A ClaimResponse for a Claim that contains processing errors

{
  "resourceType": "ClaimResponse",
  "id": "R3501",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ClaimResponse that demonstrates returning errors</div>"

  "resourceType" : "ClaimResponse",
  "id" : "R3501",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ClaimResponse that demonstrates returning errors</div>"

  },
  "identifier": [
    {
      "system": "http://www.BenefitsInc.com/fhir/remittance",
      "value": "R3501"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "oral"
      }
    ]

  "identifier" : [{
    "system" : "http://www.BenefitsInc.com/fhir/remittance",
    "value" : "R3501"
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "oral"
    }]

  },
  "use": "claim",
  "patient": {
    "reference": "Patient/1"

  "use" : "claim",
  "patient" : {
    "reference" : "Patient/1"

  },
  "created": "2014-08-16",
  "insurer": {
    "identifier": {
      "system": "http://www.jurisdiction.org/insurers",
      "value": "555123"

  "created" : "2014-08-16",
  "insurer" : {
    "identifier" : {
      "system" : "http://www.jurisdiction.org/insurers",
      "value" : "555123"

    }
  },
  "requestor": {
    "reference": "Practitioner/1"

  "requestor" : {
    "reference" : "Practitioner/1"

  },
  "request": {
    "reference": "Claim/100156"

  "request" : {
    "reference" : "Claim/100156"

  },
  "outcome": "error",
  "disposition": "Claim could not be processed",
  "formCode": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/forms-codes",
        "code": "2"
      }
    ]

  "outcome" : "error",
  "disposition" : "Claim could not be processed",
  "formCode" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/forms-codes",
      "code" : "2"
    }]

  },
  "processNote": [
    {
      "number": 1,
      "type": "display",
      "text": "Invalid claim",
      "language": {
        "coding": [
          {
            "system": "urn:ietf:bcp:47",
            "code": "en-CA"
          }
        ]
      }
    }
  ],
  "communicationRequest": [
    {
      "reference": "CommunicationRequest/fm-solicit"

  "processNote" : [{
    "number" : 1,
    "type" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/note-type",
        "code" : "display"
      }]
    },
    "text" : "Invalid claim",
    "language" : {
      "coding" : [{
        "system" : "urn:ietf:bcp:47",
        "code" : "en-CA"
      }]

    }
  ],
  "error": [
    {
      "itemSequence": 3,
      "detailSequence": 2,
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/adjudication-error",
            "code": "a002"
          }
        ]
      }

  }],
  "communicationRequest" : [{
    "reference" : "CommunicationRequest/fm-solicit"
  }],
  "error" : [{
    "itemSequence" : 3,
    "detailSequence" : 2,
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/adjudication-error",
        "code" : "a002"
      }]

    }
  ]

  }]

}