340B FHIR Exchange Implementation Guide
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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 ClaimResponse: claimresponse-example-ruleset

340B Correlation ID Extension: corr-cb-7721

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

340B Rule Set Version Extension: 1.2.0

340B Manufacturer ID Extension: https://exchange.example.org/manufacturers/mfr-77

identifier: https://exchange.example.org/claimresponse-ids/cr-7721

status: Active

type: Pharmacy

use: Claim

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

created: 2026-04-24

insurer: Organization Example Manufacturer 77

request: Claim: extension = corr-cb-7721,tx-cb-7721,1.2.0,https://exchange.example.org/chargeback#cb-7721; identifier = https://exchange.example.org/claim-ids#claim-7721; status = active; type = Pharmacy; use = claim; created = 2026-04-24; priority = Normal

outcome: Processing Complete