R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 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

Processrequest-example-reverse.json

Financial Management Work Group

Maturity Level: N/A

Ballot Status: Informative

Compartments: Practitioner

Raw JSON (canonical form)

Claim Reversal Example

{
  "resourceType": "ProcessRequest",
  "id": "87654",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Reversal ProcessRequest</div>"
  },
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "76543"
    }
  ],
  "status": "active",
  "action": "cancel",
  "created": "2014-08-16",
  "provider": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://BenefitsInc.com/fhir/claim/12345"
  },
  "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.