67501 lines
2.2 MiB
67501 lines
2.2 MiB
{
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"resourceType": "Bundle",
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"type": "transaction",
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"entry": [ {
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"fullUrl": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84",
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"meta": {
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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: 4790784346362852822 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": "2186-5",
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"display": "Not Hispanic or Latino"
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}
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}, {
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"url": "text",
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"valueString": "Not 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": "Wan724 Jaskolski867"
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}, {
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"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
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"valueCode": "M"
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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": "Royalston",
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"state": "Massachusetts",
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"country": "US"
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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": 0.5667363282700755
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}, {
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"url": "http://synthetichealth.github.io/synthea/quality-adjusted-life-years",
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"valueDecimal": 34.433263671729925
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} ],
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"value": "0759e805-61d1-ba2b-8b14-9e4308784a84"
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"coding": [ {
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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": "0759e805-61d1-ba2b-8b14-9e4308784a84"
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"type": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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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": "999-28-6749"
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}, {
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"type": {
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"coding": [ {
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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": "S99914420"
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}, {
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"type": {
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"coding": [ {
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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": "X8922639X"
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} ],
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"name": [ {
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"use": "official",
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"family": "Lesch175",
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"given": [ "Murray856", "Garfield38" ],
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"prefix": [ "Mr." ]
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} ],
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"telecom": [ {
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"system": "phone",
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"value": "555-329-3520",
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"use": "home"
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} ],
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"gender": "male",
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"birthDate": "1987-09-24",
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"address": [ {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/geolocation",
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"extension": [ {
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"url": "latitude",
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"valueDecimal": 42.59846038944856
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}, {
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"url": "longitude",
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"valueDecimal": -71.34152909371126
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} ]
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} ],
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"line": [ "287 Treutel Neck" ],
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"city": "Chelmsford",
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"state": "MA",
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"postalCode": "00000",
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"country": "US"
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} ],
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"maritalStatus": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
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"code": "M",
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"display": "Married"
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} ],
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"text": "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": "en-US",
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"display": "English (United States)"
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} ],
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"text": "English (United States)"
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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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"url": "Patient"
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"fullUrl": "urn:uuid:ecf5f7fe-6da5-135c-62f2-478efe3f0630",
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"resource": {
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"status": "finished",
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"code": "AMB"
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"system": "http://snomed.info/sct",
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"code": "162673000",
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"display": "General examination of patient (procedure)"
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} ],
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"text": "General examination of patient (procedure)"
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} ],
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84",
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"display": "Mr. Murray856 Garfield38 Lesch175"
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},
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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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} ],
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"period": {
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"start": "2005-11-17T17:15:30+01:00",
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"end": "2005-11-17T18:05:10+01:00"
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},
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"individual": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491",
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"display": "CHELMSFORD PRIMARY CARE LLC"
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}
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"code": "105531004",
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}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8480-6",
|
|
"display": "Systolic Blood Pressure"
|
|
} ],
|
|
"text": "Systolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 110,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6163e744-5cde-0a93-6f53-fe177b270cfb",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "6163e744-5cde-0a93-6f53-fe177b270cfb",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:35039fc8-332d-9815-3b94-aec207f33b47"
|
|
},
|
|
"effectiveDateTime": "2014-02-13T17:15:30+01:00",
|
|
"issued": "2014-02-13T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 66,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5c1017e1-0ccd-b5fd-0222-1e7eb5f53c1b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "5c1017e1-0ccd-b5fd-0222-1e7eb5f53c1b",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:35039fc8-332d-9815-3b94-aec207f33b47"
|
|
},
|
|
"effectiveDateTime": "2014-02-13T17:15:30+01:00",
|
|
"issued": "2014-02-13T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 14,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e5f40230-457d-d068-938f-b142fc03779e",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e5f40230-457d-d068-938f-b142fc03779e",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:35039fc8-332d-9815-3b94-aec207f33b47"
|
|
},
|
|
"effectiveDateTime": "2014-02-13T17:15:30+01:00",
|
|
"issued": "2014-02-13T17:15:30.236+01:00",
|
|
"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:96b63773-69bf-4b6f-caaa-c0d6ed30c19a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "96b63773-69bf-4b6f-caaa-c0d6ed30c19a",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:35039fc8-332d-9815-3b94-aec207f33b47"
|
|
},
|
|
"effectiveDateTime": "2014-02-13T18:10:17+01:00",
|
|
"issued": "2014-02-13T18:10:17.236+01:00",
|
|
"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": "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)?"
|
|
},
|
|
"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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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"
|
|
} ],
|
|
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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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|
} ],
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|
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} ]
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"code": "713106006",
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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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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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} ],
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"system": "http://snomed.info/sct",
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},
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"individual": {
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"system": "http://snomed.info/sct",
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"location": {
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"display": "EMERSON HOSPITAL"
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} ],
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"serviceProvider": {
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"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|06cc2462-430f-3322-9c87-7e971125f510",
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"display": "EMERSON HOSPITAL"
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"method": "POST",
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"url": "Encounter"
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"coding": [ {
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"system": "http://loinc.org",
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"code": "65750-2",
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|
"display": "Drugs of abuse 5 panel - Urine by Screen method"
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|
} ],
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"text": "Drugs of abuse 5 panel - Urine by Screen method"
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|
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|
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},
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"code": "survey",
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"display": "Survey"
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|
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|
} ],
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"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "91148-7",
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|
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|
} ],
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|
},
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|
"system": "http://loinc.org",
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|
"code": "91146-1",
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|
"display": "What number best describes how pain has interfered with your general activity during the past week"
|
|
} ],
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|
"text": "What number best describes how pain has interfered with your general activity during the past week"
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|
},
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|
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|
"value": 6.451,
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|
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|
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"code": {
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|
"system": "http://loinc.org",
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|
"code": "91145-3",
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|
"display": "What number best describes how pain has interfered with your enjoyment of life during the past week"
|
|
} ],
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|
"text": "What number best describes how pain has interfered with your enjoyment of life during the past week"
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},
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|
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|
"system": "http://loinc.org",
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"code": "75893-8",
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|
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|
} ],
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"text": "Pain severity in the past week - 0-10 numeric rating [Reported]"
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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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"value": 28.655,
|
|
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|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "pg"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
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}, {
|
|
"fullUrl": "urn:uuid:346ee6c2-d4e8-8854-2efb-c0a42c903c12",
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|
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|
|
"id": "346ee6c2-d4e8-8854-2efb-c0a42c903c12",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
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|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "786-4",
|
|
"display": "MCHC [Mass/volume] by Automated count"
|
|
} ],
|
|
"text": "MCHC [Mass/volume] by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
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|
|
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|
|
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|
|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 33.17,
|
|
"unit": "g/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "g/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:4fd5c897-68ea-3cbc-d050-9bdd07cbd219",
|
|
"resource": {
|
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"resourceType": "Observation",
|
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"id": "4fd5c897-68ea-3cbc-d050-9bdd07cbd219",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
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|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "21000-5",
|
|
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
|
|
} ],
|
|
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
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},
|
|
"encounter": {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
|
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},
|
|
"effectiveDateTime": "2015-02-19T17:15:30+01:00",
|
|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 42.304,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1e15ab2b-669f-d822-2ab8-a5ce55b50820",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "1e15ab2b-669f-d822-2ab8-a5ce55b50820",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "777-3",
|
|
"display": "Platelets [#/volume] in Blood by Automated count"
|
|
} ],
|
|
"text": "Platelets [#/volume] in Blood by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
|
|
},
|
|
"effectiveDateTime": "2015-02-19T17:15:30+01:00",
|
|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 380.3,
|
|
"unit": "10*3/uL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "10*3/uL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:15439f01-c5ed-c40a-fad9-d216921a3bd9",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "15439f01-c5ed-c40a-fad9-d216921a3bd9",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32207-3",
|
|
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
|
|
} ],
|
|
"text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
|
|
},
|
|
"effectiveDateTime": "2015-02-19T17:15:30+01:00",
|
|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 486.53,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:0df2f064-5e44-7672-190d-c08c7a38f3eb",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "0df2f064-5e44-7672-190d-c08c7a38f3eb",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "32623-1",
|
|
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
|
|
} ],
|
|
"text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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},
|
|
"effectiveDateTime": "2015-02-19T17:15:30+01:00",
|
|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 12.268,
|
|
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|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:82d571b6-e2eb-c3fb-137a-6275614625f0",
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|
"resourceType": "Observation",
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"id": "82d571b6-e2eb-c3fb-137a-6275614625f0",
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|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"effectiveDateTime": "2015-02-19T17:15:30+01:00",
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|
"issued": "2015-02-19T17:15:30.236+01:00",
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "8517006",
|
|
"display": "Ex-smoker (finding)"
|
|
} ],
|
|
"text": "Ex-smoker (finding)"
|
|
}
|
|
},
|
|
"request": {
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|
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|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:33380ca1-b461-e538-aea3-754506f7433d",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "33380ca1-b461-e538-aea3-754506f7433d",
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"meta": {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
|
|
},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "survey",
|
|
"display": "Survey"
|
|
} ]
|
|
} ],
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|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
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},
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|
"effectiveDateTime": "2015-02-19T18:02:09+01:00",
|
|
"issued": "2015-02-19T18:02:09.236+01:00",
|
|
"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?"
|
|
},
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|
"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?"
|
|
},
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|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
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|
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|
"coding": [ {
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"code": "LA32-8",
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"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
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|
}, {
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|
"code": {
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|
"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?"
|
|
},
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|
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|
"coding": [ {
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|
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|
"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"
|
|
},
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|
"valueCodeableConcept": {
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|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA13863-8",
|
|
"display": "A little bit"
|
|
} ],
|
|
"text": "A little bit"
|
|
}
|
|
}, {
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|
"code": {
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|
"coding": [ {
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|
"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": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA30132-7",
|
|
"display": "5 or more times a week"
|
|
} ],
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|
"text": "5 or more times a week"
|
|
}
|
|
}, {
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"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"
|
|
},
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|
"valueCodeableConcept": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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?"
