US Core R4 Validator Implementation Guide CI Build

Claim/34bd271c-7205-4c8f-a453-afd288bfdbbe

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 34bd271c-7205-4c8f-a453-afd288bfdbbe

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: May 14, 1991, 4:16:44 PM --> May 14, 1991, 4:31:44 PM

created: May 14, 1991, 4:31:44 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

diagnosis

sequence: 1

diagnosis: Generated Summary: id: 1a56ca45-af7a-440f-81d3-2001922e6d1f; Active; Confirmed; Encounter Diagnosis; Hypertriglyceridemia (disorder); onset: May 14, 1991, 4:16:44 PM; recordedDate: May 14, 1991, 4:16:44 PM

diagnosis

sequence: 2

diagnosis: Generated Summary: id: 7ad091bc-78d0-49cb-8f9d-e1b097d31323; Active; Confirmed; Encounter Diagnosis; Anemia (disorder); onset: May 14, 1991, 4:16:44 PM; recordedDate: May 14, 1991, 4:16:44 PM

Insurances

-SequenceFocalCoverage
*1trueNO_INSURANCE

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: dff48bc5-99c5-4f2f-b4c8-0d1e2f465e2c; status: finished; ambulatory; Encounter for check up (procedure); period: May 14, 1991, 4:16:44 PM --> May 14, 1991, 4:31:44 PM

item

sequence: 2

diagnosisSequence: 1

productOrService: Hypertriglyceridemia (disorder) (Details : {SNOMED CT code '302870006' = 'Hypertriglyceridemia', given as 'Hypertriglyceridemia (disorder)'})

item

sequence: 3

diagnosisSequence: 2

productOrService: Anemia (disorder) (Details : {SNOMED CT code '271737000' = 'Anemia', given as 'Anemia (disorder)'})

total: