JSON Format: Claim-bf346610-4838-479b-a23d-0cb4900879a2
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Validation results for Claim/bf346610-4838-479b-a23d-0cb4900879a2
| Level | Type | Location | Message |
{
"resourceType" : "Claim",
"id" : "bf346610-4838-479b-a23d-0cb4900879a2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: bf346610-4838-479b-a23d-0cb4900879a2</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>: May 22, 1993, 4:16:44 PM --> May 22, 1993, 5:16:44 PM</p><p><b>created</b>: May 22, 1993, 5:16:44 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>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><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>Emergency room admission (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '50849002' = 'Admission to accident and emergency department', given as 'Emergency room admission (procedure)'})</span></td><td><a href=\"Encounter-797bf06e-328d-44c5-8384-e553ef9ed7a6.html\">Generated Summary: id: 797bf06e-328d-44c5-8384-e553ef9ed7a6; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode EMER}\">emergency</span>; <span title=\"Codes: {http://snomed.info/sct 50849002}\">Emergency room admission (procedure)</span>; period: May 22, 1993, 4:16:44 PM --> May 22, 1993, 5:16:44 PM</a></td></tr></table><p><b>total</b>: </p></div>"
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional"
}
]
},
"use" : "claim",
"patient" : {
"reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129",
"display" : "Jose871 Cruickshank494"
},
"billablePeriod" : {
"start" : "1993-05-22T16:16:44-07:00",
"end" : "1993-05-22T17:16:44-07:00"
},
"created" : "1993-05-22T17:16:44-07:00",
"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"
},
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"display" : "Cigna Health"
}
}
],
"item" : [
{
"sequence" : 1,
"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "50849002",
"display" : "Emergency room admission (procedure)"
}
],
"text" : "Emergency room admission (procedure)"
},
"encounter" : [
{
"reference" : "Encounter/797bf06e-328d-44c5-8384-e553ef9ed7a6"
}
]
}
],
"total" : {
"value" : 129.16,
"currency" : "USD"
}
}
