierid1..1
MessageHeader.response.codecode1..1
MessageHeader.response.detailsReference(OperationOutcome)0..1
MessageHeader.focusReference(Resource)0..*

XML

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="3b18738a-e494-43cb-8201-05e0b583c47f" />
    <meta>
        <versionId value="13" />
        <lastUpdated value="2019-03-29T10:38:14.5791422+00:00" />
    </meta>
    <url value="http://roche.com/fhir/rdc/StructureDefinition/message-header" />
    <version value="1" />
    <name value="message-header" />
    <status value="active" />
    <date value="2019-03-28T13:30:55.9600711Z" />
    <fhirVersion value="3.0.1" />
    <mapping>
        <identity value="ACSPIX2FHIR" />
        <name value="ACSPIX" />
    </mapping>
    <mapping>
        <identity value="GREENDOT" />
        <name value="Greendot" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="MessageHeader" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/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="Resource" />
                <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)" />
            </constraint>
            <constraint>
                <key value="dom-1" />
                <severity value="error" />
                <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
                <expression value="contained.text.empty()" />
                <xpath value="not(parent::f:contained and f:text)" />
            </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))" />
            </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" />
                <expression value="contained.where((&#39;#&#39;+id in %resource.descendants().reference).not()).empty()" />
                <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $id))]))" />
            </constraint>
            <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>
            <mapping>
                <identity value="w5" />
                <map value="infrastructure.exchange" />
            </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>
                <code value="id" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </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 may 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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </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." />
            <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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Resource.implicitRules" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="uri" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isModifier value="true" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
                    <valueReference>
                        <reference value="http://hl7.org/fhir/ValueSet/all-languages" />
                    </valueReference>
                </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="extensible" />
                <description value="A human language." />
                <valueSetReference>
                    <reference value="http://hl7.org/fhir/ValueSet/languages" />
                </valueSetReference>
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </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 may 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 in formation 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>
            <condition value="ele-1" />
            <condition value="dom-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
            <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." />
            <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>
            <mapping>
                <identity value="rim" />
                <map value="Entity. Role, or Act" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="MessageHeader.extension">
            <path value="MessageHeader.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 resource. In order 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." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="MessageHeader.modifierExtension">
            <path value="MessageHeader.modifierExtension" />
            <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="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. Usually modifier elements provide negation or qualification. In order 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." />
            <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.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <isModifier value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="MessageHeader.event">
            <path value="MessageHeader.event" />
            <short value="Code for the event this message represents" />
            <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://hl7.org/fhir/message-events&quot;." />
            <comment value="Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information." />
            <requirements value="Drives the behavior associated with this message." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="MessageHeader.event" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="Coding" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <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="required" />
                <description value="One of the message events defined as part of FHIR." />
                <valueSetReference>
                    <reference value="http://roche.com/fhir/rdc/ValueSet/messageHeaderEvents" />
                </valueSetReference>
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="CV" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
            </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>
            <mapping>
                <identity value="w5" />
                <map value="what" />
            </mapping>
        </element>
        <element id="MessageHeader.event.id">
            <path value="MessageHeader.event.id" />
            <representation value="xmlAttr" />
            <short value="xml:id (or equivalent in JSON)" />
            <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="MessageHeader.event.extension">
            <path value="MessageHeader.event.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. In order 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." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="MessageHeader.event.system">
            <path value="MessageHeader.event.system" />
            <short value="Identity of the terminology system" />
            <definition value="The identification of the code system that defines the meaning of the symbol in the code." />
            <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7&#39;s list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." />
            <requirements value="Need to be unambiguous about the source of the definition of the symbol." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Coding.system" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="uri" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="C*E.3" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./codeSystem" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="http://roche.com/fhir/rdc/message-type" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="http://roche.com/fhir/rdc/message-type" />
            </mapping>
        </element>
        <element id="MessageHeader.event.version">
            <path value="MessageHeader.event.version" />
            <short value="Version of the system - if relevant" />
            <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
            <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Coding.version" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="C*E.7" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./codeSystemVersion" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
            </mapping>
        </element>
        <element id="MessageHeader.event.code">
