56796 lines
1.9 MiB
56796 lines
1.9 MiB
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"display": "Line Processing Indicator Code"
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"method": "POST",
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"url": "ExplanationOfBenefit"
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"fullUrl": "urn:uuid:a4d2a343-2d94-42f8-6bf7-711692f7797d",
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} ]
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} ]
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},
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"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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"request": {
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"method": "POST",
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"url": "ExplanationOfBenefit"
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"fullUrl": "urn:uuid:06886558-a5bd-66a1-cb0f-95cfe4213ae7",
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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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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},
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"billablePeriod": {
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"start": "2014-03-03T03:53:29+01:00",
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"end": "2015-03-03T03:53:29+01:00"
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},
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"created": "2014-03-03T03:53:29+01:00",
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"insurer": {
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"display": "Humana"
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},
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"provider": {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092"
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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|d11f97b5-721f-3bcd-8c00-973ba1f8f1b3",
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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},
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"claim": {
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|
"reference": "urn:uuid:688843b1-1d99-0415-8137-a18ee792a4fe"
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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|9999995092"
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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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"insurance": [ {
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|
"focal": true,
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"coverage": {
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|
"reference": "#coverage",
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|
"display": "Humana"
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|
}
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|
} ],
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"item": [ {
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"sequence": 1,
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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": "308335008",
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"display": "Patient encounter procedure (procedure)"
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} ],
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"text": "Patient encounter procedure (procedure)"
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},
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"start": "2014-03-03T03:02:59+01:00",
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"end": "2014-03-03T03:53:29+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": "21",
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"display": "Inpatient Hospital"
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|
} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:06886558-a5bd-66a1-cb0f-95cfe4213ae7"
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} ]
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}, {
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"sequence": 2,
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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": "229064008",
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|
"display": "Movement therapy (regime/therapy)"
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} ],
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"text": "Movement therapy (regime/therapy)"
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},
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"servicedPeriod": {
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"start": "2014-03-03T03:02:59+01:00",
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"end": "2014-03-03T03:53:29+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": "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": 431.40,
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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_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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"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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"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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"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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"amount": {
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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}
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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": 573.98,
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}
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"value": 345.12,
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}
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},
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"request": {
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"method": "POST",
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"fullUrl": "urn:uuid:b0c0f756-d62f-183e-5e73-a6e79aaa9981",
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"code": "EMER"
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"code": "confirmed"
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|
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"text": "Epidermal burn of skin (disorder)"
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"id": "58837cba-6c2f-395e-ed73-64cfa77b4903",
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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://terminology.hl7.org/CodeSystem/medicationrequest-category",
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|
"code": "community",
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|
"display": "Community"
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|
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|
"text": "Community"
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|
} ],
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|
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|
"coding": [ {
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|
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
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|
"code": "849574",
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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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|
"asNeededBoolean": true
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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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|
"fullUrl": "urn:uuid:2e9f91ca-5422-5280-6bf2-815c46591ee1",
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"id": "2e9f91ca-5422-5280-6bf2-815c46591ee1",
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|
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|
"type": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
|
|
"code": "pharmacy"
|
|
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|
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|
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|
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|
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|
"display": "KINDRED HOSPICE"
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|
},
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|
"priority": {
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|
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|
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
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|
"code": "normal"
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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": "Humana"
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|
}
|
|
} ],
|
|
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|
|
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|
|
"productOrService": {
|
|
"coding": [ {
|
|
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
|
|
"code": "849574",
|
|
"display": "Naproxen sodium 220 MG Oral Tablet"
|
|
} ],
|
|
"text": "Naproxen sodium 220 MG Oral Tablet"
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"code": "principal"
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"code": "principal"
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} ]
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} ]
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} ],
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"focal": true,
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}
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} ],
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"code": "424441002",
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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": "72892002",
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} ],
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"text": "Normal pregnancy"
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},
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"end": "2014-10-01T20:29:55+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"code": "252160004",
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} ],
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"text": "Standard pregnancy test"
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},
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"end": "2014-10-01T20:29:55+02:00"
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"code": "21",
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"value": 5991.86,
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},
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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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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"system": "http://snomed.info/sct",
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"code": "169230002",
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} ],
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"system": "http://snomed.info/sct",
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|
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|
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"reference": "urn:uuid:040ca00d-093e-8707-d50d-1657ef55ce0c",
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"display": "Normal pregnancy"
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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"
|
|
} ]
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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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},
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"subject": {
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"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
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|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 73,
|
|
"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": 100,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
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"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
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|
}
|
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}, {
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"fullUrl": "urn:uuid:f3e81e5e-0013-f737-0082-4231d3970e79",
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"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": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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},
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},
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"effectiveDateTime": "2016-03-02T19:14:55+01:00",
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"issued": "2016-03-02T19:14:55.153+01:00",
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"valueQuantity": {
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"value": 89,
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|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:ea32e383-2528-7954-52e1-05a0fb98839e",
|
|
"resource": {
|
|
"resourceType": "Observation",
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|
"id": "ea32e383-2528-7954-52e1-05a0fb98839e",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
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|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 13,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:da61afdb-41a9-cd02-802d-01a535404f62",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "da61afdb-41a9-cd02-802d-01a535404f62",
|
|
"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": "2093-3",
|
|
"display": "Cholesterol [Mass/volume] in Serum or Plasma"
|
|
} ],
|
|
"text": "Cholesterol [Mass/volume] in Serum or Plasma"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 259.48,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7c66e975-4944-04d0-daee-b901bea263ac",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7c66e975-4944-04d0-daee-b901bea263ac",
|
|
"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": "2571-8",
|
|
"display": "Triglycerides"
|
|
} ],
|
|
"text": "Triglycerides"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 101.51,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:22098ed9-2e8f-7443-ba43-682af6bbbca9",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "22098ed9-2e8f-7443-ba43-682af6bbbca9",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 191.52,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e1ad6bf6-c134-c0eb-24f6-8903cfe758d0",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e1ad6bf6-c134-c0eb-24f6-8903cfe758d0",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
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|
},
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|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 47.65,
|
|
"unit": "mg/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mg/dL"
|
|
}
|
|
},
|
|
"request": {
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|
"method": "POST",
|
|
"url": "Observation"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:45ae8f31-f4cb-9f7d-6fe4-db5dd228ebe7",
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|
"resource": {
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|
"resourceType": "Observation",
|
|
"id": "45ae8f31-f4cb-9f7d-6fe4-db5dd228ebe7",
|
|
"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": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
