Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Payment Notice Example - JSON Representation

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{
  "resourceType" : "PaymentNotice",
  "id" : "99061",
  "meta" : {
    "profile" : [
      🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-notice"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PaymentNotice 99061</b></p><a name=\"99061\"> </a><a name=\"hc99061\"> </a><a name=\"99061-en-US\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-payment-notice.html\">Nphies Payment Notice</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/paymentnotice</code>/9290894061</p><p><b>status</b>: Active</p><p><b>created</b>: 2023-12-06</p><p><b>provider</b>: <a href=\"Bundle-06b80922-b538-4ab3-9176-a80b51249001.html#http-//saudidentalclinic.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000</a></p><p><b>payment</b>: Identifier: <code>http://sni.com.sa/identifiers/paymentreconciliation</code>/90581</p><p><b>paymentDate</b>: 2023-12-06</p><p><b>payee</b>: <a href=\"Bundle-06b80922-b538-4ab3-9176-a80b51249001.html#http-//saudidentalclinic.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000</a></p><p><b>recipient</b>: Identifier: Other/NPHIES</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>239.55</td><td>Saudi riyal</td></tr></table><p><b>paymentStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/paymentstatus cleared}\">Cleared</span></p></div>"
  },
  "identifier" : [
    {
      "system" : "http://sni.com.sa/identifiers/paymentnotice",
      "value" : "9290894061"
    }
  ],
  "status" : "active",
  "created" : "2023-12-06",
  "provider" : {
    "reference" : "http://saudidentalclinic.com.sa/Organization/215"
  },
  "payment" : {
    "identifier" : {
      "system" : "http://sni.com.sa/identifiers/paymentreconciliation",
      "value" : "90581"
    }
  },
  "paymentDate" : "2023-12-06",
  "payee" : {
    "reference" : "http://saudidentalclinic.com.sa/Organization/215"
  },
  "recipient" : {
    "type" : "Organization",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://nphies.sa/terminology/CodeSystem/organization-type",
            "code" : "other"
          }
        ]
      },
      "system" : "http://nphies.sa/license/nphies",
      "value" : "NPHIES"
    }
  },
  "amount" : {
    "value" : 239.55,
    "currency" : "SAR"
  },
  "paymentStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/paymentstatus",
        "code" : "cleared"
      }
    ]
  }
}