Processresponse-example-pended.xml

ProcessResponse with Pended status and request for additional information (id = "SR2499")

<?xml version="1.0" encoding="UTF-8"?>

<ProcessResponse xmlns="http://hl7.org/fhir">
  <id value="SR2499"/> 

  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">A ProcessResponse indicating pended status with a request for additional information.</div> 
  </text> 

  <contained> 
    <CommunicationRequest> 
      <id value="comreq-1"/> 

      <identifier> 
        <system value="http://www.jurisdiction.com/insurer/123456"/> 
        <value value="ABC123"/>  <!--     this is the value to which the response will refer     -->
      </identifier> 

      <status value="active"/> 
      
      <category> 
        <coding> 
          <system value="http://acme.org/messagetypes"/> 
          <code value="SolicitedAttachmentRequest"/> 
        </coding> 
      </category> 

      
      <payload> 
        <contentString value="Please provide the accident report and any associated pictures to support your Claim#
              DEF5647."/> 
      </payload> 
      <authoredOn value="2016-06-10T11:01:10-08:00"/> 
      <recipient> 
        <identifier> 
          <system value="http://www.jurisdiction.com/provideroffices"/> 
          <value value="3456"/> 
        </identifier> 
      </recipient> 
      <sender> 
        <identifier> 
          <system value="http://www.jurisdiction.com/insurer"/> 
          <value value="123456"/> 
        </identifier> 
      </sender> 

    </CommunicationRequest> 

  </contained>  

  <identifier> 
    <system value="http://www.BenefitsInc.com/fhir/processresponse"/> 
    <value value="881222"/> 
  </identifier> 

  <status value="active"/> 

  <created value="2014-08-16"/> 

  <organization> 
    <reference value="Organization/2"/> 
  </organization> 

  <request> 
    <reference value="http://happyvalley.com/fhir/claim/12345"/> 
  </request> 

  <outcome value="pended"/> 

  <disposition value="Additional information required."/> 

  <requestProvider> 
    <reference value="Organization/1"/> 
  </requestProvider> 

  <communicationRequest> 
    <reference value="#comreq-1"/> 
  </communicationRequest> 

</ProcessResponse>