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|
},
|
|
"effectiveDateTime": "2016-03-02T19:14:55+01:00",
|
|
"issued": "2016-03-02T19:14:55.153+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:386b979f-0539-3c89-5fd1-75e795965905",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "386b979f-0539-3c89-5fd1-75e795965905",
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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": "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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T20:10:50+01:00",
|
|
"issued": "2016-03-02T20:10:50.153+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": "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": 121160,
|
|
"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": "LA6350-8",
|
|
"display": "Private insurance"
|
|
} ],
|
|
"text": "Private insurance"
|
|
}
|
|
}, {
|
|
"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": "LA30192-1",
|
|
"display": "High school diploma or GED"
|
|
} ],
|
|
"text": "High school diploma or GED"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "1009 Okuneva Camp Apt 20"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 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:0a5daa29-7551-76d8-69a2-085fee1a37ec",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "0a5daa29-7551-76d8-69a2-085fee1a37ec",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T20:37:24+01:00",
|
|
"issued": "2016-03-02T20:37:24.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 3,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e04637bb-745a-c71e-d49f-a484911e9c61",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "e04637bb-745a-c71e-d49f-a484911e9c61",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T21:20:07+01:00",
|
|
"issued": "2016-03-02T21:20:07.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:c9f403fa-fa2c-c4a2-7f17-23e5bc2c42ff",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "c9f403fa-fa2c-c4a2-7f17-23e5bc2c42ff",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T21:55:26+01:00",
|
|
"issued": "2016-03-02T21:55:26.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d7eb2322-83a5-386a-b6bc-9bdc5e3795ea",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d7eb2322-83a5-386a-b6bc-9bdc5e3795ea",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"effectiveDateTime": "2016-03-02T22:31:03+01:00",
|
|
"issued": "2016-03-02T22:31:03.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:88d07797-1e74-e21b-e818-ba5f8664aa53",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "88d07797-1e74-e21b-e818-ba5f8664aa53",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:17bd10c7-f902-4de4-d377-63c009dcf2d6"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2016-03-02T19:14:55+01:00",
|
|
"end": "2016-03-02T19:29:55+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:eea374af-fde0-9ae7-1c8d-35f9ed2b2c92",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "eea374af-fde0-9ae7-1c8d-35f9ed2b2c92",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
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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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"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": "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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|
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|
"start": "2016-03-02T19:14:55+01:00",
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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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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_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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|
} ]
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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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|
"system": "http://snomed.info/sct",
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|
"code": "428211000124100",
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|
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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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"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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"display": "Humana"
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},
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092"
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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|d11f97b5-721f-3bcd-8c00-973ba1f8f1b3",
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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},
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"claim": {
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"reference": "urn:uuid:2d4ef2d8-db54-dedc-8116-41eceb04ad56"
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},
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"outcome": "complete",
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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|9999995092"
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},
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"role": {
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"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
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"code": "primary",
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"display": "Primary provider"
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} ]
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}
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} ],
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"reference": "urn:uuid:97b52b58-c14a-fcb2-8e79-a6f787b95c2b"
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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": "Humana"
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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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"productOrService": {
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"system": "http://snomed.info/sct",
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"code": "424441002",
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"display": "Prenatal initial visit"
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} ],
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"text": "Prenatal initial visit"
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},
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"start": "2018-11-28T19:14:55+01:00",
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"end": "2018-11-28T19:29:55+01:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"display": "Inpatient Hospital"
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} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:1cc38734-a5f1-e34b-ccdd-484443577321"
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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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"system": "http://snomed.info/sct",
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"code": "72892002",
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"display": "Normal pregnancy"
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} ],
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"text": "Normal pregnancy"
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},
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"start": "2018-11-28T19:14:55+01:00",
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"end": "2018-11-28T19:29:55+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": "21",
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"display": "Inpatient Hospital"
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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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"system": "http://snomed.info/sct",
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"code": "252160004",
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"display": "Standard pregnancy test"
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} ],
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"text": "Standard pregnancy test"
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},
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"start": "2018-11-28T19:14:55+01:00",
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"end": "2018-11-28T19:29:55+01:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"display": "Inpatient Hospital"
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},
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},
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} ]
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},
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"amount": {
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"value": 805.4760000000001,
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"display": "Line Provider Payment Amount"
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"value": 3221.9040000000005,
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},
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}
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},
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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},
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"amount": {
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"value": 0,
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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": "http://snomed.info/sct",
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|
"code": "169230002",
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|
"display": "Ultrasound scan for fetal viability"
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|
} ],
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"text": "Ultrasound scan for fetal viability"
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},
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},
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"display": "Line Beneficiary Coinsurance Amount"
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},
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},
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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},
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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},
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|
"code": "274804006",
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|
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|
} ],
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"text": "Evaluation of uterine fundal height"
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|
},
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},
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"display": "Line Beneficiary Coinsurance Amount"
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}
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} ]
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}, {
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"system": "http://snomed.info/sct",
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|
"code": "225158009",
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|
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|
} ],
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|
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|
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|
"start": "2018-11-28T19:14:55+01:00",
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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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} ]
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},
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"amount": {
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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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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|
},
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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",
|
|
"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": {
|
|
"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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|
"amount": {
|
|
"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": {
|
|
"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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|
"amount": {
|
|
"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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|
"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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|
"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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"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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|
"amount": {
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|
"value": 54332.86,
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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": 43352.224,
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|
"currency": "USD"
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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:3824fe80-39f3-da90-7256-fe60aaebc915",
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"resource": {
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"resourceType": "Encounter",
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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": "3824fe80-39f3-da90-7256-fe60aaebc915"
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} ],
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"status": "finished",
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"code": "AMB"
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|
},
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"type": [ {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "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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|
"subject": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be",
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|
"display": "Ms. Daysi106 Rheba182 Borer986"
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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": "2018-12-19T19:14:55+01:00",
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|
"end": "2018-12-19T19:57:31+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|9999956490",
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|
"display": "Dr. Jung484 Lowe577"
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|
}
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|
} ],
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"period": {
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|
"start": "2018-12-19T19:14:55+01:00",
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"end": "2018-12-19T19:57:31+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|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
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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|218e58e4-9642-3ebd-9b39-34d15f22c620",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
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}
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},
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"request": {
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"method": "POST",
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"url": "Encounter"
