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

Reversal-example.json

Raw JSON (canonical form)

Claim Reversal Example

{
  "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.