FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: 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

: 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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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\"><p class=\"res-header-id\"><b>Generated Narrative: PaymentReconciliation example-01</b></p><a name=\"example-01\"> </a><a name=\"hcexample-01\"> </a><a name=\"example-01-hi-IN\"> </a><p><b>identifier</b>: <code>http://www.BenefitsInc.com/fhir/enrollmentresponse</code>/781234</p><p><b>status</b>: Active</p><p><b>period</b>: 2024-03-01 11:01:00+0500 --&gt; 2024-03-31 11:01:00+0500</p><p><b>created</b>: 2024-03-31</p><p><b>paymentIssuer</b>: <a href=\"Organization-example-02.html\">Organization XYZ Insurance Co. Ltd.</a></p><p><b>requestor</b>: <a href=\"Organization-example-03.html\">Organization XYZ Hospital Co. Ltd.</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: 2024 march month settlement.</p><p><b>paymentDate</b>: 2024-03-31</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>180000</td><td>Indian rupee</td></tr></table><p><b>paymentIdentifier</b>: UTRNUMBER2920287229</p><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</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>90000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</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>9000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</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>110000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</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>11000</td><td>Indian rupee</td></tr></table></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  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 "2024-03-01T11:01:00+05:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2024-03-31T11:01:00+05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:created [ fhir:v "2024-03-31"^^xsd:date] ; # 
  fhir:paymentIssuer [
fhir:reference [ fhir:v "Organization/example-02" ]
  ] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "Organization/example-03" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "2024 march month settlement."] ; # 
  fhir:paymentDate [ fhir:v "2024-03-31"^^xsd:date] ; # 
  fhir:paymentAmount [
fhir:value [ fhir:v "180000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]
  ] ; # 
  fhir:paymentIdentifier [
fhir:value [ fhir:v "UTRNUMBER2920287229" ]
  ] ; # 
  fhir:detail ( [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM7612345" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approvedAmount" ] ;
fhir:display [ fhir:v "Approved Amount" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "90000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM7612345" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tds" ] ;
fhir:display [ fhir:v "TDS Deduction" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "9000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM6789054" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approvedAmount" ] ;
fhir:display [ fhir:v "Approved Amount" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "110000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM6789054" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tds" ] ;
fhir:display [ fhir:v "TDS Deduction" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "11000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] ) . #