| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| TU | DomainResource | PaymentNotice request Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
| 0..* | Identifier | Business Identifier for the payment notice | ||
| ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: Financial Resource Status Codes (Required) | |
| 0..1 | Reference(Any) | Request reference | ||
| 0..1 | Reference(Any) | Response reference | ||
| Σ | 1..1 | dateTime | Creation date | |
| 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | ||
| Σ | 0..1 | Reference(PaymentReconciliation) | Payment reference | |
| 0..1 | date | Payment or clearing date | ||
| 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party being paid | ||
| Σ | 1..1 | Reference(Organization) | Party being notified | |
| Σ | 1..1 | Money | Monetary amount of the payment | |
| 0..1 | CodeableConcept | Issued or cleared Status of the payment Binding: Payment Status Codes (Example) | ||