29083 lines
968 KiB
JSON
29083 lines
968 KiB
JSON
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"status": "generated",
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} ],
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},
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"system": "http://snomed.info/sct",
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"display": "Fracture of bone (disorder)"
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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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"encounter": [ {
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"reference": "urn:uuid:4d041e22-8293-629f-df52-3731bf4c64b7"
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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://hl7.org/fhir/sid/cvx",
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"code": "140",
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"display": "Influenza, seasonal, injectable, preservative free"
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} ],
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"text": "Influenza, seasonal, injectable, preservative free"
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},
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"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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}
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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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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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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": 136.00,
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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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}
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}, {
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"category": {
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"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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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "430193006",
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"display": "Medication Reconciliation (procedure)"
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} ],
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"text": "Medication Reconciliation (procedure)"
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},
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"start": "2014-05-31T14:12:37+02:00",
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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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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"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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"value": 547.728,
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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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} ]
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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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"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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"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": "710841007",
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} ],
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},
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"display": "Line Beneficiary Coinsurance Amount"
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"display": "Line Provider Payment Amount"
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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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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"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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} ]
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},
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"system": "http://loinc.org",
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"code": "69737-5",
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} ],
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"text": "Generalized anxiety disorder 7 item (GAD-7)"
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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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"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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} ]
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"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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"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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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "428211000124100",
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|
"display": "Assessment of substance use (procedure)"
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|
} ],
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"text": "Assessment of substance use (procedure)"
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|
},
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"start": "2014-05-31T14:12:37+02:00",
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"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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"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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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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}
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"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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"currency": "USD"
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}
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},
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|
"code": "29463-7",
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|
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|
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|
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|
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|
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|
} ],
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|
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"system": "http://terminology.hl7.org/CodeSystem/claim-type",
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"code": "professional"
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} ]
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"display": "Monte325 Prosacco716"
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},
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"display": "DRACUT FAMILY HEALTHCARE"
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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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"display": "DRACUT FAMILY HEALTHCARE"
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}
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} ],
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} ],
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"system": "http://hl7.org/fhir/sid/cvx",
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"code": "114",
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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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} ],
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999963595"
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999963595"
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} ]
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}, {
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"resourceType": "Coverage",
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"id": "coverage",
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"text": "NO_INSURANCE"
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"display": "NO_INSURANCE"
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} ]
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} ],
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"identifier": [ {
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"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
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"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999963595"
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"code": "principal"
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"code": "principal"
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"insurance": [ {
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"focal": true,
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"text": "Well child visit (procedure)"
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "1",
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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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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"display": "Line Submitted Charge Amount"
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"display": "Line Allowed Charge Amount"
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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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"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://hl7.org/fhir/sid/cvx",
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"code": "114",
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"display": "meningococcal MCV4P"
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} ],
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"text": "meningococcal MCV4P"
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},
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"value": 136.00,
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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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"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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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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}
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}, {
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"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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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"code": "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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"end": "2016-06-11T14:34:33+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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}
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}, {
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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": "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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} ]
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},
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"display": "Line Submitted Charge Amount"
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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},
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}
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} ]
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|
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} ],
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} ]
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},
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}
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} ]
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},
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},
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} ]
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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} ]
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},
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"system": "http://loinc.org",
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|
} ],
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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 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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"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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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
} ]
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},
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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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"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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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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} ]
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},
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|
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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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}
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}, {
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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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": "310965",
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|
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|
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"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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"code": "29463-7",
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"code": "39156-5",
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"display": "Body mass index (BMI) [Ratio]"
|
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} ],
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},
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},
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"code": "vital-signs",
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} ],
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},
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} ],
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|
"code": "85354-9",
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|
|
} ],
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},
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|
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} ],
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"value": 68,
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"code": "8480-6",
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|
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} ],
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"value": 100,
|
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|
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}
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} ]
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},
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|
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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": "9279-1",
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} ],
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
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},
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|
|
"code": "72166-2",
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|
|
} ],
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "266919005",
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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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"system": "http://loinc.org",
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"code": "LA32-8",
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|
} ],
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"code": "93026-3",
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} ],
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"code": "93027-1",
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|
} ],
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"text": "Are you a refugee?"
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}, {
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"code": {
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} ],
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|
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} ],
|
|
"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": 47062,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30137-6",
|
|
"display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
|
|
} ],
|
|
"text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "157 Stehr Stravenue Unit 46"
|
|
}, {
|
|
"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": 2,
|
|
"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:2bb7427d-dccd-a931-a1d2-2b0aaf5d6b53",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "2bb7427d-dccd-a931-a1d2-2b0aaf5d6b53",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
|
|
},
|
|
"effectiveDateTime": "2018-06-23T15:14:14+02:00",
|
|
"issued": "2018-06-23T15:14:14.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:60e1ecc8-1d27-7c22-ca69-bac66094cc0a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "60e1ecc8-1d27-7c22-ca69-bac66094cc0a",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
|
|
},
|
|
"effectiveDateTime": "2018-06-23T15:51:10+02:00",
|
|
"issued": "2018-06-23T15:51:10.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 1,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:79536d0b-1965-d33b-0214-a2c30e171946",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "79536d0b-1965-d33b-0214-a2c30e171946",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
|
|
},
|
|
"effectiveDateTime": "2018-06-23T16:31:06+02:00",
|
|
"issued": "2018-06-23T16:31:06.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 3,
|
|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:de84c7f4-760d-0311-b33b-5fa7edc31434",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "de84c7f4-760d-0311-b33b-5fa7edc31434",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-06-23T14:12:37+02:00",
|
|
"end": "2018-06-23T14:52:47+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
|
|
"display": "DRACUT FAMILY HEALTHCARE"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f62b3c08-5724-9933-0bb0-e7388cc8d2ca",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "f62b3c08-5724-9933-0bb0-e7388cc8d2ca",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
|
|
},
|
|
"performedPeriod": {
|
|
"start": "2018-06-23T14:52:47+02:00",
|
|
"end": "2018-06-23T15:14:14+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
|
|
"display": "DRACUT FAMILY HEALTHCARE"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:8506e652-5335-e76e-46dc-0065a5ce87ab",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "8506e652-5335-e76e-46dc-0065a5ce87ab",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
|
|
"display": "Depression screening (procedure)"
|
|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"subject": {
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"facility": {
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"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
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"display": "DRACUT FAMILY HEALTHCARE"
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},
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"claim": {
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|
"reference": "urn:uuid:52ad67c6-e4f6-8d01-1197-d222ae3b7b16"
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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|9999963595"
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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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"reference": "urn:uuid:2269a0d9-6bd4-635a-2a73-313365ec2e28"
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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:e46fed5d-ee4f-6e5f-86f7-51e9866c0d50"
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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": 3,
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"diagnosisReference": {
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"reference": "urn:uuid:25f39201-d1f9-7f44-02fb-a824927080d7"
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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": 4,
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"diagnosisReference": {
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"reference": "urn:uuid:e76ec372-6cf6-4485-46e0-468e02a7ed6b"
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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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"insurance": [ {
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"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "NO_INSURANCE"
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}
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} ],
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"item": [ {
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"sequence": 1,
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "162673000",
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"display": "General examination of patient (procedure)"
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} ],
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"text": "General examination of patient (procedure)"
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},
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"servicedPeriod": {
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"start": "2018-06-23T14:12:37+02:00",
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"end": "2018-06-23T14:52:47+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:8f8ba4b5-2f52-cceb-2ba9-96bdb2f5d2be"
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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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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://hl7.org/fhir/sid/cvx",
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"code": "140",
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"display": "Influenza, seasonal, injectable, preservative free"
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} ],
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"text": "Influenza, seasonal, injectable, preservative free"
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},
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"servicedPeriod": {
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"start": "2018-06-23T14:12:37+02:00",
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"end": "2018-06-23T14:52:47+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"net": {
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"value": 136.00,
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 27.200000000000003,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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|
"value": 108.80000000000001,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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"currency": "USD"
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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|
"value": 136.00,
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|
"currency": "USD"
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}
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}, {
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"category": {
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|
"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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|
"sequence": 3,
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|
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|
"category": {
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "314529007",
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|
"display": "Medication review due (situation)"
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|
} ],
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|
"text": "Medication review due (situation)"
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|
},
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|
"servicedPeriod": {
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|
"start": "2018-06-23T14:12:37+02:00",
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|
"end": "2018-06-23T14:52:47+02:00"
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|
},
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"locationCodeableConcept": {
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|
"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
}
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}, {
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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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|
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|
"system": "http://snomed.info/sct",
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|
"code": "710824005",
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|
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|
} ],
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|
"text": "Assessment of health and social care needs (procedure)"
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|
},
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|
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|
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|
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|
},
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"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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|
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},
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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},
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"amount": {
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|
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}
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"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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"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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"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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|
"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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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "224299000",
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|
"display": "Received higher education (finding)"
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|
} ],
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|
"text": "Received higher education (finding)"
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|
},
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|
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|
"start": "2018-06-23T14:12:37+02:00",
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|
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},
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"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
}
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|
}, {
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|
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"category": {
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "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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|
"servicedPeriod": {
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|
"start": "2018-06-23T14:12:37+02:00",
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|
"end": "2018-06-23T14:52:47+02:00"
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|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
}
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|
