http://hl7.org/fhir/StructureDefinition/messageheader-response-request|5.2.0

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