Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS)
202309 - CI Build
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Active as of 2022-12-19 |
Definitions for the reconciliacao-pagamento resource profile.
Guidance on how to interpret the contents of this table can be found here
0. PaymentReconciliation | |
Definition | Dados do pagamento reconciliado |
Short | Dados do pagamento reconciliado |
2. PaymentReconciliation.id | |
Definition | Identificador lógico ou físico |
Short | Identificador lógico ou físico |
4. PaymentReconciliation.meta | |
Definition | Elemento de metadados para identificações adicionais do Recurso |
Short | Elemento de metadados para identificações adicionais do Recurso |
6. PaymentReconciliation.implicitRules | |
Definition | Regras implícitas deste perfil |
Short | Regras implícitas deste perfil |
8. PaymentReconciliation.language | |
Definition | Conceito codificável que classifica o idioma |
Short | Conceito codificável que classifica o idioma |
10. PaymentReconciliation.text | |
Definition | Texto livre que descreve a história de forma legível para seres humanos |
Short | Texto livre que descreve a história de forma legível para seres humanos |
12. PaymentReconciliation.contained | |
Definition | Outras informações que não existem por si só e só existem por dependência |
Short | Outras informações que não existem por si só e só existem por dependência |
14. PaymentReconciliation.extension | |
Definition | Conjunto de campos adicionais que são extensões ao modelo de informação |
Short | Conjunto de campos adicionais que são extensões ao modelo de informação |
16. PaymentReconciliation.modifierExtension | |
Definition | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados |
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados |
18. PaymentReconciliation.identifier | |
Short | Identificador |
Note | This is a business identifier, not a resource identifier (see discussion) |
20. PaymentReconciliation.status | |
Definition | Status do pagamento |
Short | Status do pagamento |
22. PaymentReconciliation.period | |
Definition | Período de tempo coberto |
Short | Período de tempo coberto |
24. PaymentReconciliation.created | |
Definition | Data de criação |
Short | Data de criação |
26. PaymentReconciliation.paymentIssuer | |
Definition | Entidade que emitiu o pagamento |
Short | Entidade que emitiu o pagamento |
Type | Reference(Operadora de plano privado de assistência à saúde) |
28. PaymentReconciliation.request | |
Definition | Requisição de pagamento |
Short | Requisição de pagamento |
30. PaymentReconciliation.requestor | |
Definition | Entidade que requisitou o pagamento |
Short | Entidade que requisitou o pagamento |
Type | Reference(Estabelecimento de Saúde) |
32. PaymentReconciliation.outcome | |
Definition | Status do pagamento |
Short | Status do pagamento |
34. PaymentReconciliation.disposition | |
Definition | Descrição do status do pagamento |
Short | Descrição do status do pagamento |
36. PaymentReconciliation.paymentDate | |
Definition | Data do pagamento |
Short | Data do pagamento |
38. PaymentReconciliation.paymentAmount | |
Definition | Valor total do pagamento |
Short | Valor do pagamento |
40. PaymentReconciliation.paymentIdentifier | |
Definition | Identificador do pagamento |
Short | Identificador do pagamento |
42. PaymentReconciliation.detail | |
Definition | Detalhamento do pagamento e formas da remuneração |
Short | Detalhamento do pagamento e formas da remuneração |
44. PaymentReconciliation.detail.identifier | |
Definition | Identificador do pagamento |
Short | Identificador do pagamento |
Note | This is a business identifier, not a resource identifier (see discussion) |
46. PaymentReconciliation.detail.predecessor | |
Definition | Identificador do pagamento anterior |
Short | Identificador do pagamento anterior |
48. PaymentReconciliation.detail.type | |
Definition | Modelo de remuneração do item |
Short | Modelo de remuneração do item |
Binding | The codes SHALL be taken from Modelo de remuneração Modelo de remuneração |
50. PaymentReconciliation.detail.request | |
Definition | Guia que originou o pagamento |
Short | Guia que originou o pagamento |
Control | 1..? |
Type | Reference(Guia, Guia de Consulta, Guia de SPSADT, Guia de Internação, Guia Odontológico, Guia de Honorário) |
52. PaymentReconciliation.detail.submitter | |
Definition | Entidade que submeteu o pagamento |
Short | Entidade que submeteu o pagamento |
Control | 1..? |
Type | Reference(Estabelecimento de Saúde) |
54. PaymentReconciliation.detail.response | |
Definition | Resposta de Guia vinculada ao pagamento |
Short | Resposta de Guia vinculada ao pagamento |
Control | 1..? |
Type | Reference(RespostaGuia) |
56. PaymentReconciliation.detail.date | |
Definition | Data do pagamento do item |
Short | Data do pagamento do item |
Control | 1..? |
58. PaymentReconciliation.detail.responsible | |
Definition | Entidade que é responsável pelo item do pagamento |
Short | Entidade que é responsável pelo item do pagamento |
60. PaymentReconciliation.detail.payee | |
Definition | Entidade que irá receber este item de pagamento |
Short | Entidade que irá receber este item de pagamento |
Control | 1..? |
Type | Reference(Estabelecimento de Saúde) |
62. PaymentReconciliation.detail.amount | |
Definition | Valor do item de pagamento |
Short | Valor do item de pagamento |
Control | 1..? |
64. PaymentReconciliation.formCode | |
Definition | Código do formulário |
Short | Código do formulário |
66. PaymentReconciliation.processNote | |
Definition | Nota de processamento |
Short | Nota de processamento |
68. PaymentReconciliation.processNote.type | |
Definition | Tipo de nota de processamento |
Short | Tipo de nota de processamento |
70. PaymentReconciliation.processNote.text | |
Definition | Texto da nota de processamento |
Short | Texto da nota de processamento |
Guidance on how to interpret the contents of this table can be found here
0. PaymentReconciliation | |||||
Definition | Dados do pagamento reconciliado This resource provides the details including amount of a payment and allocates the payment items being paid. | ||||
Short | Dados do pagamento reconciliadoPaymentReconciliation resource | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||
2. PaymentReconciliation.id | |||||
Definition | Identificador lógico ou físico The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Identificador lógico ou físicoLogical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. PaymentReconciliation.meta | |||||
Definition | Elemento de metadados para identificações adicionais do Recurso 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. | ||||
Short | Elemento de metadados para identificações adicionais do RecursoMetadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. PaymentReconciliation.implicitRules | |||||
Definition | Regras implícitas deste perfil 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. | ||||
Short | Regras implícitas deste perfilA set of rules under which this content was created | ||||
Comments | 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 it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. PaymentReconciliation.language | |||||
Definition | Conceito codificável que classifica o idioma The base language in which the resource is written. | ||||
Short | Conceito codificável que classifica o idioma Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. PaymentReconciliation.text | |||||
Definition | Texto livre que descreve a história de forma legível para seres humanos 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. | ||||
Short | Texto livre que descreve a história de forma legível para seres humanosText summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have 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. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. PaymentReconciliation.contained | |||||
Definition | Outras informações que não existem por si só e só existem por dependência These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Outras informações que não existem por si só e só existem por dependênciaContained, inline Resources | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. PaymentReconciliation.extension | |||||
Definition | Conjunto de campos adicionais que são extensões ao modelo de informação May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, 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. | ||||
Short | Conjunto de campos adicionais que são extensões ao modelo de informaçãoAdditional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
16. PaymentReconciliation.modifierExtension | |||||
Definition | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados 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 manageable, 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). | ||||
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignoradosExtensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
18. PaymentReconciliation.identifier | |||||
Definition | A unique identifier assigned to this payment reconciliation. | ||||
Short | IdentificadorBusiness Identifier for a payment reconciliation | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows payment reconciliations to be distinguished and referenced. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
20. PaymentReconciliation.status | |||||
Definition | Status do pagamento The status of the resource instance. | ||||
Short | Status do pagamentoactive | cancelled | draft | entered-in-error | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 A code specifying the state of the resource instance. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 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'. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
22. PaymentReconciliation.period | |||||
Definition | Período de tempo coberto The period of time for which payments have been gathered into this bulk payment for settlement. | ||||
Short | Período de tempo cobertoPeriod covered | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Needed to allow receivers to monitor and reconcile payment issuer schedules. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
24. PaymentReconciliation.created | |||||
Definition | Data de criação The date when the resource was created. | ||||
Short | Data de criaçãoCreation date | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to record a timestamp for use by both the recipient and the issuer. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
26. PaymentReconciliation.paymentIssuer | |||||
Definition | Entidade que emitiu o pagamento The party who generated the payment. | ||||
Short | Entidade que emitiu o pagamentoParty generating payment | ||||
Comments | This party is also responsible for the reconciliation. | ||||
Control | 0..1 | ||||
Type | Reference(Operadora de plano privado de assistência à saúde, Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Need to identify the party resonsible for the payment and this resource. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
28. PaymentReconciliation.request | |||||
