Specialty Patient Enrollment for Pharmacies

Resource Profile: MessageHeader_SRxDataResponse

This profile sets the expections for the MessageHeader resource. It identifies the mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the MessageHeader as well as optional elements when using this profile.

Examples

*MessageHeader_SRxDataResponse - Provider Example

*MessageHeader_SRxDataResponse - Organization Example

Formal View of Profile Content

This profile builds on MessageHeader. For additional information on the table definitions shown below, see the Logical Table section on the Resource Formats page.

Notes: Click the tabs below to see the different views for the profile:

The Full View shows all the base resource element information for the profile plus the Surescripts requirements.
The Hybrid View shows all the element information, but the unchanged information from the base resource is greyed out.
The Differential View only shows the changes made to the base resource (i.e., the Surescripts requirements).

Full View

MessageHeader	I		MessageHeader	There are no (further) constraints on this element Element Id MessageHeader Short description 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. Data Type MessageHeader Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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 or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:MSH / MSA / ERR rim:Message
id	Σ	1..1	System.String	There are no (further) constraints on this element Element Id MessageHeader.id Short description 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. 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. Data Type System.String
event[x]	S Σ	1..1	Fixed Value	Element Id MessageHeader.event[x] Short description Code for the event this message represents or link to event definition 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://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition. Requirements Drives the behavior associated with this message. Comments The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp. Binding One of the message events defined as part of this version of FHIR. MessageEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value { "system": "http://fhirdocs.surescripts.com/fhir/message-events", "code": "specialty-enrollment" } Mappings rim:n/a w5:FiveWs.what[x] v2:MSH-9.2 rim:./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code
eventCoding			Coding	Data Type Coding
system	S Σ	1..1	uri	There are no (further) constraints on this element Element Id MessageHeader.event[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].version Short description 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MessageHeader.event[x].code Short description 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. 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 SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MessageHeader.event[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 ]
destination	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.destination Short description Message destination application(s) Definition The destination application which the message is intended for. 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.subject[x] rim:./communicationFunction[typeCode="RCV"] w5:FiveWs.subject
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.destination.name Short description Name of system Definition Human-readable name for the target system. Requirements May be used for routing of response and/or to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
target	Σ I	0..1	Reference(Device)	There are no (further) constraints on this element Element Id MessageHeader.destination.target Short description Particular delivery destination within the destination Definition Identifies the target end system in situations where the initial message transmission is to an intermediary system. 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. Data Type Reference(Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.destination.endpoint Short description Actual destination address or id Definition Indicates where the message should be routed to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-25 (or MSH-6) rim:./telecom
receiver	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.destination.receiver Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
sender	S Σ I	1..1	Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy)	Element Id MessageHeader.sender Short description Real world sender of the message Definition Identifies the real-world sender of the message. For a provider-initiated enrollment, this will be a Practitioner resource that represents the prescriber of the specialty medication for which an enrollment is being performed. For a pharmacy-initiated enrollment, this will be an Organization resource that represents the pharmacy that has received the prescription for the specialty medication to be dispensed. 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. Data Type Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
