43260 lines
1.4 MiB
43260 lines
1.4 MiB
{
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"resourceType": "Bundle",
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"type": "transaction",
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ]
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},
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated by <a href=\"https://github.com/synthetichealth/synthea\">Synthea</a>.Version identifier: 3c23908\n . Person seed: 3196359194941105127 Population seed: 1693908535569</div>"
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},
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"extension": [ {
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"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
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"extension": [ {
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"url": "ombCategory",
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"valueCoding": {
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"system": "urn:oid:2.16.840.1.113883.6.238",
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"code": "2106-3",
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"display": "White"
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}
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}, {
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"url": "text",
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"valueString": "White"
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} ]
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}, {
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"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
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"extension": [ {
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"url": "ombCategory",
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"valueCoding": {
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"system": "urn:oid:2.16.840.1.113883.6.238",
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"code": "2135-2",
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"display": "Hispanic or Latino"
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}
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}, {
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"url": "text",
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"valueString": "Hispanic or Latino"
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} ]
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}, {
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"url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
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"valueString": "Victoria535 Lerma517"
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}, {
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"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
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"valueCode": "F"
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}, {
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"url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
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"valueAddress": {
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"city": "Guatemala City",
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"state": "Guatemala",
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"country": "GT"
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}
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}, {
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"url": "http://synthetichealth.github.io/synthea/disability-adjusted-life-years",
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"valueDecimal": 0.004568203086820357
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}, {
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"url": "http://synthetichealth.github.io/synthea/quality-adjusted-life-years",
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"valueDecimal": 22.99543179691318
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} ],
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "MR",
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"display": "Medical Record Number"
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} ],
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"text": "Medical Record Number"
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},
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"system": "http://hospital.smarthealthit.org",
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"value": "8ebd900a-3563-5008-1fa9-9614ef666647"
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"code": "SS",
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"display": "Social Security Number"
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} ],
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"text": "Social Security Number"
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},
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"system": "http://hl7.org/fhir/sid/us-ssn",
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"value": "999-54-9119"
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "DL",
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"display": "Driver's license number"
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} ],
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"text": "Driver's license number"
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},
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"system": "urn:oid:2.16.840.1.113883.4.3.25",
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"value": "S99973383"
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "PPN",
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"display": "Passport Number"
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} ],
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"text": "Passport Number"
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},
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"system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
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"value": "X12497425X"
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} ],
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"name": [ {
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"use": "official",
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"family": "Herrera193",
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"prefix": [ "Ms." ]
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} ],
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"telecom": [ {
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"system": "phone",
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"value": "555-341-9721",
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"use": "home"
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} ],
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"gender": "female",
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"url": "http://hl7.org/fhir/StructureDefinition/geolocation",
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"url": "latitude",
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"valueDecimal": 42.3900693157314
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"url": "longitude",
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} ]
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} ],
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"line": [ "173 Prohaska Meadow Unit 92" ],
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"country": "US"
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} ],
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
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"code": "S",
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"display": "Never Married"
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} ],
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"text": "Never Married"
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},
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"multipleBirthBoolean": false,
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"communication": [ {
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"language": {
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"coding": [ {
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"system": "urn:ietf:bcp:47",
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"code": "es",
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"display": "Spanish"
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} ],
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"text": "Spanish"
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}
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} ]
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},
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"request": {
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"method": "POST",
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"code": "AMB"
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"system": "http://snomed.info/sct",
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"code": "698314001",
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"display": "Consultation for treatment"
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} ],
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"text": "Consultation for treatment"
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"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647",
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"display": "Ms. Lilia791 Carla633 Herrera193"
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"code": "PPRF",
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"display": "primary performer"
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"text": "primary performer"
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},
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"individual": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999993998",
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"display": "BOSTON MEDICAL CENTER CORPORATION-"
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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"currency": "USD"
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
|
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"code": "430193006",
|
|
"display": "Medication Reconciliation (procedure)"
|
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} ],
|
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"text": "Medication Reconciliation (procedure)"
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},
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"start": "2014-06-17T19:48:00+02:00",
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"end": "2014-06-17T20:07:28+02:00"
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},
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"value": 500.58,
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 100.116,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 400.464,