Definition | Requisição de pagamento Original request resource reference. | ||||
Short | Requisição de pagamentoReference to requesting resource | ||||
Control | 0..1 | ||||
Type | Reference(Task) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to allow the response to be linked to the request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
30. PaymentReconciliation.requestor | |||||
Definition | Entidade que requisitou o pagamento The practitioner who is responsible for the services rendered to the patient. | ||||
Short | Entidade que requisitou o pagamentoResponsible practitioner | ||||
Control | 0..1 | ||||
Type | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to identify the party responsible for the request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
32. PaymentReconciliation.outcome | |||||
Definition | Status do pagamento The outcome of a request for a reconciliation. | ||||
Short | Status do pagamentoqueued | complete | error | partial | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ClaimProcessingCodeshttp://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 The outcome of the processing. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | To advise the requestor of an overall processing outcome. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
34. PaymentReconciliation.disposition | |||||
Definition | Descrição do status do pagamento A human readable description of the status of the request for the reconciliation. | ||||
Short | Descrição do status do pagamentoDisposition message | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Provided for user display. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
36. PaymentReconciliation.paymentDate | |||||
Definition | Data do pagamento The date of payment as indicated on the financial instrument. | ||||
Short | Data do pagamentoWhen payment issued | ||||
Control | 1..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | To advise the payee when payment can be expected. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
38. PaymentReconciliation.paymentAmount | |||||
Definition | Valor total do pagamento Total payment amount as indicated on the financial instrument. | ||||
Short | Valor do pagamentoTotal amount of Payment | ||||
Control | 1..1 | ||||
Type | Money | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Needed to provide the actual payment amount. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
40. PaymentReconciliation.paymentIdentifier | |||||
Definition | Identificador do pagamento Issuer's unique identifier for the payment instrument. | ||||
Short | Identificador do pagamentoBusiness identifier for the payment | ||||
Comments | For example: EFT number or check number. | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Enable the receiver to reconcile when payment is received. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
42. PaymentReconciliation.detail | |||||
Definition | Detalhamento do pagamento e formas da remuneração Distribution of the payment amount for a previously acknowledged payable. | ||||
Short | Detalhamento do pagamento e formas da remuneraçãoSettlement particulars | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to show how the payment amount is distributed across the payables. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
44. PaymentReconciliation.detail.modifierExtension | |||||
Definition | 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 manageable, 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). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
46. PaymentReconciliation.detail.identifier | |||||
Definition | Identificador do pagamento Unique identifier for the current payment item for the referenced payable. | ||||
Short | Identificador do pagamentoBusiness identifier of the payment detail | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for reconciliation of payments. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
48. PaymentReconciliation.detail.predecessor | |||||
Definition | Identificador do pagamento anterior Unique identifier for the prior payment item for the referenced payable. | ||||
Short | Identificador do pagamento anteriorBusiness identifier of the prior payment detail | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for reconciliation of payments. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
50. PaymentReconciliation.detail.type | |||||
Definition | Modelo de remuneração do item Code to indicate the nature of the payment. | ||||
Short | Modelo de remuneração do itemCategory of payment | ||||
Comments | For example: payment, adjustment, funds advance, etc. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from For example codes, see Modelo de remuneraçãohttp://hl7.org/fhir/ValueSet/payment-type Modelo de remuneração The reason for the amount: payment, adjustment, advance. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide context for the amount. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
52. PaymentReconciliation.detail.request | |||||
Definition | Guia que originou o pagamento A resource, such as a Claim, the evaluation of which could lead to payment. | ||||
Short | Guia que originou o pagamentoRequest giving rise to the payment | ||||
Control | 10..1 | ||||
Type | Reference(Guia, Guia de Consulta, Guia de SPSADT, Guia de Internação, Guia Odontológico, Guia de Honorário, Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide a linkage to the original request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
54. PaymentReconciliation.detail.submitter | |||||