            <path value="MessageHeader.event.code" />
            <short value="Symbol in syntax defined by the system" />
            <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <requirements value="Need to refer to a particular code in the system." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Coding.code" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="code" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="C*E.1" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./code" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="new-bundle" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="new-bundle" />
            </mapping>
        </element>
        <element id="MessageHeader.event.display">
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
                <valueBoolean value="true" />
            </extension>
            <path value="MessageHeader.event.display" />
            <short value="Representation defined by the system" />
            <definition value="A representation of the meaning of the code in the system, following the rules of the system." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Coding.display" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="C*E.2 - but note this is not well followed" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="CV.displayName" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="New bundle generated" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="New bundle generated" />
            </mapping>
        </element>
        <element id="MessageHeader.event.userSelected">
            <path value="MessageHeader.event.userSelected" />
            <short value="If this coding was chosen directly by the user" />
            <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." />
            <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly &#39;directly chosen&#39; implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
            <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Coding.userSelected" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="boolean" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="Sometimes implied by being first" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="CD.codingRationale" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]" />
            </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" />
            <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="0" />
            <max value="*" />
            <base>
                <path value="MessageHeader.destination" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="BackboneElement" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./communicationFunction[typeCode=&quot;RCV&quot;]" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="who.focus" />
            </mapping>
        </element>
        <element id="MessageHeader.destination.id">
            <path value="MessageHeader.destination.id" />
            <representation value="xmlAttr" />
            <short value="xml:id (or equivalent in JSON)" />
            <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <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>
                <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. In order 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." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="MessageHeader.destination.modifierExtension">
            <path value="MessageHeader.destination.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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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." />
            <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" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <isModifier value="true" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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=&#39;ST&#39; 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." />
            <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <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="uri" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="MSH-25 (or MSH-6)" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./telecom" />
            </mapping>
        </element>
        <element id="MessageHeader.receiver">
            <path value="MessageHeader.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&#39;t sufficient." />
            <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
            <requirements value="Allows routing beyond just the application level." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="MessageHeader.receiver" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="PRT-5:PRT-4=&#39;WAYR&#39; / PRT-8:PRT-4=&#39;WAYR&#39;" />
            </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="who.focus" />
            </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="0" />
            <max value="1" />
            <base>
                <path value="MessageHeader.sender" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="PRT-5:PRT-4=&#39;WAYR&#39; / PRT-8:PRT-4=&#39;WAYR&#39;" />
            </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="who.focus" />
            </mapping>
        </element>
        <element id="MessageHeader.timestamp">
            <path value="MessageHeader.timestamp" />
            <short value="Time that the message was sent" />
            <definition value="The time that the message was sent." />
            <comment value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required" />
            <requirements value="Allows limited detection of out-of-order and delayed transmission.  Also supports audit." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="MessageHeader.timestamp" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="instant" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="MSH-7" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./creationTime[isNormalDatatype()]" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="when.init" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="CurrentDateTime" />
                <comment value="2019-02-06T08:33:14.891Z" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="CurrentDateTime" />
                <comment value="2018-09-03T12:11:07.577Z" />
            </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" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="EVN-5 / ORC-10 / PRT-5:PRT-4=&#39;EP&#39; / 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>
            <mapping>
                <identity value="w5" />
                <map value="who.author" />
            </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" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="ORC-19 / PRT-5:PRT-4=&#39;AUT&#39; / 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>
            <mapping>
                <identity value="w5" />
                <map value="who.author" />
            </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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="unique(./communicationFunction[typeCode=&quot;SND&quot;])" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="who.actor" />
            </mapping>
        </element>
        <element id="MessageHeader.source.id">
            <path value="MessageHeader.source.id" />
            <representation value="xmlAttr" />
            <short value="xml:id (or equivalent in JSON)" />
            <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="MessageHeader.source.extension">
            <path value="MessageHeader.source.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. In order 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." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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" />
            <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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
