340B FHIR Exchange Implementation Guide
0.1.0-ballot - ci-build United States of America flag

340B FHIR Exchange Implementation Guide - Local Development build (v0.1.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Claim: claim-chargeback-001

340B Correlation ID Extension: corr-cb-7721

340B Exchange Transaction ID Extension: tx-cb-7721

340B Rule Set Version Extension: 1.2.0

340B Chargeback Reference Extension: https://exchange.example.org/chargeback/cb-7721

identifier: https://exchange.example.org/claim-ids/claim-7721

status: Active

type: Pharmacy

use: Claim

patient: Pat Example (no stated gender), DoB Unknown

created: 2026-04-24

insurer: Organization Example Manufacturer 77

provider: Organization Example Pharmacy 22

priority: Normal

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active

Items

-SequenceProductOrService
*100000-1111-22