Da Vinci Postable Remittance
1.0.0-ballot - STU 1 Ballot United States of America flag

This page is part of the DaVinci Postable Remittance FHIR Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: ExampleRemittanceAdviceDocument - XML Representation

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<Binary xmlns="http://hl7.org/fhir">
  <id value="ExampleRemittanceAdviceDocument"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pr/StructureDefinition/remittanceAdviceDocument"/>
  </meta>
  <contentType value="application/txt+gzip"/>
  <data
        value="YmFzZTY0LWVuY29kZWQgemlwIGZpbGUgb2YgdGhlIG9yaWdpbmFsIGRvY3VtZW50">
    <extension
               url="http://hl7.org/fhir/us/davinci-pr/StructureDefinition/remittanceIdentifierExt">
      <valueString value="A123456BCD"/>
    </extension>
  </data>
</Binary>