FHIR Implementation Guide for ABDM
5.0.0 - active India

Banner

FHIR Implementation Guide for ABDM - Local Development build (v5.0.0). See the Directory of published versions

: PaymentNotice/example-01 - JSON Representation

Raw json | Download


{
  "resourceType" : "PaymentNotice",
  "id" : "example-01",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentNotice"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the PaymentNotice</div>"
  },
  "identifier" : [
    {
      "system" : "http://benefitsinc.com/paymentnotice",
      "value" : "776543"
    }
  ],
  "status" : "active",
  "request" : {
    "reference" : "Claim/Claim-settlement-example-01"
  },
  "response" : {
    "reference" : "ClaimResponse/ClaimResponse-settlement-example-01",
    "identifier" : {
      "use" : "official"
    }
  },
  "created" : "2014-08-16",
  "provider" : {
    "reference" : "Organization/example-01",
    "identifier" : {
      "use" : "official"
    }
  },
  "payment" : {
    "reference" : "PaymentReconciliation/example-01"
  },
  "paymentDate" : "2014-08-15",
  "payee" : {
    "reference" : "Organization/example-01"
  },
  "recipient" : {
    "identifier" : {
      "system" : "http://regulators.gov",
      "value" : "AB123"
    }
  },
  "amount" : {
    "value" : 90100.00,
    "currency" : "INR"
  },
  "paymentStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/paymentstatus",
        "code" : "paid"
      }
    ]
  }
}