|
|
},
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|
"valueCodeableConcept": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA30124-4",
|
|
"display": "Utilities"
|
|
} ],
|
|
"text": "Utilities"
|
|
}
|
|
}, {
|
|
"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": {
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|
"value": 55950,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
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|
"code": "/a"
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|
}
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|
}, {
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|
"code": {
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|
"coding": [ {
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|
"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": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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"
|
|
}
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|
}, {
|
|
"fullUrl": "urn:uuid:04f008fa-23e0-1a3f-b4e0-412fe274fe59",
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"resource": {
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|
"resourceType": "Observation",
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"id": "04f008fa-23e0-1a3f-b4e0-412fe274fe59",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "survey",
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|
"display": "Survey"
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|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "82667-7",
|
|
"display": "Total score [DAST-10]"
|
|
} ],
|
|
"text": "Total score [DAST-10]"
|
|
},
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|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"encounter": {
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"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
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|
},
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|
"effectiveDateTime": "2015-02-19T18:45:40+01:00",
|
|
"issued": "2015-02-19T18:45:40.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
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|
"url": "Observation"
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|
}
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|
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|
"fullUrl": "urn:uuid:6c0af8b6-c5cf-01fa-45cb-a65c5570b348",
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"resource": {
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|
"resourceType": "Procedure",
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"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
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|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
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|
} ],
|
|
"text": "Assessment of health and social care needs (procedure)"
|
|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
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|
},
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|
"performedPeriod": {
|
|
"start": "2015-02-19T17:15:30+01:00",
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|
"end": "2015-02-19T18:02:09+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
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|
"display": "CHELMSFORD PRIMARY CARE LLC"
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|
}
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|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:3d99a471-04d8-4e35-fb37-c7c3de74fdde",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "3d99a471-04d8-4e35-fb37-c7c3de74fdde",
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|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "428211000124100",
|
|
"display": "Assessment of substance use (procedure)"
|
|
} ],
|
|
"text": "Assessment of substance use (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2015-02-19T18:02:09+01:00",
|
|
"end": "2015-02-19T18:17:05+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d30b4127-cc14-59a0-258d-be576a17c334",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "d30b4127-cc14-59a0-258d-be576a17c334",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "713106006",
|
|
"display": "Screening for drug abuse (procedure)"
|
|
} ],
|
|
"text": "Screening for drug abuse (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
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|
},
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|
"performedPeriod": {
|
|
"start": "2015-02-19T18:17:05+01:00",
|
|
"end": "2015-02-19T18:45:40+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:b726a886-e255-f6b1-2e59-8d815ffc6101",
|
|
"resource": {
|
|
"resourceType": "MedicationRequest",
|
|
"id": "b726a886-e255-f6b1-2e59-8d815ffc6101",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
|
|
},
|
|
"status": "stopped",
|
|
"intent": "order",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
|
|
"code": "community",
|
|
"display": "Community"
|
|
} ],
|
|
"text": "Community"
|
|
} ],
|
|
"medicationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
|
|
"code": "1049625",
|
|
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
|
|
} ],
|
|
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
|
|
},
|
|
"authoredOn": "2015-02-19T17:15:30+01:00",
|
|
"requester": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491",
|
|
"display": "Dr. Alvin56 Hayes766"
|
|
},
|
|
"dosageInstruction": [ {
|
|
"sequence": 1,
|
|
"text": "Every six hours (qualifier value)",
|
|
"additionalInstruction": [ {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "307468000",
|
|
"display": "Every six hours (qualifier value)"
|
|
} ],
|
|
"text": "Every six hours (qualifier value)"
|
|
} ],
|
|
"timing": {
|
|
"repeat": {
|
|
"frequency": 4,
|
|
"period": 1.0,
|
|
"periodUnit": "d"
|
|
}
|
|
},
|
|
"asNeededBoolean": false,
|
|
"doseAndRate": [ {
|
|
"type": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
|
|
"code": "ordered",
|
|
"display": "Ordered"
|
|
} ]
|
|
},
|
|
"doseQuantity": {
|
|
"value": 1.0
|
|
}
|
|
} ]
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "MedicationRequest"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2a002c1d-3028-ba28-7df4-47e820105ed9",
|
|
"resource": {
|
|
"resourceType": "Claim",
|
|
"id": "2a002c1d-3028-ba28-7df4-47e820105ed9",
|
|
"status": "active",
|
|
"type": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
|
|
"code": "pharmacy"
|
|
} ]
|
|
},
|
|
"use": "claim",
|
|
"patient": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"billablePeriod": {
|
|
"start": "2015-02-19T17:15:30+01:00",
|
|
"end": "2015-02-19T18:02:09+01:00"
|
|
},
|
|
"created": "2015-02-19T18:02:09+01:00",
|
|
"provider": {
|
|
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7ac466c6-7968-33fd-882c-6d5418f88c8a",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
},
|
|
"priority": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
|
|
"code": "normal"
|
|
} ]
|
|
},
|
|
"prescription": {
|
|
"reference": "urn:uuid:b726a886-e255-f6b1-2e59-8d815ffc6101"
|
|
},
|
|
"insurance": [ {
|
|
"sequence": 1,
|
|
"focal": true,
|
|
"coverage": {
|
|
"display": "NO_INSURANCE"
|
|
}
|
|
} ],
|
|
"item": [ {
|
|
"sequence": 1,
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
|
|
"code": "1049625",
|
|
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
|
|
} ],
|
|
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
|
|
},
|
|
"encounter": [ {
|
|
"reference": "urn:uuid:d62aa78d-aacc-47cb-b89b-bac37f48767e"
|
|
} ]
|
|
} ],
|
|
"total": {
|
|
"value": 129.94,
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|
"currency": "USD"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Claim"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2dbd1e4c-ef4f-f1de-5847-8a465eb0dff2",
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|
"resource": {
|
|
"resourceType": "ExplanationOfBenefit",
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|
"id": "2dbd1e4c-ef4f-f1de-5847-8a465eb0dff2",
|
|
"contained": [ {
|
|
"resourceType": "ServiceRequest",
|
|
"id": "referral",
|
|
"status": "completed",
|
|
"intent": "order",
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
|
|
"requester": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
|
|
},
|
|
"performer": [ {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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|
} ]
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|
}, {
|
|
"resourceType": "Coverage",
|
|
"id": "coverage",
|
|
"status": "active",
|
|
"type": {
|
|
"text": "NO_INSURANCE"
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},
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|
} ],
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
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|
},
|
|
"amount": {
|
|
"value": 14.916,
|
|
"currency": "USD"
|
|
}
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|
}, {
|
|
"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"
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|
}
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|
}, {
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|
"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"
|
|
} ]
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|
},
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|
"amount": {
|
|
"value": 74.58,
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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_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
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|
},
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|
"amount": {
|
|
"value": 74.58,
|
|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"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"
|
|
} ]
|
|
},
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|
"amount": {
|
|
"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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|
"total": [ {
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|
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"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
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|
"code": "submitted",
|
|
"display": "Submitted Amount"
|
|
} ],
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|
"text": "Submitted Amount"
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|
},
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|
"amount": {
|
|
"value": 778.78,
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|
"currency": "USD"
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|
}
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|
} ],
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|
"payment": {
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|
"amount": {
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|
"value": 1263.488,
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|
"currency": "USD"
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|
}
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|
}
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|
},
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|
"request": {
|
|
"method": "POST",
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|
"url": "ExplanationOfBenefit"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f",
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"resource": {
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"resourceType": "Encounter",
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"id": "25b19df7-3e7c-d61e-aff5-21585f26863f",
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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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|
"system": "https://github.com/synthetichealth/synthea",
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|
"value": "25b19df7-3e7c-d61e-aff5-21585f26863f"
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} ],
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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"
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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": "162673000",
|
|
"display": "General examination of patient (procedure)"
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|
} ],
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|
"text": "General examination of patient (procedure)"
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|
} ],
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84",
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|
"display": "Mr. Murray856 Garfield38 Lesch175"
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|
},
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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",
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|
"display": "primary performer"
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|
} ],
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|
"text": "primary performer"
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|
} ],
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|
"period": {
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|
"start": "2016-02-25T17:15:30+01:00",
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|
"end": "2016-02-25T17:55:07+01:00"
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|
},
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|
"individual": {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491",
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|
"display": "Dr. Alvin56 Hayes766"
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|
}
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|
} ],
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|
"period": {
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|
"start": "2016-02-25T17:15:30+01:00",
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|
"end": "2016-02-25T17:55:07+01:00"
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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|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
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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|7ac466c6-7968-33fd-882c-6d5418f88c8a",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
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|
}
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|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "Encounter"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:799e6738-5cdb-0458-f789-6123a6bf2358",
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|
"resource": {
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|
"resourceType": "Condition",
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|
"id": "799e6738-5cdb-0458-f789-6123a6bf2358",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
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|
},
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|
"clinicalStatus": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
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|
"code": "resolved"
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|
} ]
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|
},
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|
"verificationStatus": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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|
"code": "confirmed"
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|
} ]
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|
},
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
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|
"code": "encounter-diagnosis",
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|
"display": "Encounter Diagnosis"
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "160904001",
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|
"display": "Part-time employment (finding)"
|
|
} ],
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|
"text": "Part-time employment (finding)"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
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|
},
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|
"onsetDateTime": "2016-02-25T17:55:07+01:00",
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|
"abatementDateTime": "2017-03-02T17:49:47+01:00",
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|
"recordedDate": "2016-02-25T17:55:07+01:00"
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Condition"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:3571d926-35fd-d827-a3a2-b1de3ab8c2b0",
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"resource": {
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"resourceType": "Observation",
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|
"id": "3571d926-35fd-d827-a3a2-b1de3ab8c2b0",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
|
|
},
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|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
|
|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "8302-2",
|
|
"display": "Body Height"
|
|
} ],
|
|
"text": "Body Height"
|
|
},
|
|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
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|
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|
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|
},
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|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
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|
"valueQuantity": {
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|
"value": 174.1,
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|
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|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
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|
"fullUrl": "urn:uuid:267c2e4a-b56b-5447-2bfe-bf4db1a71275",
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|
"resource": {
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|
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|
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|
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|
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
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|
"display": "Vital signs"
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"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"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
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|
},
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|
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|
"issued": "2016-02-25T17:15:30.236+01:00",
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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": {
|
|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:875fd198-fa6e-091c-7bc0-861f5a3f3beb",
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|
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|
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|
"id": "875fd198-fa6e-091c-7bc0-861f5a3f3beb",
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|
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
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|
},
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|
"status": "final",
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|
"category": [ {
|
|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
|
|
"text": "Body Weight"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
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|
},
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|
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|
"issued": "2016-02-25T17:15:30.236+01:00",
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|
"valueQuantity": {
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|
"value": 88,
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|
"unit": "kg",
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|
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|
"code": "kg"
|
|
}
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|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5a253f2f-1a7b-a19f-4983-6bbede0f0b25",
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|
"resource": {
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|
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|
"id": "5a253f2f-1a7b-a19f-4983-6bbede0f0b25",
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|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
|
|
},
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|
"status": "final",
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|
"category": [ {
|
|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
|
|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Ratio]"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
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|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
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|
},
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|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 29.03,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f2df27db-0f22-c0b7-4512-dfb0281f02d3",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f2df27db-0f22-c0b7-4512-dfb0281f02d3",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
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|
"encounter": {
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|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
|
|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 75,
|
|
"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": 117,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2ce71ed1-f5b4-fb31-0791-96125beac8fc",
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|
"resource": {
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|
"resourceType": "Observation",
|
|
"id": "2ce71ed1-f5b4-fb31-0791-96125beac8fc",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
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|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 68,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f92d2053-9c02-2821-22f1-ed4737dd1332",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f92d2053-9c02-2821-22f1-ed4737dd1332",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
|
|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 15,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d6fdd58a-2255-b686-9a4f-d5d36c2be048",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d6fdd58a-2255-b686-9a4f-d5d36c2be048",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
|
|
"effectiveDateTime": "2016-02-25T17:15:30+01:00",
|
|
"issued": "2016-02-25T17:15:30.236+01:00",
|
|
"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:879b2554-87e9-0ea1-a5ae-e69418b416ab",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "879b2554-87e9-0ea1-a5ae-e69418b416ab",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
|
|
"effectiveDateTime": "2016-02-25T17:55:07+01:00",
|
|
"issued": "2016-02-25T17:55:07.236+01:00",
|
|
"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": "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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30138-4",
|
|
"display": "Part-time or temporary work"
|
|
} ],
|
|
"text": "Part-time or temporary work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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:9acec9af-815d-03d9-ab3b-2dac54f096b1",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9acec9af-815d-03d9-ab3b-2dac54f096b1",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:25b19df7-3e7c-d61e-aff5-21585f26863f"
|
|
},
|
|
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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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}
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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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},
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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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"display": "Off Campus-Outpatient Hospital"
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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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}
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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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},
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"code": "710824005",
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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_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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"value": 431.40,
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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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},
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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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"display": "Line Processing Indicator Code"
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}
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"code": "454711000124102",
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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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"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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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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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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"code": "1",
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"display": "Medical care"
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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": "55757-9",
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|
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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|
} ],
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|
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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|
},
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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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},
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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": 14.916,
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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": 59.664,
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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": "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": "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)?"