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},
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"code": "resolved"
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"code": "confirmed"
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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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} ],
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"code": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "314529007",
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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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"recordedDate": "2018-12-19T19:14:55+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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"code": "active"
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|
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"code": "confirmed"
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} ]
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},
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"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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|
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|
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|
} ],
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|
"text": "Body mass index 30+ - obesity (finding)"
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|
},
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
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|
},
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|
"onsetDateTime": "2018-12-19T19:14:55+01:00",
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|
"recordedDate": "2018-12-19T19:14:55+01:00"
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|
},
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|
"request": {
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|
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|
"url": "Condition"
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|
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|
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|
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|
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|
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|
"id": "24fca736-9ffa-512a-7b31-ae453fccb6ce",
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|
"meta": {
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|
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|
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|
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|
"code": "resolved"
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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": "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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|
} ],
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|
"text": "Part-time employment (finding)"
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|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
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|
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|
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|
},
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|
"onsetDateTime": "2018-12-19T19:57:31+01:00",
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|
"abatementDateTime": "2020-12-23T19:46:07+01:00",
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|
"recordedDate": "2018-12-19T19:57:31+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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|
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|
"resourceType": "Condition",
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|
"id": "f15f15ca-f5ac-0bab-8a20-d785f654a03f",
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|
"meta": {
|
|
"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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|
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
|
|
"code": "active"
|
|
} ]
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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",
|
|
"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",
|
|
"display": "Encounter Diagnosis"
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|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "706893006",
|
|
"display": "Victim of intimate partner abuse (finding)"
|
|
} ],
|
|
"text": "Victim of intimate partner abuse (finding)"
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|
},
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|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
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|
},
|
|
"onsetDateTime": "2018-12-19T20:52:38+01:00",
|
|
"recordedDate": "2018-12-19T20:52:38+01:00"
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Condition"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:37749585-7f52-bb0c-e930-d24414e51a70",
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|
"resource": {
|
|
"resourceType": "Observation",
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|
"id": "37749585-7f52-bb0c-e930-d24414e51a70",
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|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8302-2",
|
|
"display": "Body Height"
|
|
} ],
|
|
"text": "Body Height"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 170.3,
|
|
"unit": "cm",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:d2f7466f-691d-7156-2b87-0edeff83453f",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "d2f7466f-691d-7156-2b87-0edeff83453f",
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "72514-3",
|
|
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
|
|
} ],
|
|
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
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|
"encounter": {
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|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:fa37c74a-432f-9505-f123-7dec584baf3e",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "fa37c74a-432f-9505-f123-7dec584baf3e",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
|
|
"text": "Body Weight"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 87.8,
|
|
"unit": "kg",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg"
|
|
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"category": [ {
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
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},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 35.668,
|
|
"unit": "g/dL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "g/dL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:32865f58-73ab-8671-57b6-965a1658d346",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "32865f58-73ab-8671-57b6-965a1658d346",
|
|
"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": "21000-5",
|
|
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
|
|
} ],
|
|
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 42.831,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:3584e46e-b074-6bd7-f7cc-a131e17e9206",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "3584e46e-b074-6bd7-f7cc-a131e17e9206",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 256.11,
|
|
"unit": "10*3/uL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "10*3/uL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:53e21209-6f64-a95c-f448-766f63f57a60",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "53e21209-6f64-a95c-f448-766f63f57a60",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 360.2,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2291a1b8-51d7-14f6-9ae4-4d363a24103e",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "2291a1b8-51d7-14f6-9ae4-4d363a24103e",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 11.562,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:cfc3b52d-6ed3-c670-de9b-be133e5faf25",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "cfc3b52d-6ed3-c670-de9b-be133e5faf25",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
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},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+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:26a66618-fd0f-e1f5-da7e-7255a2160bd0",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "26a66618-fd0f-e1f5-da7e-7255a2160bd0",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:57:31+01:00",
|
|
"issued": "2018-12-19T19:57:31.153+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": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
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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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|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
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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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|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"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"
|
|
}
|
|
}, {
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|
"code": {
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|
"coding": [ {
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|
"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": [ {
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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": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA30122-8",
|
|
"display": "I choose not to answer this question"
|
|
} ],
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|
"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": {
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|
"value": 121160,
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|
"unit": "/a",
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|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA6350-8",
|
|
"display": "Private insurance"
|
|
} ],
|
|
"text": "Private insurance"
|
|
}
|
|
}, {
|
|
"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": [ {
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|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
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|
"valueCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "LA30192-1",
|
|
"display": "High school diploma or GED"
|
|
} ],
|
|
"text": "High school diploma or GED"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "1009 Okuneva Camp Apt 20"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 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:a3e77407-ca32-fed7-e472-b9ac229e213c",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "a3e77407-ca32-fed7-e472-b9ac229e213c",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T20:25:45+01:00",
|
|
"issued": "2018-12-19T20:25:45.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 3,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9e1265f7-d554-4f32-5a9f-14ee1c1c8080",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9e1265f7-d554-4f32-5a9f-14ee1c1c8080",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T20:52:38+01:00",
|
|
"issued": "2018-12-19T20:52:38.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:47fbd8cb-22cb-201a-f9f5-251a8fd475ac",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "47fbd8cb-22cb-201a-f9f5-251a8fd475ac",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-12-19T19:14:55+01:00",
|
|
"end": "2018-12-19T19:57:31+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:08fd148a-9f95-21a6-a601-b547e636852d",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "08fd148a-9f95-21a6-a601-b547e636852d",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-12-19T19:57:31+01:00",
|
|
"end": "2018-12-19T20:25:45+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:e5d7c93c-e88a-0d53-f41f-bbc33c3e92ac",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "e5d7c93c-e88a-0d53-f41f-bbc33c3e92ac",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-12-19T20:25:45+01:00",
|
|
"end": "2018-12-19T20:52:38+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:beae35b2-8bb6-265c-168b-b30fd0d11d4a",
|
|
"resource": {
|
|
"resourceType": "Immunization",
|
|
"id": "beae35b2-8bb6-265c-168b-b30fd0d11d4a",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
|
|
},
|
|
"status": "completed",
|
|
"vaccineCode": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/sid/cvx",
|
|
"code": "140",
|
|
"display": "Influenza, seasonal, injectable, preservative free"
|
|
} ],
|
|
"text": "Influenza, seasonal, injectable, preservative free"
|
|
},
|
|
"patient": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"occurrenceDateTime": "2018-12-19T19:14:55+01:00",
|
|
"primarySource": true,
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Immunization"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:8e2a0a33-7c14-2bbc-ca0f-9413f98b0ad3",
|
|
"resource": {
|
|
"resourceType": "Immunization",
|
|
"id": "8e2a0a33-7c14-2bbc-ca0f-9413f98b0ad3",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
|
|
},
|
|
"status": "completed",
|
|
"vaccineCode": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/sid/cvx",
|
|
"code": "52",
|
|
"display": "Hep A, adult"
|
|
} ],
|
|
"text": "Hep A, adult"
|
|
},
|
|
"patient": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"occurrenceDateTime": "2018-12-19T19:14:55+01:00",
|
|
"primarySource": true,
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Immunization"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:914d89b7-f39d-ce45-9011-573e235191b8",
|
|
"resource": {
|
|
"resourceType": "DiagnosticReport",
|
|
"id": "914d89b7-f39d-ce45-9011-573e235191b8",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
|
|
"code": "LAB",
|
|
"display": "Laboratory"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "58410-2",
|
|
"display": "CBC panel - Blood by Automated count"
|
|
} ],
|
|
"text": "CBC panel - Blood by Automated count"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:3824fe80-39f3-da90-7256-fe60aaebc915"
|
|
},
|
|
"effectiveDateTime": "2018-12-19T19:14:55+01:00",
|
|
"issued": "2018-12-19T19:14:55.153+01:00",
|
|
"performer": [ {
|
|
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|218e58e4-9642-3ebd-9b39-34d15f22c620",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
} ],
|
|
"result": [ {
|
|
"reference": "urn:uuid:22c81822-11c6-64c6-683e-8c76eb87e75d",
|
|
"display": "Leukocytes [#/volume] in Blood by Automated count"
|
|
}, {
|
|
"reference": "urn:uuid:32d7dcd2-f972-4346-8cab-5f52c6a674f8",
|
|
"display": "Erythrocytes [#/volume] in Blood by Automated count"
|
|
}, {
|
|
"reference": "urn:uuid:1e855973-8319-a86e-daa8-5cbb2ff14a5b",
|
|
"display": "Hemoglobin [Mass/volume] in Blood"
|
|
}, {
|
|
"reference": "urn:uuid:6b058e1f-c5d7-8f56-7a60-7c62577cc5d9",
|
|
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
|
|
}, {
|
|
"reference": "urn:uuid:cace217c-26f9-6b64-c71d-dbb8c59f6288",
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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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"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_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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"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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"value": 136.00,
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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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}
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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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"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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"start": "2018-12-19T19:14:55+01:00",
