US Core R4 Validator Implementation Guide CI Build

Claim/33dafab0-de6d-489f-b4a4-f0f1c1941d3a

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 33dafab0-de6d-489f-b4a4-f0f1c1941d3a

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: Jun 3, 2008, 4:16:44 PM --> Jun 3, 2008, 8:31:44 PM

created: Jun 3, 2008, 8:31:44 PM

provider: BRIGHAM AND WOMEN'S HOSPITAL. Generated Summary: id: 27379046-608b-32f0-9df7-8c833cf5d11d; 27379046-608b-32f0-9df7-8c833cf5d11d; active; Healthcare Provider; name: BRIGHAM AND WOMEN'S HOSPITAL; ph: 6177325500

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

facility: BRIGHAM AND WOMEN'S HOSPITAL. Generated Summary: id: a615098b-6b1a-4437-a7c7-fa2eaa6969f6; status: active; name: BRIGHAM AND WOMEN'S HOSPITAL; ph: 6177325500

diagnosis

sequence: 1

diagnosis: Generated Summary: id: 4409c5ff-4625-4a96-a118-9e002a1b4165; Active; Confirmed; Encounter Diagnosis; Neoplasm of prostate; onset: Jun 3, 2008, 4:16:44 PM; recordedDate: Jun 3, 2008, 4:16:44 PM

diagnosis

sequence: 2

diagnosis: Generated Summary: id: c5f49c33-574f-476c-ab02-6c97942c82e8; Active; Confirmed; Encounter Diagnosis; Carcinoma in situ of prostate (disorder); onset: Jun 3, 2008, 4:16:44 PM; recordedDate: Jun 3, 2008, 4:16:44 PM

Insurances

-SequenceFocalCoverage
*1trueMedicare

item

sequence: 1

productOrService: Encounter for problem (Details : {SNOMED CT code '185347001' = 'Encounter for problem', given as 'Encounter for problem'})

encounter: Generated Summary: id: 28d35dc3-d8c3-4b41-85c3-8b552b3501da; status: finished; ambulatory; Encounter for problem; period: Jun 3, 2008, 4:16:44 PM --> Jun 3, 2008, 8:31:44 PM; Neoplasm of prostate

item

sequence: 2

diagnosisSequence: 1

productOrService: Neoplasm of prostate (Details : {SNOMED CT code '126906006' = 'Tumor of prostate', given as 'Neoplasm of prostate'})

item

sequence: 3

diagnosisSequence: 2

productOrService: Carcinoma in situ of prostate (disorder) (Details : {SNOMED CT code '92691004' = 'Carcinoma in situ of prostate', given as 'Carcinoma in situ of prostate (disorder)'})

total: