Send Document capability - the structure of the payload to be used for all use cases of the Send Document capability
Payload message requirements
The following requirements describe the structure of the Send Document payload:
| GPCM-SD-103 | the ITK3 MessageHeader.focus element MUST be a reference to a Bundle resource which conforms to the ITK-Document-Bundle profile |
| GPCM-SD-104 | the ITK-Document-Bundle MUST contain a Composition resource profiled to CareConnect-Composition-1 base resource |
| GPCM-SD-105 | the CareConnect-Composition Composition.custodian element MUST contain an Organization resource which conforms to the CareConnect-Organization-1 profile describing the organisation which sends the message |
| GPCM-SD-106 | where the message contains patient information, for example as a result of a healthcare event, the CareConnect-Composition Composition.subject element MUST contain a patient resource which conforms to the CareConnect-Patient-1 profile |
| GPCM-SD-107 | where the message contains practitioner information, for example as a result of a healthcare event, the CareConnect-Composition Composition.author element MUST be present which conforms to the CareConnect-Practitioner-1 profile. This resource describes the primary practitioner who delivered care. |
| GPCM-SD-108 | every populated resource MUST have the Meta element populated with the associated resource profile |
Including documents in the payload
The following requirements describe how binary documents are included in the payload:
| GPCM-SD-109 | each binary document sent in the payload MUST be included as an instance of the Composition.section element |
Each instance of a binary document will be included as follows:
| GPCM-SD-110 | each Composition.section.entry MUST be a FHIR Reference containing a reference to an attachment profiled to ITK-Attachment-Binary-1 |
| GPCM-SD-111 | all attachments MUST be Base64 encoded |
| GPCM-SD-112 | the primary attachment MUST be the first Composition.section.entry in the payload |
Note: Please refer to the particular use case in question for detailed requirements on the population of these payload resources. Example FHIR® Messages illustrating how payloads look on-the-wire are available for each use case.
Identifying the use case
The ITK3 message handling key LocalExtension is used to define the health or social care use case associated with the Send Document message. Please refer to the ITK3 header requirements for your particular use case.
Payload message illustration
The payload of a GP Connect message which uses the Send Document capability MUST have the structure illustrated in the diagram below:
Payload message definition
The FHIR MessageDefinition resource provides a formal, machine-readable definition of a message shared between systems. Please refer to ITK3 Message Definitions for an overview of how MessageDefinition resources are used in ITK3 messages.
The GP Connect Send Document capability has defined a MessageDefinition resource instance which describes the payload of the FHIR Message, as defined at ITK3 Message Definition Patterns.
The Message Definition for the GP Connect Send Document message payload is provided below. This definition can be used by FHIR tools such as FHIR Check to verify that particular instance of a Send Document message is conformant.
<?xml version="1.0" encoding="UTF-8" standalone="no"?><MessageDefinition xmlns="http://hl7.org/fhir">
<id value="ITK-GPConnectSendDocument-MessageDefinition-1"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageDefinition-1"/>
</meta>
<url value="https://fhir.nhs.uk/STU3/MessageDefinition/ITK-GPConnectSendDocument-MessageDefinition-1"/>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="5efcba75-57c9-4f03-91b6-dc1301b53038"/>
</identifier>
<version value="1.0.0"/>
<title value="ITK GP Connect Send Document Message Definition"/>
<status value="active"/>
<date value="2019-10-08T07:58:13.332+01:00"/>
<copyright value="Copyright © 2018 NHS Digital"/>
<event>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2"/>
<code value="ITK007C"/>
<display value="ITK GP Connect Send Document"/>
</event>
<category value="Notification"/>
<focus>
<code value="Bundle"/>
<profile>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-BundledAssets-1">
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Composition-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.3.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageDefinition-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.0.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="2.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Practitioner-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="StructureDefinition"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Response-OperationOutcome-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="Extension"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/StructureDefinition/organization-period"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.0.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="Extension"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-BundledAssets-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.0.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="Extension"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="2.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/languages"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/location-status"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/location-mode"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/v3-ServiceDeliveryLocationRoleType"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="2014-03-26"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/contact-point-system"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/contact-point-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/address-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/address-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/location-physical-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/organization-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/contactentity-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/name-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/bundle-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/all-types"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/publication-status"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/message-significance-category"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/resource-types"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/response-code"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/issue-severity"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/issue-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="ValueSet"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/ValueSet/ITK-ResponseCodes-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.1.0"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/identifier-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/v2/0203"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="2.8.2"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/identifier-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/location-status"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/location-mode"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/v3/RoleCode"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="2016-11-11"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/contact-point-system"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/contact-point-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/address-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/address-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/location-physical-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/organization-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/contactentity-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/name-use"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/bundle-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/data-types"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/resource-types"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/abstract-types"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/publication-status"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/message-significance-category"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/response-code"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/issue-severity"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="http://hl7.org/fhir/issue-type"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="3.0.1"/>
</extension>
</extension>
<extension url="utilisedAsset">
<extension url="type">
<valueCode value="CodeSystem"/>
</extension>
<extension url="reference">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1"/>
</valueReference>
</extension>
<extension url="version">
<valueString value="1.2.0"/>
</extension>
</extension>
</extension>
<reference value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1"/>
</profile>
</focus>
<allowedResponse>
<message>
<reference value="https://fhir.nhs.uk/STU3/MessageDefinition/ITK-Response-MessageDefinition-1"/>
</message>
</allowedResponse>
</MessageDefinition>