Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
Σ | DomainResource | PaymentReconciliation resource | ||
Σ | 0..* | Identifier | Business Identifier | |
Σ | 0..1 | Claim reference | ||
Identifier | ||||
Reference(ProcessRequest) | ||||
Σ | 0..1 | code | complete | error RemittanceOutcome (Required) | |
Σ | 0..1 | string | Disposition Message | |
Σ | 0..1 | Coding | Resource version Ruleset Codes (Example) | |
Σ | 0..1 | Coding | Original version Ruleset Codes (Example) | |
Σ | 0..1 | dateTime | Creation date | |
Σ | 0..1 | Period | Period covered | |
Σ | 0..1 | Insurer | ||
Identifier | ||||
Reference(Organization) | ||||
Σ | 0..1 | Responsible practitioner | ||
Identifier | ||||
Reference(Practitioner) | ||||
Σ | 0..1 | Responsible organization | ||
Identifier | ||||
Reference(Organization) | ||||
Σ | 0..* | BackboneElement | Details | |
Σ | 1..1 | Coding | Type code Payment Type Codes (Example) | |
Σ | 0..1 | Claim | ||
Identifier | ||||
Reference(Any) | ||||
Σ | 0..1 | Claim Response | ||
Identifier | ||||
Reference(Any) | ||||
Σ | 0..1 | Submitter | ||
Identifier | ||||
Reference(Organization) | ||||
Σ | 0..1 | Payee | ||
Identifier | ||||
Reference(Organization) | ||||
Σ | 0..1 | date | Invoice date | |
Σ | 0..1 | Money | Detail amount | |
Σ | 0..1 | Coding | Printed Form Identifier Form Codes (Required) | |
Σ | 1..1 | Money | Total amount of Payment | |
Σ | 0..* | BackboneElement | Note text | |
Σ | 0..1 | Coding | display | print | printoper NoteType (Required) | |
Σ | 0..1 | string | Notes text | |
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