DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 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.xml

Raw XML (canonical form)

Claim Reversal Example (id = "87654")

Raw XML

<ProcessRequest 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>
  <action value="cancel"/>
  <identifier>
    <system value="http://happyvalley.com/processrequest"/>
    <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>
  <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.