}, {
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|
"sequence": 7,
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|
"diagnosisSequence": [ 4 ],
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|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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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": "2018-06-23T14:12:37+02:00",
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|
"end": "2018-06-23T14:52:47+02:00"
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|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
}
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|
}, {
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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": "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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|
"servicedPeriod": {
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|
"start": "2018-06-23T14:12:37+02:00",
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|
"end": "2018-06-23T14:52:47+02:00"
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|
},
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|
"locationCodeableConcept": {
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
},
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|
"net": {
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|
"value": 431.40,
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|
"currency": "USD"
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|
},
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|
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|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 86.28,
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|
"currency": "USD"
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}
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|
}, {
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|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 345.12,
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|
"currency": "USD"
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}
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|
}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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|
"display": "Line Submitted Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 431.40,
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|
"currency": "USD"
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}
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|
}, {
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"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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|
"display": "Line Allowed Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 431.40,
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|
"currency": "USD"
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}
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|
}, {
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|
"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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} ],
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 27.93,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f8e23b3b-2b20-a4a0-86ad-4c686c27ed2b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "f8e23b3b-2b20-a4a0-86ad-4c686c27ed2b",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
|
|
},
|
|
"status": "final",
|
|
"category": [ {
|
|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "59576-9",
|
|
"display": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Percentile] Per age and sex"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 90.698,
|
|
"unit": "%",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "%"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:4f080311-74d5-1468-803a-6b35ae9fd077",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "4f080311-74d5-1468-803a-6b35ae9fd077",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 72,
|
|
"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": 106,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:7350a868-2aa5-5681-19ca-bbcbfc2a153a",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "7350a868-2aa5-5681-19ca-bbcbfc2a153a",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 70,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:34c39bbd-6a4a-3ca0-44e0-83b908ca5093",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "34c39bbd-6a4a-3ca0-44e0-83b908ca5093",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 16,
|
|
"unit": "/min",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/min"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:6745edfc-d9bb-9eb7-6890-18d8899d64c2",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "6745edfc-d9bb-9eb7-6890-18d8899d64c2",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:12:37+02:00",
|
|
"issued": "2019-06-29T14:12:37.471+02:00",
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "266919005",
|
|
"display": "Never smoked tobacco (finding)"
|
|
} ],
|
|
"text": "Never smoked tobacco (finding)"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:bf2b791f-bf54-ebfe-a300-bf3cb7169a8b",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "bf2b791f-bf54-ebfe-a300-bf3cb7169a8b",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
|
|
},
|
|
"effectiveDateTime": "2019-06-29T14:45:15+02:00",
|
|
"issued": "2019-06-29T14:45:15.471+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76501-6",
|
|
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
} ],
|
|
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
|
|
"text": "Do you feel physically and emotionally safe where you currently live?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA13863-8",
|
|
"display": "A little bit"
|
|
} ],
|
|
"text": "A little bit"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93029-7",
|
|
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
} ],
|
|
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "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": 47062,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "157 Stehr Stravenue Unit 46"
|
|
}, {
|
|
"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": 2,
|
|
"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:5b99e1cf-2d14-fda2-63fb-90638bcd8bf5",
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|
"resource": {
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|
"resourceType": "Observation",
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"id": "5b99e1cf-2d14-fda2-63fb-90638bcd8bf5",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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|
},
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
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|
},
|
|
"effectiveDateTime": "2019-06-29T15:27:17+02:00",
|
|
"issued": "2019-06-29T15:27:17.471+02:00",
|
|
"valueQuantity": {
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|
"value": 0,
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|
"unit": "{score}",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "{score}"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
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|
}, {
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|
"fullUrl": "urn:uuid:93e9eb66-c4bf-4992-6dba-01d349ca3bfb",
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"resource": {
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|
"resourceType": "Procedure",
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|
"id": "93e9eb66-c4bf-4992-6dba-01d349ca3bfb",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"status": "completed",
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|
"code": {
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|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "430193006",
|
|
"display": "Medication Reconciliation (procedure)"
|
|
} ],
|
|
"text": "Medication Reconciliation (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
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|
},
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|
"performedPeriod": {
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|
"start": "2019-06-29T14:12:37+02:00",
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|
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|
},
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|
"location": {
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|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
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|
"display": "DRACUT FAMILY HEALTHCARE"
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|
}
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|
},
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|
"request": {
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|
"method": "POST",
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|
"url": "Procedure"
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|
}
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|
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|
"fullUrl": "urn:uuid:4ae2e035-38f0-6f52-c1b5-32d2ecd3d648",
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|
"resource": {
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|
"resourceType": "Procedure",
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|
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
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|
},
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|
"status": "completed",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
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|
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|
},
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|
"performedPeriod": {
|
|
"start": "2019-06-29T14:12:37+02:00",
|
|
"end": "2019-06-29T14:45:15+02:00"
|
|
},
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|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
|
|
"display": "DRACUT FAMILY HEALTHCARE"
|
|
}
|
|
},
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|
"request": {
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|
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|
|
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|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:eef73737-3f30-4f3e-e5f1-1e9166d9abcc",
|
|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "eef73737-3f30-4f3e-e5f1-1e9166d9abcc",
|
|
"meta": {
|
|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
|
|
},
|
|
"status": "completed",
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "171207006",
|
|
"display": "Depression screening (procedure)"
|
|
} ],
|
|
"text": "Depression screening (procedure)"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
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|
},
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|
"performedPeriod": {
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|
"start": "2019-06-29T14:45:15+02:00",
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|
"end": "2019-06-29T14:58:40+02:00"
|
|
},
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|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
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|
"display": "DRACUT FAMILY HEALTHCARE"
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|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:8d304c2f-0cdb-6299-3705-b08f42cd201d",
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|
"resource": {
|
|
"resourceType": "Procedure",
|
|
"id": "8d304c2f-0cdb-6299-3705-b08f42cd201d",
|
|
"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": "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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
|
|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
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|
},
|
|
"performedPeriod": {
|
|
"start": "2019-06-29T14:58:40+02:00",