            <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" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <isModifier value="true" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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=&#39;ST&#39; and isNormalDatatype()])" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.source" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="GreenDot" />
            </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." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.software" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="GreenDot" />
            </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." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="SFT-2" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="(Not supported)" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.version" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="metadata.version" />
                <comment value="&lt;inform with App version&gt;" />
            </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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="cpt-2" />
                <severity value="error" />
                <human value="A system is required if a value is provided." />
                <expression value="value.empty() or system.exists()" />
                <xpath value="not(exists(f:value)) or exists(f:system)" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="XTN" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="TEL" />
            </mapping>
            <mapping>
                <identity value="servd" />
                <map value="ContactPoint" />
            </mapping>
            <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="Actual endpoint: &quot;https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message&quot;" />
            <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="uri" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="MSH-24" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="./telecom[isNormalDatatype()]" />
            </mapping>
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="https://uuxxx-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message" />
                <comment value="where xxx is dev,test,qa,prod" />
            </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" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="ORC-12 /  PRT-5:PRT-4=&#39;OP&#39; /  PRT-8:PRT-4=&#39;OP&#39; / 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>
            <mapping>
                <identity value="w5" />
                <map value="who.witness" />
            </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." />
            <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <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" />
                <valueSetReference>
                    <reference value="http://hl7.org/fhir/ValueSet/message-reason-encounter" />
                </valueSetReference>
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="CE/CNE/CWE" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="CD" />
            </mapping>
            <mapping>
                <identity value="orim" />
                <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
            </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>
            <mapping>
                <identity value="w5" />
                <map value="why" />
            </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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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="xml:id (or equivalent in JSON)" />
            <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="MessageHeader.response.extension">
            <path value="MessageHeader.response.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. In order 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." />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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" />
            <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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
            <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" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </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(.), &#39;value&#39;)])" />
            </constraint>
            <isModifier value="true" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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." />
            <comment value="RFC 4122" />
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <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" />
                <valueSetReference>
                    <reference value="http://hl7.org/fhir/ValueSet/response-code" />
                </valueSetReference>
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <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>
            <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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <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="0" />
            <max value="*" />
            <base>
                <path value="MessageHeader.focus" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
            </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() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ref-1" />
                <severity value="error" />
                <human value="SHALL have a contained resource if a local reference is provided" />
                <expression value="reference.startsWith(&#39;#&#39;).not() or (reference.substring(1).trace(&#39;url&#39;) in %resource.contained.id.trace(&#39;ids&#39;))" />
                <xpath value="not(starts-with(f:reference/@value, &#39;#&#39;)) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, &#39;#&#39;)])" />
            </constraint>
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
            </mapping>
            <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>
    </snapshot>
    <differential>
        <element id="MessageHeader.event">
            <path value="MessageHeader.event" />
            <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="required" />
                <valueSetReference>
                    <reference value="http://roche.com/fhir/rdc/ValueSet/messageHeaderEvents" />
                </valueSetReference>
            </binding>
        </element>
        <element id="MessageHeader.event.system">
            <path value="MessageHeader.event.system" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="http://roche.com/fhir/rdc/message-type" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="http://roche.com/fhir/rdc/message-type" />
            </mapping>
        </element>
        <element id="MessageHeader.event.code">
            <path value="MessageHeader.event.code" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="new-bundle" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="new-bundle" />
            </mapping>
        </element>
        <element id="MessageHeader.event.display">
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
                <valueBoolean value="true" />
            </extension>
            <path value="MessageHeader.event.display" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="New bundle generated" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="New bundle generated" />
            </mapping>
        </element>
        <element id="MessageHeader.timestamp">
            <path value="MessageHeader.timestamp" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="CurrentDateTime" />
                <comment value="2019-02-06T08:33:14.891Z" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="CurrentDateTime" />
                <comment value="2018-09-03T12:11:07.577Z" />
            </mapping>
        </element>
        <element id="MessageHeader.source.name">
