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

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• XML
• JSON
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: task-example-chargeback-ref - JSON Representation

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{
  "resourceType" : "Task",
  "id" : "task-example-chargeback-ref",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task task-example-chargeback-ref</b></p><a name=\"task-example-chargeback-ref\"> </a><a name=\"hctask-example-chargeback-ref\"> </a><p><b>340B Chargeback Reference Extension</b>: <code>https://exchange.example.org/chargebacks</code>/cb-778899</p><p><b>status</b>: In Progress</p><p><b>intent</b>: order</p><p><b>focus</b>: <a href=\"Claim-claim-example-txid.html\">Claim: extension = tx-9f2c4b67; status = active; type = Pharmacy; use = claim; created = 2026-04-24; priority = Normal</a></p><p><b>for</b>: <a href=\"Patient-p-001.html\">Pat Example  (no stated gender), DoB Unknown</a></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><p><b>reasonCode</b>: <span title=\"Codes:\">Chargeback review</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-chargeback-reference",
      "valueIdentifier" : {
        "system" : "https://exchange.example.org/chargebacks",
        "value" : "cb-778899"
      }
    }
  ],
  "status" : "in-progress",
  "intent" : "order",
  "focus" : {
    🔗 "reference" : "Claim/claim-example-txid"
  },
  "for" : {
    🔗 "reference" : "Patient/p-001"
  },
  "requester" : {
    🔗 "reference" : "Organization/tpa-01"
  },
  "owner" : {
    🔗 "reference" : "Organization/manufacturer-77"
  },
  "reasonCode" : {
    "text" : "Chargeback review"
  }
}