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 500.58,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 500.58,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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"currency": "USD"
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"sequence": 4,
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
|
|
"code": "710841007",
|
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"display": "Assessment of anxiety (procedure)"
|
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} ],
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"text": "Assessment of anxiety (procedure)"
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},
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"start": "2014-06-17T19:48:00+02:00",
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"end": "2014-06-17T20:07:28+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
|
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} ]
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},
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"value": 431.40,
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 86.28,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 345.12,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://loinc.org",
|
|
"code": "69737-5",
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"display": "Generalized anxiety disorder 7 item (GAD-7)"
|
|
} ],
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"text": "Generalized anxiety disorder 7 item (GAD-7)"
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},
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"start": "2014-06-17T19:48:00+02:00",
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"end": "2014-06-17T20:07:28+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 14.916,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 59.664,
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}
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 74.58,
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"currency": "USD"
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
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|
"display": "Depression screening (procedure)"
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|
} ],
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"text": "Depression screening (procedure)"
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|
},
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"start": "2014-06-17T19:48:00+02:00",
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"end": "2014-06-17T20:07:28+02:00"
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},
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|
"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 86.28,
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"currency": "USD"
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 345.12,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
|
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"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
|
|
"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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|
"display": "Line Processing Indicator Code"
|
|
} ]
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|
}
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|
} ]
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|
}, {
|
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"sequence": 7,
|
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"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "715252007",
|
|
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
|
|
} ],
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|
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2014-06-17T19:48:00+02:00",
|
|
"end": "2014-06-17T20:07:28+02:00"
|
|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
},
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"net": {
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|
"value": 28.65,
|
|
"currency": "USD"
|
|
},
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|
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|
"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
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|
},
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|
"amount": {
|
|
"value": 5.73,
|
|
"currency": "USD"
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|
}
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}, {
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"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
|
|
} ]
|
|
},
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|
"amount": {
|
|
"value": 22.92,
|
|
"currency": "USD"
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|
}
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|
}, {
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"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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|
"display": "Line Submitted Charge Amount"
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|
} ]
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},
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"amount": {
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|
"value": 28.65,
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|
"currency": "USD"
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}
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}, {
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"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 28.65,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
|
|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
}, {
|
|
"sequence": 8,
|
|
"informationSequence": [ 3 ],
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "89206-7",
|
|
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2014-06-17T19:48:00+02:00",
|
|
"end": "2014-06-17T20:07:28+02:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"net": {
|
|
"value": 74.58,
|
|
"currency": "USD"
|
|
},
|
|
"adjudication": [ {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 14.916,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
|
|
"display": "Line Provider Payment Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 59.664,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
|
|
"display": "Line Submitted Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 74.58,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 74.58,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
|
|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
} ],
|
|
"total": [ {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
|
|
"code": "submitted",
|
|
"display": "Submitted Amount"
|
|
} ],
|
|
"text": "Submitted Amount"
|
|
},
|
|
"amount": {
|
|
"value": 1204.78,
|
|
"currency": "USD"
|
|
}
|
|
} ],
|
|
"payment": {
|
|
"amount": {
|
|
"value": 1341.7520000000002,
|
|
"currency": "USD"
|
|
}
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "ExplanationOfBenefit"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2",
|
|
"resource": {
|
|
"resourceType": "Encounter",
|
|
"id": "2c56cce5-f94a-7793-4b28-145f08b16ed2",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
|
|
},
|
|
"identifier": [ {
|
|
"use": "official",
|
|
"system": "https://github.com/synthetichealth/synthea",
|
|
"value": "2c56cce5-f94a-7793-4b28-145f08b16ed2"
|
|
} ],
|
|
"status": "finished",
|
|
"class": {
|
|
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
|
|
"code": "AMB"
|
|
},
|
|
"type": [ {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "410620009",
|
|
"display": "Well child visit (procedure)"
|
|
} ],
|
|
"text": "Well child visit (procedure)"
|
|
} ],
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647",
|
|
"display": "Ms. Lilia791 Carla633 Herrera193"
|
|
},
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|
"participant": [ {
|
|
"type": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
|
|
"code": "PPRF",
|
|
"display": "primary performer"
|
|
} ],
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|
"text": "primary performer"
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|
} ],
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|
"period": {
|
|
"start": "2015-06-23T19:48:00+02:00",
|
|
"end": "2015-06-23T20:03:00+02:00"
|
|
},
|
|
"individual": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595",
|
|
"display": "Dr. Raul814 Considine820"
|
|
}
|
|
} ],
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|
"period": {
|
|
"start": "2015-06-23T19:48:00+02:00",
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|
"end": "2015-06-23T20:03:00+02:00"
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|
},
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|
"location": [ {
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|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
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|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
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|
}
|
|
} ],
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|
"serviceProvider": {
|
|
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9f2f60a6-87a4-3f45-b753-b63b5b7e9993",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "Encounter"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:8d756ecf-fd30-4bc3-712e-4782dee09d4a",
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|
"resource": {
|
|
"resourceType": "Condition",
|
|
"id": "8d756ecf-fd30-4bc3-712e-4782dee09d4a",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
|
|
},
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|
"clinicalStatus": {
|
|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
|
|
"code": "resolved"
|
|
} ]
|
|
},
|
|
"verificationStatus": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
|
|
"code": "confirmed"
|
|
} ]
|
|
},
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
|
|
"code": "encounter-diagnosis",
|
|
"display": "Encounter Diagnosis"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "314529007",
|
|
"display": "Medication review due (situation)"
|
|
} ],
|
|
"text": "Medication review due (situation)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
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|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
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|
},
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|
"onsetDateTime": "2015-06-23T19:48:00+02:00",
|
|
"abatementDateTime": "2015-06-23T19:48:00+02:00",
|
|
"recordedDate": "2015-06-23T19:48:00+02:00"
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Condition"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:50ab37b6-154b-c075-d85a-1ccc57e2e032",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "50ab37b6-154b-c075-d85a-1ccc57e2e032",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8302-2",
|
|
"display": "Body Height"
|
|
} ],
|
|
"text": "Body Height"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
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|
"encounter": {
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|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
|
|
},
|
|
"effectiveDateTime": "2015-06-23T19:48:00+02:00",
|
|
