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

This page is part of the DaVinci Postable Remittance FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: ExampleSearchByPayment - XML Representation

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<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="123485858"/>
  </parameter>
  <parameter>
    <name value="PaymentInfo"/>
    <part>
      <name value="PaymentIssueDate"/>
      <valuePeriod>
        <start value="2023-11-01"/>
        <end value="2023-11-15"/>
      </valuePeriod>
    </part>
    <part>
      <name value="PaymentNumber"/>
      <valueString value="A123858"/>
    </part>
    <part>
      <name value="PaymentAmount"/>
      <part>
        <name value="PaymentAmountLow"/>
        <valueMoney>
          <value value="10"/>
          <currency value="USD"/>
        </valueMoney>
      </part>
      <part>
        <name value="PaymentAmountHigh"/>
        <valueMoney>
          <value value="40"/>
          <currency value="USD"/>
        </valueMoney>
      </part>
    </part>
  </parameter>
  <parameter>
    <name value="PayerID"/>
    <valueString value="52415"/>
  </parameter>
</Parameters>