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JSON Format: ExplanationOfBenefit-155f604d-a06b-4380-8251-8a14ace2e761

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Validation results for ExplanationOfBenefit/155f604d-a06b-4380-8251-8a14ace2e761

LevelTypeLocationMessage
warningcode-invalidExplanationOfBenefit/155f604d-a06b-4380-8251-8a14ace2e761: ExplanationOfBenefit.careTeam[0].role.coding[0]Display Name for http://terminology.hl7.org/CodeSystem/claimcareteamrole#primary should be one of 'Primary provider'
warningcode-invalidExplanationOfBenefit/155f604d-a06b-4380-8251-8a14ace2e761: ExplanationOfBenefit.item[0].productOrService.coding[0]The display "Hypertension follow-up encounter" is not a valid display for the code {http://snomed.info/sct}390906007 - should be one of ["Follow-up encounter (procedure)","Follow-up encounter"]
{
  "resourceType" : "ExplanationOfBenefit",
  "id" : "155f604d-a06b-4380-8251-8a14ace2e761",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 155f604d-a06b-4380-8251-8a14ace2e761</p><p><b>contained</b>: , </p><p><b>identifier</b>: a22400ac-a15e-4e1e-aac7-27f936d145d0, 99999999999</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\">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>: Jul 14, 1958, 4:31:44 PM --&gt; Jul 14, 1959, 4:31:44 PM</p><p><b>created</b>: Jul 14, 1958, 4:31:44 PM</p><p><b>insurer</b>: Cigna Health</p><p><b>provider</b>: <a href=\"Practitioner-0000016d-235f-39b3-0000-0000000001c2.html\">Generated Summary: id: 0000016d-235f-39b3-0000-0000000001c2; 450; active; Nelida367 Green467 ; Nelida367.Green467@example.com(WORK); gender: female</a></p><p><b>referral</b>: unknown resource contained</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><p><b>claim</b>: <a href=\"Claim-a22400ac-a15e-4e1e-aac7-27f936d145d0.html\">Generated Summary: id: a22400ac-a15e-4e1e-aac7-27f936d145d0; status: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span>; use: claim; billablePeriod: Jul 14, 1958, 4:16:44 PM --&gt; Jul 14, 1958, 4:31:44 PM; created: Jul 14, 1958, 4:31:44 PM; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span>; </a></p><p><b style=\"color: maroon\">Exception generating Narrative: type org.hl7.fhir.r5.model.Money not handled yet</b></p></div>"
  },
  "contained" : [
    {
      "resourceType" : "ServiceRequest",
      "id" : "referral",
      "status" : "completed",
      "intent" : "order",
      "subject" : {
        "reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129"
      },
      "requester" : {
        "reference" : "Practitioner/0000016d-235f-39b3-0000-0000000001c2"
      },
      "performer" : [
        {
          "reference" : "Practitioner/0000016d-235f-39b3-0000-0000000001c2"
        }
      ]
    },
    {
      "resourceType" : "Coverage",
      "id" : "coverage",
      "status" : "active",
      "type" : {
        "text" : "Cigna Health"
      },
      "beneficiary" : {
        "reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129"
      },
      "payor" : [
        {
          "display" : "Cigna Health"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "system" : "https://bluebutton.cms.gov/resources/variables/clm_id",
      "value" : "a22400ac-a15e-4e1e-aac7-27f936d145d0"
    },
    {
      "system" : "https://bluebutton.cms.gov/resources/identifier/claim-group",
      "value" : "99999999999"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/3ab28624-a549-4cb9-a32e-99e3c2c41129"
  },
  "billablePeriod" : {
    "start" : "1958-07-14T16:31:44-07:00",
    "end" : "1959-07-14T16:31:44-07:00"
  },
  "created" : "1958-07-14T16:31:44-07:00",
  "insurer" : {
    "display" : "Cigna Health"
  },
  "provider" : {
    "reference" : "Practitioner/0000016d-235f-39b3-0000-0000000001c2"
  },
  "referral" : {
    "reference" : "#referral"
  },
  "facility" : {
    "reference" : "Location/a615098b-6b1a-4437-a7c7-fa2eaa6969f6",
    "display" : "BRIGHAM AND WOMEN'S HOSPITAL"
  },
  "claim" : {
    "reference" : "Claim/a22400ac-a15e-4e1e-aac7-27f936d145d0"
  },
  "outcome" : "complete",
  "careTeam" : [
    {
      "sequence" : 1,
      "provider" : {
        "reference" : "Practitioner/0000016d-235f-39b3-0000-0000000001c2"
      },
      "role" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
            "code" : "primary",
            "display" : "Primary Care Practitioner"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "focal" : true,
      "coverage" : {
        "reference" : "#coverage",
        "display" : "Cigna Health"
      }
    }
  ],
  "item" : [
    {
      "sequence" : 1,
      "category" : {
        "coding" : [
          {
            "system" : "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
            "code" : "1",
            "display" : "Medical care"
          }
        ]
      },
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "390906007",
            "display" : "Hypertension follow-up encounter"
          }
        ],
        "text" : "Hypertension follow-up encounter"
      },
      "servicedPeriod" : {
        "start" : "1958-07-14T16:16:44-07:00",
        "end" : "1958-07-14T16:31:44-07:00"
      },
      "locationCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
            "code" : "21",
            "display" : "Inpatient Hospital"
          }
        ]
      },
      "encounter" : [
        {
          "reference" : "Encounter/87f97350-7032-4560-afbf-e9003f4dc9ec"
        }
      ]
    }
  ],
  "total" : [
    {
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
            "code" : "submitted",
            "display" : "Submitted Amount"
          }
        ],
        "text" : "Submitted Amount"
      },
      "amount" : {
        "value" : 129.16,
        "currency" : "USD"
      }
    }
  ],
  "payment" : {
    "amount" : {
      "value" : 0.0,
      "currency" : "USD"
    }
  }
}