|
|
"end": "2019-06-29T15:27:17+02:00"
|
|
},
|
|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
|
|
"display": "DRACUT FAMILY HEALTHCARE"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Procedure"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:bacba174-7a99-3f38-8039-a2e112a80a45",
|
|
"resource": {
|
|
"resourceType": "Immunization",
|
|
"id": "bacba174-7a99-3f38-8039-a2e112a80a45",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
|
|
"encounter": {
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|
"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
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|
},
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|
"occurrenceDateTime": "2019-06-29T14:12:37+02:00",
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|
"primarySource": true,
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|
"location": {
|
|
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|d7ffa620-112e-3617-bc7e-d38bebda8c49",
|
|
"display": "DRACUT FAMILY HEALTHCARE"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Immunization"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:98f34198-d148-3f17-38b6-14623bb4d08f",
|
|
"resource": {
|
|
"resourceType": "DiagnosticReport",
|
|
"id": "98f34198-d148-3f17-38b6-14623bb4d08f",
|
|
"status": "final",
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "55757-9",
|
|
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
|
|
} ],
|
|
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
|
|
},
|
|
"subject": {
|
|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
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|
},
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|
"effectiveDateTime": "2019-06-29T15:27:17+02:00",
|
|
"issued": "2019-06-29T15:27:17.471+02:00",
|
|
"result": [ {
|
|
"reference": "urn:uuid:5b99e1cf-2d14-fda2-63fb-90638bcd8bf5",
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|
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
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|
} ]
|
|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "DiagnosticReport"
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|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:f523e7be-3a85-eb8f-1b76-260aaad55419",
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|
"resource": {
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|
"resourceType": "DiagnosticReport",
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|
"id": "f523e7be-3a85-eb8f-1b76-260aaad55419",
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|
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|
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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://loinc.org",
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|
"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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|
"display": "Evaluation + Plan note"
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|
} ]
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|
} ],
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|
"code": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
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|
"code": "34117-2",
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|
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|
}, {
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|
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|
"code": "51847-2",
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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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|
"issued": "2019-06-29T14:12:37.471+02:00",
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|
"performer": [ {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999963595",
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|
"display": "Dr. Aura483 Bruen238"
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|
} ],
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|
"presentedForm": [ {
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|
"contentType": "text/plain; charset=utf-8",
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"reference": "urn:uuid:0f9cc1be-d7b4-2355-bcd1-793944e98708"
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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|9999963595"
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},
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"role": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
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"code": "primary",
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"display": "Primary provider"
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} ]
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}
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} ],
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"diagnosis": [ {
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"sequence": 1,
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"diagnosisReference": {
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"reference": "urn:uuid:873511fd-98c2-457c-da91-f85bbedcdc8c"
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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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"insurance": [ {
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"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "NO_INSURANCE"
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}
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} ],
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"item": [ {
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"sequence": 1,
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "162673000",
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|
"display": "General examination of patient (procedure)"
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} ],
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"text": "General examination of patient (procedure)"
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},
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"servicedPeriod": {
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"start": "2019-06-29T14:12:37+02:00",
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"end": "2019-06-29T14:45:15+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"encounter": [ {
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"reference": "urn:uuid:4f088b8d-2e96-fd5c-629d-41c0935ccedf"
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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": "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": "2019-06-29T14:12:37+02:00",
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"end": "2019-06-29T14:45:15+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"net": {
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"value": 136.00,
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"currency": "USD"
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},
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"adjudication": [ {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 27.200000000000003,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 108.80000000000001,
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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"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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"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": "430193006",
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|
"display": "Medication Reconciliation (procedure)"
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|
} ],
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|
"text": "Medication Reconciliation (procedure)"
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},
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"servicedPeriod": {
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"start": "2019-06-29T14:12:37+02:00",
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"end": "2019-06-29T14:45:15+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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"net": {
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"value": 534.68,
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"currency": "USD"
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},
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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},
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"amount": {
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"value": 106.93599999999999,
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"currency": "USD"
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 427.74399999999997,
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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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"amount": {
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"value": 534.68,
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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"currency": "USD"
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}
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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"sequence": 4,
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
"display": "Medical care"
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|
} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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"code": "710824005",
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|
"display": "Assessment of health and social care needs (procedure)"
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|
} ],
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"text": "Assessment of health and social care needs (procedure)"
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|
},
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"servicedPeriod": {
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"start": "2019-06-29T14:12:37+02:00",
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"end": "2019-06-29T14:45:15+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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"net": {
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"value": 431.40,
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"currency": "USD"
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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},
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"amount": {
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"value": 86.28,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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"display": "Line Provider Payment Amount"
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} ]
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},
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"amount": {
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"value": 345.12,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
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"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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"display": "Line Beneficiary Part B Deductible Amount"
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} ]
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},
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"amount": {
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"value": 0,
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"currency": "USD"
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}
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}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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|
} ]
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}, {
