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@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 "ExampleSearchPaymentResult"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByPaymentResultParameters"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByPaymentResultParameters> ] )
] ; #
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 "PaymentInfo" ] ;
( fhir:part [
fhir:name [ fhir:v "PaymentIssueDate" ] ;
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 "PaymentInfo" ] ;
( fhir:part [
fhir:name [ fhir:v "PaymentIssueDate" ] ;
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 "2023-11-03"^^xsd:date ] ] [
fhir:name [ fhir:v "RemittanceAdviceFileSize" ] ;
fhir:value [
a fhir:integer ;
fhir:v 2048 ] ] ) ] )
] ) . #
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-pr#1.0.0 based on FHIR 4.0.1. Generated 2025-04-08
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