NameFlagsCard.TypeDescription & Constraintsdoco
.. PaymentReconciliation DomainResourcePaymentReconciliation resource
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
PaymentReconciliationStatus (Required)
... request[x] 0..1Claim reference
.... requestIdentifierIdentifier
.... requestReferenceReference(ProcessRequest)
... outcome 0..1codecomplete | error | partial
RemittanceOutcome (Required)
... disposition 0..1stringDisposition Message
... ruleset 0..1CodingResource version
Ruleset Codes (Example)
... originalRuleset 0..1CodingOriginal version
Ruleset Codes (Example)
... created 0..1dateTimeCreation date
... period 0..1PeriodPeriod covered
... organization[x] 0..1Insurer
.... organizationIdentifierIdentifier
.... organizationReferenceReference(Organization)
... requestProvider[x] 0..1Responsible practitioner
.... requestProviderIdentifierIdentifier
.... requestProviderReferenceReference(Practitioner)
... requestOrganization[x] 0..1Responsible organization
.... requestOrganizationIdentifierIdentifier
.... requestOrganizationReferenceReference(Organization)
... detail 0..*BackboneElementDetails
.... type 1..1CodingType code
Payment Type Codes (Example)
.... request[x] 0..1Claim
..... requestIdentifierIdentifier
..... requestReferenceReference(Any)
.... response[x] 0..1Claim Response
..... responseIdentifierIdentifier
..... responseReferenceReference(Any)
.... submitter[x] 0..1Submitter
..... submitterIdentifierIdentifier
..... submitterReferenceReference(Organization)
.... payee[x] 0..1Payee
..... payeeIdentifierIdentifier
..... payeeReferenceReference(Organization)
.... date 0..1dateInvoice date
.... amount 0..1MoneyDetail amount
... form 0..1CodingPrinted Form Identifier
Form Codes (Required)
... total 1..1MoneyTotal amount of Payment
... note 0..*BackboneElementNote text
.... type 0..1Codingdisplay | print | printoper
NoteType (Required)
.... text 0..1stringNotes text

doco Documentation for this format