US Core R4 Validator Implementation Guide CI Build

Claim/557cbc67-1ad8-4153-a690-b9e80b861204

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 557cbc67-1ad8-4153-a690-b9e80b861204

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 21, 2011, 4:16:44 PM --> Jun 21, 2011, 5:01:44 PM

created: Jun 21, 2011, 5:01:44 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

procedure

sequence: 1

procedure: Generated Summary: id: 9f17dba0-1de5-4da2-a05d-ede5e83dc989; status: completed; Electrical cardioversion; performed: Jun 21, 2011, 4:16:44 PM --> Jun 21, 2011, 4:31:44 PM

procedure

sequence: 2

procedure: Generated Summary: id: b261fd0f-9b25-4fe5-a0ca-31cac47937d7; status: completed; Medication Reconciliation (procedure); performed: Jun 21, 2011, 4:16:44 PM --> Jun 21, 2011, 4:31:44 PM

Insurances

-SequenceFocalCoverage
*1trueMedicare

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: 6540ca78-b273-4865-a987-f0ebed83056b; status: finished; ambulatory; General examination of patient (procedure); period: Jun 21, 2011, 4:16:44 PM --> Jun 21, 2011, 5:01:44 PM

item

sequence: 2

procedureSequence: 1

productOrService: Electrical cardioversion (Details : {SNOMED CT code '180325003' = 'Electrical cardioversion', given as 'Electrical cardioversion'})

net:

item

sequence: 3

procedureSequence: 2

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

net:

total: