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.

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.

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

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

Describes the type of the issue.

Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide it's own codes in other coding elements in the type. A human readable description of the type of the issue SHOULD be placed in code.text.

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 reference to a code defined by a terminology system.

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

The identification of the code system that defines the meaning of the symbol in the code.

Need to be unambiguous about the source of the definition of the symbol.

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Very often the text is the same as a displayName of one of the codings.

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.