USCoreR4Validator

Claim/2dee64df-d1dd-4ddb-aaf3-aa43c0250905

Validation Results

Level

Type

Location

Message

Narrative View

Generated Narrative with Details

id: 2dee64df-d1dd-4ddb-aaf3-aa43c0250905

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: Sep 7, 2010, 4:16:44 PM --> Sep 7, 2010, 4:46:44 PM

created: Sep 7, 2010, 4:46:44 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

SupportingInfos

Sequence

Category

Value[x]

Information (Details : {http://terminology.hl7.org/CodeSystem/claiminformationcategory code 'info' = 'Information)

Generated Summary: id: 0a89058b-47e2-4b7f-aa0a-8de970a3bac3; status: completed; Influenza, seasonal, injectable, preservative free; occurrence: Sep 7, 2010, 4:16:44 PM; primarySource

Diagnoses

Sequence

Diagnosis[x]

Generated Summary: id: 14561089-c20d-495a-a0b8-5e03fc7b96ec; Active; Confirmed; Encounter Diagnosis; Atrial Fibrillation; onset: Sep 7, 2010, 4:16:44 PM; recordedDate: Sep 7, 2010, 4:16:44 PM

Procedures

Sequence

Procedure[x]

Generated Summary: id: 5d47b60b-1d73-45be-8d98-b44c1b63d537; status: completed; Electrical cardioversion; performed: Sep 7, 2010, 4:16:44 PM --> Sep 7, 2010, 4:31:44 PM

Insurances

Sequence

Focal

Coverage

true

Medicare

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: b8c2cf6a-a35c-408b-84ac-dfa2443fe907; status: finished; ambulatory; Encounter for check up (procedure); period: Sep 7, 2010, 4:16:44 PM --> Sep 7, 2010, 4:46:44 PM

item
sequence: 2
diagnosisSequence: 1
productOrService: Atrial Fibrillation (Details : {SNOMED CT code '49436004' = 'AF - Atrial fibrillation', given as 'Atrial Fibrillation'})

item
sequence: 3
procedureSequence: 1
productOrService: Electrical cardioversion (Details : {SNOMED CT code '180325003' = 'Electrical cardioversion', given as 'Electrical cardioversion'})
net:

item
sequence: 4
informationSequence: 1
productOrService: Influenza, seasonal, injectable, preservative free (Details : {http://hl7.org/fhir/sid/cvx code '140' = 'Influenza, seasonal, injectable, preservative free', given as 'Influenza, seasonal, injectable, preservative free'})
net:

total: