| 1 | { |
| 2 | "other_diagnosis_information": [ |
| 3 | { |
| 4 | "other_diagnosis": "other_diagnosis", |
| 5 | "other_diagnosis_code_qualifier": "BF", |
| 6 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 7 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 8 | "present_on_admission_indicator": "Y" |
| 9 | }, |
| 10 | { |
| 11 | "other_diagnosis": "other_diagnosis", |
| 12 | "other_diagnosis_code_qualifier": "BF", |
| 13 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 14 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 15 | "present_on_admission_indicator": "Y" |
| 16 | } |
| 17 | ], |
| 18 | "patient_reasons_for_visit": [ |
| 19 | { |
| 20 | "patient_reason_for_visit": "patient_reason_for_visit", |
| 21 | "patient_reason_for_visit_code_qualifier": "PR", |
| 22 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 23 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 24 | }, |
| 25 | { |
| 26 | "patient_reason_for_visit": "patient_reason_for_visit", |
| 27 | "patient_reason_for_visit_code_qualifier": "PR", |
| 28 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 29 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 30 | } |
| 31 | ], |
| 32 | "external_causes_of_injury": [ |
| 33 | { |
| 34 | "external_cause_of_injury_code": "external_cause_of_injury_code", |
| 35 | "external_cause_of_injury_code_qualifier": "BN", |
| 36 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 37 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 38 | "present_on_admission_indicator": "Y" |
| 39 | }, |
| 40 | { |
| 41 | "external_cause_of_injury_code": "external_cause_of_injury_code", |
| 42 | "external_cause_of_injury_code_qualifier": "BN", |
| 43 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 44 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 45 | "present_on_admission_indicator": "Y" |
| 46 | } |
| 47 | ], |
| 48 | "other_procedure_information": [ |
| 49 | { |
| 50 | "other_procedure_code": "other_procedure_code", |
| 51 | "other_procedure_code_qualifier": "BBQ", |
| 52 | "other_procedure_date": "2023-01-15", |
| 53 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 54 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 55 | }, |
| 56 | { |
| 57 | "other_procedure_code": "other_procedure_code", |
| 58 | "other_procedure_code_qualifier": "BBQ", |
| 59 | "other_procedure_date": "2023-01-15", |
| 60 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 61 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 62 | } |
| 63 | ], |
| 64 | "occurrence_span_information": [ |
| 65 | { |
| 66 | "occurrence_span_code": "70", |
| 67 | "occurrence_span_code_qualifier": "BI", |
| 68 | "occurrence_span_date": { |
| 69 | "start": "2023-01-15", |
| 70 | "end": "2023-01-15" |
| 71 | }, |
| 72 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 73 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 74 | }, |
| 75 | { |
| 76 | "occurrence_span_code": "70", |
| 77 | "occurrence_span_code_qualifier": "BI", |
| 78 | "occurrence_span_date": { |
| 79 | "start": "2023-01-15", |
| 80 | "end": "2023-01-15" |
| 81 | }, |
| 82 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 83 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 84 | } |
| 85 | ], |
| 86 | "occurrence_information": [ |
| 87 | { |
| 88 | "occurrence_code": "01", |
| 89 | "occurrence_code_qualifier": "BH", |
| 90 | "occurrence_date": "2023-01-15", |
| 91 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 92 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 93 | }, |
| 94 | { |
| 95 | "occurrence_code": "01", |
| 96 | "occurrence_code_qualifier": "BH", |
| 97 | "occurrence_date": "2023-01-15", |
| 98 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 99 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 100 | } |
| 101 | ], |
| 102 | "treatment_code_information": [ |
| 103 | { |
| 104 | "treatment_code": "treatment_code", |
| 105 | "treatment_code_qualifier": "TC", |
| 106 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 107 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 108 | }, |
| 109 | { |
| 110 | "treatment_code": "treatment_code", |
| 111 | "treatment_code_qualifier": "TC", |
| 112 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 113 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 114 | } |
| 115 | ], |
| 116 | "value_information": [ |
| 117 | { |
| 118 | "value_code": "01", |
| 119 | "value_code_amount": "value_code_amount", |
| 120 | "value_code_qualifier": "BE", |
| 121 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 122 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 123 | }, |
| 124 | { |
| 125 | "value_code": "01", |
| 126 | "value_code_amount": "value_code_amount", |
| 127 | "value_code_qualifier": "BE", |
| 128 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 129 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 130 | } |
| 131 | ], |
| 132 | "condition_information": [ |
| 133 | { |
| 134 | "condition_code": "01", |
| 135 | "condition_code_qualifier": "BG", |
| 136 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 137 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 138 | }, |
| 139 | { |
| 140 | "condition_code": "01", |
| 141 | "condition_code_qualifier": "BG", |
| 142 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 143 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 144 | } |
| 145 | ], |
| 146 | "principal_diagnosis": { |
| 147 | "primary_diagnosis_code": "primary_diagnosis_code", |
| 148 | "principal_diagnosis_code_qualifier": "BK", |
| 149 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 150 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 151 | "present_on_admission_indicator": "Y" |
| 152 | }, |
| 153 | "admitting_diagnosis": { |
| 154 | "admitting_diagnosis_code": "admitting_diagnosis_code", |
| 155 | "admitting_diagnosis_code_qualifier": "BJ", |
| 156 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 157 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 158 | }, |
| 159 | "diagnosis_related_groups": { |
| 160 | "diagnosis_related_group_code": "diagnosis_related_group_code", |
| 161 | "diagnosis_related_group_code_qualifier": "DR", |
| 162 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 163 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 164 | }, |
| 165 | "principal_procedure": { |
| 166 | "principal_procedure_code": "principal_procedure_code", |
| 167 | "principal_procedure_code_qualifier": "BBR", |
| 168 | "procedure_date": "2023-01-15", |
| 169 | "encounter_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", |
| 170 | "id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32" |
| 171 | } |
| 172 | } |
