{"basedOn":[{"display":"Peter's Long Term Service and Supports (LTSS) Care Plan"}],"code":{"coding":[{"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.","system":"https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html"}],"text":"Personal care services"},"id":"HCBS","location":{"display":"Peter's Home","reference":"Location/ph"},"note":[{"text":"Assisted with bathing and dressing, doing laundry, and meal preparation"}],"occurrenceDateTime":"2018-04-05","performer":[{"actor":{"display":"Adam Careful","reference":"Practitioner/example"}}],"resourceType":"Procedure","status":"completed","subject":{"display":"Peter James","reference":"Patient/example"},"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n\t\t\t\t<b> Personal care services provided at person's home</b>\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<b> Based On</b> : Peter's Long Term Services and Supports (LTSS) care plan</p>\n\t\t\t<p>\n\t\t\t\t<b> Status</b> : completed</p>\n\t\t\t<p>\n\t\t\t\t<b> Beneficiary</b> : Peter James</p>\n\t\t\t<p>\n\t\t\t\t<b> Service Name/Code</b> : Personal care services <span> (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})</span>\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<b> Service Date</b> : Apr 5, 2018</p>\n\t\t\t<p>\n\t\t\t\t<b> Service Provider</b> : Adam Careful</p>\n\t\t\t<p>\n\t\t\t\t<b> Service Delivery Address</b> : Peter's home</p>\n\t\t\t<p>\n\t\t\t\t<b> Service Comment</b> : Assisted with bathing and dressing, doing laundry, and meal preparation</p>\n\t\t</div>","status":"generated"}}