This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
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:
R3
R2
5.8.5
5.8.4
Resource
ProcessRequest
-
Examples
Example
Index:
List:
|
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
|
5.8.5.1
General-Poll
XML
All
Pended
Checking
Example
(id
=
"1110")
Raw
XML
</ProcessRequest>
JSON
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
XML
Check
for
responses
for
a
specific
Request
(id
=
"1111")
Raw
XML
</ProcessRequest>
JSON
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
XML
Check
for
responses
for
types
of
resources
(id
=
"1112")
Raw
XML
</ProcessRequest>
JSON
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
XML
Check
for
responses
for
excluding
types
of
resources
(id
=
"1113")
Raw
XML
</ProcessRequest>
JSON
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
XML
Check
for
Payment
Reconciliation
(id
=
"1114")
Raw
XML
</ProcessRequest>
JSON
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
XML
Check
for
Explanation
of
Benefit
(id
=
"1115")
Raw
XML
</ProcessRequest>
JSON
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
XML
Claim
Readjudicate
Example
(id
=
"44654")
Raw
XML
</ProcessRequest>
JSON
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
XML
Claim
Reversal
Example
(id
=
"87654")
Raw
XML
</ProcessRequest>
JSON
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
XML
Claim
Status
Checking
Example
(id
=
"87655")
|
Raw
XML
</ProcessRequest>
|
JSON
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.