enterer	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.enterer Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
author	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.author Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
source	S Σ	1..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.source Short description Message source application Definition The source application from which this message originated. Requirements Allows replies, supports audit. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.actor rim:unique(./communicationFunction[typeCode="SND"])
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.name Short description Name of system Definition Human-readable name for the source system. Requirements May be used to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-3 rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])
software	S Σ	1..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.software Short description Name of software running the system Definition May include configuration or other information useful in debugging. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-3 ( +SFT-1) rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.version Short description Version of software running Definition Can convey versions of multiple systems in situations where a message passes through multiple hands. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-2 rim:(Not supported)
contact	Σ I	0..1	ContactPoint	There are no (further) constraints on this element Element Id MessageHeader.source.contact Short description 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. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.source.endpoint Short description Actual message source address or id Definition Identifies the routing target to send acknowledgements to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-24 rim:./telecom[isNormalDatatype()]
responsible	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.responsible Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness 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"])
reason	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MessageHeader.reason Short description 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. 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. Data Type CodeableConcept Binding Reason for event occurrence. ExampleMessageReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.why[x] 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()])
response	Σ	0..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.response Short description 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA rim:./conveyedAcknowledgement
identifier	Σ	1..1	id	There are no (further) constraints on this element Element Id MessageHeader.response.identifier Short description Id of original message Definition The MessageHeader.id of the message to which this message is a response. Requirements Allows receiver to know what message is being responded to. Comments RFC 4122 Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-2 rim:./acknowledges.id[isNormalDatatype()]
code	Σ	1..1	codeBinding	There are no (further) constraints on this element Element Id MessageHeader.response.code Short description 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. 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. Data Type code Binding The kind of response to a message. ResponseType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-1 rim:./typeCode[isNormalDatatype()]
details	Σ I	0..1	Reference(OperationOutcome)	There are no (further) constraints on this element Element Id MessageHeader.response.details Short description Specific list of hints/warnings/errors Definition Full details of any issues found in the message. 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. Data Type Reference(OperationOutcome) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
focus	S Σ I	1..1	Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication)	Element Id MessageHeader.focus Short description The actual content of the message Definition The actual data of the message - a reference to the root/focus class of the event. 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 focus of the SRxDataResponse message is a prescription (MedicationRequest) for a specialty medication for which the information in this message is needed to process the enrollment of the patient for whom the medication was prescribed. Data Type Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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)
definition	Σ	0..1	canonical(MessageDefinition)	There are no (further) constraints on this element Element Id MessageHeader.definition Short description Link to the definition for this message Definition Permanent link to the MessageDefinition for this message. Requirements Allows sender to define the expected contents of the message. Comments see Canonical References Data Type canonical(MessageDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:Not directly supported.

