STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Paymentreconciliation-example.ttl

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General Payment Reconciliation Example

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xs: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir//PaymentReconciliation/ER2500> a fhir:PaymentReconciliation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ER2500"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:PaymentReconciliation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.BenefitsInc.com/fhir/enrollmentresponse" ];
     fhir:Identifier.value [ fhir:value "781234" ]
  ];
  fhir:PaymentReconciliation.requestReference [
     fhir:reference <http://www.BenefitsInc.com/fhir/eligibility/225476332402>;
     fhir:Reference.reference [ fhir:value "http://www.BenefitsInc.com/fhir/eligibility/225476332402" ]
  ];
  fhir:PaymentReconciliation.outcome [ fhir:value "complete"];
  fhir:PaymentReconciliation.disposition [ fhir:value "2014 August mid-month settlement."];
  fhir:PaymentReconciliation.created [ fhir:value "2014-08-16"^^xs:date];
  fhir:PaymentReconciliation.organizationReference [
     fhir:reference <http://hl7.org/fhir/Organization/2>;
     fhir:Reference.reference [ fhir:value "Organization/2" ]
  ];
  fhir:PaymentReconciliation.detail [
     fhir:index 0;
     fhir:PaymentReconciliation.detail.type [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/paymenttype" ];
       fhir:Coding.code [ fhir:value "payment" ]     ];
     fhir:PaymentReconciliation.detail.requestReference [
       fhir:reference <http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402>;
       fhir:Reference.reference [ fhir:value "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402" ]     ];
     fhir:PaymentReconciliation.detail.date [ fhir:value "2014-08-16"^^xs:date ];
     fhir:PaymentReconciliation.detail.amount [
       fhir:Quantity.value [ fhir:value "1000.00"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]     ]
  ];
  fhir:PaymentReconciliation.detail [
     fhir:index 1;
     fhir:PaymentReconciliation.detail.type [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/paymenttype" ];
       fhir:Coding.code [ fhir:value "payment" ]     ];
     fhir:PaymentReconciliation.detail.requestReference [
       fhir:reference <http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699>;
       fhir:Reference.reference [ fhir:value "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699" ]     ];
     fhir:PaymentReconciliation.detail.date [ fhir:value "2014-08-12"^^xs:date ];
     fhir:PaymentReconciliation.detail.amount [
       fhir:Quantity.value [ fhir:value "4000.00"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]     ]
  ];
  fhir:PaymentReconciliation.detail [
     fhir:index 2;
     fhir:PaymentReconciliation.detail.type [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/paymenttype" ];
       fhir:Coding.code [ fhir:value "advance" ]     ];
     fhir:PaymentReconciliation.detail.date [ fhir:value "2014-08-16"^^xs:date ];
     fhir:PaymentReconciliation.detail.amount [
       fhir:Quantity.value [ fhir:value "-1500.00"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]     ]
  ];
  fhir:PaymentReconciliation.total [
     fhir:Quantity.value [ fhir:value "3500.00"^^xs:decimal ];
     fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
     fhir:Quantity.code [ fhir:value "USD" ]
  ].

# -------------------------------------------------------------------------------------

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.