Packages

ISO/HL7 FHIR Application Server

Current section

Files

Jump to
hl7 samples json Procedure Procedure-HCBS.json
Raw

samples/json/Procedure/Procedure-HCBS.json

{"resourceType":"Procedure","id":"HCBS","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Personal care services provided at person\u0027s home\u003c/b\u003e\n\t\t\t\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Based On\u003c/b\u003e : Peter\u0027s Long Term Services and Supports (LTSS) care plan\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Status\u003c/b\u003e : completed\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Beneficiary\u003c/b\u003e : Peter James\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Name/Code\u003c/b\u003e : Personal care services \u003cspan\u003e (Details : {HCPCS code \u0027T1019\u0027 \u003d \u0027Personal care services, per 15 minutes\u0027})\u003c/span\u003e\n\t\t\t\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Date\u003c/b\u003e : Apr 5, 2018\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Provider\u003c/b\u003e : Adam Careful\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Delivery Address\u003c/b\u003e : Peter\u0027s home\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Comment\u003c/b\u003e : Assisted with bathing and dressing, doing laundry, and meal preparation\u003c/p\u003e\n\t\t\u003c/div\u003e"},"basedOn":[{"display":"Peter\u0027s Long Term Service and Supports (LTSS) Care Plan"}],"status":"completed","code":{"coding":[{"system":"https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html","code":"T1019","display":"Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment."}],"text":"Personal care services"},"subject":{"reference":"Patient/example","display":"Peter James"},"occurrenceDateTime":"2018-04-05","performer":[{"actor":{"reference":"Practitioner/example","display":"Adam Careful"}}],"location":{"reference":"Location/ph","display":"Peter\u0027s Home"},"note":[{"text":"Assisted with bathing and dressing, doing laundry, and meal preparation"}],"meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"HTEST","display":"test health data"}]}}