{
  "resourceType" : "Parameters",
  "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",
    "valueDateTime" : "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",
        "performer" : [{
          "display" : "Dr. John Doe"
        }],
        "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",
        "performer" : [{
          "display" : "Dr. John Doe"
        }],
        "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",
        "performer" : [{
          "display" : "Dr. John Doe"
        }],
        "valueQuantity" : {
          "value" : 7,
          "unit" : "%",
          "system" : "http://unitsofmeasure.org",
          "code" : "%"
        }
      }
    }]
  }]
}