US Core R4 Validator Implementation Guide CI Build

Claim/bdd8cebd-0bad-412b-a780-b059877a8c89

Validation Results

LevelTypeLocationMessage

Narrative View

Generated Narrative with Details

id: bdd8cebd-0bad-412b-a780-b059877a8c89

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: Dec 30, 2016, 3:16:44 PM --> Dec 31, 2016, 4:16:44 PM

created: Dec 31, 2016, 4:16:44 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

Procedures

-SequenceProcedure[x]
*1Generated Summary: id: 9661dc0d-43b2-4715-86cb-b2fdc014c3d6; status: completed; Combined chemotherapy and radiation therapy (procedure); performed: Dec 30, 2016, 3:16:44 PM --> Dec 30, 2016, 4:16:44 PM

Insurances

-SequenceFocalCoverage
*1trueMedicare

item

sequence: 1

productOrService: Encounter for problem (Details : {SNOMED CT code '185347001' = 'Encounter for problem', given as 'Encounter for problem'})

encounter: Generated Summary: id: 8fc666d3-72d7-4419-a766-e6d0f56b21b7; status: finished; inpatient encounter; Encounter for problem; period: Dec 30, 2016, 3:16:44 PM --> Dec 31, 2016, 4:16:44 PM

item

sequence: 2

procedureSequence: 1

productOrService: Combined chemotherapy and radiation therapy (procedure) (Details : {SNOMED CT code '703423002' = 'Combined chemotherapy and radiation therapy (procedure)', given as 'Combined chemotherapy and radiation therapy (procedure)'})

net:

total: