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

: ExampleSearchByPayment - XML Representation

Raw xml | Download


<Parameters xmlns="http://hl7.org/fhir">
  <id value="ExampleSearchByPayment"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByPaymentParameters"/>
  </meta>
  <parameter>
    <name value="TIN"/>
    <valueString value="123456"/>
  </parameter>
  <parameter>
    <name value="PaymentInfo"/>
    <part>
      <name value="PaymentIssueDate"/>
      <valuePeriod>
        <start value="2024-06-07"/>
        <end value="2024-06-10"/>
      </valuePeriod>
    </part>
    <part>
      <name value="PaymentNumber"/>
      <valueString value="11111"/>
    </part>
    <part>
      <name value="PaymentAmount"/>
      <part>
        <name value="PaymentAmountLow"/>
        <valueMoney>
          <value value="123.45"/>
          <currency value="CAD"/>
        </valueMoney>
      </part>
      <part>
        <name value="PaymentAmountHigh"/>
        <valueMoney>
          <value value="223.45"/>
          <currency value="CAD"/>
        </valueMoney>
      </part>
    </part>
  </parameter>
  <parameter>
    <name value="PayerID"/>
    <valueString value="54321"/>
  </parameter>
</Parameters>