This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
Example Index:
| Claim Readjudicate Example | XML | JSON |
XML
Claim Readjudicate Example (id = "44654")
<Readjudicate xmlns="http://hl7.org/fhir"> <id value="44654"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div> </text> <identifier> <system value="http://happyvalley.com/reversal"/> <value value="44543"/> </identifier> <created value="2014-08-16"/> <organization> <reference value="Organization/1"/> </organization> <request> <reference value="http://BenefitsInc.com/fhir/oralhealthclaim/12345"/> </request> <reference value="ABC12345G"/> <item> <sequenceLinkId value="1"/> </item> </Readjudicate>
JSON
Claim Readjudicate Example
{
"resourceType": "Readjudicate",
"id": "44654",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"identifier": [
{
"system": "http://happyvalley.com/reversal",
"value": "44543"
}
],
"created": "2014-08-16",
"organization": {
"reference": "Organization/1"
},
"request": {
"reference": "http://BenefitsInc.com/fhir/oralhealthclaim/12345"
},
"reference": "ABC12345G",
"item": [
{
"sequenceLinkId": 1
}
]
}
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.