Da Vinci Postable Remittance
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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

: ExampleSearchByClaim - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Parameters ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleSearchByClaim"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByClaimParameters"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByClaimParameters>     ] )
  ] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "TIN" ] ;
fhir:value [ fhir:v "123456" ]
  ] [
fhir:name [ fhir:v "DateOfService" ] ;
fhir:value [
a fhir:Period ;
fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2024-01-31"^^xsd:date ]     ]
  ] [
fhir:name [ fhir:v "PatientID" ] ;
fhir:value [ fhir:v "34567" ]
  ] [
fhir:name [ fhir:v "Claim" ] ;
    ( fhir:part [
fhir:name [ fhir:v "ProviderClaimID" ] ;
fhir:value [ fhir:v "12345" ]     ] [
fhir:name [ fhir:v "ProviderID" ] ;
fhir:value [ fhir:v "23456" ]     ] [
fhir:name [ fhir:v "PayerClaimID" ] ;
fhir:value [ fhir:v "34567" ]     ] )
  ] ) . #