This resource provides the details including amount of a payment and allocates the payment items being paid.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

An Extension

Prozentsatz der Zahlung

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Code to indicate the nature of the payment such as payment, adjustment.

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

A code specifying the state of the resource instance.

Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.

The date when the resource was created.

Need to record a timestamp for use by both the recipient and the issuer.

The date of payment as indicated on the financial instrument.

To advise the payee when payment can be expected.

The check number, eft reference, car processor reference.

Total payment amount as indicated on the financial instrument.

Needed to provide the actual payment amount.

ISO 4217 Currency Code.

A code indicating the currency, taken from ISO 4217.

A code indicating the currency, taken from ISO 4217.

Distribution of the payment amount for a previously acknowledged payable.

Needed to show how the payment amount is distributed across the payables.

An Extension

Grund warum keine Zahlung erfolgte

MOPED Extension für die Kostenmeldung. Konstenmeldung für A = Ausländerverrechnung, R = Regressangelegenheiten oder K = Kosteninformation

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Specific resource to which the payment/adjustment/advance applies.

Code to indicate the nature of the payment.

For example: payment, adjustment, funds advance, etc.

Needed to provide context for the amount.

This resource provides the details including amount of a payment and allocates the payment items being paid.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

IETF language tag for a human language

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

An Extension

Prozentsatz der Zahlung

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

A unique identifier assigned to this payment reconciliation.

Allows payment reconciliations to be distinguished and referenced.

Code to indicate the nature of the payment such as payment, adjustment.

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

A code specifying the state of the resource instance.

Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.

The workflow or activity which gave rise to or during which the payment ocurred such as a kiosk, deposit on account, periodic payment etc.

The period of time for which payments have been gathered into this bulk payment for settlement.

Needed to allow receivers to monitor and reconcile payment issuer schedules.

The date when the resource was created.

Need to record a timestamp for use by both the recipient and the issuer.

Payment enterer if not the actual payment issuer.

The type of the source such as patient or insurance.

Providers may need to identify the source to know to which sub-ledger to apply the payment.

The party who generated the payment.

This party is also responsible for the reconciliation.

Need to identify the party resonsible for the payment and this resource.

Original request resource reference.

Needed to allow the response to be linked to the request.

The practitioner who is responsible for the services rendered to the patient.

Need to identify the party responsible for the request.

The outcome of a request for a reconciliation.

The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).

The outcome of the processing.

To advise the requestor of an overall processing outcome.

A human readable description of the status of the request for the reconciliation.

Provided for user display.

The date of payment as indicated on the financial instrument.

To advise the payee when payment can be expected.

The location of the site or device for electronic transfers or physical location for cash payments.

The means of payment such as check, card cash, or electronic funds transfer.

The card brand such as debit, Visa, Amex etc. used if a card is the method of payment.

A portion of the account number, often the last 4 digits, used for verification not charging purposes.

The year and month (YYYY-MM) when the instrument, typically card, expires.

The name of the card processor, etf processor, bank for checks.

The check number, eft reference, car processor reference.

An alphanumeric issued by the processor to confirm the successful issuance of payment.

The amount offered by the issuer, typically applies to cash when the issuer provides an amount in bank note denominations equal to or excess of the amount actually being paid.

The amount returned by the receiver which is excess to the amount payable, often referred to as 'change'.

Total payment amount as indicated on the financial instrument.

Needed to provide the actual payment amount.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Numerical value (with implicit precision).

Monetary values have their own rules for handling precision (refer to standard accounting text books).

The amount of the currency. The value includes an implicit precision in the presentation of the value.

ISO 4217 Currency Code.

A code indicating the currency, taken from ISO 4217.

A code indicating the currency, taken from ISO 4217.

Issuer's unique identifier for the payment instrument.

For example: EFT number or check number.

Enable the receiver to reconcile when payment is received.

Distribution of the payment amount for a previously acknowledged payable.

Needed to show how the payment amount is distributed across the payables.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

Grund warum keine Zahlung erfolgte

MOPED Extension für die Kostenmeldung. Konstenmeldung für A = Ausländerverrechnung, R = Regressangelegenheiten oder K = Kosteninformation

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Unique identifier for the current payment item for the referenced payable.

Needed for reconciliation of payments.

Unique identifier for the prior payment item for the referenced payable.

Needed for reconciliation of payments.

Specific resource to which the payment/adjustment/advance applies.

Identifies the claim line item, encounter or other sub-element being paid. Note payment may be partial, that is not match the then outstanding balance or amount incurred.

The Encounter to which this payment applies, may be completed by the receiver, used for search.

The Account to which this payment applies, may be completed by the receiver, used for search.

Code to indicate the nature of the payment.

For example: payment, adjustment, funds advance, etc.

Needed to provide context for the amount.

The party which submitted the claim or financial transaction.

Needed for audit and validation.

A resource, such as a ClaimResponse, which contains a commitment to payment.

Needed to provide a linkage to the payment commitment.

The date from the response resource containing a commitment to pay.

Needed for audit and validation.

A reference to the individual who is responsible for inquiries regarding the response and its payment.

To provide contact information.

The party which is receiving the payment.

Needed for audit and validation.

The monetary amount allocated from the total payment to the payable.

Needed to explain the distribution of the payment to the payables.

A code for the form to be used for printing the content.

May be needed to identify specific jurisdictional forms.

The forms codes.

Needed to specify the specific form used for producing output for this response.

A note that describes or explains the processing in a human readable form.

Provides the specific textual explanations associated with the processing.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The business purpose of the note text.

The presentation types of notes.

To convey the expectation for when the text is used.

The explanation or description associated with the processing.

Required to provide human readable explanation.