Da Vinci Clinical Data Exchange (CDex)
1.1.0 - STU1.1 US

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: CDex Parameters Example 4 - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="cdex-parameters-example4"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="CDex Parameters Example 4"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="**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."/>
    </extension>
  </meta>
  <parameter>
    <name value="TrackingId"/>
    <valueString value="trackkingid123"/>
  </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="Hglycated 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="Hglycated 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="Hglycated 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>