Da Vinci Clinical Data Exchange (CDex)
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: CDex Parameters Example 4 - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "cdex-parameters-example4",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "CDex Parameters Example 4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "**Laboratory Results Attachment Example:** Parameters Resource example showing how it is used to submit multiple attachments using the `$submit-attachment` operation. It contains 3 Hemoglobin A1c results as attachments and the necessary information needed to associate them to the claim."
      }
    ]
  },
  "parameter" : [
    {
      "name" : "TrackingId",
      "valueString" : "trackkingid123"
    },
    {
      "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" : "Hglycated 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" : "Hglycated 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" : "Hglycated 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" : "%"
            }
          }
        }
      ]
    }
  ]
}