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 - XML Representation

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<Task xmlns="http://hl7.org/fhir">
  <id value="dispute-001"/>
  <meta>
    <profile
             value="https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-dispute-task"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-correlation-id">
    <valueString value="corr-9001"/>
  </extension>
  <extension
             url="https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-chargeback-reference">
    <valueIdentifier>
      <system value="https://exchange.example.org/chargeback"/>
      <value value="cb-1001"/>
    </valueIdentifier>
  </extension>
  <identifier>
    <system value="https://exchange.example.org/dispute-ids"/>
    <value value="dispute-001"/>
  </identifier>
  <status value="requested"/>
  <intent value="order"/>
  <code>
    <coding>
      <system
              value="https://exchange.example.org/fhir/ig/340b-exchange/CodeSystem/340b-event-type"/>
      <code value="dispute-opened"/>
      <display value="Dispute Opened"/>
    </coding>
  </code>
  <focus>🔗 
    <reference value="Claim/claim-example-correlation"/>
  </focus>
  <for>🔗 
    <reference value="Organization/tpa-01"/>
  </for>
  <authoredOn value="2026-04-24T14:00:00Z"/>
  <requester>🔗 
    <reference value="Organization/tpa-01"/>
  </requester>
  <owner>🔗 
    <reference value="Organization/manufacturer-77"/>
  </owner>
</Task>