|
|
},
|
|
"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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": "LA30128-5",
|
|
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
} ],
|
|
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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:d83e1162-ae8c-885a-fc35-23f6ddf6ac09",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d83e1162-ae8c-885a-fc35-23f6ddf6ac09",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:404579ff-bc16-574f-e03c-dc8d3ac82f49"
|
|
},
|
|
"effectiveDateTime": "2017-03-02T18:17:31+01:00",
|
|
"issued": "2017-03-02T18:17:31.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:0c2dbe79-e84f-fe3a-1530-6d4040b4d037",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "0c2dbe79-e84f-fe3a-1530-6d4040b4d037",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:404579ff-bc16-574f-e03c-dc8d3ac82f49"
|
|
},
|
|
"effectiveDateTime": "2017-03-02T18:54:19+01:00",
|
|
"issued": "2017-03-02T18:54:19.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7be3d6ce-1d6d-a18d-18ad-4ee427e6fa2a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7be3d6ce-1d6d-a18d-18ad-4ee427e6fa2a",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:404579ff-bc16-574f-e03c-dc8d3ac82f49"
|
|
},
|
|
"effectiveDateTime": "2017-03-02T19:36:06+01:00",
|
|
"issued": "2017-03-02T19:36:06.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:be013d0e-b588-d32e-f84b-cec829354467",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "be013d0e-b588-d32e-f84b-cec829354467",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:404579ff-bc16-574f-e03c-dc8d3ac82f49"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2017-03-02T17:15:30+01:00",
|
|
"end": "2017-03-02T17:49:47+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f8db9b5c-dbb4-6985-be81-5f8c1e4587dc",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "f8db9b5c-dbb4-6985-be81-5f8c1e4587dc",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
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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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"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": "337414009",
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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 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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} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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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": "51990-0",
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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 Provider Payment Amount"
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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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"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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}
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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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|
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|
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|
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|
"code": "160903007",
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|
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|
} ],
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|
"text": "Full-time employment (finding)"
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|
},
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|
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|
"start": "2017-03-02T17:15:30+01:00",
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|
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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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|
"display": "Off Campus-Outpatient Hospital"
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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/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": "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": "2017-03-02T17:15:30+01:00",
|
|
"end": "2017-03-02T17:49:47+01:00"
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|
},
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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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|
}, {
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|
"sequence": 11,
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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": "710841007",
|
|
"display": "Assessment of anxiety (procedure)"
|
|
} ],
|
|
"text": "Assessment of anxiety (procedure)"
|
|
},
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|
"servicedPeriod": {
|
|
"start": "2017-03-02T17:15:30+01:00",
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|
"end": "2017-03-02T17:49:47+01:00"
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|
},
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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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|
"net": {
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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_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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|
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|
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|
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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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"code": "2069-3",
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|
|
} ],
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|
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|
"code": "20565-8",
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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": "2093-3",
|
|
"display": "Cholesterol [Mass/volume] in Serum or Plasma"
|
|
} ],
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|
"text": "Cholesterol [Mass/volume] in Serum or Plasma"
|
|
},
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|
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|
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|
"value": 154.79,
|
|
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|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
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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": "2571-8",
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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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|
"valueQuantity": {
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|
"value": 119.81,
|
|
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|
|
"system": "http://unitsofmeasure.org",
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|
"code": "mg/dL"
|
|
}
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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": "18262-6",
|
|
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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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|
"value": 76.47,
|
|
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|
|
"system": "http://unitsofmeasure.org",
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|
"code": "mg/dL"
|
|
}
|
|
},
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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": {
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|
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|
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|
"code": "2085-9",
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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": "72166-2",
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|
} ],
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},
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|
"system": "http://snomed.info/sct",
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|
"code": "8517006",
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|
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|
} ],
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|
"text": "Ex-smoker (finding)"
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|
}
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|
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} ],
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|
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"code": "93025-5",
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|
} ],
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"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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"code": "76501-6",
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|
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|
} ],
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"system": "http://loinc.org",
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"code": "LA32-8",
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|
} ],
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|
"text": "No"
|
|
}
|
|
}, {
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
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|
} ],
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|
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"code": "93027-1",
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|
} ],
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}, {
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"code": {
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|
} ],
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"text": "No"
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"code": {
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"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)?"
|
|
},
|
|
"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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": "LA30125-1",
|
|
"display": "Food"
|
|
} ],
|
|
"text": "Food"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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:b2d01746-a5c9-7206-dc7d-378d7db0457b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "b2d01746-a5c9-7206-dc7d-378d7db0457b",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"effectiveDateTime": "2018-03-08T18:15:09+01:00",
|
|
"issued": "2018-03-08T18:15:09.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 4,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:97dc94ac-83a1-2df8-27ba-7d8c81e79498",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "97dc94ac-83a1-2df8-27ba-7d8c81e79498",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"effectiveDateTime": "2018-03-08T18:43:33+01:00",
|
|
"issued": "2018-03-08T18:43:33.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d6b0f307-af18-d494-fb92-f75a81548802",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d6b0f307-af18-d494-fb92-f75a81548802",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"effectiveDateTime": "2018-03-08T19:27:08+01:00",
|
|
"issued": "2018-03-08T19:27:08.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e72ab75d-8b76-7285-704f-a48f337153be",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "e72ab75d-8b76-7285-704f-a48f337153be",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:b91a16b8-341d-f018-eb2a-45c77ce269b3",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "b91a16b8-341d-f018-eb2a-45c77ce269b3",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-03-08T17:50:06+01:00",
|
|
"end": "2018-03-08T18:15:09+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:20bb8f49-39ab-c282-d548-f263d7cc5485",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "20bb8f49-39ab-c282-d548-f263d7cc5485",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-03-08T18:15:09+01:00",
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"code": "professional"
|
|
} ]
|
|
},
|
|
"use": "claim",
|
|
"patient": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"billablePeriod": {
|
|
"start": "2018-03-08T17:50:06+01:00",
|
|
"end": "2019-03-08T17:50:06+01:00"
|
|
},
|
|
"created": "2018-03-08T17:50:06+01:00",
|
|
"insurer": {
|
|
"display": "NO_INSURANCE"
|
|
},
|
|
"provider": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
|
|
},
|
|
"referral": {
|
|
"reference": "#referral"
|
|
},
|
|
"facility": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
},
|
|
"claim": {
|
|
"reference": "urn:uuid:516aa582-406e-eb68-5de1-d83bdfe078d5"
|
|
},
|
|
"outcome": "complete",
|
|
"careTeam": [ {
|
|
"sequence": 1,
|
|
"provider": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
|
|
},
|
|
"role": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
|
|
"code": "primary",
|
|
"display": "Primary provider"
|
|
} ]
|
|
}
|
|
} ],
|
|
"diagnosis": [ {
|
|
"sequence": 1,
|
|
"diagnosisReference": {
|
|
"reference": "urn:uuid:f442da11-4ee2-ad8b-5ffd-338dcae832a4"
|
|
},
|
|
"type": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
|
|
"code": "principal"
|
|
} ]
|
|
} ]
|
|
} ],
|
|
"insurance": [ {
|
|
"focal": true,
|
|
"coverage": {
|
|
"reference": "#coverage",
|
|
"display": "NO_INSURANCE"
|
|
}
|
|
} ],
|
|
"item": [ {
|
|
"sequence": 1,
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "162673000",
|
|
"display": "General examination of patient (procedure)"
|
|
} ],
|
|
"text": "General examination of patient (procedure)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"encounter": [ {
|
|
"reference": "urn:uuid:7b01102b-7804-a9d4-e9e2-c1247e2051e2"
|
|
} ]
|
|
}, {
|
|
"sequence": 2,
|
|
"informationSequence": [ 1 ],
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/sid/cvx",
|
|
"code": "140",
|
|
"display": "Influenza, seasonal, injectable, preservative free"
|
|
} ],
|
|
"text": "Influenza, seasonal, injectable, preservative free"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"net": {
|
|
"value": 136.00,
|
|
"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": 27.200000000000003,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"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"
|
|
} ]
|
|
},
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|
"amount": {
|
|
"value": 108.80000000000001,
|
|
"currency": "USD"
|
|
}
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|
}, {
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|
"category": {
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|
"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"
|
|
} ]
|
|
},
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|
"amount": {
|
|
"value": 136.00,
|
|
"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": 136.00,
|
|
"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": 3,
|
|
"diagnosisSequence": [ 1 ],
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "59621000",
|
|
"display": "Essential hypertension (disorder)"
|
|
} ],
|
|
"text": "Essential hypertension (disorder)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
}
|
|
}, {
|
|
"sequence": 4,
|
|
"informationSequence": [ 2 ],
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "337388004",
|
|
"display": "Blood glucose testing strips (physical object)"
|
|
} ],
|
|
"text": "Blood glucose testing strips (physical object)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"net": {
|
|
"value": 6.80,
|
|
"currency": "USD"
|
|
},
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|
"adjudication": [ {
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|
"category": {
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|
"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": 1.36,
|
|
"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": 5.44,
|
|
"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": 6.80,
|
|
"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": 6.80,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"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": {
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|
"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": 5,
|
|
"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://snomed.info/sct",
|
|
"code": "337388004",
|
|
"display": "Blood glucose testing strips (physical object)"
|
|
} ],
|
|
"text": "Blood glucose testing strips (physical object)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"net": {
|
|
"value": 6.80,
|
|
"currency": "USD"
|
|
},
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|
"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": 1.36,
|
|
"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": 5.44,
|
|
"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": 6.80,
|
|
"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": 6.80,
|
|
"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": 6,
|
|
"informationSequence": [ 4 ],
|
|
"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": "51990-0",
|
|
"display": "Basic metabolic panel - Blood"
|
|
} ],
|
|
"text": "Basic metabolic panel - Blood"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2018-03-08T17:15:30+01:00",
|
|
"end": "2018-03-08T17:50:06+01:00"
|
|
},
|
|
"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": [ {
|
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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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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}
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} ]
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"system": "http://loinc.org",
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"code": "57698-3",
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"display": "Lipid panel with direct LDL - Serum or Plasma"
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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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},
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "866148006",
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|
"display": "Screening for domestic abuse (procedure)"
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|
} ],
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|
"text": "Screening for domestic abuse (procedure)"
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|
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"display": "Line Provider Payment Amount"
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} ]
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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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"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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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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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://loinc.org",
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"code": "76499-3",
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"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
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} ],
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},
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"start": "2018-03-08T17:15:30+01:00",
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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/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"value": 14.916,
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|
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|
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|
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|
"method": "POST",
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"system": "http://snomed.info/sct",
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|
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|
} ],
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84",
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},
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"individual": {
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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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|
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"display": "EMERSON HOSPITAL"
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} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "38483-4",
|
|
"display": "Creatinine [Mass/volume] in Blood"
|
|
} ],
|
|
"text": "Creatinine [Mass/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 1.33,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:a5711259-19f0-9ad3-93fb-1eb0256e5dd6",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "a5711259-19f0-9ad3-93fb-1eb0256e5dd6",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "49765-1",
|
|
"display": "Calcium [Mass/volume] in Blood"
|
|
} ],
|
|
"text": "Calcium [Mass/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 8.94,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:af0e8903-28d2-e2ff-cab9-0ca99fdb0968",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "af0e8903-28d2-e2ff-cab9-0ca99fdb0968",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2947-0",
|
|
"display": "Sodium [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Sodium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 139.2,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:db0bd959-fb14-83d4-3798-12853383e46e",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "db0bd959-fb14-83d4-3798-12853383e46e",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "6298-4",
|
|
"display": "Potassium [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Potassium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 3.9,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5554a02d-71e1-0f17-d045-24559464ea36",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "5554a02d-71e1-0f17-d045-24559464ea36",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2069-3",
|
|
"display": "Chloride [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Chloride [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 106.26,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:a727408c-437b-3968-9237-090aff8bf27f",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "a727408c-437b-3968-9237-090aff8bf27f",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "20565-8",
|
|
"display": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 27.45,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:61aa584d-70d3-ddf5-55ad-5bb4fcafa660",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "61aa584d-70d3-ddf5-55ad-5bb4fcafa660",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:15:30+02:00",
|
|
"issued": "2018-05-17T18:15:30.236+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:2ae41665-b6d6-b3a5-26d3-0002f8eee435",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "2ae41665-b6d6-b3a5-26d3-0002f8eee435",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
|
|
},
|
|
"effectiveDateTime": "2018-05-17T18:48:10+02:00",
|
|
"issued": "2018-05-17T18:48:10.236+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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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",
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|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
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|
}, {
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|
"fullUrl": "urn:uuid:33a1702f-abe6-4dd5-263f-64656c391258",
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"resource": {
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"resourceType": "Observation",
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"id": "33a1702f-abe6-4dd5-263f-64656c391258",
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"meta": {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
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"status": "final",
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"category": [ {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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"code": "survey",
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|
"display": "Survey"
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|
} ]
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|
} ],
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|
"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]"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"encounter": {
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"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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},
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|
"effectiveDateTime": "2018-05-17T19:09:06+02:00",
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"issued": "2018-05-17T19:09:06.236+02:00",
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|
"valueQuantity": {
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|
"value": 2,
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|
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|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
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|
"request": {
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|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:99d5a8a4-260b-3a0d-d222-2571c332c595",
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"resource": {
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"resourceType": "Observation",
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"id": "99d5a8a4-260b-3a0d-d222-2571c332c595",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "survey",
|
|
"display": "Survey"
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|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82667-7",
|
|
"display": "Total score [DAST-10]"
|
|
} ],
|
|
"text": "Total score [DAST-10]"
|
|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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},
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"effectiveDateTime": "2018-05-17T19:49:00+02:00",
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"valueQuantity": {
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"value": 0,
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|
"unit": "{score}",
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|
"system": "http://unitsofmeasure.org",
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|
"code": "{score}"
|
|
}
|
|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Observation"
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|
}
|
|
}, {
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|
"fullUrl": "urn:uuid:77005040-462b-24bb-b56e-6aec5fbb45a1",
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"resource": {
|
|
"resourceType": "Procedure",
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|
"id": "77005040-462b-24bb-b56e-6aec5fbb45a1",
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|
"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": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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|
},
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|
"performedPeriod": {
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|
"start": "2018-05-17T18:15:30+02:00",
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|
"end": "2018-05-17T18:30:30+02:00"
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},
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"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|f3a27424-c1f9-344d-a732-ded5d43323ed",
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"display": "URGENT HELP CHELMSFORD PC"
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}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Procedure"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:9c372c35-48c0-c20e-232b-fb8d26b75c0a",
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"resource": {
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|
"resourceType": "Procedure",
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|
"id": "9c372c35-48c0-c20e-232b-fb8d26b75c0a",
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"meta": {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"status": "completed",
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|
"code": {
|
|
"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
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|
"display": "Assessment of health and social care needs (procedure)"
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|
} ],
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|
"text": "Assessment of health and social care needs (procedure)"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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|
},
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|
"performedPeriod": {
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|
"start": "2018-05-17T18:15:30+02:00",
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|
"end": "2018-05-17T18:48:10+02:00"
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|
},
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|f3a27424-c1f9-344d-a732-ded5d43323ed",
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|
"display": "URGENT HELP CHELMSFORD PC"
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|
}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Procedure"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:97b2e564-6128-4153-4eb5-3975a6c5af95",
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|
"resource": {
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|
"resourceType": "Procedure",
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|
"id": "97b2e564-6128-4153-4eb5-3975a6c5af95",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"status": "completed",
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|
"code": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "710841007",
|
|
"display": "Assessment of anxiety (procedure)"
|
|
} ],
|
|
"text": "Assessment of anxiety (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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|
},
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|
"performedPeriod": {
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|
"start": "2018-05-17T18:48:10+02:00",
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|
"end": "2018-05-17T19:09:06+02:00"
|
|
},
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|f3a27424-c1f9-344d-a732-ded5d43323ed",
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|
"display": "URGENT HELP CHELMSFORD PC"
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|
}
|
|
},
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|
"request": {
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|
"method": "POST",
|
|
"url": "Procedure"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6bee6a68-9989-0011-ad60-67e93e7a1ffb",
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|
"resource": {
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|
"resourceType": "Procedure",
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|
"id": "6bee6a68-9989-0011-ad60-67e93e7a1ffb",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"status": "completed",
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|
"code": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "428211000124100",
|
|
"display": "Assessment of substance use (procedure)"
|
|
} ],
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|
"text": "Assessment of substance use (procedure)"
|
|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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|
},
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|
"performedPeriod": {
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|
"start": "2018-05-17T19:09:06+02:00",
|
|
"end": "2018-05-17T19:21:46+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|f3a27424-c1f9-344d-a732-ded5d43323ed",
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|
"display": "URGENT HELP CHELMSFORD PC"
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|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1184c8d9-b5d3-9921-67ca-77d58415dca8",
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|
"resource": {
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|
"resourceType": "Procedure",
|
|
"id": "1184c8d9-b5d3-9921-67ca-77d58415dca8",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
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|
"code": "713106006",
|
|
"display": "Screening for drug abuse (procedure)"
|
|
} ],
|
|
"text": "Screening for drug abuse (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:5165191d-c028-dabb-7b8f-f3e35663db26"
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|
},
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|
"performedPeriod": {
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|
"start": "2018-05-17T19:21:46+02:00",
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|
"end": "2018-05-17T19:49:00+02:00"
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|
},
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|f3a27424-c1f9-344d-a732-ded5d43323ed",
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|
"display": "URGENT HELP CHELMSFORD PC"
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|
}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Procedure"
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|
}
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|
}, {
|
|
"fullUrl": "urn:uuid:3c553657-6708-be71-6506-cfcbab7c7560",
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|
"resource": {
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|
"resourceType": "SupplyDelivery",
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|
"id": "3c553657-6708-be71-6506-cfcbab7c7560",
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|
"status": "completed",
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|
"patient": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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|
"type": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/supply-item-type",
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|
"code": "device",
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|
"display": "Device"
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|
} ]
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|
},
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|
"suppliedItem": {
|
|
"quantity": {
|
|
"value": 50
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|
},
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|
"itemCodeableConcept": {
|
|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "337388004",
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|
"display": "Blood glucose testing strips (physical object)"
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|
} ],
|
|
"text": "Blood glucose testing strips (physical object)"
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}
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} ],
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"system": "http://snomed.info/sct",
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"code": "430193006",
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}
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "337388004",
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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": "http://loinc.org",
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"code": "51990-0",
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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": "http://loinc.org",
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"code": "69737-5",
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} ],
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"code": "428211000124100",
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} ],
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"system": "http://loinc.org",
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"code": "82666-9",
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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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"resourceType": "Coverage",
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},
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"display": "NO_INSURANCE"
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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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"code": "professional"
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},
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"reference": "#referral"
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"code": "principal"
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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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|
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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": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"display": "Line Beneficiary Coinsurance Amount"
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|
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"display": "Line Provider Payment Amount"
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} ],
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"display": "Line Processing Indicator Code"
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"code": "430193006",
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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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|
"text": "Chronic sinusitis (disorder)"
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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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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device" ]
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|
},
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|
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|
"deviceIdentifier": "35882145861505",
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|
"carrierHRF": "(01)35882145861505(11)180514(17)430529(10)678653505033274349(21)598072288762804"
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|
} ],
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"status": "active",
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|
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|
"manufactureDate": "2018-05-14T20:15:30+02:00",
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|
"expirationDate": "2043-05-29T20:15:30+02:00",
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|
"lotNumber": "678653505033274349",
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|
"serialNumber": "598072288762804",
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|
"deviceName": [ {
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|
"name": "Home nebulizer (physical object)",
|
|
"type": "user-friendly-name"
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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": "170615005",
|
|
"display": "Home nebulizer (physical object)"
|
|
} ],
|
|
"text": "Home nebulizer (physical object)"
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|
},
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|
"patient": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Device"
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|
}
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|
}, {
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"code": "40055000",
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|
"display": "Chronic sinusitis (disorder)"
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} ],
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"text": "Chronic sinusitis (disorder)"
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},
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"servicedPeriod": {
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"start": "2018-06-04T20:15:30+02:00",
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"end": "2018-06-04T20:30:30+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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"sequence": 3,
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"informationSequence": [ 1 ],
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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",
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"code": "170615005",
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"display": "Home nebulizer (physical object)"
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} ],
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"text": "Home nebulizer (physical object)"
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},
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"servicedPeriod": {
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"start": "2018-06-04T20:15:30+02:00",
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"end": "2018-06-04T20:30:30+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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"net": {
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"value": 7.38,
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"currency": "USD"
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},
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"adjudication": [ {
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"category": {
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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": 1.476,
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"currency": "USD"
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}
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}, {
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} ]
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},
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"amount": {
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"value": 5.904,
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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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"amount": {
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"value": 7.38,
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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_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": 7.38,
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"currency": "USD"
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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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"text": "Submitted Amount"
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},
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"amount": {
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"value": 92.93,
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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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"fullUrl": "urn:uuid:5c7cfa27-c15a-cd94-4ec3-034e4daed6bc",
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},
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"use": "official",
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"value": "5c7cfa27-c15a-cd94-4ec3-034e4daed6bc"
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} ],
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"status": "finished",
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"code": "AMB"
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"code": "185345009",
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"display": "NO_INSURANCE"
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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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"reference": "urn:uuid:a7e76f40-e09b-25db-62ff-4f65d12ae43a"
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"code": "principal"
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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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"resourceType": "Observation",
|
|
"id": "a1c35701-fb61-ebce-795f-d79d13206ec0",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "49765-1",
|
|
"display": "Calcium [Mass/volume] in Blood"
|
|
} ],
|
|
"text": "Calcium [Mass/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 9.04,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f5c46931-aad5-ff92-3d14-539330ec4d20",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f5c46931-aad5-ff92-3d14-539330ec4d20",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2947-0",
|
|
"display": "Sodium [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Sodium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 143.99,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:43526ca6-08d1-0ecd-7f13-1fd8037c5271",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "43526ca6-08d1-0ecd-7f13-1fd8037c5271",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "6298-4",
|
|
"display": "Potassium [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Potassium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 3.7,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:4fb7e6bf-3e0d-9bd1-4b56-42854e54a298",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "4fb7e6bf-3e0d-9bd1-4b56-42854e54a298",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2069-3",
|
|
"display": "Chloride [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Chloride [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 105.44,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6fdde4c7-1a8e-c9e7-56e4-880ec96504f9",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "6fdde4c7-1a8e-c9e7-56e4-880ec96504f9",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "20565-8",
|
|
"display": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 22.57,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5fe763bf-b19c-d04b-01a8-18826818e654",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "5fe763bf-b19c-d04b-01a8-18826818e654",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:15:30+01:00",
|
|
"issued": "2019-03-14T17:15:30.236+01:00",
|
|
"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:73349095-3123-3318-b2b7-296d67573d8f",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "73349095-3123-3318-b2b7-296d67573d8f",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T17:50:25+01:00",
|
|
"issued": "2019-03-14T17:50:25.236+01:00",
|
|
"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": "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": "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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": "LA30128-5",
|
|
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
} ],
|
|
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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:6d73d9ee-ad17-d67a-214f-f709d2d905a4",
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"resource": {
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|
"resourceType": "Observation",
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|
"id": "6d73d9ee-ad17-d67a-214f-f709d2d905a4",
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|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"effectiveDateTime": "2019-03-14T18:32:42+01:00",
|
|
"issued": "2019-03-14T18:32:42.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6504e999-96ca-975c-9d8e-aa06de5d87e6",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "6504e999-96ca-975c-9d8e-aa06de5d87e6",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
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|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
|
|
"effectiveDateTime": "2019-03-14T19:09:40+01:00",
|
|
"issued": "2019-03-14T19:09:40.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e8c46bb9-7c06-be12-c19d-3d4c8368bcc8",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e8c46bb9-7c06-be12-c19d-3d4c8368bcc8",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
|
|
"effectiveDateTime": "2019-03-14T19:50:00+01:00",
|
|
"issued": "2019-03-14T19:50:00.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:12728529-a027-51b0-c2bc-4311179c3784",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "12728529-a027-51b0-c2bc-4311179c3784",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2019-03-14T17:15:30+01:00",
|
|
"end": "2019-03-14T17:30:30+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e4e95fdb-ce58-d97e-ef1c-8d449fc350bd",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "e4e95fdb-ce58-d97e-ef1c-8d449fc350bd",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2019-03-14T17:15:30+01:00",
|
|
"end": "2019-03-14T17:50:25+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:b00ebd8d-ff38-be89-24e3-c265ccbf0fc2",
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|
"resource": {
|
|
"resourceType": "Procedure",
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|
"id": "b00ebd8d-ff38-be89-24e3-c265ccbf0fc2",
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|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2019-03-14T17:50:25+01:00",
|
|
"end": "2019-03-14T18:32:42+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:3d6b78fa-e735-b7d1-bb53-9f0772da1f01",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "3d6b78fa-e735-b7d1-bb53-9f0772da1f01",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
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|
"performedPeriod": {
|
|
"start": "2019-03-14T18:32:42+01:00",
|
|
"end": "2019-03-14T18:43:33+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
|
|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2a7427f4-bbb8-0dd0-133d-61d1134dac03",
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|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "2a7427f4-bbb8-0dd0-133d-61d1134dac03",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2019-03-14T18:43:33+01:00",
|
|
"end": "2019-03-14T19:09:40+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
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|
"display": "CHELMSFORD PRIMARY CARE LLC"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:12781d92-0d5b-fa92-f309-8e83f45bee5e",
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|
"resource": {
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|
"resourceType": "Procedure",
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|