Definition | Entidade que submeteu o pagamento The party which submitted the claim or financial transaction. | ||||
Short | Entidade que submeteu o pagamentoSubmitter of the request | ||||
Control | 10..1 | ||||
Type | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
56. PaymentReconciliation.detail.response | |||||
Definition | Resposta de Guia vinculada ao pagamento A resource, such as a ClaimResponse, which contains a commitment to payment. | ||||
Short | Resposta de Guia vinculada ao pagamentoResponse committing to a payment | ||||
Control | 10..1 | ||||
Type | Reference(RespostaGuia, Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide a linkage to the payment commitment. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
58. PaymentReconciliation.detail.date | |||||
Definition | Data do pagamento do item The date from the response resource containing a commitment to pay. | ||||
Short | Data do pagamento do itemDate of commitment to pay | ||||
Control | 10..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
60. PaymentReconciliation.detail.responsible | |||||
Definition | Entidade que é responsável pelo item do pagamento A reference to the individual who is responsible for inquiries regarding the response and its payment. | ||||
Short | Entidade que é responsável pelo item do pagamentoContact for the response | ||||
Control | 0..1 | ||||
Type | Reference(PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | To provide contact information. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
62. PaymentReconciliation.detail.payee | |||||
Definition | Entidade que irá receber este item de pagamento The party which is receiving the payment. | ||||
Short | Entidade que irá receber este item de pagamentoRecipient of the payment | ||||
Control | 10..1 | ||||
Type | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
64. PaymentReconciliation.detail.amount | |||||
Definition | Valor do item de pagamento The monetary amount allocated from the total payment to the payable. | ||||
Short | Valor do item de pagamentoAmount allocated to this payable | ||||
Control | 10..1 | ||||
Type | Money | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to explain the distribution of the payment to the payables. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
66. PaymentReconciliation.formCode | |||||
Definition | Código do formulário A code for the form to be used for printing the content. | ||||
Short | Código do formulárioPrinted form identifier | ||||
Comments | May be needed to identify specific jurisdictional forms. | ||||
Control | 0..1 | ||||
Binding | For example codes, see Form Codeshttp://hl7.org/fhir/ValueSet/forms The forms codes. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to specify the specific form used for producing output for this response. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
68. PaymentReconciliation.processNote | |||||
Definition | Nota de processamento A note that describes or explains the processing in a human readable form. | ||||
Short | Nota de processamentoNote concerning processing | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Provides the specific textual explanations associated with the processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
70. PaymentReconciliation.processNote.modifierExtension | |||||
Definition | 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 manageable, 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). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
72. PaymentReconciliation.processNote.type | |||||
Definition | Tipo de nota de processamento The business purpose of the note text. | ||||
Short | Tipo de nota de processamentodisplay | print | printoper | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from NoteTypehttp://hl7.org/fhir/ValueSet/note-type|4.0.1 The presentation types of notes. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | To convey the expectation for when the text is used. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
74. PaymentReconciliation.processNote.text | |||||
Definition | Texto da nota de processamento The explanation or description associated with the processing. | ||||
Short | Texto da nota de processamentoNote explanatory text | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Required to provide human readable explanation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. PaymentReconciliation | |||||
Definition | Dados do pagamento reconciliado | ||||
Short | Dados do pagamento reconciliado | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. PaymentReconciliation.id | |||||
Definition | Identificador lógico ou físico | ||||
Short | Identificador lógico ou físico | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. PaymentReconciliation.meta | |||||
Definition | Elemento de metadados para identificações adicionais do Recurso | ||||
Short | Elemento de metadados para identificações adicionais do Recurso | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. PaymentReconciliation.implicitRules | |||||
Definition | Regras implícitas deste perfil | ||||
Short | Regras implícitas deste perfil | ||||
Comments | 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 it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. PaymentReconciliation.language | |||||
Definition | Conceito codificável que classifica o idioma | ||||
Short | Conceito codificável que classifica o idioma | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. PaymentReconciliation.text | |||||
Definition | Texto livre que descreve a história de forma legível para seres humanos | ||||
