JSON Format: Claim-e4cfb702-dbea-4486-95b2-49d4a9979d05
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Validation results for Claim/e4cfb702-dbea-4486-95b2-49d4a9979d05
| Level | Type | Location | Message | |
| warning | code-invalid | Claim/e4cfb702-dbea-4486-95b2-49d4a9979d05: Claim.item[2].productOrService.coding[0] | The display "Diabetic renal disease (disorder)" is not a valid display for the code {http://snomed.info/sct}127013003 - should be one of ["Diabetic nephropathy","Renal disorder associated with diabetes mellitus","Diabetic renal disease","Disorder of kidney co-occurrent and due to diabetes mellitus (disorder)","Disorder of kidney co-occurrent and due to diabetes mellitus","Kidney disorder due to diabetes mellitus"] |
{
"resourceType" : "Claim",
"id" : "e4cfb702-dbea-4486-95b2-49d4a9979d05",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: e4cfb702-dbea-4486-95b2-49d4a9979d05</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>: Mar 26, 1996, 3:16:44 PM --> Mar 26, 1996, 3:46:44 PM</p><p><b>created</b>: Mar 26, 1996, 3:46:44 PM</p><p><b>provider</b>: <a href=\"Organization-3ffca313-cdd3-37d2-ad04-00dc4adcb86f.html\">PCP31369. Generated Summary: id: 3ffca313-cdd3-37d2-ad04-00dc4adcb86f; 3ffca313-cdd3-37d2-ad04-00dc4adcb86f; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: PCP31369; ph: 781-934-2597</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-1e84a992-8d6e-41d1-af95-4316a6a139fb.html\">PCP31369. Generated Summary: id: 1e84a992-8d6e-41d1-af95-4316a6a139fb; status: active; name: PCP31369; ph: 781-934-2597</a></p><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href=\"Condition-6374b62c-6446-4230-8cee-2f9b59d926d1.html\">Generated Summary: id: 6374b62c-6446-4230-8cee-2f9b59d926d1; <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 431855005}\">Chronic kidney disease stage 1 (disorder)</span>; onset: Mar 26, 1996, 3:16:44 PM; recordedDate: Mar 26, 1996, 3:16:44 PM</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <a href=\"Condition-bd2f8ecb-b448-48d3-b4d9-a6e1163570fa.html\">Generated Summary: id: bd2f8ecb-b448-48d3-b4d9-a6e1163570fa; <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 127013003}\">Diabetic renal disease (disorder)</span>; onset: Mar 26, 1996, 3:16:44 PM; recordedDate: Mar 26, 1996, 3:16:44 PM</a></p></blockquote><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>: General examination of patient (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '162673000' = 'General examination of patient', given as 'General examination of patient (procedure)'})</span></p><p><b>encounter</b>: <a href=\"Encounter-36eda9ea-ea85-408e-ae93-d4643b2bd79e.html\">Generated Summary: id: 36eda9ea-ea85-408e-ae93-d4643b2bd79e; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 162673000}\">General examination of patient (procedure)</span>; period: Mar 26, 1996, 3:16:44 PM --> Mar 26, 1996, 3:46:44 PM</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>: Chronic kidney disease stage 1 (disorder) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '431855005' = 'Chronic kidney disease stage 1 (disorder)', given as 'Chronic kidney disease stage 1 (disorder)'})</span></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>diagnosisSequence</b>: 2</p><p><b>productOrService</b>: Diabetic renal disease (disorder) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '127013003' = 'Diabetic nephropathy', given as 'Diabetic renal disease (disorder)'})</span></p></blockquote><p><b>total</b>: </p></div>"
},
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"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional"
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},
"use" : "claim",
"patient" : {
"reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129",
"display" : "Jose871 Cruickshank494"
},
"billablePeriod" : {
"start" : "1996-03-26T15:16:44-08:00",
"end" : "1996-03-26T15:46:44-08:00"
},
"created" : "1996-03-26T15:46:44-08:00",
"provider" : {
"reference" : "Organization/3ffca313-cdd3-37d2-ad04-00dc4adcb86f",
"display" : "PCP31369"
},
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{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
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"reference" : "Location/1e84a992-8d6e-41d1-af95-4316a6a139fb",
"display" : "PCP31369"
},
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{
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"reference" : "Condition/6374b62c-6446-4230-8cee-2f9b59d926d1"
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{
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"insurance" : [
{
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"focal" : true,
"coverage" : {
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"item" : [
{
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"productOrService" : {
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{
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{
"reference" : "Encounter/36eda9ea-ea85-408e-ae93-d4643b2bd79e"
}
]
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{
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1
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"productOrService" : {
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{
"system" : "http://snomed.info/sct",
"code" : "431855005",
"display" : "Chronic kidney disease stage 1 (disorder)"
}
],
"text" : "Chronic kidney disease stage 1 (disorder)"
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{
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2
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"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "127013003",
"display" : "Diabetic renal disease (disorder)"
}
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"text" : "Diabetic renal disease (disorder)"
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}
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