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"end": "2018-12-19T19:57:31+01:00"
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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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"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": "162864005",
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"display": "Body mass index 30+ - obesity (finding)"
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} ],
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"text": "Body mass index 30+ - obesity (finding)"
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},
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"servicedPeriod": {
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"start": "2018-12-19T19:14:55+01:00",
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"end": "2018-12-19T19:57:31+01:00"
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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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}, {
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"system": "http://loinc.org",
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"code": "58410-2",
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"display": "CBC panel - Blood by Automated count"
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} ],
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"text": "CBC panel - Blood by Automated count"
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},
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"start": "2018-12-19T19:14:55+01:00",
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},
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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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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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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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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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} ]
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},
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"code": "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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"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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}, {
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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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"display": "Line Submitted Charge 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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}
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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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"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://snomed.info/sct",
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|
"code": "160904001",
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|
"display": "Part-time employment (finding)"
|
|
} ],
|
|
"text": "Part-time employment (finding)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2018-12-19T19:14:55+01:00",
|
|
"end": "2018-12-19T19:57:31+01:00"
|
|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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|
}
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|
}, {
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"sequence": 9,
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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": "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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|
"servicedPeriod": {
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|
"start": "2018-12-19T19:14:55+01:00",
|
|
"end": "2018-12-19T19:57:31+01:00"
|
|
},
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|
"locationCodeableConcept": {
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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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|
"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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|
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|
}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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|
"amount": {
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|
"value": 345.12,
|
|
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|
}
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|
}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
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|
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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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"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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|
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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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|
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|
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|
"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "69737-5",
|
|
"display": "Generalized anxiety disorder 7 item (GAD-7)"
|
|
} ],
|
|
"text": "Generalized anxiety disorder 7 item (GAD-7)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2018-12-19T19:14:55+01:00",
|
|
"end": "2018-12-19T19:57:31+01:00"
|
|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
},
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|
"net": {
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|
"value": 74.58,
|
|
"currency": "USD"
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|
},
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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",
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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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|
} ]
|
|
},
|
|
"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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"display": "Auscultation of the fetal heart"
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|
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"display": "Line Submitted Charge Amount"
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"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
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"value": "bb5e47da-5d99-e5d0-c1da-da1e43b9cd34"
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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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"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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},
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"start": "2019-03-20T19:29:55+01:00",
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"end": "2020-03-20T19:29:55+01:00"
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},
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"created": "2019-03-20T19:29:55+01:00",
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"insurer": {
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"display": "Humana"
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},
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"provider": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092"
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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|d11f97b5-721f-3bcd-8c00-973ba1f8f1b3",
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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},
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"claim": {
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"reference": "urn:uuid:bb5e47da-5d99-e5d0-c1da-da1e43b9cd34"
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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|9999995092"
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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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"insurance": [ {
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"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "Humana"
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}
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} ],
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"item": [ {
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"sequence": 1,
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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": "424619006",
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} ],
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"text": "Prenatal visit"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"reference": "urn:uuid:533b9b83-fc7e-040d-a73b-db04dd839f6b"
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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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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "274804006",
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"display": "Evaluation of uterine fundal height"
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} ],
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"text": "Evaluation of uterine fundal height"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"value": 4546.81,
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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_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": 909.3620000000001,
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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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"amount": {
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"value": 3637.4480000000003,
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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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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"display": "Line Processing Indicator Code"
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"system": "http://snomed.info/sct",
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|
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|
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"display": "Normal pregnancy"
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|
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|
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|
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|
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|
"code": "399014008",
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|
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|
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|
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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"display": "Normal pregnancy"
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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": "268556000",
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} ],
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},
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"value": 1351.26,
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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": "274804006",
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} ],
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},
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"value": 7398.39,
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}
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}, {
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"system": "http://snomed.info/sct",
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"code": "225158009",
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} ],
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},
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"value": 7436.06,
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}
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} ],
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"value": 22036.34,
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}
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},
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092"
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} ]
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}, {
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"resourceType": "Coverage",
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},
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} ]
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} ],
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},
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092"
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},
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"reference": "#referral"
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},
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"code": "primary",
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}
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"code": "424619006",
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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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"code": "8480-6",
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} ],
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"code": "8867-4",
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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": "9279-1",
|
|
"display": "Respiratory rate"
|
|
} ],
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|
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"code": "/min"
|
|
}
|
|
},
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} ],
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|
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"code": "2093-3",
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|
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|
|
} ],
|
|
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},
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|
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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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},
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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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|
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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": "social-history",
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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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|
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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": "76501-6",
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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": "LA32-8",
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|
} ],
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|
"text": "No"
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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": "93026-3",
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|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
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|
"text": "Do you feel physically and emotionally safe where you currently live?"