"issued": "2015-06-23T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 168.1,
|
|
"unit": "cm",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:28ca016c-d739-16da-0dda-b450f499352f",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "28ca016c-d739-16da-0dda-b450f499352f",
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|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "72514-3",
|
|
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
|
|
} ],
|
|
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
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|
},
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|
"effectiveDateTime": "2015-06-23T19:48:00+02:00",
|
|
"issued": "2015-06-23T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:561468b6-840b-9bcc-bee7-4de39d922524",
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|
"resource": {
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|
"resourceType": "Observation",
|
|
"id": "561468b6-840b-9bcc-bee7-4de39d922524",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
|
|
"text": "Body Weight"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
|
|
},
|
|
"effectiveDateTime": "2015-06-23T19:48:00+02:00",
|
|
"issued": "2015-06-23T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 68.7,
|
|
"unit": "kg",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:ad0eb0a6-f39f-53c6-3cc7-ca1969d12a2d",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "ad0eb0a6-f39f-53c6-3cc7-ca1969d12a2d",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Ratio]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
|
|
},
|
|
"effectiveDateTime": "2015-06-23T19:48:00+02:00",
|
|
"issued": "2015-06-23T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 24.31,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:c80c2ce3-a43d-ff3b-ee59-691e2ee03ab8",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "c80c2ce3-a43d-ff3b-ee59-691e2ee03ab8",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "59576-9",
|
|
"display": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c56cce5-f94a-7793-4b28-145f08b16ed2"
|
|
},
|
|
"effectiveDateTime": "2015-06-23T19:48:00+02:00",
|
|
"issued": "2015-06-23T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 83.168,
|
|
"unit": "%",
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"system": "http://loinc.org",
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} ],
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},
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"system": "http://snomed.info/sct",
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} ],
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}
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} ],
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} ]
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} ]
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} ],
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"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
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"value": "99999999999"
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} ],
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595"
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},
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"reference": "#referral"
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},
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} ],
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"focal": true,
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} ],
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
|
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|
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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} ]
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},
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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} ]
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},
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"system": "http://loinc.org",
|
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"code": "58410-2",
|
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"display": "CBC panel - Blood by Automated count"
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} ],
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},
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} ]
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},
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} ]
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},
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}
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"display": "Line Provider Payment Amount"
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} ]
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},
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}
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} ]
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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} ]
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|
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"code": "171207006",
|
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"display": "Depression screening (procedure)"
|
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} ],
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"text": "Depression screening (procedure)"
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},
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"code": "19",
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|
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} ]
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},
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} ]
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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} ],
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"display": "Line Beneficiary Coinsurance Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"code": "89206-7",
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"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
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|
} ],
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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},
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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|
} ]
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}
|
|
} ]
|
|
} ],
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"total": [ {
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|
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
|
|
"code": "submitted",
|
|
"display": "Submitted Amount"
|
|
} ],
|
|
"text": "Submitted Amount"
|
|
},
|
|
"amount": {
|
|
"value": 1497.84,
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|
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|
}
|
|
} ],
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"payment": {
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|
"amount": {
|
|
"value": 1171.7759999999998,
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|
"currency": "USD"
|
|
}
|
|
}
|
|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "ExplanationOfBenefit"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d6f3024a-ea78-304b-7792-bfaf06d8d32d",
|
|
"resource": {
|
|
"resourceType": "Encounter",
|
|
"id": "d6f3024a-ea78-304b-7792-bfaf06d8d32d",
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|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
|
|
},
|
|
"identifier": [ {
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|
"use": "official",
|
|
"system": "https://github.com/synthetichealth/synthea",
|
|
"value": "d6f3024a-ea78-304b-7792-bfaf06d8d32d"
|
|
} ],
|
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"status": "finished",
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|
"class": {
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|
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
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|
"code": "AMB"
|
|
},
|
|
"type": [ {
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|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "410620009",
|
|
"display": "Well child visit (procedure)"
|
|
} ],
|
|
"text": "Well child visit (procedure)"
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|
} ],
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|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647",
|
|
"display": "Ms. Lilia791 Carla633 Herrera193"
|
|
},
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|
"participant": [ {
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|
"type": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
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|
"code": "PPRF",
|
|
"display": "primary performer"
|
|
} ],
|
|
"text": "primary performer"
|
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},
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|
|
"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
|
|
},
|
|
"effectiveDateTime": "2017-07-04T20:31:56+02:00",
|
|
"issued": "2017-07-04T20:31:56.993+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76501-6",
|
|
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
} ],
|
|
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
|
|
"text": "Do you feel physically and emotionally safe where you currently live?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA13909-9",
|
|
"display": "Somewhat"
|
|
} ],
|
|
"text": "Somewhat"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30131-9",
|
|
"display": "3 to 5 times a week"
|
|
} ],
|
|
"text": "3 to 5 times a week"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93030-5",
|
|
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
} ],
|
|
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30134-3",
|
|
"display": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
} ],
|
|
"text": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93031-3",
|
|
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
} ],
|
|
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30122-8",
|
|
"display": "I choose not to answer this question"
|
|
} ],
|
|
"text": "I choose not to answer this question"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63586-2",
|
|
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
} ],
|
|
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 71431,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA17956-6",
|
|
"display": "Unemployed"
|
|
} ],
|
|
"text": "Unemployed"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "173 Prohaska Meadow Unit 92"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 4,
|
|
"unit": "{#}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{#}"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "54899-0",
|
|
"display": "Preferred language"
|
|
} ],
|
|
"text": "Preferred language"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30188-9",
|
|
"display": "Language other than English"
|
|
} ],
|
|
"text": "Language other than English"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93034-7",
|
|
"display": "Have you been discharged from the armed forces of the United States?"
