FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R3 R2

12.21 Resource ProcessResponse - Content

This resource provides processing status, errors and notes from the processing of a resource.

12.21.1 Scope and Usage

NOTE: This resource is slated to be refactored and reduced in scope as some of its functionality is taken over by the Task resource as part of the FHIR Workflow refactoring. Readers of this resource are encouraged to review the Task resource and consider using it instead and/or to provide feedback if they feel it will be inadequate to satisfy the use-cases associated with this resource and to express opinions about which purposes for they feel ProcessRequest and ProcessResponse should be retained.

The ProcessResponse resource indicates the resource for which the processing status is requested and provides simple acknowledgement and status information of application level errors. It may also be used to convey additional processing requirements in a text form.

This is the formal response to a ProcessRequest and may be used as a application level response to the PaymentNotice resource.

12.21.2 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
.. ProcessResponse DomainResource ProcessResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*Identifier Business Identifier
... status ?!Σ0..1code active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created 0..1dateTime Creation date
... organization 0..1Reference(Organization)Authoring Organization
... request 0..1Reference(Any)Request reference
... outcome 0..1CodeableConcept Processing outcome
Process Outcome Codes (Example)
... disposition 0..1string Disposition Message
... requestProvider 0..1Reference(Practitioner)Responsible Practitioner
... requestOrganization 0..1Reference(Organization)Responsible organization
... form 0..1CodeableConcept Printed Form Identifier
Form Codes (Example)
... processNote 0..*BackboneElement Processing comments or additional requirements
.... type 0..1CodeableConcept display | print | printoper
NoteType (Required)
.... text 0..1string Comment on the processing
... error 0..*CodeableConcept Error code
Adjudication Error Codes (Example)
... communicationRequest 0..*Reference(CommunicationRequest)Request for additional information

doco Documentation for this format

UML Diagram (Legend)

ProcessResponse (DomainResource)The Response business identifieridentifier : Identifier [0..*]The status of the resource instance (this element modifies the meaning of other elements)status : code [0..1] A code specifying the state of the resource instance. (Strength=Required)Financial Resource Status ! The date when the enclosed suite of services were performed or completedcreated : dateTime [0..1]The organization who produced this adjudicated responseorganization : Reference [0..1] Organization Original request resource referencerequest : Reference [0..1] Any Transaction status: error, complete, heldoutcome : CodeableConcept [0..1] Local status of outcome codes (Strength=Example)Process Outcome ?? A description of the status of the adjudication or processingdisposition : string [0..1]The practitioner who is responsible for the services rendered to the patientrequestProvider : Reference [0..1] Practitioner The organization which is responsible for the services rendered to the patientrequestOrganization : Reference [0..1] Organization The form to be used for printing the contentform : CodeableConcept [0..1] The forms codes. (Strength=Example)Form ?? Processing errorserror : CodeableConcept [0..*] The error codes for adjudication processing. (Strength=Example)Adjudication Error ?? Request for additional supporting or authorizing information, such as: documents, images or resourcescommunicationRequest : Reference [0..*] CommunicationRequest ProcessNoteThe note purpose: Print/Displaytype : CodeableConcept [0..1] The presentation types of notes. (Strength=Required)NoteType! The note texttext : string [0..1]Suite of processing notes or additional requirements if the processing has been heldprocessNote [0..*]

XML Template

<ProcessResponse xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier  Business Identifier  --></identifier>
 <status value="[code ]"/><!-- 0..1 active | cancelled | draft | entered-in-error  -->
 <created value="[dateTime ]"/><!-- 0..1 Creation date  -->
 <organization><!-- 0..1 Reference(Organization) Authoring Organization  --></organization>
 <request><!-- 0..1 Reference(Any) Request reference  --></request>
 <outcome><!-- 0..1 CodeableConcept  Processing outcome  --></outcome>
 <disposition value="[string ]"/><!-- 0..1 Disposition Message  -->
 <requestProvider><!-- 0..1 Reference(Practitioner) Responsible Practitioner  --></requestProvider>
 <requestOrganization><!-- 0..1 Reference(Organization) Responsible organization  --></requestOrganization>
 <form><!-- 0..1 CodeableConcept  Printed Form Identifier  --></form>
 <processNote> <!-- 0..* Processing comments or additional requirements -->
 <type><!-- 0..1 CodeableConcept  display | print | printoper  --></type>
 <text value="[string ]"/><!-- 0..1 Comment on the processing  -->
 </processNote>
 <error><!-- 0..* CodeableConcept  Error code  --></error>
 <communicationRequest><!-- 0..* Reference(CommunicationRequest) Request for additional information  --></communicationRequest>
</ProcessResponse>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:ProcessResponse;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:ProcessResponse.identifier[ Identifier ], ... ; # 0..* Business Identifier
 fhir:ProcessResponse.status[ code ]; # 0..1 active | cancelled | draft | entered-in-error
 fhir:ProcessResponse.created[ dateTime ]; # 0..1 Creation date
 fhir:ProcessResponse.organization[ Reference(Organization) ]; # 0..1 Authoring Organization
 fhir:ProcessResponse.request[ Reference(Any) ]; # 0..1 Request reference
 fhir:ProcessResponse.outcome[ CodeableConcept ]; # 0..1 Processing outcome
 fhir:ProcessResponse.disposition[ string ]; # 0..1 Disposition Message
 fhir:ProcessResponse.requestProvider[ Reference(Practitioner) ]; # 0..1 Responsible Practitioner
 fhir:ProcessResponse.requestOrganization[ Reference(Organization) ]; # 0..1 Responsible organization
 fhir:ProcessResponse.form[ CodeableConcept ]; # 0..1 Printed Form Identifier
 fhir:ProcessResponse.processNote[ # 0..* Processing comments or additional requirements
 fhir:ProcessResponse.processNote.type[ CodeableConcept ]; # 0..1 display | print | printoper
 fhir:ProcessResponse.processNote.text[ string ]; # 0..1 Comment on the processing
 ], ...;
 fhir:ProcessResponse.error[ CodeableConcept ], ... ; # 0..* Error code
 fhir:ProcessResponse.communicationRequest[ Reference(CommunicationRequest) ], ... ; # 0..* Request for additional information
]

Changes since DSTU2

ProcessResponse.status
  • Added Element
ProcessResponse.outcome
  • Type changed from Coding to CodeableConcept
ProcessResponse.form
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/forms (required)
ProcessResponse.processNote
  • Added Element
ProcessResponse.processNote.type
  • Added Element
ProcessResponse.processNote.text
  • Added Element
ProcessResponse.error
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/adjudication-error (required)
ProcessResponse.communicationRequest
  • Added Element
ProcessResponse.ruleset
  • deleted
ProcessResponse.originalRuleset
  • deleted
ProcessResponse.notes
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Structure

Name Flags Card. Type Description & Constraints doco
.. ProcessResponse DomainResource ProcessResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*Identifier Business Identifier
... status ?!Σ0..1code active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created 0..1dateTime Creation date
... organization 0..1Reference(Organization)Authoring Organization
... request 0..1Reference(Any)Request reference
... outcome 0..1CodeableConcept Processing outcome
Process Outcome Codes (Example)
... disposition 0..1string Disposition Message
... requestProvider 0..1Reference(Practitioner)Responsible Practitioner
... requestOrganization 0..1Reference(Organization)Responsible organization
... form 0..1CodeableConcept Printed Form Identifier
Form Codes (Example)
... processNote 0..*BackboneElement Processing comments or additional requirements
.... type 0..1CodeableConcept display | print | printoper
NoteType (Required)
.... text 0..1string Comment on the processing
... error 0..*CodeableConcept Error code
Adjudication Error Codes (Example)
... communicationRequest 0..*Reference(CommunicationRequest)Request for additional information

doco Documentation for this format

UML Diagram (Legend)

ProcessResponse (DomainResource)The Response business identifieridentifier : Identifier [0..*]The status of the resource instance (this element modifies the meaning of other elements)status : code [0..1] A code specifying the state of the resource instance. (Strength=Required)Financial Resource Status ! The date when the enclosed suite of services were performed or completedcreated : dateTime [0..1]The organization who produced this adjudicated responseorganization : Reference [0..1] Organization Original request resource referencerequest : Reference [0..1] Any Transaction status: error, complete, heldoutcome : CodeableConcept [0..1] Local status of outcome codes (Strength=Example)Process Outcome ?? A description of the status of the adjudication or processingdisposition : string [0..1]The practitioner who is responsible for the services rendered to the patientrequestProvider : Reference [0..1] Practitioner The organization which is responsible for the services rendered to the patientrequestOrganization : Reference [0..1] Organization The form to be used for printing the contentform : CodeableConcept [0..1] The forms codes. (Strength=Example)Form ?? Processing errorserror : CodeableConcept [0..*] The error codes for adjudication processing. (Strength=Example)Adjudication Error ?? Request for additional supporting or authorizing information, such as: documents, images or resourcescommunicationRequest : Reference [0..*] CommunicationRequest ProcessNoteThe note purpose: Print/Displaytype : CodeableConcept [0..1] The presentation types of notes. (Strength=Required)NoteType! The note texttext : string [0..1]Suite of processing notes or additional requirements if the processing has been heldprocessNote [0..*]