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"sequence": 5,
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"diagnosisSequence": [ 1 ],
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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|
} ]
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},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "160903007",
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|
"display": "Full-time employment (finding)"
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|
} ],
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|
"text": "Full-time employment (finding)"
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|
},
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|
"servicedPeriod": {
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|
"start": "2019-06-29T14:12:37+02:00",
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|
"end": "2019-06-29T14:45:15+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
}
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}, {
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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": "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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|
"servicedPeriod": {
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|
"start": "2019-06-29T14:12:37+02:00",
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|
"end": "2019-06-29T14:45:15+02:00"
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|
},
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|
"locationCodeableConcept": {
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"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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|
},
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"net": {
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|
"value": 431.40,
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|
"currency": "USD"
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|
},
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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},
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"amount": {
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|
"value": 86.28,
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|
"currency": "USD"
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|
}
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|
}, {
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"category": {
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|
"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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},
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|
"amount": {
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|
"value": 345.12,
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|
"currency": "USD"
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|
}
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|
}, {
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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|
"display": "Line Submitted Charge Amount"
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|
} ]
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},
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"amount": {
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"value": 431.40,
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|
"currency": "USD"
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}
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}, {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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|
"display": "Line Allowed Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 431.40,
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|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
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|
"display": "Line Beneficiary Part B Deductible Amount"
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|
} ]
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},
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|
"amount": {
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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": 7,
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "454711000124102",
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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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"code": "principal"
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} ]
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} ]
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"reference": "urn:uuid:3ff243bd-61e2-b6e5-7580-52bc9cc0795f"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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"code": "principal"
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} ]
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} ]
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}, {
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"sequence": 6,
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"reference": "urn:uuid:8d0b9319-acde-0e85-573c-bcbaab0bca15"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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"code": "principal"
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} ]
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} ]
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}, {
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"sequence": 7,
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"reference": "urn:uuid:4afabd2e-d4a2-fcff-8e07-6ed6672f5ad4"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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"code": "principal"
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} ]
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} ]
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}, {
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"sequence": 8,
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"diagnosisReference": {
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"reference": "urn:uuid:8023aad3-36de-7e64-a450-3f9bcbd63e1a"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
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"code": "principal"
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} ]
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} ]
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} ],
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"insurance": [ {
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|
"focal": true,
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"coverage": {
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"reference": "#coverage",
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"display": "NO_INSURANCE"
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}
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} ],
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"code": "185345009",
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"display": "Encounter for symptom (procedure)"
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} ],
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"text": "Encounter for symptom (procedure)"
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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:33b3745f-50c7-0311-1048-62bea24d1181"
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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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"code": "25064002",
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"display": "Headache (finding)"
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} ],
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"text": "Headache (finding)"
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},
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"start": "2021-04-15T14:12:37+02:00",
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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"display": "Inpatient Hospital"
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} ]
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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|
"code": "49727002",
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|
"display": "Cough (finding)"
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|
} ],
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|
"text": "Cough (finding)"
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|
},
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"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
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"end": "2021-04-15T15:02:57+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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}, {
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"diagnosisSequence": [ 3 ],
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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|
"system": "http://snomed.info/sct",
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|
"code": "248595008",
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|
"display": "Sputum finding (finding)"
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|
} ],
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"text": "Sputum finding (finding)"
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|
},
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"start": "2021-04-15T14:12:37+02:00",
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"end": "2021-04-15T15:02:57+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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}, {
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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": "84229001",
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|
"display": "Fatigue (finding)"
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|
} ],
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|
"text": "Fatigue (finding)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
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|
"end": "2021-04-15T15:02:57+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "21",
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|
"display": "Inpatient Hospital"
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|
} ]
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|
}
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}, {
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"diagnosisSequence": [ 5 ],
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "43724002",
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|
"display": "Chill (finding)"
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|
} ],
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|
"text": "Chill (finding)"
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|
},
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|
"start": "2021-04-15T14:12:37+02:00",
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"end": "2021-04-15T15:02:57+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "21",
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|
"display": "Inpatient Hospital"
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|
} ]
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|
}
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|
}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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|
"display": "Medical care"
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|
} ]
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},
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"productOrService": {
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"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "386661006",
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|
"display": "Fever (finding)"
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|
} ],
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|
"text": "Fever (finding)"
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|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
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|
"end": "2021-04-15T15:02:57+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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}, {
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"category": {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "36955009",
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|
"display": "Loss of taste (finding)"
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|
} ],
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|
"text": "Loss of taste (finding)"
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|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
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|
"end": "2021-04-15T15:02:57+02:00"
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},
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"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "21",
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|
"display": "Inpatient Hospital"
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|
} ]
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}
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}, {
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"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": "261352009",
|
|
"display": "Face mask (physical object)"
|
|
} ],
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|
"text": "Face mask (physical object)"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
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|
"end": "2021-04-15T15:02:57+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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|
"net": {
|
|
"value": 1.52,
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|
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|
},
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"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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|
"display": "Line Beneficiary Coinsurance Amount"
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|
} ]
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|
},
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|
"amount": {
|
|
"value": 0.30400000000000005,
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|
"currency": "USD"
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|
}
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|
}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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|
},
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|
"amount": {
|
|
"value": 1.2160000000000002,
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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/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": 1.52,
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|
"currency": "USD"
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}
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|
}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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|
"display": "Line Allowed Charge Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 1.52,
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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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|
"amount": {
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|
"value": 0,
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|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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|
"display": "Line Processing Indicator Code"
|
|
} ]
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|
}
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|
} ]
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|
}, {
|
|
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|
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|
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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|
},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "80381-7",
|
|
"display": "Influenza virus A and B Ag panel - Upper respiratory specimen by Rapid immunoassay"
|
|
} ],
|
|
"text": "Influenza virus A and B Ag panel - Upper respiratory specimen by Rapid immunoassay"
|
|
},
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|
"servicedPeriod": {
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|
"start": "2021-04-15T14:12:37+02:00",
|
|
"end": "2021-04-15T15:02:57+02:00"
|
|
},
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|
"locationCodeableConcept": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "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": 74.58,
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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/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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|
"amount": {
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|
"value": 14.916,
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|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
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|
"display": "Line Provider Payment Amount"
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|
} ]
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|
},
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|
"amount": {
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|
"value": 59.664,
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|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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|
"code": "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": 74.58,
|
|
"currency": "USD"
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|
}
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|
}, {
|
|
"category": {
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|
"coding": [ {
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|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 74.58,
|
|
"currency": "USD"
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|
}
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|
}, {
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|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
|
|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
}, {
|
|
"sequence": 11,
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|
"informationSequence": [ 2 ],
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|
"category": {
|
|
"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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|
"adjudication": [ {
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|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
|
|
"display": "Line Beneficiary Coinsurance Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 27.200000000000003,
|
|
"currency": "USD"
|
|
}
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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": 108.80000000000001,
|
|
"currency": "USD"
|
|
}
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|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
|
|
"display": "Line Submitted Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 136.00,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
|
|
"display": "Line Allowed Charge Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 136.00,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
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|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
|
|
"display": "Line Beneficiary Part B Deductible Amount"
|
|
} ]
|
|
},
|
|
"amount": {
|
|
"value": 0,
|
|
"currency": "USD"
|
|
}
|
|
}, {
|
|
"category": {
|
|
"coding": [ {
|
|
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
|
|
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
|
|
"display": "Line Processing Indicator Code"
|
|
} ]
|
|
}
|
|
} ]
|
|
} ],
|
|
"total": [ {
|
|
"category": {
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"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
|
|
"code": "submitted",
|
|
"display": "Submitted Amount"
|
|
} ],
|
|
"text": "Submitted Amount"
|
|
},
|
|
"amount": {
|
|
"value": 278.58,
|
|
"currency": "USD"
|
|
}
|
|
} ],
|
|
"payment": {
|
|
"amount": {
|
|
"value": 108.80000000000001,
|
|
"currency": "USD"
|
|
}
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "ExplanationOfBenefit"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6",
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"resource": {
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"resourceType": "Encounter",
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|
"id": "2c75b968-b2e8-daa8-dfb3-625fdcae27b6",
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|
"meta": {
|
|
"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": "2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
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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",
|
|
"code": "162673000",
|
|
"display": "General examination of patient (procedure)"
|
|
} ],
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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:2268a882-1b01-f71f-4377-a0dd87a78dd9",
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"display": "Mr. Monte325 Tad831 Prosacco716"
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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": "2022-07-02T14:12:37+02:00",
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|
"end": "2022-07-02T15:00:27+02:00"
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|
},
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|
"individual": {
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|
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999963595",
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|
"display": "Dr. Aura483 Bruen238"
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|
}
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|
} ],
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"period": {
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|
"start": "2022-07-02T14:12:37+02:00",
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"end": "2022-07-02T15:00:27+02:00"
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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|d7ffa620-112e-3617-bc7e-d38bebda8c49",
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|
"display": "DRACUT FAMILY HEALTHCARE"
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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|19f958ef-57cf-33c1-b068-14b32a980813",
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|
"display": "DRACUT FAMILY HEALTHCARE"
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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:316753ed-9b68-246e-c3b7-67ec204565f6",
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"resource": {
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"resourceType": "Condition",
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|
"id": "316753ed-9b68-246e-c3b7-67ec204565f6",
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"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
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},
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"clinicalStatus": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
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"code": "resolved"
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} ]
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},
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"verificationStatus": {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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"code": "confirmed"
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} ]
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},
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"category": [ {
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"coding": [ {
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"system": "http://terminology.hl7.org/CodeSystem/condition-category",
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"code": "encounter-diagnosis",
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|
"display": "Encounter Diagnosis"
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|
} ]
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|
} ],
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"code": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "314529007",
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|
"display": "Medication review due (situation)"
|
|
} ],
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"text": "Medication review due (situation)"
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},
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|
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},
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|
"recordedDate": "2022-07-02T14:12:37+02:00"
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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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"id": "45b0243c-a5c5-0f33-7ef3-6d1c731609c8",
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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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|
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|
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"code": "vital-signs",
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|
"display": "Vital signs"
|
|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8302-2",
|
|
"display": "Body Height"
|
|
} ],
|
|
"text": "Body Height"
|
|
},
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|
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|
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},
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|
"issued": "2022-07-02T14:12:37.471+02:00",
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"valueQuantity": {
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|
"value": 188.5,
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|
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|
"system": "http://unitsofmeasure.org",
|
|
"code": "cm"
|
|
}
|
|
},
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|
"request": {
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|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
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|
"code": "vital-signs",
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} ],
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"code": {
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|
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|
"system": "http://loinc.org",
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|
"code": "72514-3",
|
|
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
|
|
} ],
|
|
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
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|
},
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|
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|
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},
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|
"issued": "2022-07-02T14:12:37.471+02:00",
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|
"valueQuantity": {
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|
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|
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|
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|
}
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|
},
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|
"request": {
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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:dfd33539-7c00-0daa-bc1b-b7965f551473",
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|
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|
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|
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
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|
},
|
|
"status": "final",
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|
"category": [ {
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|
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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": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "29463-7",
|
|
"display": "Body Weight"
|
|
} ],
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|
"text": "Body Weight"
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|
},
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|
"subject": {
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|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
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|
},
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|
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|
"issued": "2022-07-02T14:12:37.471+02:00",
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|
"valueQuantity": {
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|
"value": 98.8,
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|
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|
"system": "http://unitsofmeasure.org",
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|
"code": "kg"
|
|
}
|
|
},
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|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:77dbbeb2-c134-082b-bb80-66b71a0790b1",
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|
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|
"id": "77dbbeb2-c134-082b-bb80-66b71a0790b1",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
|
|
},
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|
"status": "final",
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|
"category": [ {
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|
"coding": [ {
|
|
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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|
"code": "vital-signs",
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|
"display": "Vital signs"
|
|
} ]
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|
} ],
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|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "39156-5",
|
|
"display": "Body mass index (BMI) [Ratio]"
|
|
} ],
|
|
"text": "Body mass index (BMI) [Ratio]"
|
|
},
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|
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|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
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|
},
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|
"effectiveDateTime": "2022-07-02T14:12:37+02:00",
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|
"issued": "2022-07-02T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 27.8,
|
|
"unit": "kg/m2",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "kg/m2"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:da461469-547b-5680-1c23-187b35d4ae95",
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|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "da461469-547b-5680-1c23-187b35d4ae95",
|
|
"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": {
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|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
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|
},
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|
"effectiveDateTime": "2022-07-02T14:12:37+02:00",
|
|
"issued": "2022-07-02T14:12:37.471+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "8462-4",
|
|
"display": "Diastolic Blood Pressure"
|
|
} ],
|
|
"text": "Diastolic Blood Pressure"
|
|
},
|
|
"valueQuantity": {
|
|
"value": 68,
|
|
"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": 107,
|
|
"unit": "mm[Hg]",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "mm[Hg]"
|
|
}
|
|
} ]
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
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|
}
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|
}, {
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|
"fullUrl": "urn:uuid:6661e658-e3c4-2650-357b-54447a8dc3a1",
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|
"resource": {
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|
"resourceType": "Observation",
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|
"id": "6661e658-e3c4-2650-357b-54447a8dc3a1",
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|
"meta": {
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|
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
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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",
|
|
"code": "vital-signs",
|
|
"display": "Vital signs"
|
|
} ]
|
|
} ],
|
|
"code": {
|
|
"coding": [ {
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|
"system": "http://loinc.org",
|
|
"code": "8867-4",
|
|
"display": "Heart rate"
|
|
} ],
|
|
"text": "Heart rate"
|
|
},
|
|
"subject": {
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|
"reference": "urn:uuid:2268a882-1b01-f71f-4377-a0dd87a78dd9"
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|
},
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|
"encounter": {
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|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
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|
},
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"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
|
|
},
|
|
"effectiveDateTime": "2022-07-02T14:12:37+02:00",
|
|
"issued": "2022-07-02T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 510.4,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:81f4f1b8-a8f2-0ee7-3055-90fcdf223800",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "81f4f1b8-a8f2-0ee7-3055-90fcdf223800",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
|
|
},
|
|
"effectiveDateTime": "2022-07-02T14:12:37+02:00",
|
|
"issued": "2022-07-02T14:12:37.471+02:00",
|
|
"valueQuantity": {
|
|
"value": 10.08,
|
|
"unit": "fL",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "fL"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:9bbf69bf-168f-257a-f990-77ac5b6e78fa",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "9bbf69bf-168f-257a-f990-77ac5b6e78fa",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
|
|
},
|
|
"effectiveDateTime": "2022-07-02T14:12:37+02:00",
|
|
"issued": "2022-07-02T14:12:37.471+02:00",
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://snomed.info/sct",
|
|
"code": "266919005",
|
|
"display": "Never smoked tobacco (finding)"
|
|
} ],
|
|
"text": "Never smoked tobacco (finding)"
|
|
}
|
|
},
|
|
"request": {
|
|
"method": "POST",
|
|
"url": "Observation"
|
|
}
|
|
}, {
|
|
"fullUrl": "urn:uuid:5c3362b8-a2d9-11a1-1f23-9e929336ea57",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "5c3362b8-a2d9-11a1-1f23-9e929336ea57",
|
|
"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:2268a882-1b01-f71f-4377-a0dd87a78dd9"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:2c75b968-b2e8-daa8-dfb3-625fdcae27b6"
|
|
},
|
|
"effectiveDateTime": "2022-07-02T15:00:27+02:00",
|
|
"issued": "2022-07-02T15:00:27.471+02:00",
|
|
"component": [ {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76501-6",
|
|
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
} ],
|
|
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93026-3",
|
|
"display": "Do you feel physically and emotionally safe where you currently live?"
