ProcessRequest - FHIR v0.4.0

This page is part of the FHIR Specification (v0.0.82: DSTU 1). 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

5.8.5 Resource ProcessRequest - Examples

5.8.5.1 General-Poll

All Pended Checking Example (id = "1110")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1110"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="110"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
</ProcessRequest>

All Pended Checking Example

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1110",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "110"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  }
}

5.8.5.2 Specific - Poll

Check for responses for a specific Request (id = "1111")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1111"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="111"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://benefitco.com/oralhealthclaim/12345"/>
  </request>
</ProcessRequest>

Check for responses for a specific Request

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1111",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "111"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://benefitco.com/oralhealthclaim/12345"
  }
}

5.8.5.3 Inclusive - Poll

Check for responses for types of resources (id = "1112")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1112"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="112"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <include value="Reconciliation"/>
</ProcessRequest>

Check for responses for types of resources

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1112",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "112"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "include": [
    "Reconciliation"
  ]
}

5.8.5.4 Exclusive - Poll

Check for responses for excluding types of resources (id = "1113")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1113"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="113"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <exclude value="SupportingDocumentation"/>
  <exclude value="Reconciliation"/>
</ProcessRequest>

Check for responses for excluding types of resources

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1113",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "113"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "exclude": [
    "SupportingDocumentation",
    "Reconciliation"
  ]
}

5.8.5.5 Specific-Inclusive

Check for Payment Reconciliation (id = "1114")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1114"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="114"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <include value="Reconciliation"/>
  <period>
    <start value="2014-08-10"/>
    <end value="2014-08-20"/>
  </period>
</ProcessRequest>

Check for Payment Reconciliation

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1114",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "114"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "include": [
    "Reconciliation"
  ],
  "period": {
    "start": "2014-08-10",
    "end": "2014-08-20"
  }
}

5.8.5.6 Specific-Inclusive

Check for Explanation of Benefit (id = "1115")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="1115"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="poll"/>
  <identifier>
    <system value="http://www.phr.com/patient/12345/processrequest"/>
    <value value="115"/>
  </identifier>
  <created value="2014-08-16"/>
  <include value="ExplanationOfBenefit"/>
</ProcessRequest>

Check for Explanation of Benefit

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "1115",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "poll",
  "identifier": [
    {
      "system": "http://www.phr.com/patient/12345/processrequest",
      "value": "115"
    }
  ],
  "created": "2014-08-16",
  "include": [
    "ExplanationOfBenefit"
  ]
}

5.8.5.7 Claim Reprocess

Claim Readjudicate Example (id = "44654")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="44654"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="reprocess"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="44543"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://BenefitsInc.com/fhir/oralhealthclaim/12345"/>
  </request>
  <reference value="ABC12345G"/>
  <item>
    <sequenceLinkId value="1"/>
  </item>
</ProcessRequest>

Claim Readjudicate Example

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "44654",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "reprocess",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "44543"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://BenefitsInc.com/fhir/oralhealthclaim/12345"
  },
  "reference": "ABC12345G",
  "item": [
    {
      "sequenceLinkId": 1
    }
  ]
}

5.8.5.8 Claim Reversal

Claim Reversal Example (id = "87654")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="87654"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="cancel"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="76543"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://BenefitsInc.com/fhir/oralhealthclaim/12345"/>
  </request>
  <nullify value="false"/>
</ProcessRequest>

Claim Reversal Example

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "87654",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "cancel",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "76543"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://BenefitsInc.com/fhir/oralhealthclaim/12345"
  },
  "nullify": false
}

5.8.5.9 Status Request

Claim Status Checking Example (id = "87655")

Raw XML

<ProcessRequest xmlns="http://hl7.org/fhir">
  <id value="87655"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <action value="status"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <value value="1776543"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://BenefitsInc.com/oralhealthclaim/12345"/>
  </request>
  <response>
    <reference value="http://BenefitsInc.com/fhir/claimresponse/3500"/>
  </response>
</ProcessRequest>

Claim Status Checking Example

Raw JSON (Canonical)

{
  "resourceType": "ProcessRequest",
  "id": "87655",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "action": "status",
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "1776543"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://BenefitsInc.com/oralhealthclaim/12345"
  },
  "response": {
    "reference": "http://BenefitsInc.com/fhir/claimresponse/3500"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.

All Pended Checking Example	XML	JSON
Check for responses for a specific Request	XML	JSON
Check for responses for types of resources	XML	JSON
Check for responses for excluding types of resources	XML	JSON
Check for Payment Reconciliation	XML	JSON
Check for Explanation of Benefit	XML	JSON
Claim Readjudicate Example	XML	JSON
Claim Reversal Example	XML	JSON
Claim Status Checking Example	XML	JSON