This page is part of the FHIR Specification (v0.0.82: DSTU 1). 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

7.9.5 Resource PaymentNotice - Examples

Example Index:

Claim PaymentNotice ExampleXMLJSON

7.9.5.1 General-Primary

XML

Claim PaymentNotice Example (id = "77654")

Raw XML

<PaymentNotice xmlns="http://hl7.org/fhir">
  <id value="77654"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <identifier>
    <system value="http://benefitsinc.com/paymentnotice"/>
    <value value="776543"/>
  </identifier>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/1"/>
  </organization>
  <request>
    <reference value="http://benefitsinc.com/fhir/oralhealthclaim/12345"/>
  </request>
  <paymentStatus>
    <system value="http://hl7.org/fhir/paymentstatus"/>
    <code value="paid"/>
  </paymentStatus>
</PaymentNotice>

JSON

Claim PaymentNotice Example

Raw JSON (Canonical)

{
  "resourceType": "PaymentNotice",
  "id": "77654",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "identifier": [
    {
      "system": "http://benefitsinc.com/paymentnotice",
      "value": "776543"
    }
  ],
  "created": "2014-08-16",
  "organization": {
    "reference": "Organization/1"
  },
  "request": {
    "reference": "http://benefitsinc.com/fhir/oralhealthclaim/12345"
  },
  "paymentStatus": {
    "system": "http://hl7.org/fhir/paymentstatus",
    "code": "paid"
  }
}

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.