|
|
} ],
|
|
"text": "Have you been discharged from the armed forces of the United States?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93035-4",
|
|
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
} ],
|
|
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32624-9",
|
|
"display": "Race"
|
|
} ],
|
|
"text": "Race"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA4457-3",
|
|
"display": "White"
|
|
} ],
|
|
"text": "White"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56051-6",
|
|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
|
|
"text": "Do you consider yourself Hispanic/Latino?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:76fc90e1-8619-1aa2-180c-4a05b4b3aef6",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "76fc90e1-8619-1aa2-180c-4a05b4b3aef6",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "70274-6",
|
|
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
|
|
} ],
|
|
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
|
|
},
|
|
"effectiveDateTime": "2017-07-04T21:00:58+02:00",
|
|
"issued": "2017-07-04T21:00:58.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:131b2f7d-fc72-f552-2373-d638dbd04816",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "131b2f7d-fc72-f552-2373-d638dbd04816",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "430193006",
|
|
"display": "Medication Reconciliation (procedure)"
|
|
} ],
|
|
"text": "Medication Reconciliation (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2017-07-04T19:48:00+02:00",
|
|
"end": "2017-07-04T20:03:00+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6e1410e3-4451-4889-593e-27aff374c862",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "6e1410e3-4451-4889-593e-27aff374c862",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
|
|
} ],
|
|
"text": "Assessment of health and social care needs (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2017-07-04T19:48:00+02:00",
|
|
"end": "2017-07-04T20:31:56+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:13c026c6-b4de-647b-124f-695475c2ac1a",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "13c026c6-b4de-647b-124f-695475c2ac1a",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710841007",
|
|
"display": "Assessment of anxiety (procedure)"
|
|
} ],
|
|
"text": "Assessment of anxiety (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2017-07-04T20:31:56+02:00",
|
|
"end": "2017-07-04T21:00:58+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
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"request": {
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"display": "Unemployed (finding)"
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} ],
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"text": "Unemployed (finding)"
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}
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}, {
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"sequence": 7,
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "266934004",
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"display": "Transport problem (finding)"
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} ],
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"text": "Transport problem (finding)"
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}
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}, {
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"sequence": 8,
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "73595000",
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"display": "Stress (finding)"
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} ],
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"text": "Stress (finding)"
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}
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}, {
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "706893006",
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"display": "Victim of intimate partner abuse (finding)"
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} ],
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"text": "Victim of intimate partner abuse (finding)"
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}
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}, {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "710841007",
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} ],
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},
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}
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}, {
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"coding": [ {
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"system": "http://loinc.org",
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"code": "69737-5",
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"display": "Generalized anxiety disorder 7 item (GAD-7)"
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} ],
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"text": "Generalized anxiety disorder 7 item (GAD-7)"
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},
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"value": 74.58,
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}
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} ],
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}
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},
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"method": "POST",
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"url": "Claim"
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}
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"fullUrl": "urn:uuid:8da11b0f-8c2f-ef3c-31e2-b7693edc6910",
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595"
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595"
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} ]
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}, {
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"resourceType": "Coverage",
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"id": "coverage",
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"status": "active",
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"type": {
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"text": "NO_INSURANCE"
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"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
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},
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"display": "NO_INSURANCE"
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} ]
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} ],
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"identifier": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
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"value": "357b548f-9cc6-2785-27eb-72a0d8586a0c"
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}, {
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"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
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"value": "99999999999"
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} ],
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"system": "http://terminology.hl7.org/CodeSystem/claim-type",
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"code": "professional"
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} ]
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},
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},
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"display": "NO_INSURANCE"
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595"
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},
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"reference": "#referral"
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},
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"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
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"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
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"claim": {
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"reference": "urn:uuid:357b548f-9cc6-2785-27eb-72a0d8586a0c"
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},
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999977595"
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},
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"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
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"code": "primary",
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} ]
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}
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} ],
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"code": "principal"
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"code": "principal"
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"sequence": 5,
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"code": "principal"
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} ]
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} ]
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} ],
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"insurance": [ {
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"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "NO_INSURANCE"
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}
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|
} ],
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"category": {
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"system": "http://snomed.info/sct",
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|
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|
} ],
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"text": "General examination of patient (procedure)"
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},
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"encounter": [ {
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"reference": "urn:uuid:4fb3c857-bb5f-d238-48c2-d40aa19345ab"
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} ]
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},
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"code": "140",
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} ],
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},
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|
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|
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},
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|
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|
"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"code": "1",
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|
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "430193006",
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|
"display": "Medication Reconciliation (procedure)"
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|
} ],
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"text": "Medication Reconciliation (procedure)"
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},
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
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|
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|
},
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|
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|
"value": 460.45,
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|
"currency": "USD"
|
|
},
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|
"adjudication": [ {
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|
"category": {
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|
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|
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
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|
},
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|
"amount": {
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|
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|
"currency": "USD"
|
|
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|
|
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|
"category": {
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|
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|
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|
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|
"display": "Line Provider Payment Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 368.36,
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|
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|
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|
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|
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|
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|
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|
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|
"display": "Line Submitted Charge Amount"
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|
},
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"amount": {
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|
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|
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|
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|
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|
"category": {
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|
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|
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|
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|
"display": "Line Allowed Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 460.45,
|
|
"currency": "USD"
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|
}
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|
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|
"category": {
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|
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|
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|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
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|
},
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|
"amount": {
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|
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|
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|
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|
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
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|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
}, {
|
|
"sequence": 4,
|
|
"category": {
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|
"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
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|
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|
"productOrService": {
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|
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|
"system": "http://snomed.info/sct",
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|
"code": "710824005",
|
|
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|
} ],
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|
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},
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"locationCodeableConcept": {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"display": "Off Campus-Outpatient Hospital"
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"currency": "USD"
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"display": "Line Beneficiary Coinsurance Amount"
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"display": "Line Provider Payment Amount"
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} ]
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},
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"value": 345.12,
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"value": 431.40,
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"display": "Line Allowed Charge Amount"
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} ]
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"value": 431.40,
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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"system": "http://snomed.info/sct",
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"code": "224299000",
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"display": "Received higher education (finding)"
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} ],
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"text": "Received higher education (finding)"
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},
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"start": "2017-07-04T19:48:00+02:00",
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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},
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"system": "http://snomed.info/sct",
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"code": "73438004",
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"display": "Unemployed (finding)"
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} ],
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"text": "Unemployed (finding)"
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},
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"start": "2017-07-04T19:48:00+02:00",
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"end": "2017-07-04T20:31:56+02:00"
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"system": "http://snomed.info/sct",
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"code": "266934004",
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"display": "Transport problem (finding)"
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} ],
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"text": "Transport problem (finding)"
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},
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"start": "2017-07-04T19:48:00+02:00",
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"end": "2017-07-04T20:31:56+02:00"
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"system": "http://snomed.info/sct",
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"code": "73595000",
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"display": "Stress (finding)"
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} ],
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"text": "Stress (finding)"
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},
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"start": "2017-07-04T19:48:00+02:00",
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"end": "2017-07-04T20:31:56+02:00"
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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},
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "706893006",
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"display": "Victim of intimate partner abuse (finding)"
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} ],
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"text": "Victim of intimate partner abuse (finding)"
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},
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"servicedPeriod": {
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"start": "2017-07-04T19:48:00+02:00",
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"end": "2017-07-04T20:31:56+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "710841007",
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} ],
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"text": "Assessment of anxiety (procedure)"
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"display": "Line Beneficiary Coinsurance Amount"
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"system": "http://loinc.org",
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"display": "Line Beneficiary Coinsurance Amount"
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},
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"amount": {
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"value": 14.916,
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"value": 59.664,
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"system": "http://terminology.hl7.org/CodeSystem/adjudication",
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|
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"text": "Submitted Amount"
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"value": 1164.65,
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},
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"request": {
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|
"method": "POST",
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|
"url": "ExplanationOfBenefit"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:6147c352-af6e-cda5-7dbd-9dc399269f2e",
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"resource": {
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"resourceType": "Encounter",
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"id": "6147c352-af6e-cda5-7dbd-9dc399269f2e",
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"meta": {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
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},
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"identifier": [ {
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"use": "official",
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"value": "6147c352-af6e-cda5-7dbd-9dc399269f2e"
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"status": "finished",
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"code": "AMB"
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},
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"type": [ {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "424441002",
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|
"display": "Prenatal initial visit"
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|
} ],
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"text": "Prenatal initial visit"
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"subject": {
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"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647",
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"display": "Ms. Lilia791 Carla633 Herrera193"
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"participant": [ {
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"type": [ {
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"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
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"code": "PPRF",
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|
"display": "primary performer"
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|
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"text": "primary performer"
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"period": {
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|
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|
"end": "2017-07-18T20:03:00+02:00"
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|
},
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|
"individual": {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999993998",
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|
"display": "Dr. Sharron285 Batz141"
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|
}
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|
} ],
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"period": {
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|
"start": "2017-07-18T19:48:00+02:00",
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"end": "2017-07-18T20:03:00+02:00"
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},
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"reasonCode": [ {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "72892002",
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|
"display": "Normal pregnancy"
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|
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} ],
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"location": [ {
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"location": {
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"reference": "Location?identifier=https://github.com/synthetichealth/synthea|5d5ac7a4-7c31-3868-a7c1-d16c34243530",
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"display": "BOSTON MEDICAL CENTER CORPORATION-"
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}
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} ],
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"serviceProvider": {
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"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|0fedae9f-701f-3317-9b2f-69aea2202cdc",
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"display": "BOSTON MEDICAL CENTER CORPORATION-"
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}
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},
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"request": {
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|
"method": "POST",
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|
"url": "Encounter"
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}
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"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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"code": "principal"
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} ]
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} ]
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} ],
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"insurance": [ {
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"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "NO_INSURANCE"
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}
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} ],
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} ]
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"code": "424441002",
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"display": "Prenatal initial visit"
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} ],
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},
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} ]
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"code": "72892002",
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"display": "Normal pregnancy"
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} ],
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"text": "Normal pregnancy"
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},
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"end": "2017-07-18T20:03:00+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"display": "Inpatient Hospital"
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} ]
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}, {
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} ]
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},
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"code": "252160004",
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"display": "Standard pregnancy test"
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} ],
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"text": "Standard pregnancy test"
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},
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"display": "Inpatient Hospital"
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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} ]
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}
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} ]
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"code": "169230002",
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} ],
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|
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|
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|
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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"code": "1",
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} ]
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"system": "http://snomed.info/sct",
|
|
"code": "44608003",
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|
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|
} ],
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|
"text": "Blood group typing (procedure)"
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|
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"code": "21",
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"display": "Inpatient Hospital"
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} ]
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},
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} ]
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"display": "Line Beneficiary Part B Deductible Amount"
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"display": "Line Processing Indicator Code"
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} ],
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"text": "Submitted Amount"
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"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
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|
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"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 68.5,
|
|
"unit": "kg",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5cabade9-7338-4328-f0b1-edf2a366cf90",
|
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"resource": {
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"resourceType": "Observation",
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|
"id": "5cabade9-7338-4328-f0b1-edf2a366cf90",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Ratio]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
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},
|
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"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
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"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 24.08,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:a9cfbb83-ce7e-0500-d5ee-b08a4acc0546",
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"resource": {
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"resourceType": "Observation",
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|
"id": "a9cfbb83-ce7e-0500-d5ee-b08a4acc0546",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "59576-9",
|
|
"display": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
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"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
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},
|
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"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
|
"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 74.248,
|
|
"unit": "%",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "%"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e5502833-1dcd-e1d2-68bd-0ff4cd7ae306",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e5502833-1dcd-e1d2-68bd-0ff4cd7ae306",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "85354-9",
|
|
"display": "Blood pressure panel with all children optional"
|
|
} ],
|
|
"text": "Blood pressure panel with all children optional"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
|
"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 67,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8480-6",
|
|
"display": "Systolic Blood Pressure"
|
|
} ],
|
|
"text": "Systolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 134,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9a301d0d-d147-65ca-438c-a4b7c424b3b4",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9a301d0d-d147-65ca-438c-a4b7c424b3b4",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8867-4",
|
|
"display": "Heart rate"
|
|
} ],
|
|
"text": "Heart rate"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
|
"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 95,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f8f3ff20-e6f0-2a7d-316e-514e3fab738b",
|
|
"resource": {
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|
"resourceType": "Observation",
|
|
"id": "f8f3ff20-e6f0-2a7d-316e-514e3fab738b",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "9279-1",
|
|
"display": "Respiratory rate"
|
|
} ],
|
|
"text": "Respiratory rate"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
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"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
|
"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 15,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f181f62a-05b5-42be-e2b5-c6158f41bee0",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f181f62a-05b5-42be-e2b5-c6158f41bee0",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "social-history",
|
|
"display": "Social history"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "72166-2",
|
|
"display": "Tobacco smoking status"
|
|
} ],
|
|
"text": "Tobacco smoking status"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T19:48:00+02:00",
|
|
"issued": "2018-07-10T19:48:00.993+02:00",
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "8517006",
|
|
"display": "Ex-smoker (finding)"
|
|
} ],
|
|
"text": "Ex-smoker (finding)"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:280b0d8b-41ba-95ea-0c27-9aaf436fc168",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "280b0d8b-41ba-95ea-0c27-9aaf436fc168",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93025-5",
|
|
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
|
|
} ],
|
|
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T20:43:11+02:00",
|
|
"issued": "2018-07-10T20:43:11.993+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76501-6",
|
|
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
} ],
|
|
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
|
|
"text": "Do you feel physically and emotionally safe where you currently live?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
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|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
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|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA13863-8",
|
|
"display": "A little bit"
|
|
} ],
|
|
"text": "A little bit"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
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|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA30130-1",
|
|
"display": "1 or 2 times a week"
|
|
} ],
|
|
"text": "1 or 2 times a week"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93030-5",
|
|
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
} ],
|
|
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30134-3",
|
|
"display": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
} ],
|
|
"text": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
}
|
|
}, {
|
|
"code": {
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|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93031-3",
|
|
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
} ],
|
|
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
},
|
|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "LA30122-8",
|
|
"display": "I choose not to answer this question"
|
|
} ],
|
|
"text": "I choose not to answer this question"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63586-2",
|
|
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
} ],
|
|
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 71431,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA17849-3",
|
|
"display": "Medicaid"
|
|
} ],
|
|
"text": "Medicaid"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA17956-6",
|
|
"display": "Unemployed"
|
|
} ],
|
|
"text": "Unemployed"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "173 Prohaska Meadow Unit 92"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 4,
|
|
"unit": "{#}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{#}"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "54899-0",
|
|
"display": "Preferred language"
|
|
} ],
|
|
"text": "Preferred language"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30188-9",
|
|
"display": "Language other than English"
|
|
} ],
|
|
"text": "Language other than English"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93034-7",
|
|
"display": "Have you been discharged from the armed forces of the United States?"
|
|
} ],
|
|
"text": "Have you been discharged from the armed forces of the United States?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93035-4",
|
|
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
} ],
|
|
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32624-9",
|
|
"display": "Race"
|
|
} ],
|
|
"text": "Race"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA4457-3",
|
|
"display": "White"
|
|
} ],
|
|
"text": "White"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56051-6",
|
|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
|
|
"text": "Do you consider yourself Hispanic/Latino?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:0e7d729c-a58d-8fa8-5e47-9f9f4c98f992",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "0e7d729c-a58d-8fa8-5e47-9f9f4c98f992",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76504-0",
|
|
"display": "Total score [HARK]"
|
|
} ],
|
|
"text": "Total score [HARK]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T21:21:22+02:00",
|
|
"issued": "2018-07-10T21:21:22.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9c34d252-609f-75f9-3573-5aa19a10b030",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9c34d252-609f-75f9-3573-5aa19a10b030",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "55758-7",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"effectiveDateTime": "2018-07-10T22:01:14+02:00",
|
|
"issued": "2018-07-10T22:01:14.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1b684b8c-f23d-ecf2-c21e-8a703e1396d3",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "1b684b8c-f23d-ecf2-c21e-8a703e1396d3",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
|
|
} ],
|
|
"text": "Assessment of health and social care needs (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-07-10T19:48:00+02:00",
|
|
"end": "2018-07-10T20:43:11+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f6c37ef6-2db9-a154-a678-fe8136bb0543",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "f6c37ef6-2db9-a154-a678-fe8136bb0543",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "866148006",
|
|
"display": "Screening for domestic abuse (procedure)"
|
|
} ],
|
|
"text": "Screening for domestic abuse (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-07-10T20:43:11+02:00",
|
|
"end": "2018-07-10T21:21:22+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:71e23833-de9e-4c0a-f5f8-603c40eb45bb",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "71e23833-de9e-4c0a-f5f8-603c40eb45bb",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
|
|
"display": "Depression screening (procedure)"
|
|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-07-10T21:21:22+02:00",
|
|
"end": "2018-07-10T21:32:38+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:41baf5fe-430d-e03e-c39e-aa1358a1524e",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "41baf5fe-430d-e03e-c39e-aa1358a1524e",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "454711000124102",
|
|
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
|
|
} ],
|
|
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-07-10T21:32:38+02:00",
|
|
"end": "2018-07-10T22:01:14+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:4367d21f-4790-6261-9786-fa40d2377e23",
|
|
"resource": {
|
|
"resourceType": "Immunization",
|
|
"id": "4367d21f-4790-6261-9786-fa40d2377e23",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
|
|
},
|
|
"status": "completed",
|
|
"vaccineCode": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/sid/cvx",
|
|
"code": "140",
|
|
"display": "Influenza, seasonal, injectable, preservative free"
|
|
} ],
|
|
"text": "Influenza, seasonal, injectable, preservative free"
|
|
},
|
|
"patient": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7a804d7f-e745-4b5e-f67d-aff8696f6d7a"
|
|
},
|
|
"occurrenceDateTime": "2018-07-10T19:48:00+02:00",
|
|
"primarySource": true,
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Immunization"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:55703f15-97bd-27cb-d955-842fd4642733",
|
|
"resource": {
|
|
"resourceType": "DiagnosticReport",
|
|
"id": "55703f15-97bd-27cb-d955-842fd4642733",
|
|
"status": "final",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76499-3",
|
|
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
|
|
} ],
|
|
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
|
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"display": "Line Provider Payment Amount"
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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} ]
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} ]
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}
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} ]
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"display": "Line Beneficiary Coinsurance Amount"
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|
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}
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|
} ]
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|
} ],
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|
"code": "submitted",
|
|
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|
|
} ],
|
|
"text": "Submitted Amount"
|
|
},
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|
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|
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|
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}
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}
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}
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|
},
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|
"request": {
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|
"method": "POST",
|
|
"url": "ExplanationOfBenefit"
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}
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|
}, {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
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},
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} ],
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} ]
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"code": "80381-7",
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} ],
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},
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"display": "Line Beneficiary Coinsurance Amount"
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"code": "94531-1",
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} ],
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|
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|
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|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA6568-5",
|
|
"display": "Not at all"
|
|
} ],
|
|
"text": "Not at all"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30132-7",
|
|
"display": "5 or more times a week"
|
|
} ],
|
|
"text": "5 or more times a week"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93030-5",
|
|
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
} ],
|
|
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30134-3",
|
|
"display": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
} ],
|
|
"text": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93031-3",
|
|
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
} ],
|
|
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30122-8",
|
|
"display": "I choose not to answer this question"
|
|
} ],
|
|
"text": "I choose not to answer this question"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63586-2",
|
|
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
} ],
|
|
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 71431,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA17956-6",
|
|
"display": "Unemployed"
|
|
} ],
|
|
"text": "Unemployed"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "173 Prohaska Meadow Unit 92"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 4,
|
|
"unit": "{#}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{#}"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "54899-0",
|
|
"display": "Preferred language"
|
|
} ],
|
|
"text": "Preferred language"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30188-9",
|
|
"display": "Language other than English"
|
|
} ],
|
|
"text": "Language other than English"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93034-7",
|
|
"display": "Have you been discharged from the armed forces of the United States?"
|
|
} ],
|
|
"text": "Have you been discharged from the armed forces of the United States?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93035-4",
|
|
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
} ],
|
|
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32624-9",
|
|
"display": "Race"
|
|
} ],
|
|
"text": "Race"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA4457-3",
|
|
"display": "White"
|
|
} ],
|
|
"text": "White"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56051-6",
|
|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
|
|
"text": "Do you consider yourself Hispanic/Latino?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2c1d6622-206c-e385-3f13-3395e7e22f3d",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "2c1d6622-206c-e385-3f13-3395e7e22f3d",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "55758-7",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:781afd79-30b5-c4ab-e20e-8270372407b1"
|
|
},
|
|
"effectiveDateTime": "2020-12-29T20:04:10+01:00",
|
|
"issued": "2020-12-29T20:04:10.993+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:c9831bfb-c964-e556-d3b4-97836b11f2bd",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "c9831bfb-c964-e556-d3b4-97836b11f2bd",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "75626-2",
|
|
"display": "Total score [AUDIT-C]"
|
|
} ],
|
|
"text": "Total score [AUDIT-C]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:781afd79-30b5-c4ab-e20e-8270372407b1"
|
|
},
|
|
"effectiveDateTime": "2020-12-29T20:43:09+01:00",
|
|
"issued": "2020-12-29T20:43:09.993+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1847777c-7a87-10d8-bb36-0bb899361dfb",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "1847777c-7a87-10d8-bb36-0bb899361dfb",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
|
|
} ],
|
|
"text": "Assessment of health and social care needs (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:781afd79-30b5-c4ab-e20e-8270372407b1"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-29T18:48:00+01:00",
|
|
"end": "2020-12-29T19:27:30+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|5d5ac7a4-7c31-3868-a7c1-d16c34243530",
|
|
"display": "BOSTON MEDICAL CENTER CORPORATION-"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2968383e-e22c-fb24-7db2-06f888606ccf",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "2968383e-e22c-fb24-7db2-06f888606ccf",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
|
|
"display": "Depression screening (procedure)"
|
|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:781afd79-30b5-c4ab-e20e-8270372407b1"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-29T19:27:30+01:00",
|
|
"end": "2020-12-29T19:40:44+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|5d5ac7a4-7c31-3868-a7c1-d16c34243530",
|
|
"display": "BOSTON MEDICAL CENTER CORPORATION-"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:703ea4ea-51dd-7709-bcf9-43dee864f192",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "703ea4ea-51dd-7709-bcf9-43dee864f192",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "454711000124102",
|
|
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
|
|
} ],
|
|
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:781afd79-30b5-c4ab-e20e-8270372407b1"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-29T19:40:44+01:00",
|
|
"end": "2020-12-29T20:04:10+01:00"
|
|
},
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} ],
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}
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"coding": [ {
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"system": "http://snomed.info/sct",
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} ],
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},
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}
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"coding": [ {
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"system": "http://loinc.org",
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"code": "72109-2",
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"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
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} ],
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},
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}
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} ],
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}
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},
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"method": "POST",
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}
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}, {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999993998"
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} ]
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"resourceType": "Coverage",
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"id": "coverage",
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},
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} ]
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} ],
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} ],
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999993998"
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},
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"reference": "#referral"
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},
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"code": "primary",
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}
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} ],
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} ],
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} ],
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} ],
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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} ],
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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} ]
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} ],
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} ],
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"currency": "USD"
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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"code": "1",
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} ]
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},
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|
"code": "454711000124102",
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|
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|
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"display": "Inpatient Hospital"
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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"display": "Line Provider Payment Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"value": 0,
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"currency": "USD"
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "55757-9",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
|
|
},
|
|
"servicedPeriod": {
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} ]
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}, {
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"resourceType": "Coverage",
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"id": "coverage",
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
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"value": "99999999999"
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} ],
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},
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999993998"
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},
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"referral": {
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"display": "BOSTON MEDICAL CENTER CORPORATION-"
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"claim": {
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"reference": "urn:uuid:9dff2155-4691-f9f7-04ef-27ee3a1b558a"
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"role": {
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"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
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"code": "primary",
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"display": "Primary provider"
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} ]
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}
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} ],
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"insurance": [ {
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"focal": true,
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"coverage": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"code": "308335008",
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|
} ],
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"text": "Patient encounter procedure"
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},
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "21",
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"display": "Inpatient Hospital"
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} ]
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},
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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"productOrService": {
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|
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|
"code": "65200003",
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|
"display": "Insertion of intrauterine contraceptive device"
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|
} ],
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|
"text": "Insertion of intrauterine contraceptive device"
