{
  "resourceType": "ProcessRequest",
  "id": "87654",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Reversal ProcessRequest</div>"
  },
  "identifier": [
    {
      "system": "http://happyvalley.com/processrequest",
      "value": "76543"
    }
  ],
  "status": "active",
  "action": "cancel",
  "created": "2014-08-16",
  "organizationReference": {
    "reference": "Organization/1"
  },
  "requestReference": {
    "reference": "http://BenefitsInc.com/fhir/oralhealthclaim/12345"
  },
  "nullify": false
}