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 |
ResourceContract "contract1" Version"1" Updated"2020-09-03 10:16:03-0400"
Information Source: #KZ0jzPjXDrhCiMif!
Profile: Contract_eltss
signer
type: Patient (Details: Contract Signer Type Codes code PAT = ' Patient , stated as null ')
party: Patient/patientBSJ1 " SMITH-JOHNSON"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code GUARD = ' Guardian , stated as null ')
party: RelatedPerson/guardian1 " CHARLES"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code AUT = ' Author , stated as null ')
party: Practitioner/planner1 " PLANNER"
Signatures
Type When Who Data Author's Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code COAUTH = ' Co-Author , stated as null ')
party: Practitioner/caremgr1 " MONITOR"
Signatures
Type When Who Data Author's Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')
party: Practitioner/provider3 " EDUCATOR"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')
party: Practitioner/provider2b " DRIVER"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')
party: RelatedPerson/son1 " CHARLES"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')
party: Practitioner/provider4 " TRAINER"
Signatures
Type When Who Data Consent Signature (Details: Signature Type Codes 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)