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|
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"code": "93027-1",
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|
} ],
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|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA13909-9",
|
|
"display": "Somewhat"
|
|
} ],
|
|
"text": "Somewhat"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30131-9",
|
|
"display": "3 to 5 times a week"
|
|
} ],
|
|
"text": "3 to 5 times a week"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93030-5",
|
|
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
} ],
|
|
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "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": 121160,
|
|
"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": "LA6350-8",
|
|
"display": "Private insurance"
|
|
} ],
|
|
"text": "Private insurance"
|
|
}
|
|
}, {
|
|
"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": "LA30192-1",
|
|
"display": "High school diploma or GED"
|
|
} ],
|
|
"text": "High school diploma or GED"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "1009 Okuneva Camp Apt 20"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 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:1aa8069e-83ee-b617-355b-3b2c8b5eddc0",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "1aa8069e-83ee-b617-355b-3b2c8b5eddc0",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
|
|
},
|
|
"effectiveDateTime": "2020-12-23T20:08:52+01:00",
|
|
"issued": "2020-12-23T20:08:52.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1e171069-f323-2a99-cac4-b643e45f20cf",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "1e171069-f323-2a99-cac4-b643e45f20cf",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
|
|
},
|
|
"effectiveDateTime": "2020-12-23T20:42:12+01:00",
|
|
"issued": "2020-12-23T20:42:12.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 0,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:785d327a-3604-b465-c9a9-9f0268071512",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "785d327a-3604-b465-c9a9-9f0268071512",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
|
|
"end": "2020-12-23T19:29:55+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7efa358f-4322-1e4d-0bec-89942332a831",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "7efa358f-4322-1e4d-0bec-89942332a831",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
|
|
"end": "2020-12-23T19:46:07+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:91555c28-ed71-015b-3cba-045ccfbf0d91",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "91555c28-ed71-015b-3cba-045ccfbf0d91",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2020-12-23T19:46:07+01:00",
|
|
"end": "2020-12-23T20:08:52+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9daa499f-2c91-29e2-4a47-f0e43ec178ff",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
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"display": "Humana"
|
|
} ]
|
|
} ],
|
|
"identifier": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
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|
"value": "4f610042-689e-f99d-4edd-15d20458802a"
|
|
}, {
|
|
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
|
|
"value": "99999999999"
|
|
} ],
|
|
"status": "active",
|
|
"type": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
|
|
"code": "professional"
|
|
} ]
|
|
},
|
|
"use": "claim",
|
|
"patient": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"billablePeriod": {
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|
"start": "2020-12-23T19:46:07+01:00",
|
|
"end": "2021-12-23T19:46:07+01:00"
|
|
},
|
|
"created": "2020-12-23T19:46:07+01:00",
|
|
"insurer": {
|
|
"display": "Humana"
|
|
},
|
|
"provider": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999956490"
|
|
},
|
|
"referral": {
|
|
"reference": "#referral"
|
|
},
|
|
"facility": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
},
|
|
"claim": {
|
|
"reference": "urn:uuid:4f610042-689e-f99d-4edd-15d20458802a"
|
|
},
|
|
"outcome": "complete",
|
|
"careTeam": [ {
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|
"sequence": 1,
|
|
"provider": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999956490"
|
|
},
|
|
"role": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
|
|
"code": "primary",
|
|
"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:887c6608-377f-460d-f4d5-707b9daa4c8e"
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},
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"type": [ {
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"coding": [ {
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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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"sequence": 2,
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"diagnosisReference": {
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"reference": "urn:uuid:3229cb99-d66c-01d7-3f10-612ef01de586"
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},
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"type": [ {
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"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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|
"code": "principal"
|
|
} ]
|
|
} ]
|
|
} ],
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|
"insurance": [ {
|
|
"focal": true,
|
|
"coverage": {
|
|
"reference": "#coverage",
|
|
"display": "Humana"
|
|
}
|
|
} ],
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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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},
|
|
"productOrService": {
|
|
"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "162673000",
|
|
"display": "General examination of patient (procedure)"
|
|
} ],
|
|
"text": "General examination of patient (procedure)"
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|
},
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|
"servicedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
|
|
"end": "2020-12-23T19:46:07+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:f505868a-1215-0e2b-3de5-a8038fdbc7f9"
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|
} ]
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}, {
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"sequence": 2,
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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://hl7.org/fhir/sid/cvx",
|
|
"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": "2020-12-23T19:14:55+01:00",
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"end": "2020-12-23T19:46:07+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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"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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"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": 108.80000000000001,
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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": 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_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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"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": 3,
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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://hl7.org/fhir/sid/cvx",
|
|
"code": "113",
|
|
"display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
|
|
} ],
|
|
"text": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
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|
},
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"servicedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
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"end": "2020-12-23T19:46:07+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",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
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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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"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": 108.80000000000001,
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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": {
|
|
"value": 136.00,
|
|
"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": {
|
|
"value": 136.00,
|
|
"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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|
}, {
|
|
"sequence": 4,
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|
"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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|
} ]
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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",
|
|
"code": "52",
|
|
"display": "Hep A, adult"
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|
} ],
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|
"text": "Hep A, adult"
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|
},
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|
"servicedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
|
|
"end": "2020-12-23T19:46:07+01:00"
|
|
},
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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": 136.00,
|
|
"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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"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": 108.80000000000001,
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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": 136.00,
|
|
"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_alowd_chrg_amt",
|
|
"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,
|
|
"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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|
} ]
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|
},
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|
"amount": {
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|
"value": 0,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"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,
|
|
"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": "430193006",
|
|
"display": "Medication Reconciliation (procedure)"
|
|
} ],
|
|
"text": "Medication Reconciliation (procedure)"
|
|
},
|
|
"servicedPeriod": {
|
|
"start": "2020-12-23T19:14:55+01:00",
|
|
"end": "2020-12-23T19:46:07+01:00"
|
|
},
|
|
"locationCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
|
|
"code": "19",
|
|
"display": "Off Campus-Outpatient Hospital"
|
|
} ]
|
|
},
|
|
"net": {
|
|
"value": 732.77,
|
|
"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"
|
|
} ]
|
|
},
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|
"amount": {
|
|
"value": 146.554,
|
|
"currency": "USD"
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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_prvdr_pmt_amt",
|
|
"display": "Line Provider Payment Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 586.216,
|
|
"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": 732.77,
|
|
"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": 732.77,
|
|
"currency": "USD"
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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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}
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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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"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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"text": "Lipid panel with direct LDL - Serum or Plasma"
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},
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},
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"display": "Off Campus-Outpatient Hospital"
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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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"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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},
