Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm, published by HL7 International / Human and Social Services. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/eLTSS/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Resource Contract "contract1" Version "1" Updated "2020-09-03 10:16:03-0400"
Information Source: #KZ0jzPjXDrhCiMif!
Profile: Contract_eltss
signer
type: Patient (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code PAT = 'Patient', stated as 'null')
party: Patient/patientBSJ1 " SMITH-JOHNSON"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Patient/patientBSJ1 " SMITH-JOHNSON" (base64 data - 187 bytes)
signer
type: Guardian (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code GUARD = 'Guardian', stated as 'null')
party: RelatedPerson/guardian1 " CHARLES"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM RelatedPerson/guardian1 " CHARLES" (base64 data - 187 bytes)
signer
type: Author (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code AUT = 'Author', stated as 'null')
party: Practitioner/planner1 " PLANNER"
Signatures
Type When Who Data Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Practitioner/planner1 " PLANNER" (base64 data - 187 bytes)
signer
type: Co-Author (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code COAUTH = 'Co-Author', stated as 'null')
party: Practitioner/caremgr1 " MONITOR"
Signatures
Type When Who Data Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Practitioner/caremgr1 " MONITOR" (base64 data - 187 bytes)
signer
type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')
party: Practitioner/provider3 " EDUCATOR"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Practitioner/provider3 " EDUCATOR" (base64 data - 187 bytes)
signer
type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')
party: Practitioner/provider2b " DRIVER"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Practitioner/provider2b " DRIVER" (base64 data - 187 bytes)
signer
type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')
party: RelatedPerson/son1 " CHARLES"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM RelatedPerson/son1 " CHARLES" (base64 data - 187 bytes)
signer
type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')
party: Practitioner/provider4 " TRAINER"
Signatures
Type When Who Data Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null') Apr 2, 2020, 3:00:00 AM Practitioner/provider4 " TRAINER" (base64 data - 187 bytes)