Generated Narrative: Patient ResourcePatient "patientBSJ1" Profile: Patient_eltss US Core Race Extension url ombCategory value: White (Details: CDC Race and Ethnicity code 2106-3 = ' White , stated as White ') url text value: White US Core Ethnicity Extension url ombCategory value: Not Hispanic or Latino (Details: CDC Race and Ethnicity code 2186-5 = ' Not Hispanic or Latino , stated as Not Hispanic or Latino ') url text value: Not Hispanic or Latino identifier: Medical Record Number/10A3D58WH1600 (use: usual) active: true name: Betsy Smith-Johnson telecom: ph: 210-222-1111(MOBILE) gender: female birthDate: 1950-11-01 address: 111 Maple Ct, San Antonio, TX 78212 maritalStatus: Not married (MaritalStatus#U "unmarried") contact relationship: Son (RoleCode#SONC), Emergency Contact (contactRole2#C), Guardian (RoleCode#GUARD) name: Charles Johnson telecom: ph: (210) 222-3333 address: 100 Montana St., San Antonio, TX 78203 contact relationship: Daughter (RoleCode#DAUC) name: Debra Johnson telecom: ph: (410) 444-5555 address: 333 W. Camden St., Baltimore, MD 21201 Communications - Language Preferred * US (Tags for the Identification of Languages#en "English") true
Generated Narrative: CarePlan ResourceCarePlan "careplan1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: CarePlan_eltss status: active intent: plan category: Assessment and Plan of Treatment (US Core CarePlan Category Extension Codes#assess-plan) title: Betsy Smith Johnson's Services and Supports Plan description: A service and support plan that outlines Betsy's assessed needs, goals, strengths, preferences, and services/providers to meet those needs and goals. subject: See on this page: Patient/patientBSJ1 period: 2020-05-01 --> 2020-12-31 author: See on this page: Practitioner/planner1 addresses: See on this page: Condition/need1 See on this page: Condition/need2 See on this page: Condition/need3 See on this page: Condition/need4 supportingInfo: See on this page: Observation/strength1 See on this page: Observation/strength2 See on this page: Observation/pref1 See on this page: QuestionnaireResponse/questionnaireresponse1 See on this page: Contract/contract1 See on this page: RiskAssessment/risk1 goal: See on this page: Goal/goal1 See on this page: Goal/goal2 activity reference: See on this page: ServiceRequest/service1: Service 1 activity reference: See on this page: ServiceRequest/service2: Service 2 activity reference: See on this page: ServiceRequest/service3: Service 3 activity reference: See on this page: ServiceRequest/service4: Service 4 activity progress: Betsy will start doing balance exercises ( @2020-05-10) reference: See on this page: Task/Task1: Task1 activity progress: Betsy working on mobility to dance at son's upcoming wedding ( @2020-05-10) reference: See on this page: Task/Task2: Task2
Betsy Smith Johnson's Services and Supports Plan
A service and support plan that outlines Betsy's assessed needs, goals, strengths, preferences, and services/providers to meet those needs and goals.
Betsy will start doing balance exercises
Betsy working on mobility to dance at son's upcoming wedding
Generated Narrative: Task ResourceTask "Task1" ServiceRequest Pertains To Goal: See on this page: Goal/goal1 status: ready intent: order priority: routine code: Fulfill the focal request (Task Codes#fulfill) description: Perform exercises to improve balance skills. for: See on this page: Patient/patientBSJ1: Betsy requester: See on this page: Practitioner/planner1: Mark Planner owner: See on this page: Patient/patientBSJ1: Betsy
Perform exercises to improve balance skills.
Generated Narrative: Task ResourceTask "Task2" ServiceRequest Pertains To Goal: See on this page: Goal/goal2 status: ready intent: order priority: routine code: Fulfill the focal request (Task Codes#fulfill) description: Son working with Besty to work on mobility to dance at son's upcoming wedding. for: See on this page: Patient/patientBSJ1: Betsy requester: See on this page: Practitioner/planner1: Mark Planner owner: See on this page: RelatedPerson/son1: Charles - Betsy's son
Son working with Besty to work on mobility to dance at son's upcoming wedding.
Generated Narrative: Goal ResourceGoal "goal2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Goal_eltss lifecycleStatus: accepted description: Dance at son's upcoming wedding () subject: See on this page: Patient/patientBSJ1
Generated Narrative: Goal ResourceGoal "goal1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Goal_eltss lifecycleStatus: accepted description: Improve balance skills () subject: See on this page: Patient/patientBSJ1
Generated Narrative: Practitioner ResourcePractitioner "planner1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Practitioner_eltss identifier: United States National Provider Identifier/9941339100, http://www.acme.org/practitioners/25456 name: Mark Planner telecom: ph: (210) 555 1221
Generated Narrative: ServiceRequest ResourceServiceRequest "service2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: ServiceRequest_eltss status: active intent: plan code: Non-emergency transportation; encounter/trip (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#T2003) quantity: 2 trips (Details: NCI Thesaurus codeC141286 = 'Transportation')/1 month (Details: UCUM codemo = 'mo') subject: See on this page: Patient/patientBSJ1 occurrence: 2020-07-01 --> 2020-12-31 performer: See on this page: Organization/provider2a reasonReference: See on this page: Condition/need1 insurance: See on this page: Coverage/coverage1 supportingInfo: See on this page: Claim/claim1 note: Service provider will provide a reminder the business day before the trip, and will call when on the way.
Non-emergency transportation; encounter/trip
Service provider will provide a reminder the business day before the trip, and will call when on the way.
