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

: ExampleSearchResult - TTL Representation

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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 [
a fhir:string ;
fhir:v "123485858"     ]
  ] [
fhir:name [ fhir:v "Payer" ] ;
    ( fhir:part [
fhir:name [ fhir:v "PayerID" ] ;
fhir:value [
a fhir:string ;
fhir:v "52415"       ]     ] [
fhir:name [ fhir:v "PayerName" ] ;
fhir:value [
a fhir:string ;
fhir:v "Acme Payment Inc"       ]     ] )
  ] [
fhir:name [ fhir:v "Claim" ] ;
    ( fhir:part [
fhir:name [ fhir:v "ProviderClaimID" ] ;
fhir:value [
a fhir:string ;
fhir:v "12345V54321"       ]     ] [
fhir:name [ fhir:v "ClaimReceivedDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-10-05"^^xsd:date       ]     ] [
fhir:name [ fhir:v "ProviderID" ] ;
fhir:value [
a fhir:string ;
fhir:v "52415"       ]     ] [
fhir:name [ fhir:v "PayerClaimID" ] ;
fhir:value [
a fhir:string ;
fhir:v "TYU7894562"       ]     ] [
fhir:name [ fhir:v "PaymentInfo" ] ;
      ( fhir:part [
fhir:name [ fhir:v "PaymentDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-11-02"^^xsd:date         ]       ] [
fhir:name [ fhir:v "PaymentNumber" ] ;
fhir:value [
a fhir:string ;
fhir:v "A12385858"         ]       ] [
fhir:name [ fhir:v "PaymentAmount" ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:name [ fhir:v "Remittance" ] ;
        ( fhir:part [
fhir:name [ fhir:v "RemittanceAdviceIdentifier" ] ;
fhir:value [
a fhir:string ;
fhir:v "A123456BCDEF"           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceType" ] ;
fhir:value [
a fhir:code ;
fhir:v "application/EDI-X12"           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-11-02"^^xsd:date           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceFileSize" ] ;
fhir:value [
a fhir:integer ;
fhir:v 1536           ]         ] )       ] )     ] )
  ] [
fhir:name [ fhir:v "Claim" ] ;
    ( fhir:part [
fhir:name [ fhir:v "ProviderClaimID" ] ;
fhir:value [
a fhir:string ;
fhir:v "12345V54321"       ]     ] [
fhir:name [ fhir:v "ClaimReceivedDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-10-04"^^xsd:date       ]     ] [
fhir:name [ fhir:v "ProviderID" ] ;
fhir:value [
a fhir:string ;
fhir:v "52415"       ]     ] [
fhir:name [ fhir:v "PayerClaimID" ] ;
fhir:value [
a fhir:string ;
fhir:v "TYU7894566"       ]     ] [
fhir:name [ fhir:v "PaymentInfo" ] ;
      ( fhir:part [
fhir:name [ fhir:v "PaymentDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-11-03"^^xsd:date         ]       ] [
fhir:name [ fhir:v "PaymentNumber" ] ;
fhir:value [
a fhir:string ;
fhir:v "A12385859"         ]       ] [
fhir:name [ fhir:v "PaymentAmount" ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:name [ fhir:v "Remittance" ] ;
        ( fhir:part [
fhir:name [ fhir:v "RemittanceAdviceIdentifier" ] ;
fhir:value [
a fhir:string ;
fhir:v "A123456BCDXY"           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceType" ] ;
fhir:value [
a fhir:code ;
fhir:v "application/EDI-X12"           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceDate" ] ;
fhir:value [
a fhir:date ;
fhir:v "2023-11-04"^^xsd:date           ]         ] [
fhir:name [ fhir:v "RemittanceAdviceFileSize" ] ;
fhir:value [
a fhir:integer ;
fhir:v 2048           ]         ] )       ] )     ] )
  ] [
fhir:name [ fhir:v "Patient" ] ;
    ( fhir:part [
fhir:name [ fhir:v "DateOfBirth" ] ;
fhir:value [
a fhir:date ;
fhir:v "1970-11-27"^^xsd:date       ]     ] [
fhir:name [ fhir:v "PatientID" ] ;
fhir:value [
a fhir:string ;
fhir:v "M12345513215"       ]     ] [
fhir:name [ fhir:v "PatientFirstName" ] ;
fhir:value [
a fhir:string ;
fhir:v "Adam"       ]     ] [
fhir:name [ fhir:v "PatientLastName" ] ;
fhir:value [
a fhir:string ;
fhir:v "Patient"       ]     ] )
  ] ) . #