Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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 R2

13.9.8 Resource PaymentReconciliation - Mappings

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeSecurity Category: Patient Compartments: Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

Canadian Dental Association eclaims standard

Mappings for the paymentreconciliation resource (see Mappings to Other Standards for further information & status).

13.9.8.1 FiveWs Pattern Mapping (http://hl7.org/fhir/fivews )

PaymentReconciliation
    identifierFiveWs.identifier
    statusFiveWs.status
    periodFiveWs.done[x]
    createdFiveWs.recorded
    paymentIssuerFiveWs.source
    requestFiveWs.why[x]

13.9.8.2 Workflow Pattern (http://hl7.org/fhir/workflow )

PaymentReconciliationEvent
    identifierEvent.identifier
    statusEvent.status
    createdEvent.occurrence[x]
    paymentIssuerEvent.performer.actor
    dispositionEvent.note

13.9.8.3 Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/ )

PaymentReconciliation
    identifier
    type
    status
    kind
    period
    created
    enterer
    issuerType
    paymentIssuer
    requestA02|G01
    requestorB01
    outcome
    disposition
    date
    location
    method
    cardBrand
    accountNumber
    expirationDate
    processor
    referenceNumber
    authorization
    tenderedAmount
    returnedAmount
    amount
    paymentIdentifier
    allocation
        identifier
        predecessor
        target
        targetItem[x]
        encounter
        account
        type
        submitter
        response
        date
        responsible
        payee
        amount
    formCode
    processNote
        type
        textG32