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Validation results for Claim/f2f618d8-2284-47e2-a8a8-1ba68734eeb2

LevelTypeLocationMessage
{
  "resourceType" : "Claim",
  "id" : "f2f618d8-2284-47e2-a8a8-1ba68734eeb2",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f2f618d8-2284-47e2-a8a8-1ba68734eeb2</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 3, 2017, 4:16:44 PM --&gt; May 4, 2017, 5:16:44 PM</p><p><b>created</b>: May 4, 2017, 5:16:44 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>facility</b>: <a href=\"Location-7653e0ab-0566-4083-95d8-c695e4735e53.html\">Quincy Outpatient Clinic. Generated Summary: id: 7653e0ab-0566-4083-95d8-c695e4735e53; status: active; name: Quincy Outpatient Clinic; ph: 800-865-3384</a></p><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <a href=\"Procedure-109db68b-9583-4511-b614-dd5ba33364af.html\">Generated Summary: id: 109db68b-9583-4511-b614-dd5ba33364af; status: completed; <span title=\"Codes: {http://snomed.info/sct 703423002}\">Combined chemotherapy and radiation therapy (procedure)</span>; performed: May 3, 2017, 4:16:44 PM --&gt; May 3, 2017, 5:16:44 PM</a></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <a href=\"Procedure-cd33c052-4e1f-4bbd-9c5d-2a9845a8f5b5.html\">Generated Summary: id: cd33c052-4e1f-4bbd-9c5d-2a9845a8f5b5; status: completed; <span title=\"Codes: {http://snomed.info/sct 430193006}\">Medication Reconciliation (procedure)</span>; performed: May 9, 2017, 4:16:44 PM --&gt; May 9, 2017, 4:31:44 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>Medicare</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-97963819-c0e6-412d-96b1-15928661ed1f.html\">Generated Summary: id: 97963819-c0e6-412d-96b1-15928661ed1f; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem</span>; period: May 3, 2017, 4:16:44 PM --&gt; May 4, 2017, 5:16:44 PM</a></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>procedureSequence</b>: 1</p><p><b>productOrService</b>: Combined chemotherapy and radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '703423002' = 'Combined chemotherapy and radiation therapy (procedure)', given as 'Combined chemotherapy and radiation therapy (procedure)'})</span></p><p><b>net</b>: </p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>procedureSequence</b>: 2</p><p><b>productOrService</b>: Medication Reconciliation (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '430193006' = 'Medication Reconciliation (procedure)', given as 'Medication Reconciliation (procedure)'})</span></p><p><b>net</b>: </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" : "2017-05-03T16:16:44-07:00",
    "end" : "2017-05-04T17:16:44-07:00"
  },
  "created" : "2017-05-04T17:16:44-07:00",
  "provider" : {
    "reference" : "Organization/18f774ab-db01-37ba-95c4-44c4eab47089",
    "display" : "Quincy Outpatient Clinic"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "facility" : {
    "reference" : "Location/7653e0ab-0566-4083-95d8-c695e4735e53",
    "display" : "Quincy Outpatient Clinic"
  },
  "procedure" : [
    {
      "sequence" : 1,
      "procedureReference" : {
        "reference" : "Procedure/109db68b-9583-4511-b614-dd5ba33364af"
      }
    },
    {
      "sequence" : 2,
      "procedureReference" : {
        "reference" : "Procedure/cd33c052-4e1f-4bbd-9c5d-2a9845a8f5b5"
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "display" : "Medicare"
      }
    }
  ],
  "item" : [
    {
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "185347001",
            "display" : "Encounter for problem"
          }
        ],
        "text" : "Encounter for problem"
      },
      "encounter" : [
        {
          "reference" : "Encounter/97963819-c0e6-412d-96b1-15928661ed1f"
        }
      ]
    },
    {
      "sequence" : 2,
      "procedureSequence" : [
        1
      ],
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "703423002",
            "display" : "Combined chemotherapy and radiation therapy (procedure)"
          }
        ],
        "text" : "Combined chemotherapy and radiation therapy (procedure)"
      },
      "net" : {
        "value" : 18514.86,
        "currency" : "USD"
      }
    },
    {
      "sequence" : 3,
      "procedureSequence" : [
        2
      ],
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "430193006",
            "display" : "Medication Reconciliation (procedure)"
          }
        ],
        "text" : "Medication Reconciliation (procedure)"
      },
      "net" : {
        "value" : 375.68,
        "currency" : "USD"
      }
    }
  ],
  "total" : {
    "value" : 129.16,
    "currency" : "USD"
  }
}