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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_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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"code": "710824005",
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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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"display": "Line Provider Payment 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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"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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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "160903007",
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} ],
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"text": "Full-time employment (finding)"
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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://snomed.info/sct",
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"code": "73595000",
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"display": "Stress (finding)"
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} ],
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"text": "Stress (finding)"
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},
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"servicedPeriod": {
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"start": "2020-12-23T19:14:55+01:00",
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"end": "2020-12-23T19:46:07+01:00"
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},
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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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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "710841007",
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|
"display": "Assessment of anxiety (procedure)"
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|
} ],
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"text": "Assessment of anxiety (procedure)"
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},
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"start": "2020-12-23T19:14:55+01:00",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"code": "69737-5",
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|
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|
} ],
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"text": "Generalized anxiety disorder 7 item (GAD-7)"
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},
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"code": "19",
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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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"value": 59.664,
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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_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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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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|
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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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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
|
|
"display": "Depression screening (procedure)"
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|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"servicedPeriod": {
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|
"start": "2020-12-23T19:14:55+01:00",
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|
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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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|
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|
} ]
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|
},
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|
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|
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|
"display": "Line Submitted Charge Amount"
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} ]
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},
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"start": "2021-08-11T20:14:55+02:00",
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|
"end": "2021-08-11T20:29:55+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",
|
|
"code": "21",
|
|
"display": "Inpatient Hospital"
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|
} ]
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|
},
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|
"encounter": [ {
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|
"reference": "urn:uuid:a6bf9085-02a2-0bd4-73dd-49b4126e7237"
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|
} ]
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|
}, {
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|
"sequence": 2,
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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://hl7.org/fhir/sid/cvx",
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|
"code": "207",
|
|
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose"
|
|
} ],
|
|
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose"
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|
},
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|
"servicedPeriod": {
|
|
"start": "2021-08-11T20:14:55+02:00",
|
|
"end": "2021-08-11T20:29:55+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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|
"net": {
|
|
"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": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
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|
},
|
|
"amount": {
|
|
"value": 27.200000000000003,
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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",
|
|
"display": "Line Provider Payment Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"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",
|
|
"display": "Line Submitted Charge Amount"
|
|
} ]
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|
},
|
|
"amount": {
|
|
"value": 136.00,
|
|
"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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|
},
|
|
"amount": {
|
|
"value": 136.00,
|
|
"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"
|
|
} ]
|
|
},
|
|
"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"
|
|
} ]
|
|
}
|
|
} ]
|
|
} ],
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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",
|
|
"display": "Submitted Amount"
|
|
} ],
|
|
"text": "Submitted Amount"
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|
},
|
|
"amount": {
|
|
"value": 278.58,
|
|
"currency": "USD"
|
|
}
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|
} ],
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|
"payment": {
|
|
"amount": {
|
|
"value": 108.80000000000001,
|
|
"currency": "USD"
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|
}
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|
}
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|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "ExplanationOfBenefit"
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|
}
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|
}, {
|
|
"fullUrl": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465",
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|
"resource": {
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|
"resourceType": "Encounter",
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|
"id": "32c1e5c4-c2e1-1e5c-7885-07040517b465",
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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": "32c1e5c4-c2e1-1e5c-7885-07040517b465"
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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:0096fcc6-e2d6-5aed-4790-beda6322c9be",
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|
"display": "Ms. Daysi106 Rheba182 Borer986"
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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": "2022-12-28T19:14:55+01:00",
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|
"end": "2022-12-28T20:11:25+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|9999956490",
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|
"display": "Dr. Jung484 Lowe577"
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|
}
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|
} ],
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|
"period": {
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|
"start": "2022-12-28T19:14:55+01:00",
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|
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},
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|
"location": [ {
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
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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|218e58e4-9642-3ebd-9b39-34d15f22c620",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
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}
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|
},
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"request": {
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|
"method": "POST",
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|
"url": "Encounter"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:ec2d2e0c-a7bd-2a54-bc5a-5ae091b2d795",
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"resource": {
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"resourceType": "Condition",
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|
"id": "ec2d2e0c-a7bd-2a54-bc5a-5ae091b2d795",
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|
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},
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"code": "active"
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|
} ]
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},
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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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} ]
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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": "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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|
"subject": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
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|
"onsetDateTime": "2022-12-28T19:14:55+01:00",
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|
"recordedDate": "2022-12-28T19:14:55+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:3824268c-254f-d6ab-1d30-d6ae108c19e4",
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|
"resource": {
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|
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|
"id": "3824268c-254f-d6ab-1d30-d6ae108c19e4",
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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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|
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
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|
"code": "active"
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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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|
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|
"display": "Encounter Diagnosis"
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|
} ],
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"code": {
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|
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|
"system": "http://snomed.info/sct",
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|
"code": "741062008",
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|
"display": "Not in labor force (finding)"
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|
} ],
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|
"text": "Not in labor force (finding)"
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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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|
"recordedDate": "2022-12-28T20:11:25+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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|
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|
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|
"id": "e14a0da9-8bd9-52c5-fefb-caa799d42a1c",
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|
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|
},
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|
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|
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
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|
"code": "active"
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|
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|
"code": "confirmed"
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|
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|
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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": "423315002",
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|
"display": "Limited social contact (finding)"
|
|
} ],
|
|
"text": "Limited social contact (finding)"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
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|
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|
},
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|
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|
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Condition"
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|
}
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|
}, {
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|
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"resource": {
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|
"id": "6cc2f28c-68f9-5f78-5525-6679aa4b60ae",
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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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|
},
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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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|
} ],
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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": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
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|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
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|
"valueQuantity": {
|
|
"value": 170.3,
|
|
"unit": "cm",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:59d89eaf-3369-537b-abb2-b65ac8f75b2e",
|
|
"resource": {
|
|
"resourceType": "Observation",
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|
"id": "59d89eaf-3369-537b-abb2-b65ac8f75b2e",
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "72514-3",
|
|
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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|
} ],
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
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|
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|
},
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|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
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|
"issued": "2022-12-28T19:14:55.153+01:00",
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|
"valueQuantity": {
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|
"value": 1,
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|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7b52dc8b-0a70-83f0-fcef-8651bc43d5a7",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7b52dc8b-0a70-83f0-fcef-8651bc43d5a7",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
|
|
"text": "Body Weight"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
|
|
"encounter": {
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|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 87.8,
|
|
"unit": "kg",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:805b96e3-4521-0116-e9e3-e91506530847",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "805b96e3-4521-0116-e9e3-e91506530847",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Ratio]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 30.27,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f2cfb0f7-a9b5-4d12-d046-63e90e4a50eb",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f2cfb0f7-a9b5-4d12-d046-63e90e4a50eb",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 76,
|
|
"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": 102,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:06f30a65-5b6e-4e48-a696-c198c0e4b35a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "06f30a65-5b6e-4e48-a696-c198c0e4b35a",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 67,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:3a49ba37-aac6-7e75-d363-aec257af9280",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "3a49ba37-aac6-7e75-d363-aec257af9280",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 13,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2f3967fe-708b-9cde-c840-00747f224a4a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "2f3967fe-708b-9cde-c840-00747f224a4a",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T19:14:55+01:00",
|
|
"issued": "2022-12-28T19:14:55.153+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:3a84a9f6-0e0b-e038-9063-a134c948b2d8",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "3a84a9f6-0e0b-e038-9063-a134c948b2d8",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T20:11:25+01:00",
|
|
"issued": "2022-12-28T20:11:25.153+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": "LA13902-4",
|
|
"display": "Quite a bit"
|
|
} ],
|
|
"text": "Quite a 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": "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": 121160,
|
|
"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": "LA6350-8",
|
|
"display": "Private insurance"
|
|
} ],
|
|
"text": "Private insurance"
|
|
}
|
|
}, {
|
|
"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": "LA30192-1",
|
|
"display": "High school diploma or GED"
|
|
} ],
|
|
"text": "High school diploma or GED"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "1009 Okuneva Camp Apt 20"
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93033-9",
|
|
"display": "Are you worried about losing your housing?"
|
|
} ],
|
|
"text": "Are you worried about losing your housing?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "71802-3",
|
|
"display": "Housing status"
|
|
} ],
|
|
"text": "Housing status"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30189-7",
|
|
"display": "I have housing"
|
|
} ],
|
|
"text": "I have housing"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "63512-8",
|
|
"display": "How many people are living or staying at this address?"
|
|
} ],
|
|
"text": "How many people are living or staying at this address?"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 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:c21b0a53-4b81-2d15-72a5-e0651309ff72",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "c21b0a53-4b81-2d15-72a5-e0651309ff72",
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|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"effectiveDateTime": "2022-12-28T20:51:14+01:00",
|
|
"issued": "2022-12-28T20:51:14.153+01:00",
|
|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:4dfe8d70-44a0-4c3d-88ca-5f8a5253927f",
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|
"resource": {
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"resourceType": "Observation",
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|
"id": "4dfe8d70-44a0-4c3d-88ca-5f8a5253927f",
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|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
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|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
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|
"effectiveDateTime": "2022-12-28T21:26:55+01:00",
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|
"issued": "2022-12-28T21:26:55.153+01:00",
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|
"valueQuantity": {
|
|
"value": 2,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:0d3dd274-b65e-44ee-9445-cae310ffd9e5",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "0d3dd274-b65e-44ee-9445-cae310ffd9e5",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2022-12-28T19:14:55+01:00",
|
|
"end": "2022-12-28T20:11:25+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:1dc172cb-3fc2-584f-2ad3-21072b37c681",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "1dc172cb-3fc2-584f-2ad3-21072b37c681",
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|
"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",
|
|
"code": "171207006",
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|
"display": "Depression screening (procedure)"
|
|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
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|
"performedPeriod": {
|
|
"start": "2022-12-28T20:11:25+01:00",
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|
"end": "2022-12-28T20:22:20+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7d42b96b-ac18-bb1b-212e-771c01536213",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "7d42b96b-ac18-bb1b-212e-771c01536213",
|
|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2022-12-28T20:22:20+01:00",
|
|
"end": "2022-12-28T20:51:14+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:240d15da-2b07-eb30-b304-4c13d7f1b3e6",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "240d15da-2b07-eb30-b304-4c13d7f1b3e6",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"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:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2022-12-28T20:51:14+01:00",
|
|
"end": "2022-12-28T21:04:21+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:a562e260-8f1f-e213-aba7-a039cd89d51e",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "a562e260-8f1f-e213-aba7-a039cd89d51e",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "763302001",
|
|
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
|
|
} ],
|
|
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2022-12-28T21:04:21+01:00",
|
|
"end": "2022-12-28T21:26:55+01:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
|
|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:102ebaae-9a56-32be-dfc5-6661384780c8",
|
|
"resource": {
|
|
"resourceType": "Immunization",
|
|
"id": "102ebaae-9a56-32be-dfc5-6661384780c8",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
|
|
},
|
|
"status": "completed",
|
|
"vaccineCode": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/sid/cvx",
|
|
"code": "140",
|
|
"display": "Influenza, seasonal, injectable, preservative free"
|
|
} ],
|
|
"text": "Influenza, seasonal, injectable, preservative free"
|
|
},
|
|
"patient": {
|
|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:32c1e5c4-c2e1-1e5c-7885-07040517b465"
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|
},
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|
"occurrenceDateTime": "2022-12-28T19:14:55+01:00",
|
|
"primarySource": true,
|
|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|ee328f7e-d5fd-302f-b2fe-e3906992cae7",
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|
"display": "COMMUNICATIVE HEALTH CARE ASSOCIATES INC."