            <path value="MessageHeader.source.name" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.source" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="GreenDot" />
            </mapping>
        </element>
        <element id="MessageHeader.source.software">
            <path value="MessageHeader.source.software" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.software" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="GreenDot" />
            </mapping>
        </element>
        <element id="MessageHeader.source.version">
            <path value="MessageHeader.source.version" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="metadata.version" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="metadata.version" />
                <comment value="&lt;inform with App version&gt;" />
            </mapping>
        </element>
        <element id="MessageHeader.source.endpoint">
            <path value="MessageHeader.source.endpoint" />
            <definition value="Actual endpoint: &quot;https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message&quot;" />
            <mapping>
                <identity value="ACSPIX2FHIR" />
                <map value="https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message" />
            </mapping>
            <mapping>
                <identity value="GREENDOT" />
                <map value="https://uuxxx-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message" />
                <comment value="where xxx is dev,test,qa,prod" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

JSON

{
    "resourceType": "StructureDefinition",
    "id": "3b18738a-e494-43cb-8201-05e0b583c47f",
    "meta": {
        "versionId": "13",
        "lastUpdated": "2019-03-29T10:38:14.5791422+00:00"
    },
    "url": "http://roche.com/fhir/rdc/StructureDefinition/message-header",
    "version": "1",
    "name": "message-header",
    "status": "active",
    "date": "2019-03-28T13:30:55.9600711Z",
    "fhirVersion": "3.0.1",
    "mapping":  [
        {
            "identity": "ACSPIX2FHIR",
            "name": "ACSPIX"
        },
        {
            "identity": "GREENDOT",
            "name": "Greendot"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "MessageHeader",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MessageHeader",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "MessageHeader",
                "path": "MessageHeader",
                "short": "A resource that describes a message that is exchanged between systems",
                "definition": "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": 0,
                "max": "*",
                "base": {
                    "path": "Resource",
                    "min": 0,
                    "max": "*"
                },
                "constraint":  [
                    {
                        "key": "dom-2",
                        "severity": "error",
                        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                        "expression": "contained.contained.empty()",
                        "xpath": "not(parent::f:contained and f:contained)"
                    },
                    {
                        "key": "dom-1",
                        "severity": "error",
                        "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
                        "expression": "contained.text.empty()",
                        "xpath": "not(parent::f:contained and f:text)"
                    },
                    {
                        "key": "dom-4",
                        "severity": "error",
                        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
                        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
                        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
                    },
                    {
                        "key": "dom-3",
                        "severity": "error",
                        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
                        "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
                        "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Entity. Role, or Act"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH / MSA / ERR"
                    },
                    {
                        "identity": "rim",
                        "map": "Message"
                    },
                    {
                        "identity": "w5",
                        "map": "infrastructure.exchange"
                    }
                ]
            },
            {
                "id": "MessageHeader.id",
                "path": "MessageHeader.id",
                "short": "Logical id of this artifact",
                "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
                "comment": "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": 0,
                "max": "1",
                "base": {
                    "path": "Resource.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "id"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.meta",
                "path": "MessageHeader.meta",
                "short": "Metadata about the resource",
                "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.meta",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Meta"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.implicitRules",
                "path": "MessageHeader.implicitRules",
                "short": "A set of rules under which this content was created",
                "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
                "comment": "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.implicitRules",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isModifier": true,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.language",
                "path": "MessageHeader.language",
                "short": "Language of the resource content",
                "definition": "The base language in which the resource is written.",
                "comment": "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": 0,
                "max": "1",
                "base": {
                    "path": "Resource.language",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                            "valueReference": {
                                "reference": "http://hl7.org/fhir/ValueSet/all-languages"
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Language"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
                            "valueBoolean": true
                        }
                    ],
                    "strength": "extensible",
                    "description": "A human language.",
                    "valueSetReference": {
                        "reference": "http://hl7.org/fhir/ValueSet/languages"
                    }
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.text",
                "path": "MessageHeader.text",
                "short": "Text summary of the resource, for human interpretation",
                "definition": "A human-readable narrative that contains a summary of the resource, and may 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 \"clinically safe\" 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": "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 \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
                "alias":  [
                    "narrative",
                    "html",
                    "xhtml",
                    "display"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "DomainResource.text",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Narrative"
                    }
                ],
                "condition":  [
                    "ele-1",
                    "dom-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    },
                    {
                        "identity": "rim",
                        "map": "Act.text?"
