USCoreR4Validator

Claim/5c9279a6-0413-43b6-a26b-5c400f9f0e3b

Validation Results

Level

Type

Location

Message

warning

code-invalid

Claim/5c9279a6-0413-43b6-a26b-5c400f9f0e3b: Claim.item[2].productOrService.coding[0]

The display "Td (adult) preservative free" is not a valid display for the code {http://hl7.org/fhir/sid/cvx}113 - should be one of ["Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"]

Narrative View

Generated Narrative with Details

id: 5c9279a6-0413-43b6-a26b-5c400f9f0e3b

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: Apr 5, 2011, 4:16:44 PM --> Apr 5, 2011, 4:46:44 PM

created: Apr 5, 2011, 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: f22f9496-c95f-49bd-9166-595f304cdc9c; status: completed; Td (adult) preservative free; occurrence: Apr 5, 2011, 4:16:44 PM; primarySource

procedure
sequence: 1
procedure: Generated Summary: id: 35ed262b-928a-4b54-b42c-b3d50c307515; status: completed; Catheter ablation of tissue of heart; performed: Apr 5, 2011, 4:16:44 PM --> Apr 5, 2011, 4:31:44 PM

procedure
sequence: 2
procedure: Generated Summary: id: f9b3b47c-a13a-4c7d-9e70-60d84ea8489a; status: completed; Medication Reconciliation (procedure); performed: Apr 5, 2011, 4:16:44 PM --> Apr 5, 2011, 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: 82c612ad-009a-4a9a-8abb-fc122e729501; status: finished; ambulatory; Encounter for check up (procedure); period: Apr 5, 2011, 4:16:44 PM --> Apr 5, 2011, 4:46:44 PM

item
sequence: 2
procedureSequence: 1
productOrService: Catheter ablation of tissue of heart (Details : {SNOMED CT code '18286008' = 'Catheter ablation of tissue of heart', given as 'Catheter ablation of tissue of heart'})
net:

item
sequence: 3
informationSequence: 1
productOrService: Td (adult) preservative free (Details : {http://hl7.org/fhir/sid/cvx code '113' = 'Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed', given as 'Td (adult) preservative free'})
net:

item
sequence: 4
procedureSequence: 2
productOrService: Medication Reconciliation (procedure) (Details : {SNOMED CT code '430193006' = 'Medication Reconciliation (procedure)', given as 'Medication Reconciliation (procedure)'})
net:

total: