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

: ExampleSearchResult - 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 "ExampleSearchResult"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchResultParameters"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchResultParameters>     ] )
  ] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "TIN" ] ;
fhir:value [ fhir:v "123456" ]
  ] [
fhir:name [ fhir:v "Payer" ] ;
    ( fhir:part [
fhir:name [ fhir:v "PayerID" ] ;
fhir:value [ fhir:v "54321" ]     ] [
fhir:name [ fhir:v "PayerName" ] ;
fhir:value [ fhir:v "Acme Payment Inc" ]     ] )
  ] [
fhir:name [ fhir:v "Claim" ] ;
    ( fhir:part [
fhir:name [ fhir:v "ProviderClaimID" ] ;
fhir:value [ fhir:v "12345" ]     ] [
fhir:name [ fhir:v "ClaimReceivedDate" ] ;
fhir:value [ fhir:v "2024-06-01"^^xsd:date ]     ] [
fhir:name [ fhir:v "ProviderID" ] ;
fhir:value [ fhir:v "23456" ]     ] [
fhir:name [ fhir:v "PayerClaimID" ] ;
fhir:value [ fhir:v "34567" ]     ] [
fhir:name [ fhir:v "PaymentInfo" ] ;
      ( fhir:part [
fhir:name [ fhir:v "PaymentDate" ] ;
fhir:value [ fhir:v "2024-06-07"^^xsd:date ]       ] [
fhir:name [ fhir:v "PaymentNumber" ] ;
fhir:value [ fhir:v "11111" ]       ] [
fhir:name [ fhir:v "PaymentAmount" ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "123.45"^^xsd:decimal ] ;
fhir:currency [ fhir:v "CAD" ]         ]       ] [
fhir:name [ fhir:v "Remittance" ] ;
        ( fhir:part [
fhir:name [ fhir:v "RemittanceAdviceIdentifier" ] ;
fhir:value [ fhir:v "99999" ]         ] [
fhir:name [ fhir:v "RemittanceAdviceType" ] ;
fhir:value [ fhir:v "835" ]         ] [
fhir:name [ fhir:v "RemittanceAdviceDate" ] ;
fhir:value [ fhir:v "2024-06-07"^^xsd:date ]         ] [
fhir:name [ fhir:v "RemittanceAdviceFileSize" ] ;
fhir:value [ fhir:v "123456"^^xsd:integer ]         ] )       ] )     ] )
  ] [
fhir:name [ fhir:v "Patient" ] ;
    ( fhir:part [
fhir:name [ fhir:v "DateOfBirth" ] ;
fhir:value [ fhir:v "1970-11-27"^^xsd:date ]     ] [
fhir:name [ fhir:v "PatientID" ] ;
fhir:value [ fhir:v "23456" ]     ] [
fhir:name [ fhir:v "PatientFirstName" ] ;
fhir:value [ fhir:v "Adam" ]     ] [
fhir:name [ fhir:v "PatientLastName" ] ;
fhir:value [ fhir:v "Patient" ]     ] )
  ] ) . #