|
|
}
|
|
},
|
|
"request": {
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|
"method": "POST",
|
|
"url": "Immunization"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:ba7e7a62-6a68-f691-4ff5-32a0641a08ae",
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|
"resource": {
|
|
"resourceType": "DiagnosticReport",
|
|
"id": "ba7e7a62-6a68-f691-4ff5-32a0641a08ae",
|
|
"status": "final",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "55757-9",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
|
|
} ],
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|
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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},
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},
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|
"effectiveDateTime": "2022-12-28T20:51:14+01:00",
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|
"issued": "2022-12-28T20:51:14.153+01:00",
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|
"result": [ {
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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": 5,
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"diagnosisSequence": [ 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": "741062008",
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"display": "Not in labor force (finding)"
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} ],
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"text": "Not in labor force (finding)"
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},
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"start": "2022-12-28T19:14:55+01:00",
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"end": "2022-12-28T20:11:25+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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"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://snomed.info/sct",
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"code": "423315002",
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"display": "Limited social contact (finding)"
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} ],
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"text": "Limited social contact (finding)"
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},
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"start": "2022-12-28T19:14:55+01:00",
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"end": "2022-12-28T20:11:25+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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"display": "Medical care"
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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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"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": "Off Campus-Outpatient Hospital"
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} ]
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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"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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},
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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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"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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"code": "454711000124102",
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},
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"system": "http://loinc.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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"code": "428211000124100",
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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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},
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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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"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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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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|
"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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|
} ]
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},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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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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},
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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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},
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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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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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}
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}, {
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"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": 12,
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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://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": "2022-12-28T19:14:55+01:00",
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"end": "2022-12-28T20:11:25+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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},
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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_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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"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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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"value": 74.58,
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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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"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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}
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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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"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": 704.20,
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}
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} ],
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"payment": {
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"amount": {
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"value": 1953.7279999999998,
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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:6ccfe9c4-b2a3-d6c4-b167-3487c4fbbe6a",
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"resource": {
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"resourceType": "Encounter",
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"id": "6ccfe9c4-b2a3-d6c4-b167-3487c4fbbe6a",
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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": "6ccfe9c4-b2a3-d6c4-b167-3487c4fbbe6a"
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} ],
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"status": "finished",
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"code": "AMB"
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},
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"type": [ {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "424441002",
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|
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} ],
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} ],
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"subject": {
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"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be",
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"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
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},
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"individual": {
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092",
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},
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"system": "http://snomed.info/sct",
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"code": "72892002",
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"location": {
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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} ],
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"serviceProvider": {
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"display": "CHILDREN'S HOSPITAL CORPORATION"
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|
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"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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|
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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": "confirmed"
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|
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|
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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": "35999006",
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|
"display": "Blighted ovum"
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|
} ],
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|
"text": "Blighted ovum"
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|
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|
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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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": "252160004",
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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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|
"display": "CHILDREN'S HOSPITAL CORPORATION"
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|
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|
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|
"reference": "urn:uuid:040ca00d-093e-8707-d50d-1657ef55ce0c",
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|
"display": "Normal pregnancy"
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|
} ]
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|
},
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|
"request": {
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|
"method": "POST",
|
|
"url": "Procedure"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:707ecc93-9798-04da-cc5b-c75c79cec84f",
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|
"resource": {
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|
"resourceType": "Procedure",
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|
"id": "707ecc93-9798-04da-cc5b-c75c79cec84f",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
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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": "169230002",
|
|
"display": "Ultrasound scan for fetal viability"
|
|
} ],
|
|
"text": "Ultrasound scan for fetal viability"
|
|
},
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|
"subject": {
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|
"reference": "urn:uuid:0096fcc6-e2d6-5aed-4790-beda6322c9be"
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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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|
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|
"end": "2023-04-19T20:29:55+02:00"
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|
},
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d11f97b5-721f-3bcd-8c00-973ba1f8f1b3",
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|
"display": "CHILDREN'S HOSPITAL CORPORATION"
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|
},
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|
"reasonReference": [ {
|
|
"reference": "urn:uuid:040ca00d-093e-8707-d50d-1657ef55ce0c",
|
|
"display": "Normal pregnancy"
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:c682b334-71af-496d-b794-ef224913dca7",
|
|
"resource": {
|
|
"resourceType": "DiagnosticReport",
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|
"id": "c682b334-71af-496d-b794-ef224913dca7",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "34117-2",
|
|
"display": "History and physical note"
|
|
}, {
|
|
"system": "http://loinc.org",
|
|
"code": "51847-2",
|
|
"display": "Evaluation + Plan note"
|
|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "34117-2",
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|
"display": "History and physical note"
|
|
}, {
|
|
"system": "http://loinc.org",
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|
"code": "51847-2",
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|
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"code": "252160004",
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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": "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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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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}
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}, {
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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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"amount": {
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"value": 0,
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"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": "171207006",
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"display": "Depression screening"
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} ],
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"text": "Depression screening"
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},
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"start": "2023-05-08T20:14:55+02:00",
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"end": "2023-05-08T20:29:55+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": "21",
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"display": "Inpatient Hospital"
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} ]
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},
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"display": "Line Provider Payment Amount"
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"display": "Line Submitted Charge Amount"
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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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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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} ],
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"category": {
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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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}
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}, {
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"fullUrl": "urn:uuid:f3d3c79f-833e-88e5-04f7-87007cb977e5",
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|
|
}, {
|
|
"type": {
|
|
"coding": [ {
|
|
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
|
|
"code": "transmitter",
|
|
"display": "Transmitter"
|
|
} ],
|
|
"text": "Transmitter"
|
|
},
|
|
"who": {
|
|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999995092",
|
|
"display": "Dr. Darnell564 Leannon79"
|
|
},
|
|
"onBehalfOf": {
|
|
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|a2cc09de-c1e2-3126-8c09-d49f95225281",
|
|
"display": "CHILDREN'S HOSPITAL CORPORATION"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Provenance"
|
|
}
|
|
} ]
|
|
}
|