                    }
                ]
            },
            {
                "id": "MessageHeader.contained",
                "path": "MessageHeader.contained",
                "short": "Contained, inline Resources",
                "definition": "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": "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.",
                "alias":  [
                    "inline resources",
                    "anonymous resources",
                    "contained resources"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.contained",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Resource"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Entity. Role, or Act"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.extension",
                "path": "MessageHeader.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.modifierExtension",
                "path": "MessageHeader.modifierExtension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extensions that cannot be ignored",
                "definition": "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. Usually modifier elements provide negation or qualification. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "isModifier": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.event",
                "path": "MessageHeader.event",
                "short": "Code for the event this message represents",
                "definition": "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 \"http://hl7.org/fhir/message-events\".",
                "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
                "requirements": "Drives the behavior associated with this message.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.event",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "MessageEvent"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
                            "valueBoolean": true
                        }
                    ],
                    "strength": "required",
                    "description": "One of the message events defined as part of FHIR.",
                    "valueSetReference": {
                        "reference": "http://roche.com/fhir/rdc/ValueSet/messageHeaderEvents"
                    }
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
                    },
                    {
                        "identity": "rim",
                        "map": "CV"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-9.2"
                    },
                    {
                        "identity": "rim",
                        "map": "./payload[classCode=\"CACT\" and moodCode=\"EVN\" and isNormalAct()]/code[isNormalDatatype()]/code"
                    },
                    {
                        "identity": "w5",
                        "map": "what"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.id",
                "path": "MessageHeader.event.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "xml:id (or equivalent in JSON)",
                "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.extension",
                "path": "MessageHeader.event.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.system",
                "path": "MessageHeader.event.system",
                "short": "Identity of the terminology system",
                "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
                "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
                "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Coding.system",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "C*E.3"
                    },
                    {
                        "identity": "rim",
                        "map": "./codeSystem"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "http://roche.com/fhir/rdc/message-type"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "http://roche.com/fhir/rdc/message-type"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.version",
                "path": "MessageHeader.event.version",
                "short": "Version of the system - if relevant",
                "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
                "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Coding.version",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "C*E.7"
                    },
                    {
                        "identity": "rim",
                        "map": "./codeSystemVersion"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.code",
                "path": "MessageHeader.event.code",
                "short": "Symbol in syntax defined by the system",
                "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "Need to refer to a particular code in the system.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Coding.code",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "C*E.1"
                    },
                    {
                        "identity": "rim",
                        "map": "./code"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "new-bundle"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "new-bundle"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.display",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                        "valueBoolean": true
                    }
                ],
                "path": "MessageHeader.event.display",
                "short": "Representation defined by the system",
                "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Coding.display",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "C*E.2 - but note this is not well followed"
                    },
                    {
                        "identity": "rim",
                        "map": "CV.displayName"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "New bundle generated"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "New bundle generated"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.userSelected",
                "path": "MessageHeader.event.userSelected",
                "short": "If this coding was chosen directly by the user",
                "definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
                "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
                "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Coding.userSelected",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "Sometimes implied by being first"
                    },
                    {
                        "identity": "rim",
                        "map": "CD.codingRationale"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
                        "valueString": "MessageDestination"
                    }
                ],
                "path": "MessageHeader.destination",
                "short": "Message destination application(s)",
                "definition": "The destination application which the message is intended for.",
                "comment": "There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.",
                "requirements": "Indicates where message is to be sent for routing purposes.  Allows verification of \"am I the intended recipient\".",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "MessageHeader.destination",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "./communicationFunction[typeCode=\"RCV\"]"
                    },
                    {
                        "identity": "w5",
                        "map": "who.focus"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.id",
                "path": "MessageHeader.destination.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "xml:id (or equivalent in JSON)",
                "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.extension",
                "path": "MessageHeader.destination.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.modifierExtension",
                "path": "MessageHeader.destination.modifierExtension",
                "short": "Extensions that cannot be ignored",
                "definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "isModifier": true,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.name",
                "path": "MessageHeader.destination.name",
                "short": "Name of system",
