US Core R4 Validator Implementation Guide CI Build

ExplanationOfBenefit/162bb8c8-8a41-4f94-ac19-d8967fcf1135

Validation Results

LevelTypeLocationMessage
warningcode-invalidExplanationOfBenefit/162bb8c8-8a41-4f94-ac19-d8967fcf1135: ExplanationOfBenefit.careTeam[0].role.coding[0]Display Name for http://terminology.hl7.org/CodeSystem/claimcareteamrole#primary should be one of 'Primary provider'
warningcode-invalidExplanationOfBenefit/162bb8c8-8a41-4f94-ac19-d8967fcf1135: ExplanationOfBenefit.item[2].productOrService.coding[0]The display "Td (adult) preservative free" is not a valid display for the code {http://hl7.org/fhir/sid/cvx}113 - should be one of ["Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"]

Narrative View

Generated Narrative with Details

id: 162bb8c8-8a41-4f94-ac19-d8967fcf1135

contained: ,

identifier: 5c9279a6-0413-43b6-a26b-5c400f9f0e3b, 99999999999

status: active

type: Institutional (Details : {http://terminology.hl7.org/CodeSystem/claim-type code 'institutional' = 'Institutional)

use: claim

patient: 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; M;

billablePeriod: Apr 5, 2011, 4:46:44 PM --> Apr 5, 2012, 4:46:44 PM

created: Apr 5, 2011, 4:46:44 PM

insurer: Medicare

provider: Generated Summary: id: 0000016d-235f-39b3-0000-00000000032a; 810; active; Sergio619 Armijo730 ; Sergio619.Armijo730@example.com(WORK); gender: male

referral: unknown resource contained

facility: Quincy Outpatient Clinic. Generated Summary: id: 7653e0ab-0566-4083-95d8-c695e4735e53; status: active; name: Quincy Outpatient Clinic; ph: 800-865-3384

claim: Generated Summary: id: 5c9279a6-0413-43b6-a26b-5c400f9f0e3b; status: active; Institutional; use: claim; billablePeriod: Apr 5, 2011, 4:16:44 PM --> Apr 5, 2011, 4:46:44 PM; created: Apr 5, 2011, 4:46:44 PM; Normal;

Exception generating Narrative: type org.hl7.fhir.r5.model.Money not handled yet