US Core R4 Validator Implementation Guide CI Build

Claim/21a044c9-cbe7-493a-b537-01b74c81f74e

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 21a044c9-cbe7-493a-b537-01b74c81f74e

status: active

type: Institutional (Details : {http://terminology.hl7.org/CodeSystem/claim-type code 'institutional' = 'Institutional)

use: claim

patient: Jose871 Cruickshank494. Generated Summary: id: 3ab28624-a549-4cb9-a32e-99e3c2c41129; 52fb90a7-9e4f-4140-8c3c-c8afbbb3fbf9, Medical Record Number = 52fb90a7-9e4f-4140-8c3c-c8afbbb3fbf9, Social Security Number = 999-96-5270, Driver's License = S99943652, Passport Number = X37948891X; Jose871 Cruickshank494 (OFFICIAL); ph: 555-170-1696(HOME); gender: male; birthDate: Feb 20, 1940; M;

billablePeriod: Jan 12, 2010, 3:16:44 PM --> Jan 12, 2010, 3:31:44 PM

created: Jan 12, 2010, 3:31:44 PM

provider: Quincy Outpatient Clinic. Generated Summary: id: 18f774ab-db01-37ba-95c4-44c4eab47089; 18f774ab-db01-37ba-95c4-44c4eab47089; active; Healthcare Provider; name: Quincy Outpatient Clinic; ph: 800-865-3384

priority: Normal (Details : {http://terminology.hl7.org/CodeSystem/processpriority code 'normal' = 'Normal)

facility: Quincy Outpatient Clinic. Generated Summary: id: 7653e0ab-0566-4083-95d8-c695e4735e53; status: active; name: Quincy Outpatient Clinic; ph: 800-865-3384

Procedures

-SequenceProcedure[x]
*1Generated Summary: id: ce9b0bcd-2563-4a6a-8d51-f21c26342a17; status: completed; Medication Reconciliation (procedure); performed: Jan 12, 2010, 3:16:44 PM --> Jan 12, 2010, 3:31:44 PM

Insurances

-SequenceFocalCoverage
*1trueMedicare

item

sequence: 1

productOrService: Encounter for check up (procedure) (Details : {SNOMED CT code '185349003' = 'Encounter for check up (procedure)', given as 'Encounter for check up (procedure)'})

encounter: Generated Summary: id: 2dee7d73-c4f9-4df8-be8d-9a906280c34e; status: finished; ambulatory; Encounter for check up (procedure); period: Jan 12, 2010, 3:16:44 PM --> Jan 12, 2010, 3:31:44 PM

item

sequence: 2

procedureSequence: 1

productOrService: Medication Reconciliation (procedure) (Details : {SNOMED CT code '430193006' = 'Medication Reconciliation (procedure)', given as 'Medication Reconciliation (procedure)'})

net:

total: