US Core R4 Validator Implementation Guide CI Build

Claim/6c1d8749-d0a0-440a-9238-149dd1d42185

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 6c1d8749-d0a0-440a-9238-149dd1d42185

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: Jul 8, 2014, 4:16:44 PM --> Jul 8, 2014, 4:46:44 PM

created: Jul 8, 2014, 4:46:44 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

Procedures

-SequenceProcedure[x]
*1Generated Summary: id: 7f72a54f-d095-4759-8aa4-2ac7e3b8a46d; status: completed; Catheter ablation of tissue of heart; performed: Jul 8, 2014, 4:16:44 PM --> Jul 8, 2014, 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: 12eedb71-4533-4274-9fdd-ae3939db5474; status: finished; ambulatory; General examination of patient (procedure); period: Jul 8, 2014, 4:16:44 PM --> Jul 8, 2014, 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:

total: