FHIR Release 3 (STU) R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.3.0: R4 Ballot 2). 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: R5 R4B R4 R3 R2

2.44 2.43 Resource OperationOutcome - Content

FHIR Infrastructure Work Group Maturity Level : 5   Trial Use Normative Compartments : Not linked to any defined compartments

Normative Candidate Note: This page is candidate normative content for R4 in the Infrastructure Package . Once normative, it will lose it's Maturity Level, and breaking changes will no longer be made.

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

2.44.1 2.43.1 Scope and Usage

Operation outcomes are sets of error, warning and information messages that provide detailed information about the outcome of an attempted system operation. They are provided as a direct system response or component of one and provide information about the outcome of the operation.

The OperationOutcome resource is used in the following circumstances:

  • When an RESTful operation fails
  • As the response on a validation operation to provide information about the outcome
  • As part of a message response, usually when the message has not been processed correctly

This resource is referenced by GuidanceResponse and MessageHeader . The reference from GuidanceResponse indicates that there is an additional use context that needs to be addressed in the scope.

2.44.2 2.43.2 Boundaries and Relationships

This resource is not used for reporting clinical or workflow issues associated with a proposed or ongoing action; these would be handled using DetectedIssue or other resources. The resource is not designed to be persisted or referenced from other parts of the workflow.

It is possible to have both OperationOutcome and DetectedIssue together, where the OperationOutcome might indicate that a requested action was rejected due to a clinical issue and the DetectedIssue provides the details of the issue.

This resource is referenced by GuidanceResponse and MessageHeader

2.44.3 2.43.3 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
. . OperationOutcome Σ N DomainResource Information about the success/failure of an action
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . issue Σ 1..* BackboneElement A single issue associated with the action
. . . . severity ?! Σ 1..1 code fatal | error | warning | information
IssueSeverity ( Required )
. . . . code Σ 1..1 code Error or warning code
IssueType ( Required )
. . . . details Σ 0..1 CodeableConcept Additional details about the error
Operation Outcome Codes ( Example )
. . . . diagnostics Σ 0..1 string Additional diagnostic information about the issue
. . . . location Σ 0..* string Path of element(s) related to issue
. . . . expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

UML Diagram ( Legend )

OperationOutcome ( DomainResource ) Issue Indicates whether the issue indicates a variation from successful processing (this element modifies the meaning of other elements) severity : code [1..1] « How the issue affects the success of the action. (Strength=Required) IssueSeverity ! » 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 code : code [1..1] « A code that describes the type of issue. (Strength=Required) IssueType ! » Additional details about the error. This may be a text description of the error, or a system code that identifies the error details : CodeableConcept [0..1] « A code that provides details as the exact issue. (Strength=Example) Operation Outcome ?? » 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 diagnostics : string [0..1] 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." "http." + the parameter name location : string [0..*] A simple FHIRPath [simple subset of FHIRPath](fhirpath.html#simple) 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 expression : string [0..*] An error, warning or information message that results from a system action issue [1..*]

XML Template 

<

<OperationOutcome xmlns="http://hl7.org/fhir"> doco

 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <issue>  <!-- 1..* A single issue associated with the action -->
  <
  <

  <severity value="[code]"/><!-- 1..1 fatal | error | warning | information -->
  <code value="[code]"/><!-- 1..1 Error or warning code -->

  <details><!-- 0..1 CodeableConcept Additional details about the error --></details>
  <
  <
  <

  <diagnostics value="[string]"/><!-- 0..1 Additional diagnostic information about the issue -->
  <location value="[string]"/><!-- 0..* Path of element(s) related to issue -->
  <expression value="[string]"/><!-- 0..* FHIRPath of element(s) related to issue -->