Hybrid View

MessageHeader	I		MessageHeader	There are no (further) constraints on this element Element Id MessageHeader Short description 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. Data Type MessageHeader Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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 or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:MSH / MSA / ERR rim:Message
id	Σ	1..1	System.String	There are no (further) constraints on this element Element Id MessageHeader.id Short description 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. 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. Data Type System.String
event[x]	S Σ	1..1	Fixed Value	Element Id MessageHeader.event[x] Short description Code for the event this message represents or link to event definition 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://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition. Requirements Drives the behavior associated with this message. Comments The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp. Binding One of the message events defined as part of this version of FHIR. MessageEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value { "system": "http://fhirdocs.surescripts.com/fhir/message-events", "code": "specialty-enrollment" } Mappings rim:n/a w5:FiveWs.what[x] v2:MSH-9.2 rim:./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code
eventCoding			Coding	Data Type Coding
system	S Σ	1..1	uri	There are no (further) constraints on this element Element Id MessageHeader.event[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].version Short description 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MessageHeader.event[x].code Short description 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. 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 SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MessageHeader.event[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 ]
destination	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.destination Short description Message destination application(s) Definition The destination application which the message is intended for. 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.subject[x] rim:./communicationFunction[typeCode="RCV"] w5:FiveWs.subject
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.destination.name Short description Name of system Definition Human-readable name for the target system. Requirements May be used for routing of response and/or to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
target	Σ I	0..1	Reference(Device)	There are no (further) constraints on this element Element Id MessageHeader.destination.target Short description Particular delivery destination within the destination Definition Identifies the target end system in situations where the initial message transmission is to an intermediary system. 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. Data Type Reference(Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.destination.endpoint Short description Actual destination address or id Definition Indicates where the message should be routed to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-25 (or MSH-6) rim:./telecom
receiver	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.destination.receiver Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
sender	S Σ I	1..1	Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy)	Element Id MessageHeader.sender Short description Real world sender of the message Definition Identifies the real-world sender of the message. For a provider-initiated enrollment, this will be a Practitioner resource that represents the prescriber of the specialty medication for which an enrollment is being performed. For a pharmacy-initiated enrollment, this will be an Organization resource that represents the pharmacy that has received the prescription for the specialty medication to be dispensed. 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. Data Type Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
enterer	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.enterer Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
author	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.author Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
source	S Σ	1..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.source Short description Message source application Definition The source application from which this message originated. Requirements Allows replies, supports audit. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.actor rim:unique(./communicationFunction[typeCode="SND"])
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.name Short description Name of system Definition Human-readable name for the source system. Requirements May be used to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-3 rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])
software	S Σ	1..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.software Short description Name of software running the system Definition May include configuration or other information useful in debugging. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-3 ( +SFT-1) rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.version Short description Version of software running Definition Can convey versions of multiple systems in situations where a message passes through multiple hands. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-2 rim:(Not supported)
contact	Σ I	0..1	ContactPoint	There are no (further) constraints on this element Element Id MessageHeader.source.contact Short description 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. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.source.endpoint Short description Actual message source address or id Definition Identifies the routing target to send acknowledgements to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-24 rim:./telecom[isNormalDatatype()]
responsible	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.responsible Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness 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"])
reason	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MessageHeader.reason Short description 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. 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. Data Type CodeableConcept Binding Reason for event occurrence. ExampleMessageReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.why[x] 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()])
response	Σ	0..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.response Short description 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA rim:./conveyedAcknowledgement
identifier	Σ	1..1	id	There are no (further) constraints on this element Element Id MessageHeader.response.identifier Short description Id of original message Definition The MessageHeader.id of the message to which this message is a response. Requirements Allows receiver to know what message is being responded to. Comments RFC 4122 Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-2 rim:./acknowledges.id[isNormalDatatype()]
code	Σ	1..1	codeBinding	There are no (further) constraints on this element Element Id MessageHeader.response.code Short description 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. 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. Data Type code Binding The kind of response to a message. ResponseType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-1 rim:./typeCode[isNormalDatatype()]
details	Σ I	0..1	Reference(OperationOutcome)	There are no (further) constraints on this element Element Id MessageHeader.response.details Short description Specific list of hints/warnings/errors Definition Full details of any issues found in the message. 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. Data Type Reference(OperationOutcome) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
focus	S Σ I	1..1	Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication)	Element Id MessageHeader.focus Short description The actual content of the message Definition The actual data of the message - a reference to the root/focus class of the event. 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 focus of the SRxDataResponse message is a prescription (MedicationRequest) for a specialty medication for which the information in this message is needed to process the enrollment of the patient for whom the medication was prescribed. Data Type Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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)
definition	Σ	0..1	canonical(MessageDefinition)	There are no (further) constraints on this element Element Id MessageHeader.definition Short description Link to the definition for this message Definition Permanent link to the MessageDefinition for this message. Requirements Allows sender to define the expected contents of the message. Comments see Canonical References Data Type canonical(MessageDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:Not directly supported.

