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