XML Template

<ProcessResponse xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier  Business Identifier  --></identifier>
 <status value="[code ]"/><!-- 0..1 active | cancelled | draft | entered-in-error  -->
 <created value="[dateTime ]"/><!-- 0..1 Creation date  -->
 <organization><!-- 0..1 Reference(Organization) Authoring Organization  --></organization>
 <request><!-- 0..1 Reference(Any) Request reference  --></request>
 <outcome><!-- 0..1 CodeableConcept  Processing outcome  --></outcome>
 <disposition value="[string ]"/><!-- 0..1 Disposition Message  -->
 <requestProvider><!-- 0..1 Reference(Practitioner) Responsible Practitioner  --></requestProvider>
 <requestOrganization><!-- 0..1 Reference(Organization) Responsible organization  --></requestOrganization>
 <form><!-- 0..1 CodeableConcept  Printed Form Identifier  --></form>
 <processNote> <!-- 0..* Processing comments or additional requirements -->
 <type><!-- 0..1 CodeableConcept  display | print | printoper  --></type>
 <text value="[string ]"/><!-- 0..1 Comment on the processing  -->
 </processNote>
 <error><!-- 0..* CodeableConcept  Error code  --></error>
 <communicationRequest><!-- 0..* Reference(CommunicationRequest) Request for additional information  --></communicationRequest>
</ProcessResponse>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:ProcessResponse;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:ProcessResponse.identifier[ Identifier ], ... ; # 0..* Business Identifier
 fhir:ProcessResponse.status[ code ]; # 0..1 active | cancelled | draft | entered-in-error
 fhir:ProcessResponse.created[ dateTime ]; # 0..1 Creation date
 fhir:ProcessResponse.organization[ Reference(Organization) ]; # 0..1 Authoring Organization
 fhir:ProcessResponse.request[ Reference(Any) ]; # 0..1 Request reference
 fhir:ProcessResponse.outcome[ CodeableConcept ]; # 0..1 Processing outcome
 fhir:ProcessResponse.disposition[ string ]; # 0..1 Disposition Message
 fhir:ProcessResponse.requestProvider[ Reference(Practitioner) ]; # 0..1 Responsible Practitioner
 fhir:ProcessResponse.requestOrganization[ Reference(Organization) ]; # 0..1 Responsible organization
 fhir:ProcessResponse.form[ CodeableConcept ]; # 0..1 Printed Form Identifier
 fhir:ProcessResponse.processNote[ # 0..* Processing comments or additional requirements
 fhir:ProcessResponse.processNote.type[ CodeableConcept ]; # 0..1 display | print | printoper
 fhir:ProcessResponse.processNote.text[ string ]; # 0..1 Comment on the processing
 ], ...;
 fhir:ProcessResponse.error[ CodeableConcept ], ... ; # 0..* Error code
 fhir:ProcessResponse.communicationRequest[ Reference(CommunicationRequest) ], ... ; # 0..* Request for additional information
]

Changes since DSTU2

ProcessResponse.status
  • Added Element
ProcessResponse.outcome
  • Type changed from Coding to CodeableConcept
ProcessResponse.form
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/forms (required)
ProcessResponse.processNote
  • Added Element
ProcessResponse.processNote.type
  • Added Element
ProcessResponse.processNote.text
  • Added Element
ProcessResponse.error
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/adjudication-error (required)
ProcessResponse.communicationRequest
  • Added Element
ProcessResponse.ruleset
  • deleted
ProcessResponse.originalRuleset
  • deleted
ProcessResponse.notes
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle)

12.21.2.1 Terminology Bindings

PathDefinitionTypeReference
ProcessResponse.status A code specifying the state of the resource instance.Required Financial Resource Status Codes
ProcessResponse.outcome Local status of outcome codesExample Process Outcome Codes
ProcessResponse.form The forms codes.Example Form Codes
ProcessResponse.processNote.type The presentation types of notes.Required NoteType
ProcessResponse.error The error codes for adjudication processing.Example Adjudication Error Codes

12.21.3 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
identifier token The business identifier of the Explanation of Benefit ProcessResponse.identifier
organization reference The organization who generated this resource ProcessResponse.organization
(Organization)
request reference The reference to the claim ProcessResponse.request
(Any)
request-organization reference The Organization who is responsible the request transaction ProcessResponse.requestOrganization
(Organization)
request-provider reference The Provider who is responsible the request transaction ProcessResponse.requestProvider
(Practitioner)

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