US Quality Core Implementation Guide
0.1.0 - cibuild
US
US Quality Core Implementation Guide
0.1.0 - cibuild
US
US Quality Core Implementation Guide, published by ONC. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions
<Claim xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<profile
value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-claim"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim example</b></p><a name="example"> </a><a name="hcexample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-claim.html">US Quality Core Claim</a></p></div><p><b>identifier</b>: <code>http://example.org/claims</code>/6612346</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Patient-example.html">Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>created</b>: 2014-08-16</p><p><b>insurer</b>: <a href="Organization-example.html">Organization Health Level Seven International</a></p><p><b>provider</b>: <a href="Practitioner-example.html">Practitioner Adam Careful </a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Payees</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}">Provider</span></td><td><a href="Practitioner-example.html">Practitioner Adam Careful </a></td></tr></table><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Practitioner-example.html">Practitioner Adam Careful </a></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>OnAdmission</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm K35.80}">Unspecified acute appendicitis</span></td><td><span title="Codes:{https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding Y}">Y</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-example.html">Coverage: identifier = Member Number; status = active; type = Other Private Insurance; subscriberId = 12191; dependent = 0; relationship = Self; period = 2011-05-23 --> 2012-05-23; order = 9</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 44950}">Appendectomy</span></p><p><b>serviced</b>: 2013-04-05</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>4000.00</td><td>United States dollar</td></tr></table></blockquote></div>
</text>
<identifier>
<system value="http://example.org/claims"/>
<value value="6612346"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
<display value="Professional"/>
</coding>
</type>
<use value="claim"/>
<patient>🔗
<reference value="Patient/example"/>
</patient>
<created value="2014-08-16"/>
<insurer>🔗
<reference value="Organization/example"/>
</insurer>
<provider>🔗
<reference value="Practitioner/example"/>
</provider>
<priority>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
</coding>
</priority>
<payee>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/payeetype"/>
<code value="provider"/>
</coding>
</type>
<party>🔗
<reference value="Practitioner/example"/>
</party>
</payee>
<careTeam>
<sequence value="1"/>
<provider>🔗
<reference value="Practitioner/example"/>
</provider>
</careTeam>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="K35.80"/>
<display value="Unspecified acute appendicitis"/>
</coding>
</diagnosisCodeableConcept>
<onAdmission>
<coding>
<system
value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
<code value="Y"/>
</coding>
</onAdmission>
</diagnosis>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/example"/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<careTeamSequence value="1"/>
<diagnosisSequence value="1"/>
<productOrService>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="44950"/>
<display value="Appendectomy"/>
</coding>
</productOrService>
<servicedDate value="2013-04-05"/>
<unitPrice>
<value value="4000.00"/>
<currency value="USD"/>
</unitPrice>
</item>
</Claim>