協会けんぽページに載せてあるxmlのサンプルです
xml version="1.0" encoding="utf-8"
<checkupClaim xmlns="http://tokuteikenshin.jp/checkup/2007" xmlnsxsi="http://www.w3.org/2001/XMLSchema-instance" xsischemaLocation="http://tokuteikenshin.jp/checkup/2007 ../XSD/cc08_V08.xsd">
<encounter>
<serviceEventType code="1" />
</encounter>
<subjectPerson>
<performerOrganization>
<id root="1.2.392.200119.6.102" extension="1234567890" />
</performerOrganization>
<insuranceCard>
<insurerNumber root="1.2.392.200119.6.101" extension="01130012" />
<symbol root="1.2.392.200119.6.204" extension="57010203" />
<number root="1.2.392.200119.6.205" extension="10001" />
</insuranceCard>
<name>ケンシンイチ</name>
<addr>
<postalCode>102-8575</postalCode>東京都千代田区九段北4-2-1 市ヶ谷東急ビル9F
</addr>
<birthTime value="19410929" />
<administrativeGender code="2" />
</subjectPerson>
<checkupCard>
<id root="1.2.392.200119.6.209" extension="10112345678" />
<effectiveTime>
<high value="20110331" />
</effectiveTime>
<chargeTypeBasic code="2">
<amount value="002100" currency="JPY" />
</chargeTypeBasic>
<chargeTypeOther code="1" />
</checkupCard>
<settlement>
<claimType code="3" />
<commissionType code="1" />
<unitPriceBasic>
<amount value="7500" currency="JPY" />
</unitPriceBasic>
<unitPriceOther>
<amount value="0" currency="JPY" />
<observation code="3A015000002327101" codeSystem="1.2.392.200119.6.1005" />
</unitPriceOther>
<unitPriceOther>
<amount value="0" currency="JPY" />
<observation code="2A040000001930102" codeSystem="1.2.392.200119.6.1005" />
</unitPriceOther>
<unitPriceOther>
<amount value="0" currency="JPY" />
<observation code="2A030000001930101" codeSystem="1.2.392.200119.6.1005" />
</unitPriceOther>
<unitPriceOther>
<amount value="0" currency="JPY" />
<observation code="2A020000001930101" codeSystem="1.2.392.200119.6.1005" />
</unitPriceOther>
<paymentForBasic>
<amount value="002100" currency="JPY" />
</paymentForBasic>
<paymentForOther>
<amount value="000000" currency="JPY" />
</paymentForOther>
<unitAmount value="7500" currency="JPY" />
<paymentAmount value="2100" currency="JPY" />
<claimAmount value="5400" currency="JPY" />
</settlement>
</checkupClaim>