|
|
} ],
|
|
"text": "Do you feel physically and emotionally safe where you currently live?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA33-6",
|
|
"display": "Yes"
|
|
} ],
|
|
"text": "Yes"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93027-1",
|
|
"display": "Are you a refugee?"
|
|
} ],
|
|
"text": "Are you a refugee?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93028-9",
|
|
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
} ],
|
|
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA32-8",
|
|
"display": "No"
|
|
} ],
|
|
"text": "No"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "93038-8",
|
|
"display": "Stress level"
|
|
} ],
|
|
"text": "Stress level"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "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": "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": 47062,
|
|
"unit": "/a",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "/a"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "76437-3",
|
|
"display": "Primary insurance"
|
|
} ],
|
|
"text": "Primary insurance"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30194-7",
|
|
"display": "None/uninsured"
|
|
} ],
|
|
"text": "None/uninsured"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "67875-5",
|
|
"display": "Employment status - current"
|
|
} ],
|
|
"text": "Employment status - current"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30136-8",
|
|
"display": "Full-time work"
|
|
} ],
|
|
"text": "Full-time work"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "82589-3",
|
|
"display": "Highest level of education"
|
|
} ],
|
|
"text": "Highest level of education"
|
|
},
|
|
"valueCodeableConcept": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "LA30193-9",
|
|
"display": "More than high school"
|
|
} ],
|
|
"text": "More than high school"
|
|
}
|
|
}, {
|
|
"code": {
|
|
"coding": [ {
|
|
"system": "http://loinc.org",
|
|
"code": "56799-0",
|
|
"display": "Address"
|
|
} ],
|
|
"text": "Address"
|
|
},
|
|
"valueString": "157 Stehr Stravenue Unit 46"
|
|
}, {
|
|
"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": 2,
|
|
"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:44e5ac2e-afd5-d00c-33ab-bcd675755af0",
|
|
"resource": {
|
|
"resourceType": "Observation",
|
|
"id": "44e5ac2e-afd5-d00c-33ab-bcd675755af0",
|
|
"meta": {
|
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"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
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"display": "Line Submitted Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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}
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 136.00,
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}
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"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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"productOrService": {
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"coding": [ {
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"system": "http://hl7.org/fhir/sid/cvx",
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"code": "114",
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"display": "meningococcal MCV4P"
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} ],
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"text": "meningococcal MCV4P"
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},
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"start": "2022-07-02T14:12:37+02:00",
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"end": "2022-07-02T15:00:27+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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},
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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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"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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"amount": {
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"value": 136.00,
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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_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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"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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"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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"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": "2022-07-02T14:12:37+02:00",
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"end": "2022-07-02T15:00:27+02:00"
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},
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"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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}
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}, {
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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": "430193006",
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|
"display": "Medication Reconciliation (procedure)"
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|
} ],
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"text": "Medication Reconciliation (procedure)"
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},
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},
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} ]
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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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"display": "Line Provider Payment Amount"
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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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"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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} ]
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},
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"amount": {
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"value": 0,
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}
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"system": "http://loinc.org",
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|
"code": "58410-2",
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} ],
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},
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},
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}
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} ]
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"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_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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"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
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"display": "Line Processing Indicator Code"
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} ]
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}
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} ]
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}, {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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"code": "1",
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"display": "Medical care"
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} ]
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},
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"productOrService": {
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"coding": [ {
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"system": "http://snomed.info/sct",
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|
"code": "710824005",
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|
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|
} ],
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|
},
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"end": "2022-07-02T15:00:27+02:00"
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},
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|
"code": "19",
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"display": "Off Campus-Outpatient Hospital"
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} ]
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},
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},
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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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"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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}
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}, {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
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|
"display": "Line Allowed Charge Amount"
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} ]
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},
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"amount": {
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"value": 431.40,
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|
"currency": "USD"
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}
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}, {
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"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": 10,
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|
"category": {
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
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|
"code": "1",
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|
"display": "Medical care"
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|
} ]
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},
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|
"productOrService": {
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|
"coding": [ {
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|
"system": "http://snomed.info/sct",
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|
"code": "428211000124100",
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|
"display": "Assessment of substance use (procedure)"
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|
} ],
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|
"text": "Assessment of substance use (procedure)"
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|
},
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|
"servicedPeriod": {
|
|
"start": "2022-07-02T14:12:37+02:00",
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|
"end": "2022-07-02T15:00:27+02:00"
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|
},
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|
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|
"coding": [ {
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|
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
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|
"code": "19",
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|
"display": "Off Campus-Outpatient Hospital"
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|
} ]
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},
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|
"value": 431.40,
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|
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},
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"coding": [ {
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"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
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"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
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"display": "Line Beneficiary Coinsurance Amount"
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} ]
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"url": "Provenance"
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}
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} ]
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}
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