                "definition": "Human-readable name for the target system.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "May be used for routing of response and/or to support audit.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.destination.name",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-5"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]/name[type='ST' and isNormalDatatype()])"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.target",
                "path": "MessageHeader.destination.target",
                "short": "Particular delivery destination within the destination",
                "definition": "Identifies the target end system in situations where the initial message transmission is to an intermediary system.",
                "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
                "requirements": "Supports multi-hop routing.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.destination.target",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]"
                    }
                ]
            },
            {
                "id": "MessageHeader.destination.endpoint",
                "path": "MessageHeader.destination.endpoint",
                "short": "Actual destination address or id",
                "definition": "Indicates where the message should be routed to.",
                "comment": "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
                "requirements": "Identifies where to route the message.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.destination.endpoint",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-25 (or MSH-6)"
                    },
                    {
                        "identity": "rim",
                        "map": "./telecom"
                    }
                ]
            },
            {
                "id": "MessageHeader.receiver",
                "path": "MessageHeader.receiver",
                "short": "Intended \"real-world\" recipient for the data",
                "definition": "Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.",
                "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
                "requirements": "Allows routing beyond just the application level.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.receiver",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
                    },
                    {
                        "identity": "rim",
                        "map": "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
                    },
                    {
                        "identity": "w5",
                        "map": "who.focus"
                    }
                ]
            },
            {
                "id": "MessageHeader.sender",
                "path": "MessageHeader.sender",
                "short": "Real world sender of the message",
                "definition": "Identifies the sending system to allow the use of a trust relationship.",
                "comment": "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": "Allows routing beyond just the application level.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.sender",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
                    },
                    {
                        "identity": "rim",
                        "map": "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
                    },
                    {
                        "identity": "w5",
                        "map": "who.focus"
                    }
                ]
            },
            {
                "id": "MessageHeader.timestamp",
                "path": "MessageHeader.timestamp",
                "short": "Time that the message was sent",
                "definition": "The time that the message was sent.",
                "comment": "Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required",
                "requirements": "Allows limited detection of out-of-order and delayed transmission.  Also supports audit.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.timestamp",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "instant"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-7"
                    },
                    {
                        "identity": "rim",
                        "map": "./creationTime[isNormalDatatype()]"
                    },
                    {
                        "identity": "w5",
                        "map": "when.init"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "CurrentDateTime",
                        "comment": "2019-02-06T08:33:14.891Z"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "CurrentDateTime",
                        "comment": "2018-09-03T12:11:07.577Z"
                    }
                ]
            },
            {
                "id": "MessageHeader.enterer",
                "path": "MessageHeader.enterer",
                "short": "The source of the data entry",
                "definition": "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": "Usually only for the request, but can be used in a response.",
                "requirements": "Need to know for audit/traceback requirements and possibly for authorization.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.enterer",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"ENT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
                    },
                    {
                        "identity": "w5",
                        "map": "who.author"
                    }
                ]
            },
            {
                "id": "MessageHeader.author",
                "path": "MessageHeader.author",
                "short": "The source of the decision",
                "definition": "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": "Usually only for the request, but can be used in a response.",
                "requirements": "Need to know for audit/traceback requirements and possibly for authorization.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.author",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"AUT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
                    },
                    {
                        "identity": "w5",
                        "map": "who.author"
                    }
                ]
            },
            {
                "id": "MessageHeader.source",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
                        "valueString": "MessageSource"
                    }
                ],
                "path": "MessageHeader.source",
                "short": "Message source application",
                "definition": "The source application from which this message originated.",
                "requirements": "Allows replies, supports audit.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./communicationFunction[typeCode=\"SND\"])"
                    },
                    {
                        "identity": "w5",
                        "map": "who.actor"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.id",
                "path": "MessageHeader.source.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "xml:id (or equivalent in JSON)",
                "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.extension",
                "path": "MessageHeader.source.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.modifierExtension",
                "path": "MessageHeader.source.modifierExtension",
                "short": "Extensions that cannot be ignored",
                "definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "isModifier": true,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.name",
                "path": "MessageHeader.source.name",
                "short": "Name of system",
                "definition": "Human-readable name for the source system.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "May be used to support audit.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source.name",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-3"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/name[type='ST' and isNormalDatatype()])"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.source"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "GreenDot"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.software",
                "path": "MessageHeader.source.software",
                "short": "Name of software running the system",
                "definition": "May include configuration or other information useful in debugging.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "Supports audit and possibly interface engine behavior.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source.software",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "SFT-3 ( +SFT-1)"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/softwareName[isNormalDatatype()])"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.software"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "GreenDot"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.version",
                "path": "MessageHeader.source.version",
                "short": "Version of software running",
                "definition": "Can convey versions of multiple systems in situations where a message passes through multiple hands.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "requirements": "Supports audit and possibly interface engine behavior.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source.version",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "SFT-2"
                    },
                    {
                        "identity": "rim",
                        "map": "(Not supported)"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.version"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "metadata.version",
                        "comment": "<inform with App version>"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.contact",
                "path": "MessageHeader.source.contact",
                "short": "Human contact for problems",
                "definition": "An e-mail, phone, website or other contact point to use to resolve issues with message communications.",
                "requirements": "Allows escalation of technical issues.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source.contact",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "ContactPoint"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "cpt-2",
                        "severity": "error",
                        "human": "A system is required if a value is provided.",
                        "expression": "value.empty() or system.exists()",
                        "xpath": "not(exists(f:value)) or exists(f:system)"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "XTN"
                    },
                    {
                        "identity": "rim",
                        "map": "TEL"
                    },
                    {
                        "identity": "servd",
                        "map": "ContactPoint"
                    },
                    {
                        "identity": "v2",
                        "map": "(MSH-22?)"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/scopesRole[normalRole() and classCode=\"CON\" and layer[classCode=\"PSN\"]/telecom[isNormalDatatype()])"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.endpoint",
                "path": "MessageHeader.source.endpoint",
                "short": "Actual message source address or id",
                "definition": "Actual endpoint: \"https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message\"",
                "comment": "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
                "requirements": "Identifies where to send responses, may influence security permissions.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.source.endpoint",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSH-24"
                    },
                    {
                        "identity": "rim",
                        "map": "./telecom[isNormalDatatype()]"
                    },
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "https://uuxxx-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message",
                        "comment": "where xxx is dev,test,qa,prod"
                    }
                ]
            },
            {
                "id": "MessageHeader.responsible",
                "path": "MessageHeader.responsible",
                "short": "Final responsibility for event",
                "definition": "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": "Usually only for the request, but can be used in a response.",
                "requirements": "Need to know for audit/traceback requirements and possibly for authorization.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.responsible",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "ORC-12 /  PRT-5:PRT-4='OP' /  PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=\"PSN\" and determinerCode=\"INST\"] or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/scoper[isNormalEntity() and classCode=\"ORG\" and determinerCode=\"INST\"])"
                    },
                    {
                        "identity": "w5",
                        "map": "who.witness"
                    }
                ]
            },
            {
                "id": "MessageHeader.reason",
                "path": "MessageHeader.reason",
                "short": "Cause of event",
                "definition": "Coded indication of the cause for the event - indicates  a reason for the occurrence of the event that is a focus of this message.",
                "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
                "requirements": "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": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.reason",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "EventReason"
                        }
                    ],
                    "strength": "example",
                    "description": "Reason for event occurrence",
                    "valueSetReference": {
                        "reference": "http://hl7.org/fhir/ValueSet/message-reason-encounter"
                    }
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "CE/CNE/CWE"
                    },
                    {
                        "identity": "rim",
                        "map": "CD"
                    },
                    {
                        "identity": "orim",
                        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
                    },
                    {
                        "identity": "v2",
                        "map": "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"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/reasonCode[isNormalDatatype()])"
                    },
                    {
                        "identity": "w5",
                        "map": "why"
                    }
                ]
            },
            {
                "id": "MessageHeader.response",
                "path": "MessageHeader.response",
                "short": "If this is a reply to prior message",
                "definition": "Information about the message that this message is a response to.  Only present if this message is a response.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.response",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSA"
                    },
                    {
                        "identity": "rim",
                        "map": "./conveyedAcknowledgement"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.id",
                "path": "MessageHeader.response.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "xml:id (or equivalent in JSON)",
                "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.extension",
                "path": "MessageHeader.response.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.modifierExtension",
                "path": "MessageHeader.response.modifierExtension",
                "short": "Extensions that cannot be ignored",
                "definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
                "comment": "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":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "isModifier": true,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.identifier",
                "path": "MessageHeader.response.identifier",
                "short": "Id of original message",