"id": "12781d92-0d5b-fa92-f309-8e83f45bee5e",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
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}, {
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"fullUrl": "urn:uuid:40429be7-b1f5-83e7-c035-faa98e2cc62a",
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"resource": {
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"resourceType": "ExplanationOfBenefit",
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"id": "40429be7-b1f5-83e7-c035-faa98e2cc62a",
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"contained": [ {
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"resourceType": "ServiceRequest",
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"id": "referral",
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"status": "completed",
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"intent": "order",
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"subject": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"requester": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"performer": [ {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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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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},
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"beneficiary": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"payor": [ {
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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": "7d26ae9d-fb12-3be9-5388-5afbbd4b5888"
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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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"status": "active",
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"type": {
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"coding": [ {
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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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"use": "claim",
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"patient": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"start": "2019-03-14T17:50:25+01:00",
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"end": "2020-03-14T17:50:25+01:00"
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},
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"created": "2019-03-14T17:50:25+01:00",
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"insurer": {
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"display": "NO_INSURANCE"
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},
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"referral": {
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"reference": "#referral"
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},
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"facility": {
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"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
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"display": "CHELMSFORD PRIMARY CARE LLC"
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},
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"claim": {
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"reference": "urn:uuid:7d26ae9d-fb12-3be9-5388-5afbbd4b5888"
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},
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"outcome": "complete",
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"careTeam": [ {
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"sequence": 1,
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"role": {
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"coding": [ {
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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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"diagnosis": [ {
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"sequence": 1,
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"diagnosisReference": {
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"reference": "urn:uuid:db6175db-b452-58c3-eaf6-0d119de07d50"
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},
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"type": [ {
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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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"reference": "urn:uuid:aa03cf1d-ea75-63d8-882b-b6ed14d2525b"
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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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"item": [ {
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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": "162673000",
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"display": "General examination of patient (procedure)"
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} ],
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"text": "General examination of patient (procedure)"
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},
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"servicedPeriod": {
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|
"start": "2019-03-14T17:15:30+01:00",
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"end": "2019-03-14T17:50:25+01:00"
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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": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:3e023371-4077-7c02-0c19-23d5f89f3210"
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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://hl7.org/fhir/sid/cvx",
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"code": "113",
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"display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
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} ],
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"text": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
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},
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"servicedPeriod": {
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"start": "2019-03-14T17:15:30+01:00",
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"end": "2019-03-14T17:50:25+01:00"
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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": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"net": {
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"value": 136.00,
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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": 27.200000000000003,
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} ]
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},
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"amount": {
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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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"display": "Line Allowed Charge Amount"
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} ]
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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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"amount": {
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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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},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "314529007",
|
|
"display": "Medication review due (situation)"
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|
} ],
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"text": "Medication review due (situation)"
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},
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"servicedPeriod": {
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"start": "2019-03-14T17:15:30+01:00",
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"end": "2019-03-14T17:50:25+01:00"
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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": "19",
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"display": "Off Campus-Outpatient Hospital"
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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",
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|
"display": "Medication Reconciliation (procedure)"
|
|
} ],
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"text": "Medication Reconciliation (procedure)"
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|
},
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|
"servicedPeriod": {
|
|
"start": "2019-03-14T17:15:30+01:00",
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|
"end": "2019-03-14T17:50:25+01:00"
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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",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
},
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"net": {
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|
"value": 605.09,
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|
"currency": "USD"
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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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|
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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": 484.07200000000006,
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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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"amount": {
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"value": 605.09,
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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": 605.09,
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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_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": {
|
|
"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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|
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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": 5,
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|
"informationSequence": [ 2 ],
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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",
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|
"code": "337388004",
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|
"display": "Blood glucose testing strips (physical object)"
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|
} ],
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"text": "Blood glucose testing strips (physical object)"
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|
},
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|
"start": "2019-03-14T17:15:30+01:00",
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|
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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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|
"display": "Off Campus-Outpatient Hospital"
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|
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|
},
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|
"value": 6.80,
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|
"currency": "USD"
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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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|
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|
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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": 5.44,
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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_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": 6.80,
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|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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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": 6.80,
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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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|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"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": 6,
|
|
"informationSequence": [ 3 ],
|
|
"category": {
|
|
"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://snomed.info/sct",
|
|
"code": "1137596000",
|
|
"display": "Blood lancet (physical object)"
|
|
} ],
|
|
"text": "Blood lancet (physical object)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2019-03-14T17:15:30+01:00",
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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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"display": "Line Submitted Charge Amount"
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"display": "Line Allowed Charge 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_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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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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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",
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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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|
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
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},
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|
"servicedPeriod": {
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|
"start": "2019-03-14T17:15:30+01:00",
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"end": "2019-03-14T17:50:25+01:00"
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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": "19",
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"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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"net": {
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|
"value": 74.58,
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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_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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|
"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_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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}, {
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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": 74.58,
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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_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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}
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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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|
"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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"total": [ {
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"system": "http://terminology.hl7.org/CodeSystem/adjudication",
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"code": "submitted",
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|
"display": "Submitted Amount"
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|
} ],
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"text": "Submitted Amount"
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},
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"value": 1390.67,
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}
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} ],
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"payment": {
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"amount": {
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"value": 2907.688,
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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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}
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|
}, {
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"fullUrl": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de",
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
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},
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"use": "official",
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"system": "https://github.com/synthetichealth/synthea",
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"value": "453daa6d-b332-83be-fe0e-7643b2a5d1de"
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"code": "AMB"
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"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "162673000",
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|
"display": "General examination of patient (procedure)"
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|
} ],
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"text": "General examination of patient (procedure)"
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} ],
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84",
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"display": "Mr. Murray856 Garfield38 Lesch175"
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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",
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} ],
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"text": "primary performer"
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} ],
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"period": {
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|
"start": "2020-03-19T17:15:30+01:00",
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"end": "2020-03-19T18:07:25+01:00"
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|
},
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|
"individual": {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491",
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|
"display": "Dr. Alvin56 Hayes766"
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}
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} ],
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"period": {
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"end": "2020-03-19T18:07:25+01:00"
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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|3ea65cb7-a072-322c-94ca-6a659412c6c1",
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|
"display": "CHELMSFORD PRIMARY CARE LLC"
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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|7ac466c6-7968-33fd-882c-6d5418f88c8a",
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|
"display": "CHELMSFORD PRIMARY CARE LLC"
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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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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
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},
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"code": "confirmed"
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"code": {
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|
"coding": [ {
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|
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|
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|
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|
"text": "Medication review due (situation)"
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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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|
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|
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|
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|
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "4548-4",
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|
"display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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|
} ],
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|
"text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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},
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|
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"issued": "2020-03-19T17:15:30.236+01:00",
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"valueQuantity": {
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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": {
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|
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|
"system": "http://loinc.org",
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|
"code": "8302-2",
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|
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|
} ],
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"text": "Body Height"
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|
},
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|
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|
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|
"value": 174.1,
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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",
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|
"url": "Observation"
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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": {
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|
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|
"system": "http://loinc.org",
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|
"code": "72514-3",
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|
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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|
} ],
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|
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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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",
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|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:2af461b9-aba0-cf9b-22bd-b1c6e5ce4a43",
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|
"id": "2af461b9-aba0-cf9b-22bd-b1c6e5ce4a43",
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
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|
},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
|
|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
|
|
"text": "Body Weight"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
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|
},
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|
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|
"issued": "2020-03-19T17:15:30.236+01:00",
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|
"valueQuantity": {
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|
"value": 86.2,
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|
"unit": "kg",
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|
"system": "http://unitsofmeasure.org",
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|
"code": "kg"
|
|
}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:7907567b-7186-c598-3bc3-54df0403a4a4",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "7907567b-7186-c598-3bc3-54df0403a4a4",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
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|
},
|
|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
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|
} ]
|
|
} ],
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|
"code": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
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|
"text": "Body mass index (BMI) [Ratio]"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
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|
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|
"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
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|
},
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|
"effectiveDateTime": "2020-03-19T17:15:30+01:00",
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|
"issued": "2020-03-19T17:15:30.236+01:00",
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|
"valueQuantity": {
|
|
"value": 28.44,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:620b9f29-9cdc-cba5-2c22-98a9e2e7ab51",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "620b9f29-9cdc-cba5-2c22-98a9e2e7ab51",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
|
|
},
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|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
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|
"display": "Vital signs"
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|
} ]
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|
} ],
|
|
"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"
|
