This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Parameters xmlns="http://hl7.org/fhir">
<id value="cdex-parameters-example4"/>
<parameter>
<name value="TrackingId"/>
<valueIdentifier>
<system value="http://example.org/provider"/>
<value value="trackingid456"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="AttachTo"/>
<valueCode value="claim"/>
</parameter>
<parameter>
<name value="PayerId"/>
<valueIdentifier>
<system value="http://example.org/cdex/payer-ids"/>
<value value="Payer123"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="OrganizationId"/>
<valueIdentifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1407071236"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="ProviderId"/>
<valueIdentifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="MemberId"/>
<valueIdentifier>
<system value="http://example.org/cdex/member-ids"/>
<value value="Member123"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="ServiceDate"/>
<valueDate value="2022-06-16"/>
</parameter>
<parameter>
<name value="Attachment"/>
<part>
<name value="LineItem"/>
<valueString value="1"/>
</part>
<part>
<name value="Code"/>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
<text value="Laboratory report"/>
</valueCodeableConcept>
</part>
<part>
<name value="Content"/>
<resource>
<Observation>
<id value="cdex-2020-04-23-hba1c-example"/>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
</coding>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="83036"/>
<display value="Hemoglobin; glycosylated (A1c)"/>
</coding>
<coding>
<system value="http://example.org/lab-results"/>
<code value="HBA1C"/>
<display value="Glycated hemoglobin (HbA1c)"/>
</coding>
<text value="glycated hemoglobin (HbA1c)"/>
</code>
<subject>
<display value="Elden718 Halvorson124"/>
</subject>
<effectiveDateTime value="2022-06-16T10:21:08-07:00"/>
<valueQuantity>
<value value="7.2"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
</part>
</parameter>
<parameter>
<name value="Attachment"/>
<part>
<name value="LineItem"/>
<valueString value="1"/>
</part>
<part>
<name value="Code"/>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
<text value="Laboratory report"/>
</valueCodeableConcept>
</part>
<part>
<name value="Content"/>
<resource>
<Observation>
<id value="cdex-2020-10-23-hba1c-example"/>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
</coding>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="83036"/>
<display value="Hemoglobin; glycosylated (A1c)"/>
</coding>
<coding>
<system value="http://example.org/lab-results"/>
<code value="HBA1C"/>
<display value="Glycated hemoglobin (HbA1c)"/>
</coding>
<text value="glycated hemoglobin (HbA1c)"/>
</code>
<subject>
<display value="Elden718 Halvorson124"/>
</subject>
<effectiveDateTime value="2022-05-16T10:21:08-07:00"/>
<valueQuantity>
<value value="7"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
</part>
</parameter>
<parameter>
<name value="Attachment"/>
<part>
<name value="LineItem"/>
<valueString value="1"/>
</part>
<part>
<name value="Code"/>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
<text value="Laboratory report"/>
</valueCodeableConcept>
</part>
<part>
<name value="Content"/>
<resource>
<Observation>
<id value="cdex-2020-07-23-hba1c-example"/>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
</coding>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="83036"/>
<display value="Hemoglobin; glycosylated (A1c)"/>
</coding>
<coding>
<system value="http://example.org/lab-results"/>
<code value="HBA1C"/>
<display value="Glycated hemoglobin (HbA1c)"/>
</coding>
<text value="glycated hemoglobin (HbA1c)"/>
</code>
<subject>
<display value="Elden718 Halvorson124"/>
</subject>
<effectiveDateTime value="2022-04-16T10:21:08-07:00"/>
<valueQuantity>
<value value="7"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
</part>
</parameter>
</Parameters>
IG © 2023+ HL7 International - Patient Care Work Group. Package hl7.fhir.us.davinci-cdex#2.0.0 based on FHIR 4.0.1. Generated 2023-03-22
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