Da Vinci Postable Remittance, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pr/ and changes regularly. See the Directory of published versions
<Parameters xmlns="http://hl7.org/fhir">
<id value="ExampleSearchResult"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchResultParameters"/>
</meta>
<parameter>
<name value="TIN"/>
<valueString value="123456"/>
</parameter>
<parameter>
<name value="Payer"/>
<part>
<name value="PayerID"/>
<valueString value="54321"/>
</part>
<part>
<name value="PayerName"/>
<valueString value="Acme Payment Inc"/>
</part>
</parameter>
<parameter>
<name value="Claim"/>
<part>
<name value="ProviderClaimID"/>
<valueString value="12345"/>
</part>
<part>
<name value="ClaimReceivedDate"/>
<valueDate value="2024-06-01"/>
</part>
<part>
<name value="ProviderID"/>
<valueString value="23456"/>
</part>
<part>
<name value="PayerClaimID"/>
<valueString value="34567"/>
</part>
<part>
<name value="PaymentInfo"/>
<part>
<name value="PaymentDate"/>
<valueDate value="2024-06-07"/>
</part>
<part>
<name value="PaymentNumber"/>
<valueString value="11111"/>
</part>
<part>
<name value="PaymentAmount"/>
<valueMoney>
<value value="123.45"/>
<currency value="CAD"/>
</valueMoney>
</part>
<part>
<name value="Remittance"/>
<part>
<name value="RemittanceAdviceIdentifier"/>
<valueString value="99999"/>
</part>
<part>
<name value="RemittanceAdviceType"/>
<valueCode value="835"/>
</part>
<part>
<name value="RemittanceAdviceDate"/>
<valueDate value="2024-06-07"/>
</part>
<part>
<name value="RemittanceAdviceFileSize"/>
<valueInteger value="123456"/>
</part>
</part>
</part>
</parameter>
<parameter>
<name value="Patient"/>
<part>
<name value="DateOfBirth"/>
<valueDate value="1970-11-27"/>
</part>
<part>
<name value="PatientID"/>
<valueString value="23456"/>
</part>
<part>
<name value="PatientFirstName"/>
<valueString value="Adam"/>
</part>
<part>
<name value="PatientLastName"/>
<valueString value="Patient"/>
</part>
</parameter>
</Parameters>