R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: 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-reprocess.xml

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Claim Readjudicate Example (id = "44654")

<?xml version="1.0" encoding="UTF-8"?>

<ProcessRequest xmlns="http://hl7.org/fhir">
 <id value="44654"/> 

 <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the ReProcess ProcessRequest resource.</div> 
  </text> 

  <identifier> 
       <system value="http://happyvalley.com/processrequest"/> 
    <value value="44543"/> 
  </identifier> 
 
  <status value="active"/> 
  
  <action value="reprocess"/>  

  <created value="2014-08-16"/> 

  <provider> 
    <reference value="Organization/1"/> 
  </provider> 
  
  <request> 
    <reference value="http://BenefitsInc.com/fhir/claim/12345"/> 
  </request> 

  <reference value="ABC12345G"/> 
 
  <item> 
    <sequenceLinkId value="1"/> 
  </item> 

 </ProcessRequest> 

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.