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|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-03T02:48:00+02:00",
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|
"end": "2021-04-03T03:45:43+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "21",
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|
"display": "Inpatient Hospital"
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|
} ]
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|
},
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|
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|
"value": 7942.35,
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"currency": "USD"
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|
},
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|
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"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 1588.4700000000003,
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|
"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 6353.880000000001,
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"currency": "USD"
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}
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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|
"display": "Line Submitted Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
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|
"currency": "USD"
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}
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"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
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|
},
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|
"amount": {
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|
"value": 7942.35,
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|
"currency": "USD"
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}
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}, {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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|
"display": "Line Beneficiary Part B Deductible Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 0,
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|
"currency": "USD"
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}
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"display": "Social history"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "72166-2",
|
|
"display": "Tobacco smoking status"
|
|
} ],
|
|
"text": "Tobacco smoking status"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2d9eb285-3d6e-1757-b1c7-0e47718df169"
|
|
},
|
|
"effectiveDateTime": "2021-07-13T19:48:00+02:00",
|
|
"issued": "2021-07-13T19:48:00.993+02:00",
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "8517006",
|
|
"display": "Ex-smoker (finding)"
|
|
} ],
|
|
"text": "Ex-smoker (finding)"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e809ba75-c13b-0556-7f1a-aa974f83a311",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e809ba75-c13b-0556-7f1a-aa974f83a311",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93025-5",
|
|
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
|
|
} ],
|
|
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2d9eb285-3d6e-1757-b1c7-0e47718df169"
|
|
},
|
|
"effectiveDateTime": "2021-07-13T20:26:16+02:00",
|
|
"issued": "2021-07-13T20:26:16.993+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76501-6",
|
|
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
} ],
|
|
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
|
|
"text": "Do you feel physically and emotionally safe where you currently live?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA6568-5",
|
|
"display": "Not at all"
|
|
} ],
|
|
"text": "Not at all"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30130-1",
|
|
"display": "1 or 2 times a week"
|
|
} ],
|
|
"text": "1 or 2 times a week"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93030-5",
|
|
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
} ],
|
|
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30133-5",
|
|
"display": "Yes, it has kept me from medical appointments or from getting my medications"
|
|
} ],
|
|
"text": "Yes, it has kept me from medical appointments or from getting my medications"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93031-3",
|
|
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
} ],
|
|
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30122-8",
|
|
"display": "I choose not to answer this question"
|
|
} ],
|
|
"text": "I choose not to answer this question"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63586-2",
|
|
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
} ],
|
|
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 71431,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA17956-6",
|
|
"display": "Unemployed"
|
|
} ],
|
|
"text": "Unemployed"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "173 Prohaska Meadow Unit 92"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 4,
|
|
"unit": "{#}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{#}"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "54899-0",
|
|
"display": "Preferred language"
|
|
} ],
|
|
"text": "Preferred language"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30188-9",
|
|
"display": "Language other than English"
|
|
} ],
|
|
"text": "Language other than English"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93034-7",
|
|
"display": "Have you been discharged from the armed forces of the United States?"
|
|
} ],
|
|
"text": "Have you been discharged from the armed forces of the United States?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93035-4",
|
|
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
} ],
|
|
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32624-9",
|
|
"display": "Race"
|
|
} ],
|
|
"text": "Race"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA4457-3",
|
|
"display": "White"
|
|
} ],
|
|
"text": "White"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56051-6",
|
|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
|
|
"text": "Do you consider yourself Hispanic/Latino?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9e5c8838-9b86-b3c5-3a6d-3fb1658c3427",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9e5c8838-9b86-b3c5-3a6d-3fb1658c3427",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "55758-7",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2d9eb285-3d6e-1757-b1c7-0e47718df169"
|
|
},
|
|
"effectiveDateTime": "2021-07-13T21:03:56+02:00",
|
|
"issued": "2021-07-13T21:03:56.993+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:ec29e2e1-4c0a-13e9-8663-94850cb74255",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "ec29e2e1-4c0a-13e9-8663-94850cb74255",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "430193006",
|
|
"display": "Medication Reconciliation (procedure)"
|
|
} ],
|
|
"text": "Medication Reconciliation (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:8ebd900a-3563-5008-1fa9-9614ef666647"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2d9eb285-3d6e-1757-b1c7-0e47718df169"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2021-07-13T19:48:00+02:00",
|
|
"end": "2021-07-13T20:03:00+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|9185a49f-22c1-3487-a9fb-b04f00a15861",
|
|
"display": "NORTH END COMMUNITY HEALTH COMMITTEE INC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:fa534cf1-15fb-926f-d42e-2827f466f673",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "fa534cf1-15fb-926f-d42e-2827f466f673",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
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"text": "Limited social contact (finding)"
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},
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} ],
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"display": "Line Processing Indicator Code"
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}
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} ]
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"code": "454711000124102",
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|
} ],
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},
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"code": "19",
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} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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"display": "Line Provider Payment Amount"
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} ]
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} ]
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"system": "http://loinc.org",
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"code": "55757-9",
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"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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} ],
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},
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} ]
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"display": "Line Provider Payment Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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},
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"display": "Line Processing Indicator Code"
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} ]
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"system": "http://terminology.hl7.org/CodeSystem/adjudication",
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"display": "Submitted Amount"
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} ],
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}
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"method": "POST",
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},
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|
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