JSON Format: Claim-f5b741f5-3786-4932-83ae-7c80a5f0d1dd
Download Raw json
Validation results for Claim/f5b741f5-3786-4932-83ae-7c80a5f0d1dd
| Level | Type | Location | Message | |
| warning | code-invalid | Claim/f5b741f5-3786-4932-83ae-7c80a5f0d1dd: Claim.item[0].productOrService.coding[0] | The display "Urgent care clinic (procedure)" is not a valid display for the code {http://snomed.info/sct}702927004 - should be one of ["Urgent care clinic (environment)","Urgent care clinic"] |
{
"resourceType" : "Claim",
"id" : "f5b741f5-3786-4932-83ae-7c80a5f0d1dd",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f5b741f5-3786-4932-83ae-7c80a5f0d1dd</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 28, 2019, 4:16:44 PM --> May 28, 2019, 4:31:44 PM</p><p><b>created</b>: May 28, 2019, 4:31:44 PM</p><p><b>provider</b>: <a href=\"Organization-4e916854-3a59-3f17-bb16-7c406148d822.html\">HANOVER FAMILY HEALTH AND URGENT CARE. Generated Summary: id: 4e916854-3a59-3f17-bb16-7c406148d822; 4e916854-3a59-3f17-bb16-7c406148d822; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: HANOVER FAMILY HEALTH AND URGENT CARE; ph: 781-829-1000</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-3a2d1aad-e90c-4ddd-8101-958a529adeb8.html\">HANOVER FAMILY HEALTH AND URGENT CARE. Generated Summary: id: 3a2d1aad-e90c-4ddd-8101-958a529adeb8; status: active; name: HANOVER FAMILY HEALTH AND URGENT CARE; ph: 781-829-1000</a></p><h3>Procedures</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Procedure[x]</b></td></tr><tr><td>*</td><td>1</td><td><a href=\"Procedure-806750e0-f806-472c-9fc4-9241fc06f133.html\">Generated Summary: id: 806750e0-f806-472c-9fc4-9241fc06f133; status: completed; <span title=\"Codes: {http://snomed.info/sct 180325003}\">Electrical cardioversion</span>; performed: May 28, 2019, 4:16:44 PM --> May 28, 2019, 4:31:44 PM</a></td></tr></table><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>: Urgent care clinic (procedure) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '702927004' = 'Urgent care clinic (environment)', given as 'Urgent care clinic (procedure)'})</span></p><p><b>encounter</b>: <a href=\"Encounter-a554fd04-b3b8-4edd-9dc4-0e7cc11e6fa2.html\">Generated Summary: id: a554fd04-b3b8-4edd-9dc4-0e7cc11e6fa2; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 702927004}\">Urgent care clinic (procedure)</span>; period: May 28, 2019, 4:16:44 PM --> May 28, 2019, 4:31:44 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>: Electrical cardioversion <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '180325003' = 'Electrical cardioversion', given as 'Electrical cardioversion'})</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" : "2019-05-28T16:16:44-07:00",
"end" : "2019-05-28T16:31:44-07:00"
},
"created" : "2019-05-28T16:31:44-07:00",
"provider" : {
"reference" : "Organization/4e916854-3a59-3f17-bb16-7c406148d822",
"display" : "HANOVER FAMILY HEALTH AND URGENT CARE"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
]
},
"facility" : {
"reference" : "Location/3a2d1aad-e90c-4ddd-8101-958a529adeb8",
"display" : "HANOVER FAMILY HEALTH AND URGENT CARE"
},
"procedure" : [
{
"sequence" : 1,
"procedureReference" : {
"reference" : "Procedure/806750e0-f806-472c-9fc4-9241fc06f133"
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"display" : "Medicare"
}
}
],
"item" : [
{
"sequence" : 1,
"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "702927004",
"display" : "Urgent care clinic (procedure)"
}
],
"text" : "Urgent care clinic (procedure)"
},
"encounter" : [
{
"reference" : "Encounter/a554fd04-b3b8-4edd-9dc4-0e7cc11e6fa2"
}
]
},
{
"sequence" : 2,
"procedureSequence" : [
1
],
"productOrService" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "180325003",
"display" : "Electrical cardioversion"
}
],
"text" : "Electrical cardioversion"
},
"net" : {
"value" : 42780.47,
"currency" : "USD"
}
}
],
"total" : {
"value" : 129.16,
"currency" : "USD"
}
}
