NHS England FHIR Implementation Guide (deprecated)

A formal identifier that is used to identify this message definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this message definition outside of FHIR, where it is not possible to use the logical URI.

The identifier that is used to identify this version of the message definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the message definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

There may be different message definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the message definition with the format [url]|[version].

A natural language name identifying the message definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Support human navigation and code generation.

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

A short, descriptive, user-friendly title for the message definition.

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

A MessageDefinition that is superseded by this definition.

see Canonical References

The status of this message definition. Enables tracking the life-cycle of the content.

Allows filtering of message definitions that are appropriate for use versus not.

A Boolean value to indicate that this message definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Enables experimental content to be developed following the same lifecycle that would be used for a production-level message definition.

Allows filtering of message definitions that are appropriate for use versus not.

The date (and optionally time) when the message definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the message definition changes.

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the message definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

The name of the organization or individual that published the message definition.

Helps establish the "authority/credibility" of the message definition. May also allow for contact.

Usually an organization but may be an individual. The publisher (or steward) of the message definition is the organization or individual primarily responsible for the maintenance and upkeep of the message definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the message definition. This item SHOULD be populated unless the information is available from context.

Contact details to assist a user in finding and communicating with the publisher.

May be a web site, an email address, a telephone number, etc.

A legal or geographic region in which the message definition is intended to be used.

It may be possible for the message definition to be used in jurisdictions other than those for which it was originally designed or intended.

Explanation of why this message definition is needed and why it has been designed as it has.

This element does not describe the usage of the message definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this message definition.

A copyright statement relating to the message definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the message definition.

Consumers must be able to determine any legal restrictions on the use of the message definition and/or its content.

Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

The MessageDefinition that is the basis for the contents of this resource.

see Canonical References

Identifies a protocol or workflow that this MessageDefinition represents a step in.

It should be possible to use MessageDefinition to describe a message to be used by certain steps in a particular protocol as part of a PlanDefinition or ActivityDefinition.

The impact of the content of the message.

Note that FHIR strings SHALL NOT exceed 1MB in size

The kind of resource that must be the focus for this message.

Multiple focuses addressing different resources may occasionally occur. E.g. to link or unlink a resource from a particular account or encounter, etc.

A profile that reflects constraints for the focal resource (and potentially for related resources).

This profile allows setting boundaries for what content must appear within the message bundle vs. outside based on the declared aggregation constraints on referenced resources on this and related profiles.

This should be present for most message definitions. However, if the message focus is only a single resource and there is no need to include referenced resources or otherwise enforce the presence of particular elements, it can be omitted.

Identifies the minimum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.

32 bit number; for values larger than this, use decimal

Identifies the maximum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.

Note that FHIR strings SHALL NOT exceed 1MB in size

Declare at a message definition level whether a response is required or only upon error or success, or never.

This enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.

A reference to the message definition that must be adhered to by this supported response.

see Canonical References

Provides a description of the circumstances in which this response should be used (as opposed to one of the alternative responses).

Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

Canonical reference to a GraphDefinition. If a URL is provided, it is the canonical reference to a GraphDefinition that it controls what resources are to be added to the bundle when building the document. The GraphDefinition can also specify profiles that apply to the various resources.

see Canonical References