FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). 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.xml

Financial Management Work Group

Maturity Level: N/A

Ballot Status: Informative

Compartments: Practitioner

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Claim Reversal Example (id = "87654")

<ProcessRequest xmlns="http://hl7.org/fhir">
 <id value="87654"/> 

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

  <identifier> 
       <system value="http://happyvalley.com/processrequest"/> 
    <value value="76543"/> 
  </identifier> 

  <status value="active"/> 
  
  <action value="cancel"/> 
  
  <created value="2014-08-16"/> 

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

  <nullify value="false"/> 

 </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.