{

"Meta": {
"DataModel": "Order",
"EventType": "New",
"EventDateTime": "2020-10-01T14:57:28.000Z",
"Test": true,
"Source": {
"ID": "bdd3d6f5-0f6b-4960-9142-00aa72049007",
"Name": "Mount Sinai Health System"
},
"Destinations": [
{
"ID": "dfe74978-5693-4a92-a740-600510ca36f2",
"Name": "OMRON Healthcare"
}
],
"Message": {
"ID": 4723247779
},
"Transmission": {
"ID": 4224262130
},
"FacilityCode": null
},
"Patient": {
"Identifiers": [
{
"ID": "241220241235",
"IDType": "MRN"
}
],
"Demographics": {
"FirstName": " NEWBPWT1 ",
"MiddleName": "Iyer",
"LastName": "DRRHUSSAIN",
"DOB": "1955-06-01",
"SSN": null,
"Sex": "Male",
"Race": "Unknown",
"IsHispanic": null,
"MaritalStatus": null,
"IsDeceased": null,
"DeathDateTime": null,
"PhoneNumber": {
"Home": "+16464543001",
"Office": null,
"Mobile": "+15417083275"
},
"EmailAddresses": [
"[email protected]"
 ],
"Language": "English",
"Citizenship": [],
"Address": {
"StreetAddress": "150E 42ND ST",
"City": "NEW YORK",
"State": "NY",
"ZIP": "10017",
"County": null,
"Country": "US"
}
},
"Notes": []
},
"Visit": {
"VisitNumber": "010000362000",
"AccountNumber": "010000362000",
"PatientClass": null,
"VisitDateTime": "2020-11-09T14:57:27.000Z",
"AttendingProvider": {
"ID": null,
"IDType": null,
"FirstName": null,
"LastName": null,
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
},
"ConsultingProvider": {
"ID": null,
"IDType": null,
"FirstName": null,
"LastName": null,
"Credentials": [],
 "Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
},
"ReferringProvider": {
"ID": null,
"IDType": null,
"FirstName": null,
"LastName": null,
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
},
"Guarantor": {
"Number": null,
"FirstName": null,
"MiddleName": null,
"LastName": null,
"SSN": null,
 "DOB": null,
"Sex": null,
"Spouse": {
"FirstName": null,
"LastName": null
},
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"PhoneNumber": {
"Home": null,
"Business": null,
"Mobile": null
},
"EmailAddresses": [],
"Type": null,
"RelationToPatient": null,
"Employer": {
"Name": null,
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"PhoneNumber": null
}
},
"Insurances": [
{
"Plan": {
"ID": null,
"IDType": null,
"Name": null,
"Type": null
},
"MemberNumber": null,
"Company": {
"ID": null,
"IDType": null,
"Name": null,
"Address": {
"StreetAddress": null,
 "City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"PhoneNumber": null
},
"GroupNumber": null,
"GroupName": null,
"EffectiveDate": null,
"ExpirationDate": null,
"PolicyNumber": null,
"AgreementType": null,
"CoverageType": null,
"Insured": {
"Identifiers": [],
"LastName": null,
"MiddleName": null,
"FirstName": null,
"SSN": null,
"Relationship": null,
"DOB": null,
"Sex": null,
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
}
}
}
],
"Location": {
"Type": null,
"Facility": "MSH",
"Department": "8002006",
"Room": null,
"Bed": null
}
},
"Order": {
"ID": "17350127540014",
"ApplicationOrderID": null,
"Status": null,
"TransactionDateTime": "2024-12-24T04:42:29.000Z ",
"CollectionDateTime": null,
"Specimen": {
 "Source": null,
"BodySite": null,
"ID": null
},
"Procedure": {
"Code": "OMRWGT",
"Codeset": "OMRON",
"Description": "OMRON REMOTE MONITORING - WEIGHT"
},
"Provider": {
"NPI": null,
"ID": "kd656435",
"IDType": "None Specified",
"FirstName": "Virginia",
"LastName": "Apgar",
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": "CANADA",
"Department": "CARDIOLOGY",
"Room": null
}
},
"ResultCopyProviders": [
{
"ID": "MATHEC02",
"IDType": null,
"FirstName": "CATHLEEN",
"LastName": "MATHEW",
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
 "EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
}
],
"OrderingFacility": {
"Name": null,
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"PhoneNumber": null
},
"Priority": null,
"Expiration": null,
"Comments": null,
"Notes": [
"Did you obtain verbal consent from the patient to enroll in remote patient
monitoring?",
"Yes, I have made the patient aware that remote patient monitoring services
are subject to the plan's deductible and coinsurance applied to physician
services and a bill may be sent. Patient understands that as a Medicare
Beneficiary, there may be cost sharing, but if there is supplemental insurance,
including Medicaid, this may cover any cost sharing. Medicare Beneficiaries
without supplemental or secondary coverage can expect: a one-time enrollment
fee, a monthly device and data transmission fee, and a monthly care
management fee for at least 20 and up to 39 minutes spent on remote patient
monitoring services. Patient is aware they can disenroll at any time. The
disenrollment date will be effective at the end of a calendar month. Patient is
aware they must communicate the decision to discontinue these services directly
to their healthcare provider, either verbally or in in writing. The healthcare
provider may also revoke this agreement at any time. The designation is
effective as of today's date and remains in effect until revoked by patient or
provider."
],
"Diagnoses": [
{
"Code": "I50.9",
"Codeset": "ICD-10",
 "Name": "Heart failure, unspecified",
"Type": null,
"DocumentedDateTime": null
}
],
"ClinicalInfo": [
{
"Code": "OMRFOM",
"Codeset": null,
"Description": "Frequency of Measurements:",
"Value": "Daily",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRORDSTAT",
"Codeset": null,
"Description": "Order Status:",
"Value": "Initial",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRWSD",
"Codeset": null,
"Description": "Weight Scale Device:",
"Value": "Regular - Body Composition Monitor and Scale BCM-500 (4.4 - 330
lbs.)",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRWGHRS",
"Codeset": null,
"Description": "24hrs Weight Gain (lb):",
"Value": "2.5",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRWGHRSS",
"Codeset": null,
"Description": "72hrs Weight Gain (lb):",
"Value": "5",
"Units": null,
"Abbreviation": null,
 "Notes": []
},
{
"Code": "OMRALTCONTACTYN",
"Codeset": null,
"Description": "Alternative Contact?",
"Value": "No",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTNAME",
"Codeset": null,
"Description": "Name",
"Value": "Nitin Sindhe",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTPHONE",
"Codeset": null,
"Description": "Alternate Phone NUmber",
"Value": "985698547",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTSTREET",
"Codeset": null,
"Description": "Street",
"Value": "The Fountains 1186 Roseville Pkwy",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTCITY",
"Codeset": null,
"Description": "City",
"Value": "Roseville",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTSTATE",
"Codeset": null,
 "Description": "State",
"Value": "CA",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTZIP",
"Codeset": null,
"Description": "Zip",
"Value": "95678",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTCOUNTRY",
"Codeset": null,
"Description": "Country:",
"Value": "USA",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRCON",
"Codeset": null,
"Description": "Did you obtain verbal consent from the patient to enroll in
remote patient monitoring?",
"Value": "Yes",
"Units": null,
"Abbreviation": null,
"Notes": []
},
{
"Code": "OMRALTKIDNEY",
"Codeset": null,
"Description": "Is patient enrolled in KidneyIntelX study?",
"Value": "",
"Units": null,
"Abbreviation": null,
"Notes": []
}
]
},
"json": true,
"isOnPrem": false,
"timeout": 10000
}