{
"resourceType": "PaymentNotice", "id": "77654", "text": { "status": "generated", "div": "<div>A human-readable rendering of the PaymentNotice</div>" }, "identifier": [ { "system": "http://benefitsinc.com/paymentnotice", "value": "776543" } ], "created": "2014-08-16", "organization": { "reference": "Organization/1" }, "request": { "reference": "http://benefitsinc.com/fhir/oralhealthclaim/12345" }, "paymentStatus": { "system": "http://hl7.org/fhir/paymentstatus", "code": "paid" }
}