DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 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 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.