This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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: PaymentReconciliation/example-01 - XML Representation

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<PaymentReconciliation xmlns="http://hl7.org/fhir">
  <id value="example-01"/>
  <meta>
    <profile
             value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PaymentReconciliation</b><a name="example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PaymentReconciliation &quot;example-01&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PaymentReconciliation.html">PaymentReconciliation</a></p></div><p><b>identifier</b>: <code>http://www.BenefitsInc.com/fhir/enrollmentresponse</code>/781234</p><p><b>status</b>: active</p><p><b>period</b>: 2023-12-09 11:01:00+0500 --&gt; 2023-12-30 11:01:00+0500</p><p><b>created</b>: 2024-01-05</p><p><b>paymentIssuer</b>: <a href="Organization-example-02.html">Organization/example-02</a> &quot;XYZ Insurance Co. Ltd.&quot;</p><p><b>requestor</b>: <a href="Organization-example-03.html">Organization/example-03</a> &quot;XYZ Hospital Co. Ltd.&quot;</p><p><b>outcome</b>: complete</p><p><b>disposition</b>: 2023 December month settlement.</p><p><b>paymentDate</b>: 2023-01-04</p><h3>PaymentAmounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>90100</td><td>INR</td></tr></table><p><b>paymentIdentifier</b>: <code>https://services.india.gov.in/service/detail/transictionid</code>/1012424354354345</p></div>
  </text>
  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/enrollmentresponse"/>
    <value value="781234"/>
  </identifier>
  <status value="active"/>
  <period>
    <start value="2023-12-09T11:01:00+05:00"/>
    <end value="2023-12-30T11:01:00+05:00"/>
  </period>
  <created value="2024-01-05"/>
  <paymentIssuer>🔗 
    <reference value="Organization/example-02"/>
  </paymentIssuer>
  <requestor>🔗 
    <reference value="Organization/example-03"/>
  </requestor>
  <outcome value="complete"/>
  <disposition value="2023 December month settlement."/>
  <paymentDate value="2023-01-04"/>
  <paymentAmount>
    <value value="90100"/>
    <currency value="INR"/>
  </paymentAmount>
  <paymentIdentifier>
    <system
            value="https://services.india.gov.in/service/detail/transictionid"/>
    <value value="1012424354354345"/>
  </paymentIdentifier>
</PaymentReconciliation>