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: CDex Parameters Example 4 - JSON Representation
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{
"resourceType" : "Parameters",
"id" : "cdex-parameters-example4",
"parameter" : [
{
"name" : "TrackingId",
"valueIdentifier" : {
"system" : "http://example.org/provider",
"value" : "trackingid456"
}
},
{
"name" : "AttachTo",
"valueCode" : "claim"
},
{
"name" : "PayerId",
"valueIdentifier" : {
"system" : "http://example.org/cdex/payer-ids",
"value" : "Payer123"
}
},
{
"name" : "OrganizationId",
"valueIdentifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1407071236"
}
},
{
"name" : "ProviderId",
"valueIdentifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
},
{
"name" : "MemberId",
"valueIdentifier" : {
"system" : "http://example.org/cdex/member-ids",
"value" : "Member123"
}
},
{
"name" : "ServiceDate",
"valueDate" : "2022-06-16"
},
{
"name" : "Attachment",
"part" : [
{
"name" : "LineItem",
"valueString" : "1"
},
{
"name" : "Code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11502-2",
"display" : "Laboratory report"
}
],
"text" : "Laboratory report"
}
},
{
"name" : "Content",
"resource" : {
"resourceType" : "Observation",
"id" : "cdex-2020-04-23-hba1c-example",
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "4548-4",
"display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
},
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "83036",
"display" : "Hemoglobin; glycosylated (A1c)"
},
{
"system" : "http://example.org/lab-results",
"code" : "HBA1C",
"display" : "Glycated hemoglobin (HbA1c)"
}
],
"text" : "glycated hemoglobin (HbA1c)"
},
"subject" : {
"display" : "Elden718 Halvorson124"
},
"effectiveDateTime" : "2022-06-16T10:21:08-07:00",
"valueQuantity" : {
"value" : 7.2,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
}
]
},
{
"name" : "Attachment",
"part" : [
{
"name" : "LineItem",
"valueString" : "1"
},
{
"name" : "Code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11502-2",
"display" : "Laboratory report"
}
],
"text" : "Laboratory report"
}
},
{
"name" : "Content",
"resource" : {
"resourceType" : "Observation",
"id" : "cdex-2020-10-23-hba1c-example",
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "4548-4",
"display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
},
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "83036",
"display" : "Hemoglobin; glycosylated (A1c)"
},
{
"system" : "http://example.org/lab-results",
"code" : "HBA1C",
"display" : "Glycated hemoglobin (HbA1c)"
}
],
"text" : "glycated hemoglobin (HbA1c)"
},
"subject" : {
"display" : "Elden718 Halvorson124"
},
"effectiveDateTime" : "2022-05-16T10:21:08-07:00",
"valueQuantity" : {
"value" : 7,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
}
]
},
{
"name" : "Attachment",
"part" : [
{
"name" : "LineItem",
"valueString" : "1"
},
{
"name" : "Code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11502-2",
"display" : "Laboratory report"
}
],
"text" : "Laboratory report"
}
},
{
"name" : "Content",
"resource" : {
"resourceType" : "Observation",
"id" : "cdex-2020-07-23-hba1c-example",
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "4548-4",
"display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
},
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "83036",
"display" : "Hemoglobin; glycosylated (A1c)"
},
{
"system" : "http://example.org/lab-results",
"code" : "HBA1C",
"display" : "Glycated hemoglobin (HbA1c)"
}
],
"text" : "glycated hemoglobin (HbA1c)"
},
"subject" : {
"display" : "Elden718 Halvorson124"
},
"effectiveDateTime" : "2022-04-16T10:21:08-07:00",
"valueQuantity" : {
"value" : 7,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
}
]
}
]
}
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