|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
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|
"encounter": {
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|
"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
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},
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"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
|
|
},
|
|
"effectiveDateTime": "2020-03-19T17:15:30+01:00",
|
|
"issued": "2020-03-19T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 10.585,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d15be174-5e9b-2323-80ac-ceceffe064ac",
|
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"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d15be174-5e9b-2323-80ac-ceceffe064ac",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"encounter": {
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"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
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},
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"effectiveDateTime": "2020-03-19T17:15:30+01:00",
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"issued": "2020-03-19T17:15:30.236+01:00",
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|
"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:1c3cfd70-3463-286a-13f3-ff8fc81d7d3f",
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"resource": {
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"resourceType": "Observation",
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"id": "1c3cfd70-3463-286a-13f3-ff8fc81d7d3f",
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"meta": {
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
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"status": "final",
|
|
"category": [ {
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|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"encounter": {
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"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
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},
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"effectiveDateTime": "2020-03-19T18:07:25+01:00",
|
|
"issued": "2020-03-19T18:07:25.236+01:00",
|
|
"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": "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": "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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": "LA30128-5",
|
|
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
} ],
|
|
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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:76da252f-7fb8-13d7-1061-a790554c409b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "76da252f-7fb8-13d7-1061-a790554c409b",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:453daa6d-b332-83be-fe0e-7643b2a5d1de"
|
|
},
|
|
"effectiveDateTime": "2020-03-19T18:27:45+01:00",
|
|
"issued": "2020-03-19T18:27:45.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 3,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:cd655edd-0bce-eb04-a1b6-e0100522da3d",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "cd655edd-0bce-eb04-a1b6-e0100522da3d",
|
|
"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",
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"start": "2020-03-19T17:15:30+01:00",
|
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"end": "2020-03-19T18:07:25+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
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}
|
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}, {
|
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"sequence": 4,
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"informationSequence": [ 2 ],
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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"
|
|
} ]
|
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},
|
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"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "337388004",
|
|
"display": "Blood glucose testing strips (physical object)"
|
|
} ],
|
|
"text": "Blood glucose testing strips (physical object)"
|
|
},
|
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"servicedPeriod": {
|
|
"start": "2020-03-19T17:15:30+01:00",
|
|
"end": "2020-03-19T18:07:25+01:00"
|
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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",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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},
|
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"net": {
|
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"value": 6.80,
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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_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": 1.36,
|
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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_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": 5.44,
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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_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": 6.80,
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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_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": 6.80,
|
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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_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,
|
|
"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",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
|
|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
}, {
|
|
"sequence": 5,
|
|
"informationSequence": [ 3 ],
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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"
|
|
} ]
|
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},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "51990-0",
|
|
"display": "Basic metabolic panel - Blood"
|
|
} ],
|
|
"text": "Basic metabolic panel - Blood"
|
|
},
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"servicedPeriod": {
|
|
"start": "2020-03-19T17:15:30+01:00",
|
|
"end": "2020-03-19T18:07:25+01:00"
|
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},
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"locationCodeableConcept": {
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"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
},
|
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"net": {
|
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"value": 74.58,
|
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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_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
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} ]
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},
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"amount": {
|
|
"value": 14.916,
|
|
"currency": "USD"
|
|
}
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|
}, {
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"category": {
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"coding": [ {
|
|
"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": {
|
|
"value": 59.664,
|
|
"currency": "USD"
|
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}
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|
}, {
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"category": {
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|
"coding": [ {
|
|
"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": 74.58,
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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_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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}
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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",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
|
|
}
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|
}, {
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"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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|
}, {
|
|
"sequence": 6,
|
|
"informationSequence": [ 4 ],
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|
"category": {
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|
"coding": [ {
|
|
"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": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "58410-2",
|
|
"display": "CBC panel - Blood by Automated count"
|
|
} ],
|
|
"text": "CBC panel - Blood by Automated count"
|
|
},
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|
"servicedPeriod": {
|
|
"start": "2020-03-19T17:15:30+01:00",
|
|
"end": "2020-03-19T18:07:25+01:00"
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|
},
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"locationCodeableConcept": {
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|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
},
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},
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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": 14.916,
|
|
"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",
|
|
"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,
|
|
"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": 74.58,
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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_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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}
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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",
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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,
|
|
"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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"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",
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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": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
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|
} ],
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|
"text": "Assessment of health and social care needs (procedure)"
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|
},
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"servicedPeriod": {
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|
"start": "2020-03-19T17:15:30+01:00",
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|
"end": "2020-03-19T18:07:25+01:00"
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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": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
},
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"net": {
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"value": 431.40,
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|
"currency": "USD"
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},
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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": 86.28,
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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": 345.12,
|
|
"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": 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_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",
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|
"display": "Line Beneficiary Part B Deductible Amount"
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|
} ]
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|
},
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|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
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|
}, {
|
|
"sequence": 8,
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
|
|
"code": "1",
|
|
"display": "Medical care"
|
|
} ]
|
|
},
|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "710841007",
|
|
"display": "Assessment of anxiety (procedure)"
|
|
} ],
|
|
"text": "Assessment of anxiety (procedure)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2020-03-19T17:15:30+01:00",
|
|
"end": "2020-03-19T18:07:25+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
},
|
|
"net": {
|
|
"value": 431.40,
|
|
"currency": "USD"
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|
},
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|
"adjudication": [ {
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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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|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 86.28,
|
|
"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",
|
|
"display": "Line Provider Payment Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 345.12,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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|
"display": "Line Submitted Charge Amount"
|
|
} ]
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|
},
|
|
"amount": {
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|
"value": 431.40,
|
|
"currency": "USD"
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|
}
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|
}, {
|
|
"category": {
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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": 431.40,
|
|
"currency": "USD"
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|
}
|
|
}, {
|
|
"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": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"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": 9,
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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",
|
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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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"start": "2020-03-19T17:15:30+01:00",
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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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"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": 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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}, {
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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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"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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"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_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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"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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},
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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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"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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"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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"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": 345.12,
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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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"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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"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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}, {
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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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} ]
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"code": "454711000124102",
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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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"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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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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},
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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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"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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"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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|
} ],
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"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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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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"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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},
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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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"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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"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": 13,
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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",
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|
"code": "428211000124100",
|
|
"display": "Assessment of substance use (procedure)"
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|
} ],
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|
"text": "Assessment of substance use (procedure)"
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|
},
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|
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|
|
"start": "2020-03-19T17:15:30+01:00",
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|
"end": "2020-03-19T18:07:25+01:00"
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|
},
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|
"code": "19",
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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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},
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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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"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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"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",
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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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|
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"code": "1",
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|
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|
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|
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|
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"id": "61722b94-ef34-c927-6f67-27ab7cefb9f8",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2069-3",
|
|
"display": "Chloride [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Chloride [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:cf69e400-18aa-1360-e0c4-7df05ae783f1"
|
|
},
|
|
"effectiveDateTime": "2020-12-24T17:15:30+01:00",
|
|
"issued": "2020-12-24T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 106.27,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:acaab2bc-41f6-6bac-6ce8-fa554e55e522",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "acaab2bc-41f6-6bac-6ce8-fa554e55e522",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "20565-8",
|
|
"display": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:cf69e400-18aa-1360-e0c4-7df05ae783f1"
|
|
},
|
|
"effectiveDateTime": "2020-12-24T17:15:30+01:00",
|
|
"issued": "2020-12-24T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 20.26,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:08d135da-148f-185d-1538-362067962769",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "08d135da-148f-185d-1538-362067962769",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:cf69e400-18aa-1360-e0c4-7df05ae783f1"
|
|
},
|
|
"effectiveDateTime": "2020-12-24T17:15:30+01:00",
|
|
"issued": "2020-12-24T17:15:30.236+01:00",
|
|
"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:be85aae4-4a37-6681-a9fa-84116003e80d",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "be85aae4-4a37-6681-a9fa-84116003e80d",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:cf69e400-18aa-1360-e0c4-7df05ae783f1"
|
|
},
|
|
"effectiveDateTime": "2020-12-24T17:56:50+01:00",
|
|
"issued": "2020-12-24T17:56:50.236+01:00",
|
|
"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": "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": "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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30137-6",
|
|
"display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
|
|
} ],
|
|
"text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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"
|
|
}
|
|
} ]
|
|
},
|
|
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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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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"display": "Medical care"
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} ]
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|
"code": "428211000124100",
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|
"display": "Assessment of substance use (procedure)"
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|
} ],
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|
"text": "Assessment of substance use (procedure)"
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|
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"start": "2020-12-24T17:15:30+01:00",
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"display": "Line Beneficiary Coinsurance Amount"
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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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"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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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2571-8",
|
|
"display": "Triglycerides"
|
|
} ],
|
|
"text": "Triglycerides"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:b705a224-c1fe-cd7d-b361-92f073340294"
|
|
},
|
|
"effectiveDateTime": "2021-03-25T17:15:30+01:00",
|
|
"issued": "2021-03-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 100.06,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:48902312-b26f-ef09-4dfe-22d848442bec",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "48902312-b26f-ef09-4dfe-22d848442bec",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "18262-6",
|
|
"display": "Low Density Lipoprotein Cholesterol"
|
|
} ],
|
|
"text": "Low Density Lipoprotein Cholesterol"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:b705a224-c1fe-cd7d-b361-92f073340294"
|
|
},
|
|
"effectiveDateTime": "2021-03-25T17:15:30+01:00",
|
|
"issued": "2021-03-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 84.81,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:873955a0-38af-400b-2c4a-e93170df9354",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "873955a0-38af-400b-2c4a-e93170df9354",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2085-9",
|
|
"display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
|
|
} ],
|
|
"text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:b705a224-c1fe-cd7d-b361-92f073340294"
|
|
},
|
|
"effectiveDateTime": "2021-03-25T17:15:30+01:00",
|
|
"issued": "2021-03-25T17:15:30.236+01:00",
|
|
"valueQuantity": {
|
|
"value": 61.41,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7ae4b43a-965d-70ce-59a7-0c423d9b2a7b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7ae4b43a-965d-70ce-59a7-0c423d9b2a7b",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:b705a224-c1fe-cd7d-b361-92f073340294"
|
|
},
|
|
"effectiveDateTime": "2021-03-25T17:15:30+01:00",
|
|
"issued": "2021-03-25T17:15:30.236+01:00",
|
|
"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:75b7dfaa-fde1-38ca-4904-0c6a8d9339cf",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "75b7dfaa-fde1-38ca-4904-0c6a8d9339cf",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:b705a224-c1fe-cd7d-b361-92f073340294"
|
|
},
|
|
"effectiveDateTime": "2021-03-25T17:52:02+01:00",
|
|
"issued": "2021-03-25T17:52:02.236+01:00",
|
|
"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": "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)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA27722-0",
|
|
"display": "Less than once a week"
|
|
} ],
|
|
"text": "Less than once 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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30138-4",
|
|
"display": "Part-time or temporary work"
|
|
} ],
|
|
"text": "Part-time or temporary work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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?"
|
|
} ],
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|
"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",
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|
"display": "Race"
|
|
} ],
|
|
"text": "Race"
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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": "LA4457-3",
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"display": "White"
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|
} ],
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|
"text": "White"
|
|
}
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|
}, {
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56051-6",
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|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
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|
"text": "Do you consider yourself Hispanic/Latino?"
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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": "LA32-8",
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"display": "No"
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|
} ],
|
|
"text": "No"
|
|
}
|
|
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|
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|
"method": "POST",
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"value": 1,
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"system": "http://loinc.org",
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"code": "75626-2",
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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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|
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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": "763302001",
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|
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
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|
} ],
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|
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
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|
},
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},
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|
"fullUrl": "urn:uuid:34ad5b83-092e-bee2-4e70-97032f85c667",
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"code": "device",
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|
} ]
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},
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"suppliedItem": {
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|
"code": "337388004",
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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": "1137596000",
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|
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|
} ],
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}
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|
},
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|
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"medicationCodeableConcept": {
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"code": "1049625",
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|
} ],
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"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
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|
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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": 108.80000000000001,
|
|
"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": 136.00,
|
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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_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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"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",
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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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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "314529007",
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"display": "Medication review due (situation)"
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} ],
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"text": "Medication review due (situation)"
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},
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"servicedPeriod": {
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"start": "2021-03-25T17:15:30+01:00",
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"end": "2021-03-25T17:52:02+01:00"
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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": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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}
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}, {
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"informationSequence": [ 2 ],
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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": "337388004",
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"display": "Blood glucose testing strips (physical object)"
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} ],
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"text": "Blood glucose testing strips (physical object)"
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},
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"start": "2021-03-25T17:15:30+01:00",
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"end": "2021-03-25T17:52:02+01:00"
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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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},
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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": 1.36,
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}
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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": 5.44,
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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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"amount": {
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"value": 6.80,
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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": 6.80,
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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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"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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"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": "1137596000",
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|
"display": "Blood lancet (physical object)"
|
|
} ],
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"text": "Blood lancet (physical object)"
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},
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"start": "2021-03-25T17:15:30+01:00",
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"end": "2021-03-25T17:52:02+01:00"
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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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},
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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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"value": 0.0,
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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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"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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}, {
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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": 0.00,
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"currency": "USD"
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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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"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://loinc.org",
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|
"code": "51990-0",
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|
"display": "Basic metabolic panel - Blood"
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|
} ],
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|
"text": "Basic metabolic panel - Blood"
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|
},
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"servicedPeriod": {
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|
"start": "2021-03-25T17:15:30+01:00",
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|
"end": "2021-03-25T17:52:02+01:00"
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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": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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"net": {
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|
"value": 74.58,
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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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},
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"amount": {
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"value": 14.916,
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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": 59.664,
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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": 74.58,
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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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}
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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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"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": "57698-3",
|
|
"display": "Lipid panel with direct LDL - Serum or Plasma"
|
|
} ],
|
|
"text": "Lipid panel with direct LDL - Serum or Plasma"
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|
},
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|
"servicedPeriod": {
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|
"start": "2021-03-25T17:15:30+01:00",
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|
"end": "2021-03-25T17:52:02+01:00"
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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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},
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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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}, {
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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": 59.664,
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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_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": 74.58,
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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_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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|
}
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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",
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|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
|
|
},
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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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|
"sequence": 8,
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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": "710824005",
|
|
"display": "Assessment of health and social care needs (procedure)"
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|
} ],
|
|
"text": "Assessment of health and social care needs (procedure)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2021-03-25T17:15:30+01:00",
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|
"end": "2021-03-25T17:52:02+01:00"
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|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
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"code": "72514-3",
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"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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} ],
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"code": "29463-7",
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|
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|
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|
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|
"code": "6299-2",
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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": "38483-4",
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|
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|
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|
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|
"code": "49765-1",
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|
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|
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} ],
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"code": {
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"coding": [ {
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"system": "http://loinc.org",
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|
"code": "2947-0",
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|
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|
} ],
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"text": "Sodium [Moles/volume] in Blood"
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"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T18:15:30+02:00",
|
|
"issued": "2022-03-31T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 141.16,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1a11d96a-8503-4f4c-306f-8091c3f66a35",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "1a11d96a-8503-4f4c-306f-8091c3f66a35",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "6298-4",
|
|
"display": "Potassium [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Potassium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T18:15:30+02:00",
|
|
"issued": "2022-03-31T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 4.5,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:95df3a68-5110-c216-cc94-5ba0c8174c66",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "95df3a68-5110-c216-cc94-5ba0c8174c66",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2069-3",
|
|
"display": "Chloride [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Chloride [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T18:15:30+02:00",
|
|
"issued": "2022-03-31T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 101.35,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:82f1d0fb-5e2b-d5ad-1333-c96a4f48817a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "82f1d0fb-5e2b-d5ad-1333-c96a4f48817a",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "20565-8",
|
|
"display": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T18:15:30+02:00",
|
|
"issued": "2022-03-31T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 28.5,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9e50b980-d35f-2a16-db37-5fc7c128d0e6",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9e50b980-d35f-2a16-db37-5fc7c128d0e6",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T18:15:30+02:00",
|
|
"issued": "2022-03-31T18:15:30.236+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:de33254a-cd8a-2a80-8632-4b596e9d0d41",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "de33254a-cd8a-2a80-8632-4b596e9d0d41",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
|
|
},
|
|
"effectiveDateTime": "2022-03-31T19:04:54+02:00",
|
|
"issued": "2022-03-31T19:04:54.236+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": "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": "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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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": [ {
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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": "32624-9",
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|
"display": "Race"
|
|
} ],
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|
"text": "Race"
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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": "LA4457-3",
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"display": "White"
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|
} ],
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|
"text": "White"
|
|
}
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|
}, {
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|
"code": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "56051-6",
|
|
"display": "Do you consider yourself Hispanic/Latino?"
|
|
} ],
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|
"text": "Do you consider yourself Hispanic/Latino?"
