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

• Narrative Content
• XML
• JSON
• TTL

: Payment Notice Example - XML Representation

Raw xml | Download

<PaymentNotice xmlns="http://hl7.org/fhir">
  <id value="99061"/>
  <meta>
    <profile
             value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-notice"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://sni.com.sa/identifiers/paymentnotice"/>
    <value value="9290894061"/>
  </identifier>
  <status value="active"/>
  <created value="2023-12-06"/>
  <provider>
    <reference value="http://saudidentalclinic.com.sa/Organization/215"/>
  </provider>
  <payment>
    <identifier>
      <system value="http://sni.com.sa/identifiers/paymentreconciliation"/>
      <value value="90581"/>
    </identifier>
  </payment>
  <paymentDate value="2023-12-06"/>
  <payee>
    <reference value="http://saudidentalclinic.com.sa/Organization/215"/>
  </payee>
  <recipient>
    <type value="Organization"/>
    <identifier>
      <type>
        <coding>
          <system
                  value="http://nphies.sa/terminology/CodeSystem/organization-type"/>
          <code value="other"/>
        </coding>
      </type>
      <system value="http://nphies.sa/license/nphies"/>
      <value value="NPHIES"/>
    </identifier>
  </recipient>
  <amount>
    <value value="239.55"/>
    <currency value="SAR"/>
  </amount>
  <paymentStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/paymentstatus"/>
      <code value="cleared"/>
    </coding>
  </paymentStatus>
</PaymentNotice>