                "definition": "The MessageHeader.id of the message to which this message is a response.",
                "comment": "RFC 4122",
                "requirements": "Allows receiver to know what message is being responded to.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.response.identifier",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "id"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSA-2"
                    },
                    {
                        "identity": "rim",
                        "map": "./acknowledges.id[isNormalDatatype()]"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.code",
                "path": "MessageHeader.response.code",
                "short": "ok | transient-error | fatal-error",
                "definition": "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": "This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.",
                "requirements": "Allows the sender of the acknowledge message to know if the request was successful or if action is needed.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "MessageHeader.response.code",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ResponseType"
                        }
                    ],
                    "strength": "required",
                    "description": "The kind of response to a message",
                    "valueSetReference": {
                        "reference": "http://hl7.org/fhir/ValueSet/response-code"
                    }
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "v2",
                        "map": "MSA-1"
                    },
                    {
                        "identity": "rim",
                        "map": "./typeCode[isNormalDatatype()]"
                    }
                ]
            },
            {
                "id": "MessageHeader.response.details",
                "path": "MessageHeader.response.details",
                "short": "Specific list of hints/warnings/errors",
                "definition": "Full details of any issues found in the message.",
                "comment": "This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.",
                "requirements": "Allows the sender of the message to determine what the specific issues are.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "MessageHeader.response.details",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/OperationOutcome"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "v2",
                        "map": "ERR"
                    },
                    {
                        "identity": "rim",
                        "map": "AcknowledgementDetail or Observation[classCode=\"ALRT\" and moodCode=\"EVN\"]"
                    }
                ]
            },
            {
                "id": "MessageHeader.focus",
                "path": "MessageHeader.focus",
                "short": "The actual content of the message",
                "definition": "The actual data of the message - a reference to the root/focus class of the event.",
                "comment": "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": "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": 0,
                "max": "*",
                "base": {
                    "path": "MessageHeader.focus",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ref-1",
                        "severity": "error",
                        "human": "SHALL have a contained resource if a local reference is provided",
                        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
                        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
                    }
                ],
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
                    },
                    {
                        "identity": "rim",
                        "map": "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"SUBJ\" and isNormalParticipation]/role or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/outboundRelationship[typeCode=\"SBJ\" and isNormalActRelatoinship]/target)"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "MessageHeader.event",
                "path": "MessageHeader.event",
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "MessageEvent"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
                            "valueBoolean": true
                        }
                    ],
                    "strength": "required",
                    "valueSetReference": {
                        "reference": "http://roche.com/fhir/rdc/ValueSet/messageHeaderEvents"
                    }
                }
            },
            {
                "id": "MessageHeader.event.system",
                "path": "MessageHeader.event.system",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "http://roche.com/fhir/rdc/message-type"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "http://roche.com/fhir/rdc/message-type"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.code",
                "path": "MessageHeader.event.code",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "new-bundle"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "new-bundle"
                    }
                ]
            },
            {
                "id": "MessageHeader.event.display",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                        "valueBoolean": true
                    }
                ],
                "path": "MessageHeader.event.display",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "New bundle generated"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "New bundle generated"
                    }
                ]
            },
            {
                "id": "MessageHeader.timestamp",
                "path": "MessageHeader.timestamp",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "CurrentDateTime",
                        "comment": "2019-02-06T08:33:14.891Z"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "CurrentDateTime",
                        "comment": "2018-09-03T12:11:07.577Z"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.name",
                "path": "MessageHeader.source.name",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.source"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "GreenDot"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.software",
                "path": "MessageHeader.source.software",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.software"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "GreenDot"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.version",
                "path": "MessageHeader.source.version",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "metadata.version"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "metadata.version",
                        "comment": "<inform with App version>"
                    }
                ]
            },
            {
                "id": "MessageHeader.source.endpoint",
                "path": "MessageHeader.source.endpoint",
                "definition": "Actual endpoint: \"https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message\"",
                "mapping":  [
                    {
                        "identity": "ACSPIX2FHIR",
                        "map": "https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message"
                    },
                    {
                        "identity": "GREENDOT",
                        "map": "https://uuxxx-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message",
                        "comment": "where xxx is dev,test,qa,prod"
                    }
                ]
            }
        ]
    }
}

Example

{
    "resourceType": "MessageHeader",
    "id": "8ca81026-afd5-4c36-8f32-986c9bdf44c8",
    "event": {
        "system": "http://roche.com/fhir/rdc/message-type",
        "code": "new-bundle",
        "display": "New bundle generated"
    },
    "timestamp": "2018-10-18T14:54:05.744Z",
    "source": {
        "name": "uDTC/Accu-Chek Smart Pix Software",
        "software": "uDTC/Accu-Chek Smart Pix Software",
        "version": "1.05.09",
        "endpoint": "https://uudev-internal.rochedc.accentureanalytics.com/fhirmsg/rdc/v1.0.0/$process-message"
    }
}