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

• Narrative Content
• XML
• JSON
• TTL

: dispute-001 - JSON Representation

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{
  "resourceType" : "Task",
  "id" : "dispute-001",
  "meta" : {
    "profile" : [
      🔗 "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-dispute-task"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task dispute-001</b></p><a name=\"dispute-001\"> </a><a name=\"hcdispute-001\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-340b-dispute-task.html\">340B Dispute Task Profile</a></p></div><p><b>340B Correlation ID Extension</b>: corr-9001</p><p><b>340B Chargeback Reference Extension</b>: <code>https://exchange.example.org/chargeback</code>/cb-1001</p><p><b>identifier</b>: <code>https://exchange.example.org/dispute-ids</code>/dispute-001</p><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{https://exchange.example.org/fhir/ig/340b-exchange/CodeSystem/340b-event-type dispute-opened}\">Dispute Opened</span></p><p><b>focus</b>: <a href=\"Claim-claim-example-correlation.html\">Claim: extension = corr-a13d8e2; status = active; type = Pharmacy; use = claim; created = 2026-04-24; priority = Normal</a></p><p><b>for</b>: <a href=\"Organization-tpa-01.html\">Organization Example TPA 01</a></p><p><b>authoredOn</b>: 2026-04-24 14:00:00+0000</p><p><b>requester</b>: <a href=\"Organization-tpa-01.html\">Organization Example TPA 01</a></p><p><b>owner</b>: <a href=\"Organization-manufacturer-77.html\">Organization Example Manufacturer 77</a></p></div>"
  },
  "extension" : [
    {
      "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-correlation-id",
      "valueString" : "corr-9001"
    },
    {
      "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-chargeback-reference",
      "valueIdentifier" : {
        "system" : "https://exchange.example.org/chargeback",
        "value" : "cb-1001"
      }
    }
  ],
  "identifier" : [
    {
      "system" : "https://exchange.example.org/dispute-ids",
      "value" : "dispute-001"
    }
  ],
  "status" : "requested",
  "intent" : "order",
  "code" : {
    "coding" : [
      {
        "system" : "https://exchange.example.org/fhir/ig/340b-exchange/CodeSystem/340b-event-type",
        "code" : "dispute-opened",
        "display" : "Dispute Opened"
      }
    ]
  },
  "focus" : {
    🔗 "reference" : "Claim/claim-example-correlation"
  },
  "for" : {
    🔗 "reference" : "Organization/tpa-01"
  },
  "authoredOn" : "2026-04-24T14:00:00Z",
  "requester" : {
    🔗 "reference" : "Organization/tpa-01"
  },
  "owner" : {
    🔗 "reference" : "Organization/manufacturer-77"
  }
}