 </issue>
</OperationOutcome>

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:OperationOutcome;
  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:OperationOutcome.issue [ # 1..* A single issue associated with the action
    fhir:OperationOutcome.issue.severity [ code ]; # 1..1 fatal | error | warning | information
    fhir:OperationOutcome.issue.code [ code ]; # 1..1 Error or warning code
    fhir:OperationOutcome.issue.details [ CodeableConcept ]; # 0..1 Additional details about the error
    fhir:OperationOutcome.issue.diagnostics [ string ]; # 0..1 Additional diagnostic information about the issue
    fhir:OperationOutcome.issue.location [ string ], ... ; # 0..* Path of element(s) related to issue
    fhir:

    fhir:OperationOutcome.issue.expression [ string ], ... ; # 0..* FHIRPath of element(s) related to issue

  ], ...;
]

Changes since DSTU2 R3

OperationOutcome.issue.expression
  • Added Element No Changes
OperationOutcome

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 Conversion Maps (status = 6 tests that all execute ok. All tests pass round-trip testing and all r3 resources are valid.). Note: these have note yet been updated to be R3 to R4

Structure

Name Flags Card. Type Description & Constraints doco
. . OperationOutcome Σ N DomainResource Information about the success/failure of an action
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . issue Σ 1..* BackboneElement A single issue associated with the action
. . . . severity ?! Σ 1..1 code fatal | error | warning | information
IssueSeverity ( Required )
. . . . code Σ 1..1 code Error or warning code
IssueType ( Required )
. . . . details Σ 0..1 CodeableConcept Additional details about the error
Operation Outcome Codes ( Example )
. . . . diagnostics Σ 0..1 string Additional diagnostic information about the issue
. . . . location Σ 0..* string Path of element(s) related to issue
. . . . expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

UML Diagram ( Legend )

OperationOutcome ( DomainResource ) Issue Indicates whether the issue indicates a variation from successful processing (this element modifies the meaning of other elements) severity : code [1..1] « How the issue affects the success of the action. (Strength=Required) IssueSeverity ! » 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 code : code [1..1] « A code that describes the type of issue. (Strength=Required) IssueType ! » Additional details about the error. This may be a text description of the error, or a system code that identifies the error details : CodeableConcept [0..1] « A code that provides details as the exact issue. (Strength=Example) Operation Outcome ?? » 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 diagnostics : string [0..1] 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." "http." + the parameter name location : string [0..*] A simple FHIRPath [simple subset of FHIRPath](fhirpath.html#simple) 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 expression : string [0..*] An error, warning or information message that results from a system action issue [1..*]

XML Template 

<

<OperationOutcome xmlns="http://hl7.org/fhir"> doco

 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <issue>  <!-- 1..* A single issue associated with the action -->
  <
  <

  <severity value="[code]"/><!-- 1..1 fatal | error | warning | information -->
  <code value="[code]"/><!-- 1..1 Error or warning code -->

  <details><!-- 0..1 CodeableConcept Additional details about the error --></details>
  <
  <
  <

  <diagnostics value="[string]"/><!-- 0..1 Additional diagnostic information about the issue -->
  <location value="[string]"/><!-- 0..* Path of element(s) related to issue -->
  <expression value="[string]"/><!-- 0..* FHIRPath of element(s) related to issue -->

 </issue>
</OperationOutcome>

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:OperationOutcome;
  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:OperationOutcome.issue [ # 1..* A single issue associated with the action
    fhir:OperationOutcome.issue.severity [ code ]; # 1..1 fatal | error | warning | information
    fhir:OperationOutcome.issue.code [ code ]; # 1..1 Error or warning code
    fhir:OperationOutcome.issue.details [ CodeableConcept ]; # 0..1 Additional details about the error
    fhir:OperationOutcome.issue.diagnostics [ string ]; # 0..1 Additional diagnostic information about the issue
    fhir:OperationOutcome.issue.location [ string ], ... ; # 0..* Path of element(s) related to issue
    fhir:

    fhir:OperationOutcome.issue.expression [ string ], ... ; # 0..* FHIRPath of element(s) related to issue

  ], ...;
]

Changes since DSTU2

OperationOutcome.issue.expression
  • Added Element No Changes
OperationOutcome

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 Conversion Maps (status = 6 tests that all execute ok. All tests pass round-trip testing and all r3 resources are valid.). Note: these have note yet been updated to be R3 to R4

 

Alternate definitions: Master Definition ( XML , + JSON ), , XML Schema / Schematron (for ) + JSON Schema , ShEx (for Turtle ) + see the extensions & the dependency analysis

2.44.3.1 2.43.3.1 Terminology Bindings

Path Definition Type Reference
OperationOutcome.issue.severity How the issue affects the success of the action. Required IssueSeverity
OperationOutcome.issue.code A code that describes the type of issue. Required IssueType
OperationOutcome.issue.details A code that provides details as the exact issue. Example Operation Outcome Codes

2.44.4 2.43.4 Using Operation Outcome Resources

On the RESTful interface, operation outcome resources are only relevant when a level of computable detail is required that is more granular than that provided by the HTTP response codes. This granularity could include:

  • more detail about the location of an issue
  • the ability to identify multiple distinct issues
  • provision of finer error codes that connect to known business failure states

Operation outcomes returned SHOULD be in alignment with the HTTP response code. For example, if the HTTP code indicates a failure (300+), at least one of the issues should have a severity of "error", "error", indicating the reason for the failure.

2.44.5 2.43.5 Using the Location Element

Each issue in an operation outcome may have a location reported. Systems that create operation outcomes SHOULD populate the location of an error. A correctly propulated populated location can allow client systems to:

  • Connect return errors with the appropriate UI widget
  • Route errors to the corect correct application or system log
  • Develop more intelligent testing applications

In order to support these kinds of usages, this these applications need to use the location element consistently. Applications can use the location element to refer to a location inside a resource, or some location in the HTTP request (when appropriate).

2.44.5.1 2.43.5.1 Reporting Errors in Resources

While resources may be represented in XML, JSON, or other forms, error locations are always reported using a simplified XPath notation: 

 <location value="/f:Patient/f:identifier"/>

 <location value="/f:Patient/f:identifier"/>

The XPath must use the FHIR standard XPath prefixes f: and h: for the FHIR and XHTML namespaces respectively.

The XPath here can be used to automatically find the relevant XML element in a resource if the resource is represented in XML. Because resources are often represented in JSON, and because applications will often process the XPath directly (e.g. to determine the relevant widget), the XPath statement must be simple. Specifically, the XPath SHALL only contain element names and repetition indicators. So this is legal: 

 <location value="/f:Patient/f:identifier[2]/f:label"/>

 <location value="/f:Patient/f:identifier[2]/f:label"/>

but this is not: 

 <location value="/f:Patient/f:identifier[f:system/@value='http://example.com/mrn']/f:label"/>

 <location value="/f:Patient/f:identifier[f:system/@value='http://example.com/mrn']/f:label"/>

Because the Xpath is required to be simple, it can be converted to JsonPointer by dropping the namespace prefixes, and correcting for array offsets. The XPaths above have these equivalent JsonPointer representations: 

 Patient/identifier
 Patient/identifier/2/label

Note that correcting for array offsets may require knowledge of which elements are Arrays in JSON. It is also possible to convert the XPath statements to JsonPath, though there is no single standard for JsonPath.

2.44.5.2 2.43.5.2 Reporting Errors in the HTTP Headers

Servers may also need to report errors in the HTTP headers - especially query parameters when processing searches. Errors are reported using a case sensitive location that has two parts, a fixed "http" "http" and the header or query parameter name separated by a ".". ".". Some examples:

Location Description
http.name:exact A reference to the search parameter "name" "name" with the modifier ":exact" ":exact"
http.Authorization A reference to the Authorization header - perhaps to indicate that it is missing, and some form of authentication is required.