US Core R4 Validator Implementation Guide CI Build

Claim/79237e11-dba2-4e25-9ced-ede0694d835b

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: 79237e11-dba2-4e25-9ced-ede0694d835b

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: Oct 2, 2012, 4:16:44 PM --> Oct 2, 2012, 4:46:44 PM

created: Oct 2, 2012, 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

-SequenceCategoryValue[x]
*1Information (Details : {http://terminology.hl7.org/CodeSystem/claiminformationcategory code 'info' = 'Information)Generated Summary: id: cee083d0-960e-4112-878e-cd4199fa0e47; status: completed; Influenza, seasonal, injectable, preservative free; occurrence: Oct 2, 2012, 4:16:44 PM; primarySource

procedure

sequence: 1

procedure: Generated Summary: id: 952a70bf-b8f1-42e7-95ce-d598cf41f7d3; status: completed; Catheter ablation of tissue of heart; performed: Oct 2, 2012, 4:16:44 PM --> Oct 2, 2012, 4:31:44 PM

procedure

sequence: 2

procedure: Generated Summary: id: f1816ae4-f8a6-4f60-8059-e4e2bfaff9b6; status: completed; Medication Reconciliation (procedure); performed: Oct 2, 2012, 4:16:44 PM --> Oct 2, 2012, 4:31:44 PM

Insurances

-SequenceFocalCoverage
*1trueMedicare

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: cbcd65f3-84a6-449f-be54-ec4a0c57be23; status: finished; ambulatory; Encounter for check up (procedure); period: Oct 2, 2012, 4:16:44 PM --> Oct 2, 2012, 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: Influenza, seasonal, injectable, preservative free (Details : {http://hl7.org/fhir/sid/cvx code '140' = 'Influenza, seasonal, injectable, preservative free', given as 'Influenza, seasonal, injectable, 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: