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TrackingId | trackkingid123 |
AttachTo | claim |
PayerId | id: Payer123 |
OrganizationId | id: 1407071236 |
ProviderId | id: 9941339108 |
MemberId | id: Member123 |
ServiceDate | 2022-06-16 |
Attachment | |
LineItem | 1 |
Code | Laboratory report |
Content | Observation/cdex-2020-04-23-hba1c-example Generated Narrative: Observation Resource Observation "cdex-2020-04-23-hba1c-example" status: final category: Laboratory (Observation Category Codes#laboratory) code: glycated hemoglobin (HbA1c) (LOINC#4548-4 "Hemoglobin A1c/Hemoglobin.total in Blood"; Current Procedural Terminology (CPT®)#83036 "Hemoglobin; glycosylated (A1c)"; lab-results#HBA1C "Hglycated hemoglobin (HbA1c)") subject: : Elden718 Halvorson124 effective: 2022-06-16 10:21:08-0700 value: 7.2 % (Details: UCUM code % = '%') |
Attachment | |
LineItem | 1 |
Code | Laboratory report |
Content | Observation/cdex-2020-10-23-hba1c-example Generated Narrative: Observation Resource Observation "cdex-2020-10-23-hba1c-example" status: final category: Laboratory (Observation Category Codes#laboratory) code: glycated hemoglobin (HbA1c) (LOINC#4548-4 "Hemoglobin A1c/Hemoglobin.total in Blood"; Current Procedural Terminology (CPT®)#83036 "Hemoglobin; glycosylated (A1c)"; lab-results#HBA1C "Hglycated hemoglobin (HbA1c)") subject: : Elden718 Halvorson124 effective: 2022-05-16 10:21:08-0700 value: 7 % (Details: UCUM code % = '%') |
Attachment | |
LineItem | 1 |
Code | Laboratory report |
Content | Observation/cdex-2020-07-23-hba1c-example Generated Narrative: Observation Resource Observation "cdex-2020-07-23-hba1c-example" status: final category: Laboratory (Observation Category Codes#laboratory) code: glycated hemoglobin (HbA1c) (LOINC#4548-4 "Hemoglobin A1c/Hemoglobin.total in Blood"; Current Procedural Terminology (CPT®)#83036 "Hemoglobin; glycosylated (A1c)"; lab-results#HBA1C "Hglycated hemoglobin (HbA1c)") subject: : Elden718 Halvorson124 effective: 2022-04-16 10:21:08-0700 value: 7 % (Details: UCUM code % = '%') |