US Core R4 Validator Implementation Guide CI Build

Claim/414f2bd3-cbf3-4952-bd0f-fb48cf962af2

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 414f2bd3-cbf3-4952-bd0f-fb48cf962af2

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: Mar 3, 1992, 3:16:44 PM --> Mar 3, 1992, 3:31:44 PM

created: Mar 3, 1992, 3:31:44 PM

provider: PCP31369. Generated Summary: id: 3ffca313-cdd3-37d2-ad04-00dc4adcb86f; 3ffca313-cdd3-37d2-ad04-00dc4adcb86f; active; Healthcare Provider; name: PCP31369; ph: 781-934-2597

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

facility: PCP31369. Generated Summary: id: 1e84a992-8d6e-41d1-af95-4316a6a139fb; status: active; name: PCP31369; ph: 781-934-2597

Diagnoses

-SequenceDiagnosis[x]
*1Generated Summary: id: c427b996-7a5b-456e-8911-8d1479853145; Active; Confirmed; Encounter Diagnosis; Metabolic syndrome X (disorder); onset: Mar 3, 1992, 3:16:44 PM; recordedDate: Mar 3, 1992, 3:16:44 PM

Insurances

-SequenceFocalCoverage
*1trueCigna Health

item

sequence: 1

productOrService: General examination of patient (procedure) (Details : {SNOMED CT code '162673000' = 'General examination of patient', given as 'General examination of patient (procedure)'})

encounter: Generated Summary: id: 812b9437-26c9-4ee8-9c55-2a369be34708; status: finished; ambulatory; General examination of patient (procedure); period: Mar 3, 1992, 3:16:44 PM --> Mar 3, 1992, 3:31:44 PM

item

sequence: 2

diagnosisSequence: 1

productOrService: Metabolic syndrome X (disorder) (Details : {SNOMED CT code '237602007' = 'Insulin resistance syndrome', given as 'Metabolic syndrome X (disorder)'})

total: