JSON Format: Claim-5f064d56-2412-4f15-aedb-addd2d7646ed
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Validation results for Claim/5f064d56-2412-4f15-aedb-addd2d7646ed
Level | Type | Location | Message | |
error | code-invalid | Claim/5f064d56-2412-4f15-aedb-addd2d7646ed: Claim.item[3].productOrService.coding[0] | unable to find code 1015401000000102 in http://snomed.info/sct for 'http://snomed.info/sct#1015401000000102' | |
warning | code-invalid | Claim/5f064d56-2412-4f15-aedb-addd2d7646ed: Claim.item[0].productOrService.coding[0] | The display "Encounter for 'check-up'" is not a valid display for the code {http://snomed.info/sct}185349003 - should be one of ["Encounter for check up (procedure)","Encounter for check up"] |
{ "resourceType" : "Claim", "id" : "5f064d56-2412-4f15-aedb-addd2d7646ed", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 5f064d56-2412-4f15-aedb-addd2d7646ed</p><p><b>status</b>: active</p><p><b>type</b>: Institutional <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/claim-type code 'institutional' = 'Institutional)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href=\"Patient-3ab28624-a549-4cb9-a32e-99e3c2c41129.html\">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; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">M</span>; </a></p><p><b>billablePeriod</b>: Sep 2, 2012, 4:16:44 PM --> Sep 2, 2012, 5:41:44 PM</p><p><b>created</b>: Sep 2, 2012, 5:41:44 PM</p><p><b>provider</b>: <a href=\"Organization-27379046-608b-32f0-9df7-8c833cf5d11d.html\">BRIGHAM AND WOMEN'S HOSPITAL. Generated Summary: id: 27379046-608b-32f0-9df7-8c833cf5d11d; 27379046-608b-32f0-9df7-8c833cf5d11d; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: BRIGHAM AND WOMEN'S HOSPITAL; ph: 6177325500</a></p><p><b>priority</b>: Normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/processpriority code 'normal' = 'Normal)</span></p><p><b>facility</b>: <a href=\"Location-a615098b-6b1a-4437-a7c7-fa2eaa6969f6.html\">BRIGHAM AND WOMEN'S HOSPITAL. Generated Summary: id: a615098b-6b1a-4437-a7c7-fa2eaa6969f6; status: active; name: BRIGHAM AND WOMEN'S HOSPITAL; ph: 6177325500</a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td>*</td><td>1</td><td><a href=\"Condition-26746a47-1ef3-4e72-b437-73efcf9c1586.html\">Generated Summary: id: 26746a47-1ef3-4e72-b437-73efcf9c1586; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>; <span title=\"Codes: {http://snomed.info/sct 68496003}\">Polyp of colon</span>; onset: Sep 2, 2012, 4:16:44 PM; abatement: Oct 27, 2013, 4:16:44 PM; recordedDate: Sep 2, 2012, 4:16:44 PM</a></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <a href=\"Procedure-90f4b06b-8df2-438e-a819-438b691cdc1f.html\">Generated Summary: id: 90f4b06b-8df2-438e-a819-438b691cdc1f; status: completed; <span title=\"Codes: {http://snomed.info/sct 73761001}\">Colonoscopy</span>; performed: Sep 2, 2012, 4:16:44 PM --> Sep 2, 2012, 4:56:44 PM</a></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <a href=\"Procedure-7d53f067-1085-432d-85ba-b423fdae32e6.html\">Generated Summary: id: 7d53f067-1085-432d-85ba-b423fdae32e6; status: completed; <span title=\"Codes: {http://snomed.info/sct 1015401000000102}\">Fecal occult blood test</span>; performed: Sep 2, 2012, 4:16:44 PM --> Sep 2, 2012, 4:31:44 PM</a></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 3</p><p><b>procedure</b>: <a href=\"Procedure-c7fc6c57-5c95-4fb6-81f3-23bdb8ec5721.html\">Generated Summary: id: c7fc6c57-5c95-4fb6-81f3-23bdb8ec5721; status: completed; <span title=\"Codes: {http://snomed.info/sct 274031008}\">Rectal polypectomy</span>; performed: Sep 2, 2012, 4:16:44 PM --> Sep 2, 2012, 4:31:44 PM</a></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td>Medicare</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: Encounter for 'check-up' <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '185349003' = 'Encounter for check up (procedure)', given as 'Encounter for 'check-up''})</span></p><p><b>encounter</b>: <a href=\"Encounter-c04bf692-5517-4c30-81cf-19fd7aa1836b.html\">Generated Summary: id: c04bf692-5517-4c30-81cf-19fd7aa1836b; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 185349003}\">Encounter for 'check-up'</span>; period: Sep 2, 2012, 4:16:44 PM --> Sep 2, 2012, 5:41:44 PM</a></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>procedureSequence</b>: 1</p><p><b>productOrService</b>: Colonoscopy <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '73761001' = 'Colonoscopy', given as 'Colonoscopy'})</span></p><p><b>net</b>: </p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>diagnosisSequence</b>: 1</p><p><b>productOrService</b>: Polyp of colon <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '68496003' = 'Polyp of colon', given as 'Polyp of colon'})</span></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</p><p><b>procedureSequence</b>: 2</p><p><b>productOrService</b>: Fecal occult blood test <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '1015401000000102' = '1015401000000102', given as 'Fecal occult blood test'})</span></p><p><b>net</b>: </p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 5</p><p><b>procedureSequence</b>: 3</p><p><b>productOrService</b>: Rectal polypectomy <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '274031008' = 'Rectal polypectomy', given as 'Rectal polypectomy'})</span></p><p><b>net</b>: </p></blockquote><p><b>total</b>: </p></div>" }, "status" : "active", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "institutional" } ] }, "use" : "claim", "patient" : { "reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129", "display" : "Jose871 Cruickshank494" }, "billablePeriod" : { "start" : "2012-09-02T16:16:44-07:00", "end" : "2012-09-02T17:41:44-07:00" }, "created" : "2012-09-02T17:41:44-07:00", "provider" : { "reference" : "Organization/27379046-608b-32f0-9df7-8c833cf5d11d", "display" : "BRIGHAM AND WOMEN'S HOSPITAL" }, "priority" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/processpriority", "code" : "normal" } ] }, "facility" : { "reference" : "Location/a615098b-6b1a-4437-a7c7-fa2eaa6969f6", "display" : "BRIGHAM AND WOMEN'S HOSPITAL" }, "diagnosis" : [ { "sequence" : 1, "diagnosisReference" : { "reference" : "Condition/26746a47-1ef3-4e72-b437-73efcf9c1586" } } ], "procedure" : [ { "sequence" : 1, "procedureReference" : { "reference" : "Procedure/90f4b06b-8df2-438e-a819-438b691cdc1f" } }, { "sequence" : 2, "procedureReference" : { "reference" : "Procedure/7d53f067-1085-432d-85ba-b423fdae32e6" } }, { "sequence" : 3, "procedureReference" : { "reference" : "Procedure/c7fc6c57-5c95-4fb6-81f3-23bdb8ec5721" } } ], "insurance" : [ { "sequence" : 1, "focal" : true, "coverage" : { "display" : "Medicare" } } ], "item" : [ { "sequence" : 1, "productOrService" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "185349003", "display" : "Encounter for 'check-up'" } ], "text" : "Encounter for 'check-up'" }, "encounter" : [ { "reference" : "Encounter/c04bf692-5517-4c30-81cf-19fd7aa1836b" } ] }, { "sequence" : 2, "procedureSequence" : [ 1 ], "productOrService" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "73761001", "display" : "Colonoscopy" } ], "text" : "Colonoscopy" }, "net" : { "value" : 17515.3, "currency" : "USD" } }, { "sequence" : 3, "diagnosisSequence" : [ 1 ], "productOrService" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "68496003", "display" : "Polyp of colon" } ], "text" : "Polyp of colon" } }, { "sequence" : 4, "procedureSequence" : [ 2 ], "productOrService" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "1015401000000102", "display" : "Fecal occult blood test" } ], "text" : "Fecal occult blood test" }, "net" : { "value" : 516.65, "currency" : "USD" } }, { "sequence" : 5, "procedureSequence" : [ 3 ], "productOrService" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "274031008", "display" : "Rectal polypectomy" } ], "text" : "Rectal polypectomy" }, "net" : { "value" : 8167.91, "currency" : "USD" } } ], "total" : { "value" : 129.16, "currency" : "USD" } }