2nd DSTU Draft For Comment

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

7.16.5 Resource Reversal - Examples

Example Index:

Claim Reversal ExampleXMLJSON

7.16.5.1 General-Primary

XML

Claim Reversal Example (id = "87654")

Raw XML

<Reversal xmlns="http://hl7.org/fhir">
  <id value="87654"/>
  <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="76543"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://BenefitsInc.com/fhir/oralhealthclaim/12345"/>
  </request>
  <coverage>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <reference value="Coverage/9876B1"/>
    </coverage>
    <relationship>
      <code value="self"/>
    </relationship>
  </coverage>
  <nullify value="false"/>
</Reversal>

JSON

Claim Reversal Example

Raw JSON (Canonical)

{
  "resourceType": "Reversal",
  "id": "87654",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "identifier": [
    {
      "system": "http://happyvalley.com/reversal",
      "value": "76543"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://BenefitsInc.com/fhir/oralhealthclaim/12345"
  },
  "coverage": {
    "sequence": 1,
    "focal": true,
    "coverage": {
      "reference": "Coverage/9876B1"
    },
    "relationship": {
      "code": "self"
    }
  },
  "nullify": false
}

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.