Short | Texto livre que descreve a história de forma legível para seres humanos | ||||
Comments | Contained resources do not have 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. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. PaymentReconciliation.contained | |||||
Definition | Outras informações que não existem por si só e só existem por dependência | ||||
Short | Outras informações que não existem por si só e só existem por dependência | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. PaymentReconciliation.extension | |||||
Definition | Conjunto de campos adicionais que são extensões ao modelo de informação | ||||
Short | Conjunto de campos adicionais que são extensões ao modelo de informação | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. PaymentReconciliation.modifierExtension | |||||
Definition | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados | ||||
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. PaymentReconciliation.identifier | |||||
Definition | A unique identifier assigned to this payment reconciliation. | ||||
Short | Identificador | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows payment reconciliations to be distinguished and referenced. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. PaymentReconciliation.status | |||||
Definition | Status do pagamento | ||||
Short | Status do pagamento | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from FinancialResourceStatusCodes A code specifying the state of the resource instance. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 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'. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. PaymentReconciliation.period | |||||
Definition | Período de tempo coberto | ||||
Short | Período de tempo coberto | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Needed to allow receivers to monitor and reconcile payment issuer schedules. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. PaymentReconciliation.created | |||||
Definition | Data de criação | ||||
Short | Data de criação | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to record a timestamp for use by both the recipient and the issuer. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. PaymentReconciliation.paymentIssuer | |||||
Definition | Entidade que emitiu o pagamento | ||||
Short | Entidade que emitiu o pagamento | ||||
Comments | This party is also responsible for the reconciliation. | ||||
Control | 0..1 | ||||
Type | Reference(Operadora de plano privado de assistência à saúde) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Need to identify the party resonsible for the payment and this resource. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. PaymentReconciliation.request | |||||
Definition | Requisição de pagamento | ||||
Short | Requisição de pagamento | ||||
Control | 0..1 | ||||
Type | Reference(Task) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to allow the response to be linked to the request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. PaymentReconciliation.requestor | |||||
Definition | Entidade que requisitou o pagamento | ||||
Short | Entidade que requisitou o pagamento | ||||
Control | 0..1 | ||||
Type | Reference(Estabelecimento de Saúde) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to identify the party responsible for the request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. PaymentReconciliation.outcome | |||||
Definition | Status do pagamento | ||||
Short | Status do pagamento | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ClaimProcessingCodes The outcome of the processing. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | To advise the requestor of an overall processing outcome. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. PaymentReconciliation.disposition | |||||
Definition | Descrição do status do pagamento | ||||
Short | Descrição do status do pagamento | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Provided for user display. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. PaymentReconciliation.paymentDate | |||||
Definition | Data do pagamento | ||||
Short | Data do pagamento | ||||
Control | 1..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | To advise the payee when payment can be expected. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. PaymentReconciliation.paymentAmount | |||||
Definition | Valor total do pagamento | ||||
Short | Valor do pagamento | ||||
Control | 1..1 | ||||
Type | Money | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Needed to provide the actual payment amount. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. PaymentReconciliation.paymentIdentifier | |||||
Definition | Identificador do pagamento | ||||
Short | Identificador do pagamento | ||||
Comments | For example: EFT number or check number. | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Enable the receiver to reconcile when payment is received. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. PaymentReconciliation.detail | |||||
Definition | Detalhamento do pagamento e formas da remuneração | ||||
Short | Detalhamento do pagamento e formas da remuneração | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to show how the payment amount is distributed across the payables. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. PaymentReconciliation.detail.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
46. PaymentReconciliation.detail.extension | |||||
Definition | 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 manageable, 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