Differential View

MessageHeader	I		MessageHeader	There are no (further) constraints on this element Element Id MessageHeader Short description 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. Data Type MessageHeader Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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 or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:MSH / MSA / ERR rim:Message
id	Σ	1..1	System.String	There are no (further) constraints on this element Element Id MessageHeader.id Short description 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. 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. Data Type System.String
event[x]	S Σ	1..1	Fixed Value	Element Id MessageHeader.event[x] Short description Code for the event this message represents or link to event definition 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://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition. Requirements Drives the behavior associated with this message. Comments The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp. Binding One of the message events defined as part of this version of FHIR. MessageEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value { "system": "http://fhirdocs.surescripts.com/fhir/message-events", "code": "specialty-enrollment" } Mappings rim:n/a w5:FiveWs.what[x] v2:MSH-9.2 rim:./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code
eventCoding			Coding	Data Type Coding
system	S Σ	1..1	uri	There are no (further) constraints on this element Element Id MessageHeader.event[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].version Short description 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MessageHeader.event[x].code Short description 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.event[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. 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 SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MessageHeader.event[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 ]
destination	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.destination Short description Message destination application(s) Definition The destination application which the message is intended for. 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.subject[x] rim:./communicationFunction[typeCode="RCV"] w5:FiveWs.subject
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.destination.name Short description Name of system Definition Human-readable name for the target system. Requirements May be used for routing of response and/or to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
target	Σ I	0..1	Reference(Device)	There are no (further) constraints on this element Element Id MessageHeader.destination.target Short description Particular delivery destination within the destination Definition Identifies the target end system in situations where the initial message transmission is to an intermediary system. 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. Data Type Reference(Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.destination.endpoint Short description Actual destination address or id Definition Indicates where the message should be routed to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-25 (or MSH-6) rim:./telecom
receiver	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.destination.receiver Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
sender	S Σ I	1..1	Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy)	Element Id MessageHeader.sender Short description Real world sender of the message Definition Identifies the real-world sender of the message. For a provider-initiated enrollment, this will be a Practitioner resource that represents the prescriber of the specialty medication for which an enrollment is being performed. For a pharmacy-initiated enrollment, this will be an Organization resource that represents the pharmacy that has received the prescription for the specialty medication to be dispensed. 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. Data Type Reference(Practitioner_Prescriber \| http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/Organizaiton_DispensingPharmacy) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] 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:FiveWs.subject
enterer	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.enterer Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
author	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MessageHeader.author Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author 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"])
source	S Σ	1..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.source Short description Message source application Definition The source application from which this message originated. Requirements Allows replies, supports audit. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.actor rim:unique(./communicationFunction[typeCode="SND"])
name	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.name Short description Name of system Definition Human-readable name for the source system. Requirements May be used to support audit. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-3 rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])
software	S Σ	1..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.software Short description Name of software running the system Definition May include configuration or other information useful in debugging. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-3 ( +SFT-1) rim:unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MessageHeader.source.version Short description Version of software running Definition Can convey versions of multiple systems in situations where a message passes through multiple hands. Requirements Supports audit and possibly interface engine behavior. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SFT-2 rim:(Not supported)
contact	Σ I	0..1	ContactPoint	There are no (further) constraints on this element Element Id MessageHeader.source.contact Short description 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. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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()])
endpoint	Σ	1..1	url	There are no (further) constraints on this element Element Id MessageHeader.source.endpoint Short description Actual message source address or id Definition Identifies the routing target to send acknowledgements to. 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. Data Type url Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSH-24 rim:./telecom[isNormalDatatype()]
responsible	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id MessageHeader.responsible Short description 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. 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness 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"])
reason	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MessageHeader.reason Short description 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. 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. Data Type CodeableConcept Binding Reason for event occurrence. ExampleMessageReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.why[x] 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()])
response	Σ	0..1	BackboneElement	There are no (further) constraints on this element Element Id MessageHeader.response Short description 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA rim:./conveyedAcknowledgement
identifier	Σ	1..1	id	There are no (further) constraints on this element Element Id MessageHeader.response.identifier Short description Id of original message Definition The MessageHeader.id of the message to which this message is a response. Requirements Allows receiver to know what message is being responded to. Comments RFC 4122 Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-2 rim:./acknowledges.id[isNormalDatatype()]
code	Σ	1..1	codeBinding	There are no (further) constraints on this element Element Id MessageHeader.response.code Short description 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. 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. Data Type code Binding The kind of response to a message. ResponseType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:MSA-1 rim:./typeCode[isNormalDatatype()]
details	Σ I	0..1	Reference(OperationOutcome)	There are no (further) constraints on this element Element Id MessageHeader.response.details Short description Specific list of hints/warnings/errors Definition Full details of any issues found in the message. 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. Data Type Reference(OperationOutcome) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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"]
focus	S Σ I	1..1	Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication)	Element Id MessageHeader.focus Short description The actual content of the message Definition The actual data of the message - a reference to the root/focus class of the event. 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 focus of the SRxDataResponse message is a prescription (MedicationRequest) for a specialty medication for which the information in this message is needed to process the enrollment of the patient for whom the medication was prescribed. Data Type Reference(http://fhirdocs.surescripts.net/fhir/specialty/StructureDefinition/MedicationRequest_PrescribedMedication) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (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 %rootResource.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)
definition	Σ	0..1	canonical(MessageDefinition)	There are no (further) constraints on this element Element Id MessageHeader.definition Short description Link to the definition for this message Definition Permanent link to the MessageDefinition for this message. Requirements Allows sender to define the expected contents of the message. Comments see Canonical References Data Type canonical(MessageDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:Not directly supported.

Note: Description of Profiles, Differentials, and Snapshots