|
|
},
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|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
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|
"code": "LA32-8",
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|
"display": "No"
|
|
} ],
|
|
"text": "No"
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|
}
|
|
} ]
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|
},
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"request": {
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|
"method": "POST",
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"url": "Observation"
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|
}
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}, {
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"fullUrl": "urn:uuid:40ea93b0-5ca0-2806-60cf-be1c5e94abaa",
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"resourceType": "Observation",
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"id": "40ea93b0-5ca0-2806-60cf-be1c5e94abaa",
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"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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},
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"status": "final",
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"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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"code": "survey",
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"display": "Survey"
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} ]
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} ],
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"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "70274-6",
|
|
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
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|
} ],
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|
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
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},
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"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
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},
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|
"effectiveDateTime": "2022-03-31T19:29:28+02:00",
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|
"issued": "2022-03-31T19:29:28.236+02:00",
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|
"valueQuantity": {
|
|
"value": 2,
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|
"unit": "{score}",
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|
"system": "http://unitsofmeasure.org",
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|
"code": "{score}"
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}
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},
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"request": {
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"method": "POST",
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"url": "Observation"
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}
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}, {
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"fullUrl": "urn:uuid:bc2ad1b5-07b9-0f57-ab0e-db57ae49ad9e",
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},
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"status": "final",
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"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "survey",
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|
"display": "Survey"
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "55758-7",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
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|
} ],
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|
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
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|
},
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"subject": {
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},
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},
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"value": 3,
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}
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},
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}
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}, {
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"fullUrl": "urn:uuid:5725aea5-7119-a7f2-bf94-1c7f42ec87fb",
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"id": "5725aea5-7119-a7f2-bf94-1c7f42ec87fb",
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "survey",
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|
"display": "Survey"
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|
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|
} ],
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|
"code": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "44261-6",
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|
"display": "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
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|
} ],
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},
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},
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|
"value": 9,
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"system": "http://unitsofmeasure.org",
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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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"fullUrl": "urn:uuid:21028b5e-67b8-bac2-ab64-d8134726339b",
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"resourceType": "Observation",
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"id": "21028b5e-67b8-bac2-ab64-d8134726339b",
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},
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|
"status": "final",
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|
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|
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|
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|
"code": "survey",
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|
"display": "Survey"
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|
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|
|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "82667-7",
|
|
"display": "Total score [DAST-10]"
|
|
} ],
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|
"text": "Total score [DAST-10]"
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|
},
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|
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
},
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"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
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|
},
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|
"effectiveDateTime": "2022-03-31T21:09:13+02:00",
|
|
"issued": "2022-03-31T21:09:13.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
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|
"code": "{score}"
|
|
}
|
|
},
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|
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|
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|
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:e4cf38d2-9cee-00ca-df24-e65db5592eda",
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|
"resource": {
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|
"resourceType": "Procedure",
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"id": "e4cf38d2-9cee-00ca-df24-e65db5592eda",
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|
"meta": {
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|
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|
},
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|
"status": "completed",
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|
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "710824005",
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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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|
|
"start": "2022-03-31T18:15:30+02:00",
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|
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|
},
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"location": {
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|
"display": "CHELMSFORD PRIMARY CARE LLC"
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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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|
}
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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": "http://snomed.info/sct",
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|
"code": "171207006",
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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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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "454711000124102",
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|
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
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|
} ],
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|
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
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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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"display": "CHELMSFORD PRIMARY CARE LLC"
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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": "715252007",
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|
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|
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"net": {
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"value": 74.58,
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"currency": "USD"
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}
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} ],
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"total": {
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"value": 785.58,
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"currency": "USD"
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}
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},
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"request": {
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"method": "POST",
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"url": "Claim"
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}
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}, {
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"fullUrl": "urn:uuid:a0d8b2ca-9912-9a5d-7d1b-26f11705f91f",
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"resource": {
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"resourceType": "ExplanationOfBenefit",
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"id": "a0d8b2ca-9912-9a5d-7d1b-26f11705f91f",
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"contained": [ {
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"resourceType": "ServiceRequest",
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"id": "referral",
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"status": "completed",
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"intent": "order",
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"subject": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"requester": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"performer": [ {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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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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},
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"beneficiary": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"payor": [ {
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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": "a494f717-dc52-698c-3aa1-ad28e5e732aa"
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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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"status": "active",
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"type": {
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"coding": [ {
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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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"use": "claim",
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"patient": {
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"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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},
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"start": "2022-03-31T19:04:54+02:00",
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"end": "2023-03-31T19:04:54+02:00"
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},
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"created": "2022-03-31T19:04:54+02:00",
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"insurer": {
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"display": "NO_INSURANCE"
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},
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"referral": {
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"reference": "#referral"
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},
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"facility": {
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"reference": "Location?identifier=https://github.com/synthetichealth/synthea|3ea65cb7-a072-322c-94ca-6a659412c6c1",
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"display": "CHELMSFORD PRIMARY CARE LLC"
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},
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"claim": {
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"reference": "urn:uuid:a494f717-dc52-698c-3aa1-ad28e5e732aa"
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},
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"outcome": "complete",
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"careTeam": [ {
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"sequence": 1,
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999965491"
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},
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"role": {
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"coding": [ {
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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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"diagnosis": [ {
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"sequence": 1,
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"diagnosisReference": {
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"reference": "urn:uuid:aa2b3878-3b55-b573-e952-b219e8d85e08"
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},
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"type": [ {
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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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"item": [ {
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"sequence": 1,
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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": "162673000",
|
|
"display": "General examination of patient (procedure)"
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|
} ],
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"text": "General examination of patient (procedure)"
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},
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"servicedPeriod": {
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"start": "2022-03-31T18:15:30+02:00",
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"end": "2022-03-31T19:04:54+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": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:53f2a9cf-7145-60ef-2f5a-2ec5544f06af"
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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://hl7.org/fhir/sid/cvx",
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|
"code": "140",
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"display": "Influenza, seasonal, injectable, preservative free"
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|
} ],
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"text": "Influenza, seasonal, injectable, preservative free"
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},
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"servicedPeriod": {
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"start": "2022-03-31T18:15:30+02:00",
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"end": "2022-03-31T19:04:54+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": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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"net": {
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"value": 136.00,
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"currency": "USD"
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},
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"adjudication": [ {
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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": 27.200000000000003,
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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": 108.80000000000001,
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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": 136.00,
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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_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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}
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}, {
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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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"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": "337388004",
|
|
"display": "Blood glucose testing strips (physical object)"
|
|
} ],
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"text": "Blood glucose testing strips (physical object)"
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},
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"end": "2022-03-31T19:04:54+02:00"
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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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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"net": {
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"value": 6.80,
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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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}
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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": 5.44,
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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": 6.80,
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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_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": 6.80,
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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",
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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,
|
|
"currency": "USD"
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}
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|
}, {
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"category": {
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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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"informationSequence": [ 3 ],
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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",
|
|
"code": "1137596000",
|
|
"display": "Blood lancet (physical object)"
|
|
} ],
|
|
"text": "Blood lancet (physical object)"
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|
},
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"start": "2022-03-31T18:15:30+02:00",
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"end": "2022-03-31T19:04:54+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": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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"net": {
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"value": 0.00,
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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_coinsrnc_amt",
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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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"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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|
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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_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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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",
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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": 0.00,
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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",
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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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"sequence": 5,
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|
"informationSequence": [ 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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|
"productOrService": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "51990-0",
|
|
"display": "Basic metabolic panel - Blood"
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|
} ],
|
|
"text": "Basic metabolic panel - Blood"
|
|
},
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|
"servicedPeriod": {
|
|
"start": "2022-03-31T18:15:30+02:00",
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|
"end": "2022-03-31T19:04:54+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": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
},
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"net": {
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|
"value": 74.58,
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|
"currency": "USD"
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},
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"adjudication": [ {
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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": 14.916,
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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",
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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": "454711000124102",
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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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"display": "Line Processing Indicator Code"
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}
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} ]
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"system": "http://snomed.info/sct",
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|
"code": "713106006",
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"display": "Screening for drug abuse (procedure)"
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|
} ],
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"text": "Screening for drug abuse (procedure)"
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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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"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": 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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"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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"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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"value": 0,
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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": 17,
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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": "82666-9",
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"display": "Drug Abuse Screening Test-10 [DAST-10]"
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} ],
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"text": "Drug Abuse Screening Test-10 [DAST-10]"
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},
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"start": "2022-03-31T18:15:30+02:00",
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"end": "2022-03-31T19:04:54+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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},
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"value": 74.58,
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"display": "Line Beneficiary Coinsurance Amount"
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},
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"value": 14.916,
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},
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"value": 59.664,
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},
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|
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|
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"value": 0,
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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": "http://terminology.hl7.org/CodeSystem/adjudication",
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|
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|
"display": "Submitted Amount"
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|
} ],
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"text": "Submitted Amount"
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|
"value": 785.58,
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|
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|
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|
"value": 2509.2239999999997,
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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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|
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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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|
"coding": [ {
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|
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|
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|
"display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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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": "%"
|
|
}
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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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|
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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": "vital-signs",
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|
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "8302-2",
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|
"display": "Body Height"
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|
} ],
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|
"text": "Body Height"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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|
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|
"issued": "2023-04-06T18:15:30.236+02:00",
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|
"valueQuantity": {
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|
"value": 174.1,
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|
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|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Observation"
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|
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|
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|
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "ce93fbcb-140a-7568-6888-3f84db3e7c95",
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|
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|
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|
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|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
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|
"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"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
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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": "{score}"
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|
}
|
|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Observation"
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|
}
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|
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|
"fullUrl": "urn:uuid:1d465066-fd72-50c8-319c-1549d01cfb16",
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|
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|
"resourceType": "Observation",
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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": "2947-0",
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|
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|
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} ],
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"code": "6298-4",
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|
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|
} ],
|
|
"text": "Potassium [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:eb775196-ba78-0c17-042e-358078bf3d67"
|
|
},
|
|
"effectiveDateTime": "2023-04-06T18:15:30+02:00",
|
|
"issued": "2023-04-06T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 4.97,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7e2ecb5c-b88a-5698-bc6d-2e16d099f35b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7e2ecb5c-b88a-5698-bc6d-2e16d099f35b",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "2069-3",
|
|
"display": "Chloride [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Chloride [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:eb775196-ba78-0c17-042e-358078bf3d67"
|
|
},
|
|
"effectiveDateTime": "2023-04-06T18:15:30+02:00",
|
|
"issued": "2023-04-06T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 103.32,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:23d1af38-065c-b700-474d-bd7618e6d1a7",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "23d1af38-065c-b700-474d-bd7618e6d1a7",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "laboratory",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "20565-8",
|
|
"display": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
} ],
|
|
"text": "Carbon dioxide, total [Moles/volume] in Blood"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:eb775196-ba78-0c17-042e-358078bf3d67"
|
|
},
|
|
"effectiveDateTime": "2023-04-06T18:15:30+02:00",
|
|
"issued": "2023-04-06T18:15:30.236+02:00",
|
|
"valueQuantity": {
|
|
"value": 26.03,
|
|
"unit": "mmol/L",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mmol/L"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e54716b0-3df3-9081-58b4-824ee9207091",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e54716b0-3df3-9081-58b4-824ee9207091",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:eb775196-ba78-0c17-042e-358078bf3d67"
|
|
},
|
|
"effectiveDateTime": "2023-04-06T18:15:30+02:00",
|
|
"issued": "2023-04-06T18:15:30.236+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:0683617b-e9a5-b47c-08a5-d1261265ae9a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "0683617b-e9a5-b47c-08a5-d1261265ae9a",
|
|
"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:0759e805-61d1-ba2b-8b14-9e4308784a84"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:eb775196-ba78-0c17-042e-358078bf3d67"
|
|
},
|
|
"effectiveDateTime": "2023-04-06T18:53:01+02:00",
|
|
"issued": "2023-04-06T18:53:01.236+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": "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)?"
|
|
},
|
|
"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": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"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": 55950,
|
|
"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": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"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": "287 Treutel Neck"
|
|
}, {
|
|
"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": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"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": 7,
|
|
"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": "LA43-5",
|
|
"display": "English"
|
|
} ],
|
|
"text": "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",
|
|
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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": "430193006",
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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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} ]
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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 Beneficiary Coinsurance Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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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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|
"code": "160903007",
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|
"display": "Full-time employment (finding)"
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|
} ],
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|
"text": "Full-time employment (finding)"
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|
},
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|
"servicedPeriod": {
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|
"start": "2023-04-06T18:15:30+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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"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": "710841007",
|
|
"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": "2023-04-06T18:15:30+02:00",
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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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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"value": 431.40,
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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_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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|
}, {
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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": 345.12,
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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_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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|
"currency": "USD"
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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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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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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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"display": "Line Beneficiary Coinsurance Amount"
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"display": "Line Processing Indicator Code"
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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": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_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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} ]
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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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},
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"system": "http://snomed.info/sct",
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"code": "428211000124100",
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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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"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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"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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"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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"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",
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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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"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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|
"sequence": 19,
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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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|
} ]
|
|
},
|
|
"productOrService": {
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|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "763302001",
|
|
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
|
|
} ],
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|
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2023-04-06T18:15:30+02:00",
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|
"end": "2023-04-06T18:53:01+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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"net": {
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|
"value": 431.40,
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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_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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"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": 345.12,
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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": 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_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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}, {
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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_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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"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": 20,
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"informationSequence": [ 8 ],
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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",
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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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"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
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},
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"servicedPeriod": {
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"start": "2023-04-06T18:15:30+02:00",
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"end": "2023-04-06T18:53:01+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": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"value": 74.58,
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},
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"category": {
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"coding": [ {
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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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}
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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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}, {
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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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"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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}
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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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"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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"total": [ {
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"category": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/adjudication",
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"code": "submitted",
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"display": "Submitted Amount"
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} ],
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"text": "Submitted Amount"
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},
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"value": 1092.03,
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}
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} ],
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"payment": {
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"value": 3156.3440000000005,
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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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"url": "ExplanationOfBenefit"
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}
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}, {
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"fullUrl": "urn:uuid:89f01872-ea73-282f-04f7-878182f3d7fb",
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"id": "89f01872-ea73-282f-04f7-878182f3d7fb",
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"meta": {
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},
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"request": {
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"method": "POST",
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"url": "Provenance"
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}
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} ]
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}
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