JSON Format: Claim-bb3a0dc6-8bc0-4f32-b53e-3d33b26fc87b
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Validation results for Claim/bb3a0dc6-8bc0-4f32-b53e-3d33b26fc87b
| Level | Type | Location | Message |
{
"resourceType" : "Claim",
"id" : "bb3a0dc6-8bc0-4f32-b53e-3d33b26fc87b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: bb3a0dc6-8bc0-4f32-b53e-3d33b26fc87b</p><p><b>status</b>: active</p><p><b>type</b>: Pharmacy <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/claim-type code 'pharmacy' = 'Pharmacy)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href=\"Patient-3ab28624-a549-4cb9-a32e-99e3c2c41129.html\">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 7, 2010, 4:16:44 PM --> Sep 7, 2010, 4:46:44 PM</p><p><b>created</b>: Sep 7, 2010, 4:46:44 PM</p><p><b>provider</b>: <a href=\"Organization-18f774ab-db01-37ba-95c4-44c4eab47089.html\">Quincy Outpatient Clinic. Generated Summary: id: 18f774ab-db01-37ba-95c4-44c4eab47089; 18f774ab-db01-37ba-95c4-44c4eab47089; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Quincy Outpatient Clinic; ph: 800-865-3384</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>prescription</b>: <a href=\"MedicationRequest-f69fe74a-0727-4356-98ee-5895d98fc1c4.html\">Generated Summary: id: f69fe74a-0727-4356-98ee-5895d98fc1c4; status: active; intent: order; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 897718}\">Verapamil Hydrochloride 40 MG</span>; authoredOn: Sep 7, 2010, 4:16:44 PM</a></p><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><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Encounter</b></td></tr><tr><td>*</td><td>1</td><td>Encounter for check up (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '185349003' = 'Encounter for check up (procedure)', given as 'Encounter for check up (procedure)'})</span></td><td><a href=\"Encounter-b8c2cf6a-a35c-408b-84ac-dfa2443fe907.html\">Generated Summary: id: b8c2cf6a-a35c-408b-84ac-dfa2443fe907; 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 (procedure)</span>; period: Sep 7, 2010, 4:16:44 PM --> Sep 7, 2010, 4:46:44 PM</a></td></tr></table><p><b>total</b>: </p></div>"
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "pharmacy"
}
]
},
"use" : "claim",
"patient" : {
"reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129"
},
"billablePeriod" : {
"start" : "2010-09-07T16:16:44-07:00",
"end" : "2010-09-07T16:46:44-07:00"
},
"created" : "2010-09-07T16:46:44-07:00",
"provider" : {
"reference" : "Organization/18f774ab-db01-37ba-95c4-44c4eab47089",
"display" : "Quincy Outpatient Clinic"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
]
},
"prescription" : {
"reference" : "MedicationRequest/f69fe74a-0727-4356-98ee-5895d98fc1c4"
},
"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 (procedure)"
}
],
"text" : "Encounter for check up (procedure)"
},
"encounter" : [
{
"reference" : "Encounter/b8c2cf6a-a35c-408b-84ac-dfa2443fe907"
}
]
}
],
"total" : {
"value" : 29.45,
"currency" : "USD"
}
}
