Name Flags Card. Type Description & Constraints doco
. . PaymentReconciliation DomainResource PaymentReconciliation resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
. . . identifier 0..* Identifier Business Identifier
. . . status ?! Σ 0..1 code active | cancelled | draft | entered-in-error
Financial Resource Status Codes ( Required)
. . . period 0..1 Period Period covered
. . . created 0..1 dateTime Creation date
. . . organization 0..1 Reference( Organization) Insurer
. . . request 0..1 Reference( ProcessRequest) Claim reference
. . . outcome 0..1 CodeableConcept complete | error | partial
RemittanceOutcome ( Required)
. . . disposition 0..1 string Disposition Message
. . . requestProvider 0..1 Reference( Practitioner) Responsible practitioner
. . . requestOrganization 0..1 Reference( Organization) Responsible organization
. . . detail 0..* BackboneElement List of settlements
. . . . type 1..1 CodeableConcept Type code
Payment Type Codes ( Example)
. . . . request 0..1 Reference( Any) Claim
. . . . response 0..1 Reference( Any) Claim Response
. . . . submitter 0..1 Reference( Organization) Organization which submitted the claim
. . . . payee 0..1 Reference( Organization) Organization which is receiving the payment
. . . . date 0..1 date Invoice date
. . . . amount 0..1 Money Amount being paid
. . . form 0..1 CodeableConcept Printed Form Identifier
Form Codes ( Example)
. . . total 0..1 Money Total amount of Payment
. . . processNote 0..* BackboneElement Processing comments
. . . . type 0..1 CodeableConcept display | print | printoper
NoteType ( Required)
. . . . text 0..1 string Comment on the processing

doco Documentation for this format