JSON Format: Claim-ae2438a0-dd78-463e-9f4c-c78b99fc1b73
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Validation results for Claim/ae2438a0-dd78-463e-9f4c-c78b99fc1b73
| Level | Type | Location | Message |
{
"resourceType" : "Claim",
"id" : "ae2438a0-dd78-463e-9f4c-c78b99fc1b73",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ae2438a0-dd78-463e-9f4c-c78b99fc1b73</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>: Feb 4, 2001, 3:16:44 PM --> Feb 4, 2001, 3:31:44 PM</p><p><b>created</b>: Feb 4, 2001, 3:31:44 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-71b01219-a045-41f2-85f8-72d931c44101.html\">Generated Summary: id: 71b01219-a045-41f2-85f8-72d931c44101; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</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 239872002}\">Osteoarthritis of hip</span>; onset: Feb 4, 2001, 3:16:44 PM; recordedDate: Feb 4, 2001, 3:16:44 PM</a></td></tr></table><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>Cigna Health</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: Encounter for problem <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '185347001' = 'Encounter for problem', given as 'Encounter for problem'})</span></p><p><b>encounter</b>: <a href=\"Encounter-9a10d7b7-b7fe-4a9f-8877-2fc0db94f02a.html\">Generated Summary: id: 9a10d7b7-b7fe-4a9f-8877-2fc0db94f02a; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem</span>; period: Feb 4, 2001, 3:16:44 PM --> Feb 4, 2001, 3:31:44 PM; <span title=\"Codes: {http://snomed.info/sct 239872002}\">Osteoarthritis of hip</span></a></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>diagnosisSequence</b>: 1</p><p><b>productOrService</b>: Osteoarthritis of hip <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '239872002' = 'Degenerative joint disease of hip', given as 'Osteoarthritis of hip'})</span></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" : "2001-02-04T15:16:44-08:00",
"end" : "2001-02-04T15:31:44-08:00"
},
"created" : "2001-02-04T15:31:44-08:00",
"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/71b01219-a045-41f2-85f8-72d931c44101"
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"display" : "Cigna Health"
}
}
],
"item" : [
{
"sequence" : 1,
"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "185347001",
"display" : "Encounter for problem"
}
],
"text" : "Encounter for problem"
},
"encounter" : [
{
"reference" : "Encounter/9a10d7b7-b7fe-4a9f-8877-2fc0db94f02a"
}
]
},
{
"sequence" : 2,
"diagnosisSequence" : [
1
],
"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "239872002",
"display" : "Osteoarthritis of hip"
}
],
"text" : "Osteoarthritis of hip"
}
}
],
"total" : {
"value" : 129.16,
"currency" : "USD"
}
}
