2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Paymentreconciliation.questionnaire

This is an example form generated from the questionnaire. See also the XML or JSON format.

Paymentreconciliation.questionnaire - FHIR v0.4.0 Form
2nd DSTU Draft For Comment

This is an example form generated from the questionnaire. See also the XML or JSON format

PaymentReconciliation resource

PaymentReconciliation
PaymentReconciliation.id
PaymentReconciliation.id.value Logical id of this artefact
PaymentReconciliation.id 1

Metadata about the resource

PaymentReconciliation.meta
PaymentReconciliation.meta 1
PaymentReconciliation.implicitRules
PaymentReconciliation.implicitRules.value A set of rules under which this content was created
PaymentReconciliation.implicitRules 1
PaymentReconciliation.language
PaymentReconciliation.language.value language
PaymentReconciliation.language 1

Text summary of the resource, for human interpretation

PaymentReconciliation.text
PaymentReconciliation.text 1

Contained, inline Resources

PaymentReconciliation.contained
PaymentReconciliation.contained 1

Business Identifier

PaymentReconciliation.identifier
PaymentReconciliation.identifier.label label:
PaymentReconciliation.identifier.system system:
PaymentReconciliation.identifier.value value:
PaymentReconciliation.identifier 1
PaymentReconciliation.request
PaymentReconciliation.request.value Claim reference
PaymentReconciliation.request 1
PaymentReconciliation.outcome
PaymentReconciliation.outcome.value outcome
PaymentReconciliation.outcome 1
PaymentReconciliation.disposition
PaymentReconciliation.disposition.value Disposition Message
PaymentReconciliation.disposition 1
PaymentReconciliation.ruleset
PaymentReconciliation.ruleset.value Resource version
PaymentReconciliation.ruleset 1
PaymentReconciliation.originalRuleset
PaymentReconciliation.originalRuleset.value Original version
PaymentReconciliation.originalRuleset 1
PaymentReconciliation.created
PaymentReconciliation.created.value Creation date
PaymentReconciliation.created 1

Period covered

PaymentReconciliation.period
PaymentReconciliation.period.low start:
PaymentReconciliation.period.end end:
PaymentReconciliation.period 1
PaymentReconciliation.organization
PaymentReconciliation.organization.value Insurer
PaymentReconciliation.organization 1
PaymentReconciliation.requestProvider
PaymentReconciliation.requestProvider.value Responsible practitioner
PaymentReconciliation.requestProvider 1
PaymentReconciliation.requestOrganization
PaymentReconciliation.requestOrganization.value Responsible organization
PaymentReconciliation.requestOrganization 1

Details

PaymentReconciliation.detail
PaymentReconciliation.detail.id
PaymentReconciliation.detail.id.value xml:id (or equivalent in JSON)
PaymentReconciliation.detail.id 1
PaymentReconciliation.detail.type
PaymentReconciliation.detail.type.value Type code
PaymentReconciliation.detail.type 1
PaymentReconciliation.detail.request
PaymentReconciliation.detail.request.value Claim
PaymentReconciliation.detail.request 1
PaymentReconciliation.detail.responce
PaymentReconciliation.detail.responce.value Claim Response
PaymentReconciliation.detail.responce 1
PaymentReconciliation.detail.submitter
PaymentReconciliation.detail.submitter.value Submitter
PaymentReconciliation.detail.submitter 1
PaymentReconciliation.detail.payee
PaymentReconciliation.detail.payee.value Payee
PaymentReconciliation.detail.payee 1
PaymentReconciliation.detail.date
PaymentReconciliation.detail.date.value Invoice date
PaymentReconciliation.detail.date 1

Detail amount

PaymentReconciliation.detail.amount
PaymentReconciliation.detail.amount.value value:
PaymentReconciliation.detail.amount.currency currency:
PaymentReconciliation.detail.amount 1
PaymentReconciliation.detail 1
PaymentReconciliation.form
PaymentReconciliation.form.value Printed Form Identifier
PaymentReconciliation.form 1

Total amount of Payment

PaymentReconciliation.total
PaymentReconciliation.total.value value:
PaymentReconciliation.total.currency currency:
PaymentReconciliation.total 1

Note text

PaymentReconciliation.note
PaymentReconciliation.note.id
PaymentReconciliation.note.id.value xml:id (or equivalent in JSON)
PaymentReconciliation.note.id 1
PaymentReconciliation.note.type
PaymentReconciliation.note.type.value display | print | printoper
PaymentReconciliation.note.type 1
PaymentReconciliation.note.text
PaymentReconciliation.note.text.value Notes text
PaymentReconciliation.note.text 1
PaymentReconciliation.note 1
PaymentReconciliation 1