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Resource "HCBS" Version "1" (Procedure)

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Personal care services provided at person's home

Based On : Peter's Long Term Services and Supports (LTSS) care plan

Status : completed

Beneficiary : Peter James

Service Name/Code : Personal care services (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})

Service Date : Apr 5, 2018

Service Provider : Adam Careful

Service Delivery Address : Peter's home

Service Comment : Assisted with bathing and dressing, doing laundry, and meal preparation


{
  "resourceType" : "Procedure",
  "id" : "HCBS",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.535Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Personal care services provided at person's home</b>\n&#9;&#9;&#9;</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Based On</b> : Peter's Long Term Services and Supports (LTSS) care plan</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Status</b> : completed</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Beneficiary</b> : Peter James</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Name/Code</b> : Personal care services <span> (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})</span>\n&#9;&#9;&#9;</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Date</b> : Apr 5, 2018</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Provider</b> : Adam Careful</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Delivery Address</b> : Peter's home</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Comment</b> : Assisted with bathing and dressing, doing laundry, and meal preparation</p>\n&#9;&#9;</div>"
  },
  "basedOn" : [
    {
      "display" : "Peter's 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"
  },
  "performedDateTime" : "2018-04-05",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Adam Careful"
      }
    }
  ],
  "location" : {
    "reference" : "Location/ph",
    "display" : "Peter's Home"
  },
  "note" : [
    {
      "text" : "Assisted with bathing and dressing, doing laundry, and meal preparation"
    }
  ]
}