A collection of error, warning or information messages that result from a system action.

Can result from the failure of a REST call or be part of the response message returned from a request message. If sent with extensions overriding particular issues, might even appear as part of a request message.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

An error, warning or information message that results from a system action.

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Indicates whether the issue indicates a variation from successful processing.

This is labeled as "Is Modifier" because applications should not confuse hints and warnings with errors.

How the issue affects the success of the action.

Indicates how relevant the issue is to the overall success of the action.

Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.

A code that describes the type of issue.

Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue.

An Extension

R4B: OperationOutcome.issue.code additional codes

Element OperationOutcome.issue.code is mapped to FHIR STU3 element OperationOutcome.issue.code as RelatedTo. The mappings for OperationOutcome.issue.code do not allow expression of the necessary codes, per the bindings on the source and target.

R4B: OperationOutcome.meta additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)

Element OperationOutcome.meta is mapped to FHIR STU3 element OperationOutcome.meta as SourceIsBroaderThanTarget. The mappings for OperationOutcome.meta do not cover the following types: Meta. The mappings for OperationOutcome.meta do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

R4B: OperationOutcome.text additional types (Narrative) additional types from child elements (div, status)

Element OperationOutcome.text is mapped to FHIR STU3 element OperationOutcome.text as SourceIsBroaderThanTarget. The mappings for OperationOutcome.text do not cover the following types: Narrative. The mappings for OperationOutcome.text do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

R4B: OperationOutcome.issue.code additional codes

Element OperationOutcome.issue.code is mapped to FHIR STU3 element OperationOutcome.issue.code as RelatedTo. The mappings for OperationOutcome.issue.code do not allow expression of the necessary codes, per the bindings on the source and target.

A collection of error, warning or information messages that result from a system action.

Can result from the failure of a REST call or be part of the response message returned from a request message. If sent with extensions overriding particular issues, might even appear as part of a request message.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

R4B: OperationOutcome.meta additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)

Element OperationOutcome.meta is mapped to FHIR STU3 element OperationOutcome.meta as SourceIsBroaderThanTarget. The mappings for OperationOutcome.meta do not cover the following types: Meta. The mappings for OperationOutcome.meta do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

When the resource last changed - e.g. when the version changed.

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Security Labels from the Healthcare Privacy and Security Classification System.

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

A human language.

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

R4B: OperationOutcome.text additional types (Narrative) additional types from child elements (div, status)

Element OperationOutcome.text is mapped to FHIR STU3 element OperationOutcome.text as SourceIsBroaderThanTarget. The mappings for OperationOutcome.text do not cover the following types: Narrative. The mappings for OperationOutcome.text do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.

The status of a resource narrative

The actual narrative content, a stripped down version of XHTML.

The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

An error, warning or information message that results from a system action.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Indicates whether the issue indicates a variation from successful processing.

This is labeled as "Is Modifier" because applications should not confuse hints and warnings with errors.

How the issue affects the success of the action.

Indicates how relevant the issue is to the overall success of the action.

Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.

A code that describes the type of issue.

Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue.

unique id for the element within a resource (for internal references)

An Extension

R4B: OperationOutcome.issue.code additional codes

Element OperationOutcome.issue.code is mapped to FHIR STU3 element OperationOutcome.issue.code as RelatedTo. The mappings for OperationOutcome.issue.code do not allow expression of the necessary codes, per the bindings on the source and target.

Primitive value for code

Additional details about the error. This may be a text description of the error, or a system code that identifies the error.

A human readable description of the error issue SHOULD be placed in details.text.

A code that provides details as the exact issue.

Additional diagnostic information about the issue. Typically, this may be a description of how a value is erroneous, or a stack dump to help trace the issue.

Typically this field is used to provide troubleshooting information about the error.

For resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child access that identifies one of the elements in the resource that caused this issue to be raised. For HTTP errors, will be "http." + the parameter name.

The root of the XPath is the resource or bundle that generated OperationOutcome. Each XPath SHALL resolve to a single node. The XPath syntax is used whether the referenced instance is expressed in XML or JSON. Note that expression is being trialed as an alternative to XPath.

Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.

A simple FHIRPath limited to element names, repetition indicators and the default child access that identifies one of the elements in the resource that caused this issue to be raised.

The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node.

Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.