48. PaymentReconciliation.detail.modifierExtension | |||||
Definition | 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 manageable, 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). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
50. PaymentReconciliation.detail.identifier | |||||
Definition | Identificador do pagamento | ||||
Short | Identificador do pagamento | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for reconciliation of payments. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. PaymentReconciliation.detail.predecessor | |||||
Definition | Identificador do pagamento anterior | ||||
Short | Identificador do pagamento anterior | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for reconciliation of payments. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. PaymentReconciliation.detail.type | |||||
Definition | Modelo de remuneração do item | ||||
Short | Modelo de remuneração do item | ||||
Comments | For example: payment, adjustment, funds advance, etc. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from Modelo de remuneração Modelo de remuneração | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide context for the amount. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. PaymentReconciliation.detail.request | |||||
Definition | Guia que originou o pagamento | ||||
Short | Guia que originou o pagamento | ||||
Control | 1..1 | ||||
Type | Reference(Guia, Guia de Consulta, Guia de SPSADT, Guia de Internação, Guia Odontológico, Guia de Honorário) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide a linkage to the original request. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. PaymentReconciliation.detail.submitter | |||||
Definition | Entidade que submeteu o pagamento | ||||
Short | Entidade que submeteu o pagamento | ||||
Control | 1..1 | ||||
Type | Reference(Estabelecimento de Saúde) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. PaymentReconciliation.detail.response | |||||
Definition | Resposta de Guia vinculada ao pagamento | ||||
Short | Resposta de Guia vinculada ao pagamento | ||||
Control | 1..1 | ||||
Type | Reference(RespostaGuia) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to provide a linkage to the payment commitment. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. PaymentReconciliation.detail.date | |||||
Definition | Data do pagamento do item | ||||
Short | Data do pagamento do item | ||||
Control | 1..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. PaymentReconciliation.detail.responsible | |||||
Definition | Entidade que é responsável pelo item do pagamento | ||||
Short | Entidade que é responsável pelo item do pagamento | ||||
Control | 0..1 | ||||
Type | Reference(PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | To provide contact information. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. PaymentReconciliation.detail.payee | |||||
Definition | Entidade que irá receber este item de pagamento | ||||
Short | Entidade que irá receber este item de pagamento | ||||
Control | 1..1 | ||||
Type | Reference(Estabelecimento de Saúde) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed for audit and validation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. PaymentReconciliation.detail.amount | |||||
Definition | Valor do item de pagamento | ||||
Short | Valor do item de pagamento | ||||
Control | 1..1 | ||||
Type | Money | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to explain the distribution of the payment to the payables. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. PaymentReconciliation.formCode | |||||
Definition | Código do formulário | ||||
Short | Código do formulário | ||||
Comments | May be needed to identify specific jurisdictional forms. | ||||
Control | 0..1 | ||||
Binding | For example codes, see Form Codes The forms codes. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to specify the specific form used for producing output for this response. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. PaymentReconciliation.processNote | |||||
Definition | Nota de processamento | ||||
Short | Nota de processamento | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Provides the specific textual explanations associated with the processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. PaymentReconciliation.processNote.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
76. PaymentReconciliation.processNote.extension | |||||
Definition | 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 manageable, 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
78. PaymentReconciliation.processNote.modifierExtension | |||||
Definition | 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 manageable, 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). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
80. PaymentReconciliation.processNote.type | |||||
Definition | Tipo de nota de processamento | ||||
Short | Tipo de nota de processamento | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from NoteType The presentation types of notes. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | To convey the expectation for when the text is used. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. PaymentReconciliation.processNote.text | |||||
Definition | Texto da nota de processamento | ||||
Short | Texto da nota de processamento | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Required to provide human readable explanation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |