This
page
is
part
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the
FHIR
Specification
(v4.3.0:
R4B
(v5.0.0:
R5
-
STU
).
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This
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R3
Paymentnotice-example.ttl
Example
PaymentNotice/77654
(Turtle)
Raw
Turtle
(+
also
see
Turtle/RDF
Format
Specification
)
Claim
PaymentNotice
Example
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/PaymentNotice/77654> a fhir:PaymentNotice;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "77654"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the PaymentNotice</div>"
];
fhir:PaymentNotice.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://benefitsinc.com/paymentnotice" ];
fhir:Identifier.value [ fhir:value "776543" ]
];
fhir:PaymentNotice.status [ fhir:value "active"];
fhir:PaymentNotice.request [
fhir:link <http://benefitsinc.com/fhir/claim/12345>;
fhir:Reference.reference [ fhir:value "http://benefitsinc.com/fhir/claim/12345" ]
];
fhir:PaymentNotice.response [
fhir:link <http://benefitsinc.com/fhir/claimresponse/CR12345>;
fhir:Reference.reference [ fhir:value "http://benefitsinc.com/fhir/claimresponse/CR12345" ]
];
fhir:PaymentNotice.created [ fhir:value "2014-08-16"^^xsd:date];
fhir:PaymentNotice.provider [
fhir:link <http://hl7.org/fhir/Organization/1>;
fhir:Reference.reference [ fhir:value "Organization/1" ]
];
fhir:PaymentNotice.payment [
fhir:link <http://hl7.org/fhir/PaymentReconciliation/ER2500>;
fhir:Reference.reference [ fhir:value "PaymentReconciliation/ER2500" ]
];
fhir:PaymentNotice.paymentDate [ fhir:value "2014-08-15"^^xsd:date];
fhir:PaymentNotice.payee [
fhir:link <http://hl7.org/fhir/Organization/1>;
fhir:Reference.reference [ fhir:value "Organization/1" ]
];
fhir:PaymentNotice.recipient [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://regulators.gov" ];
fhir:Identifier.value [ fhir:value "AB123" ]
]
];
fhir:PaymentNotice.amount [
fhir:Money.value [ fhir:value "12500.00"^^xsd:decimal ];
fhir:Money.currency [ fhir:value "USD" ]
];
fhir:PaymentNotice.paymentStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/paymentstatus" ];
fhir:Coding.code [ fhir:value "paid" ]
[a fhir:PaymentNotice ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "77654"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the PaymentNotice</div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://benefitsinc.com/paymentnotice"^^xsd:anyURI ] ;
fhir:value [ fhir:v "776543" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:request [
fhir:link <http://benefitsinc.com/fhir/claim/12345> ;
fhir:reference [ fhir:v "http://benefitsinc.com/fhir/claim/12345" ]
] ; #
fhir:response [
fhir:link <http://benefitsinc.com/fhir/claimresponse/CR12345> ;
fhir:reference [ fhir:v "http://benefitsinc.com/fhir/claimresponse/CR12345" ]
] ; #
fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; #
fhir:reporter [
fhir:reference [ fhir:v "Organization/1" ]
] ; #
fhir:payment [
fhir:reference [ fhir:v "PaymentReconciliation/ER2500" ]
] ; #
fhir:paymentDate [ fhir:v "2014-08-15"^^xsd:date] ; #
fhir:payee [
fhir:reference [ fhir:v "Organization/1" ]
] ; #
fhir:recipient [
fhir:identifier [
fhir:system [ fhir:v "http://regulators.gov"^^xsd:anyURI ] ;
fhir:value [ fhir:v "AB123" ]
]
] .
<http://hl7.org/fhir/Organization/1> a fhir:Organization .
<http://hl7.org/fhir/PaymentReconciliation/ER2500> a fhir:PaymentReconciliation .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PaymentNotice/77654.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/PaymentNotice/77654.ttl> .
] ; #
fhir:amount [
fhir:value [ fhir:v "12500.00"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]
] ; #
fhir:paymentStatus [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/paymentstatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "paid" ]
] )
]] . #
# -------------------------------------------------------------------------------------
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.