| id | 0..1 | string | Logical id of this artifact |
| meta | 0..1 | Meta | Metadata about the resource |
| implicitRules | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources |
| extension | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | Business Identifier for a payment reconciliation |
| status | 1..1 | code | active | cancelled | draft | entered-in-error |
| period | 0..1 | Period | Period covered |
| created | 1..1 | dateTime | Creation date |
| paymentIssuer | 0..1 | Reference | Party generating payment |
| request | 0..1 | Reference | Reference to requesting resource |
| requestor | 0..1 | Reference | Responsible practitioner |
| outcome | 0..1 | code | queued | complete | error | partial |
| disposition | 0..1 | string | Disposition message |
| paymentDate | 1..1 | date | When payment issued |
| paymentAmount | 1..1 | Money | Total amount of Payment |
| paymentIdentifier | 0..1 | Identifier | Business identifier for the payment |
| detail | 0..* | BackboneElement | Settlement particulars |
| formCode | 0..1 | CodeableConcept | Printed form identifier |
| processNote | 0..* | BackboneElement | Note concerning processing |