Financial
This
page
is
part
of
the
FHIR
Specification
(v3.0.2:
STU
3).
(v3.5.0:
R4
Ballot
#2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
|
Financial
Management
Work
Group
|
Maturity Level : 2 | Trial Use | Compartments : Practitioner |
Detailed Descriptions for the elements in the PaymentReconciliation resource.
| PaymentReconciliation | |
| Element Id | PaymentReconciliation |
| Definition |
This resource provides payment details and claim references supporting a bulk payment. |
| Control | 1..1 |
| Type | DomainResource |
| PaymentReconciliation.identifier | |
| Element Id | PaymentReconciliation.identifier |
| Definition |
The Response business identifier. |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| PaymentReconciliation.status | |
| Element Id | PaymentReconciliation.status |
| Definition |
The status of the resource instance. |
| Control | 0..1 |
| Terminology Binding | Financial Resource Status Codes ( Required ) |
| Type | code |
| Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
| Summary | true |
| Comments |
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| PaymentReconciliation.period | |
| Element Id | PaymentReconciliation.period |
| Definition |
The period of time for which payments have been gathered into this bulk payment for settlement. |
| Control | 0..1 |
| Type | Period |
| PaymentReconciliation.created | |
| Element Id | PaymentReconciliation.created |
| Definition |
The
date
when
the
|
| Control | 0..1 |
| Type | dateTime |
| PaymentReconciliation.organization | |
| Element Id | PaymentReconciliation.organization |
| Definition |
The Insurer who produced this adjudicated response. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.request | |
| Element Id | PaymentReconciliation.request |
| Definition |
Original request resource reference. |
| Control | 0..1 |
| Type | Reference ( ProcessRequest ) |
| PaymentReconciliation.outcome | |
| Element Id | PaymentReconciliation.outcome |
| Definition |
Transaction status: error, complete. |
| Control | 0..1 |
| Terminology Binding | RemittanceOutcome ( Required ) |
| Type |
|
| PaymentReconciliation.disposition | |
| Element Id | PaymentReconciliation.disposition |
| Definition |
A description of the status of the adjudication. |
| Control | 0..1 |
| Type | string |
| PaymentReconciliation.requestProvider | |
| Element Id | PaymentReconciliation.requestProvider |
| Definition |
The practitioner who is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference ( Practitioner | PractitionerRole | Organization ) |
|
|
|
|
|
|
| Definition |
List of individual settlement amounts and the corresponding transaction. |
| Control | 0..* |
| PaymentReconciliation.detail.type | |
| Element Id | PaymentReconciliation.detail.type |
| Definition |
Code to indicate the nature of the payment, adjustment, funds advance, etc. |
| Control | 1..1 |
| Terminology Binding | Payment Type Codes ( Example ) |
| Type | CodeableConcept |
| PaymentReconciliation.detail.request | |
| Element Id | PaymentReconciliation.detail.request |
| Definition |
The claim or financial resource. |
| Control | 0..1 |
| Type | Reference ( Any ) |
| PaymentReconciliation.detail.response | |
| Element Id | PaymentReconciliation.detail.response |
| Definition |
The claim response resource. |
| Control | 0..1 |
| Type | Reference ( Any ) |
| PaymentReconciliation.detail.submitter | |
| Element Id | PaymentReconciliation.detail.submitter |
| Definition |
The Organization which submitted the claim or financial transaction. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.detail.payee | |
| Element Id | PaymentReconciliation.detail.payee |
| Definition |
The organization which is receiving the payment. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.detail.date | |
| Element Id | PaymentReconciliation.detail.date |
| Definition |
The date of the invoice or financial resource. |
| Control | 0..1 |
| Type | date |
| PaymentReconciliation.detail.amount | |
| Element Id | PaymentReconciliation.detail.amount |
| Definition |
Amount paid for this detail. |
| Control | 0..1 |
| Type | Money |
| PaymentReconciliation.form | |
| Element Id | PaymentReconciliation.form |
| Definition |
The form to be used for printing the content. |
| Control | 0..1 |
| Terminology Binding |
|
| Type | CodeableConcept |
| PaymentReconciliation.total | |
| Element Id | PaymentReconciliation.total |
| Definition |
Total payment amount. |
| Control | 0..1 |
| Type | Money |
| PaymentReconciliation.processNote | |
| Element Id | PaymentReconciliation.processNote |
| Definition |
Suite of notes. |
| Control | 0..* |
| PaymentReconciliation.processNote.type | |
| Element Id | PaymentReconciliation.processNote.type |
| Definition |
The note purpose: Print/Display. |
| Control | 0..1 |
| Terminology Binding | NoteType ( Required ) |
| Type |
|
| PaymentReconciliation.processNote.text | |
| Element Id | PaymentReconciliation.processNote.text |
| Definition |
The note text. |
| Control | 0..1 |
| Type | string |
®©
HL7.org
2011+.
FHIR
Release
3
(STU;
v3.0.2-11200)
Mixed
Nomative/Trial
Use
Ballot
#2
(v3.5.0-14907)
generated
on
Thurs,
Oct
24,
2019
11:53+1100.
Sun,
Aug
19,
2018
21:54+1000.
QA
Page
Links:
Search
|
Version
History
|
Table
of
Contents
|
Credits
|
Compare
to
DSTU2
DSTU3
|
Ballot
Comparison
|
|
Propose
a
change