Introduction

The Da Vinci Discharge Notification MessageHeader Profile builds on the Da Vinci Notifications MessageHeader Profile and sets minimum expectations for the FHIR MessageHeader resource to record the necessary context for Da Vinci discharge notification messaging scenario. The event code is “notification-discharge” and the focus of the event is the Encounter.

Mandatory and Must Support Data Elements

The following data-elements are mandatory (i.e., data MUST be present) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each MessageHeader must have:

1. An event code of “notification-discharge”
2. An event focus reference to the Da Vinci Admit/Transfer/Discharge Notification Encounter Profile which will be bundled in the message

Examples

The following example of this profile is a freestanding resource instance which is technically invalid since the profile is defined to reference other resources within the same Da Vinci Notification Message Bundle. For examples of this profile within a bundle, see the message bundle examples which are listed on the Examples page.

• MessageHeader Example

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from NotificationsMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
eventCoding	S	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
focus	S	1..*	(Slice Definition)	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:discharge-notification	S	1..*	Reference(Da Vinci Admit/Transfer/Discharge Notification Encounter Profile) {b}	The actual content of the message
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	Σ	1..1	(Slice Definition)	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example)
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Real world sender of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) {b}	The source of the decision
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
source	SΣ	1..1	BackboneElement	Message source application
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Final responsibility for event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example)
focus	SΣ	1..*	(Slice Definition)	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Transfer/Discharge Notification Encounter Profile) {b}	The actual content of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	Σ	1..1	string	Logical id of this artifact
event[x]:eventCoding	Σ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	Σ	0..1	BackboneElement	Message destination application(s)
endpoint	Σ	1..1	url	Actual destination address or id
sender	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Real world sender of the message
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
author	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) {b}	The source of the decision
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
source	Σ	1..1	BackboneElement	Message source application
responsible	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Final responsibility for event
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
focus	Σ	1..*	(Slice Definition)	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:All Slices				Content/Rules for all slices
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
focus:discharge-notification	Σ	1..*	Reference(Da Vinci Admit/Transfer/Discharge Notification Encounter Profile) {b}	The actual content of the message
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

This structure is derived from NotificationsMessageHeader

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/adt-notification-encounter

Slices

This structure defines the following Slices:

• The element MessageHeader.focus is sliced based on the value of profile:$this.resolve()

Differential View

This structure is derived from NotificationsMessageHeader

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
eventCoding	S	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
focus	S	1..*	(Slice Definition)	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:discharge-notification	S	1..*	Reference(Da Vinci Admit/Transfer/Discharge Notification Encounter Profile) {b}	The actual content of the message
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MessageHeader		0..*	NotificationsMessageHeader	A resource that describes a message that is exchanged between systems
id	SΣ	1..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
event[x]	Σ	1..1	(Slice Definition)	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example)
event[x]:eventCoding	SΣ	1..1	Coding	Code for the event this message represents or link to event definition Binding: Da Vinci Notification Discharge Event ValueSet (extensible)
destination	SΣ	0..1	BackboneElement	Message destination application(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	SΣ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Real world sender of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) {b}	The source of the decision
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
source	SΣ	1..1	BackboneElement	Message source application
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) {b}	Final responsibility for event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example)
focus	SΣ	1..*	(Slice Definition)	The actual content of the message Slice: Unordered, Open by profile:$this.resolve()
focus:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus:discharge-notification	SΣ	1..*	Reference(Da Vinci Admit/Transfer/Discharge Notification Encounter Profile) {b}	The actual content of the message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format