FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions

: PaymentReconciliation/example-01 - TTL Representation

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@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 -------------------------------------------------------------------

 a fhir:PaymentReconciliation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the PaymentReconciliation</div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://www.BenefitsInc.com/fhir/enrollmentresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "781234" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:period [
fhir:start [ fhir:v "2014-08-16"^^xsd:date ] ;
fhir:end [ fhir:v "2014-08-31"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; # 
  fhir:paymentIssuer [
fhir:reference [ fhir:v "Organization/example-01" ]
  ] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "Organization/example-01" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "2014 August mid-month settlement."] ; # 
  fhir:paymentDate [ fhir:v "2014-08-01"^^xsd:date] ; # 
  fhir:paymentAmount [
fhir:value [ fhir:v "7000.00"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]
  ] ; # 
  fhir:paymentIdentifier [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345" ]
  ] ; # 
  fhir:detail ( [
fhir:identifier [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-001" ]     ] ;
fhir:predecessor [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-001" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payment" ]       ] )     ] ;
fhir:request [
fhir:identifier [
fhir:system [ fhir:v "http://happyvalleyclinic.com/claim"^^xsd:anyURI ] ;
fhir:value [ fhir:v "AB12345" ]       ]     ] ;
fhir:submitter [
fhir:reference [ fhir:v "Organization/example-01" ]     ] ;
fhir:response [
fhir:identifier [
fhir:system [ fhir:v "http://www.BenefitsInc.com/fhir/claimresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "CR20140815-AB12345" ]       ]     ] ;
fhir:date [ fhir:v "2014-08-16"^^xsd:date ] ;
fhir:payee [
fhir:reference [ fhir:v "Organization/example-01" ]     ] ;
fhir:amount [
fhir:value [ fhir:v "3500.00"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-002" ]     ] ;
fhir:predecessor [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-002" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payment" ]       ] )     ] ;
fhir:date [ fhir:v "2014-08-12"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "4000.00"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-003" ]     ] ;
fhir:predecessor [
fhir:system [ fhir:v "http://www.BenefitsInc.com/payment/2018/detail"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10-12345-001" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "advance" ]       ] )     ] ;
fhir:date [ fhir:v "2014-08-16"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "-1500.00"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] ) ; # 
  fhir:formCode [
    ( fhir:coding [
fhir:system [ fhir:v "http://ncforms.org/formid"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PAYREC/2016/01B" ]     ] )
  ] ; # 
  fhir:processNote ( [
fhir:type [ fhir:v "display" ] ;
fhir:text [ fhir:v "Due to the year end holiday the cutoff for submissions for December will be the 28th." ]
  ] ) . #