Generated Narrative: ServiceRequest ResourceServiceRequest "service3" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: ServiceRequest_eltss status: active intent: plan code: Diabetes outpatient self-management training services, individual, per 30 minutes (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#G0108) quantity: 1 visit (Details: NCI Thesaurus codeC25716 = 'Visit')/1 week (Details: UCUM codewk = 'wk') subject: See on this page: Patient/patientBSJ1 occurrence: 2020-05-01 --> 2020-08-01 performer: See on this page: Practitioner/provider3 reasonReference: See on this page: Condition/need2 supportingInfo: See on this page: Claim/claim2
Diabetes outpatient self-management training services, individual, per 30 minutes
Generated Narrative: ServiceRequest ResourceServiceRequest "service4" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: ServiceRequest_eltss status: active intent: plan code: therapeutic exercises to improve balance skills (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#97110) quantity: 1 visit (Details: NCI Thesaurus codeC25716 = 'Visit')/1 week (Details: UCUM codewk = 'wk') subject: See on this page: Patient/patientBSJ1 occurrence: 2020-05-01 --> 2020-08-01 performer: See on this page: Practitioner/provider4 reasonReference: See on this page: Condition/need1 supportingInfo: See on this page: Goal/goal1 See on this page: Goal/goal2 See on this page: Claim/claim3
therapeutic exercises to improve balance skills
Generated Narrative: RelatedPerson ResourceRelatedPerson "son1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: eLTSS RelatedPerson Profile active: true patient: See on this page: Patient/patientBSJ1 relationship: son (RoleCode#SONC) name: Charles Johnson
Generated Narrative: Observation ResourceObservation "strength1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Observation_eltss status: final category: Social History (Observation Category Codes#social-history) code: Strength (eLTSS Observation Codes#strength) subject: See on this page: Patient/patientBSJ1 effective: 2013-04-02 10:30:10+0100 issued: Apr 3, 2013, 2:30:10 PM performer: See on this page: Practitioner/caremgr1: Care Manager value: Able to manage her bills.
Generated Narrative: Observation ResourceObservation "strength2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Observation_eltss status: final category: Social History (Observation Category Codes#social-history) code: Strength (eLTSS Observation Codes#strength) subject: See on this page: Patient/patientBSJ1 effective: 2013-04-02 10:30:10+0100 issued: Apr 3, 2013, 2:30:10 PM performer: See on this page: Practitioner/caremgr1: Care Manager value: Independent walking with cane.
Generated Narrative: Practitioner ResourcePractitioner "caremgr1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Practitioner_eltss identifier: United States National Provider Identifier/1144221847, http://www.acme.org/practitioners/25457 name: Sam Monitor telecom: ph: (210) 224 1599
Generated Narrative: CarePlan ResourceCarePlan "careplan2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: CarePlan_eltss partOf: See on this page: CarePlan/careplan1 status: active intent: plan category: Assessment and Plan of Treatment (US Core CarePlan Category Extension Codes#assess-plan) description: Weather Emergency: A shelf-stable meal is delivered to Meals On Wheels clients. It is to be eaten in the unlikely event of cancellation. Weather meals are donated by the Sheboygan Service Club. subject: See on this page: Patient/patientBSJ1
Weather Emergency: A shelf-stable meal is delivered to Meals On Wheels clients. It is to be eaten in the unlikely event of cancellation. Weather meals are donated by the Sheboygan Service Club.
Generated Narrative: Claim ResourceClaim "claim1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Claim_eltss status: active type: Professional (Claim Type Codes#professional) use: claim patient: See on this page: Patient/patientBSJ1 created: 2020-05-01 provider: See on this page: Organization/funding1 priority: Normal (Process Priority Codes#normal) Insurances - Sequence Focal Coverage * 1 true See on this page: Coverage/coverage1 item sequence: 1 productOrService: T2003 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#T2003) UnitPrices - Value Currency * 60 USD Nets - Value Currency * 600 USD
Generated Narrative: Claim ResourceClaim "claim2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Claim_eltss status: active type: Professional (Claim Type Codes#professional) use: claim patient: See on this page: Patient/patientBSJ1 created: 2020-05-01 provider: See on this page: Organization/funding1 priority: Normal (Process Priority Codes#normal) Insurances - Sequence Focal Coverage * 1 true See on this page: Coverage/coverage1 item sequence: 1 productOrService: G0108 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#G0108) UnitPrices - Value Currency * 55 USD Nets - Value Currency * 660 USD
Generated Narrative: Claim ResourceClaim "claim3" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Claim_eltss status: active type: Professional (Claim Type Codes#professional) use: claim patient: See on this page: Patient/patientBSJ1 created: 2020-05-01 provider: See on this page: Organization/funding1 priority: Normal (Process Priority Codes#normal) Insurances - Sequence Focal Coverage * 1 true See on this page: Coverage/coverage1 item sequence: 1 productOrService: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility (Current Procedural Terminology (CPT®)#97110) UnitPrices - Value Currency * 65 USD Nets - Value Currency * 780 USD
Generated Narrative: Contract 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: See on this page: Patient/patientBSJ1 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 See on this page: Patient/patientBSJ1 (base64 data - 187 bytes) signer type: Guardian (Details: Contract Signer Type Codes code GUARD = ' Guardian , stated as null ') party: See on this page: RelatedPerson/guardian1 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 See on this page: RelatedPerson/guardian1 (base64 data - 187 bytes) signer type: Author (Details: Contract Signer Type Codes code AUT = ' Author , stated as null ') party: See on this page: Practitioner/planner1 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 See on this page: Practitioner/planner1 (base64 data - 187 bytes) signer type: Co-Author (Details: Contract Signer Type Codes code COAUTH = ' Co-Author , stated as null ') party: See on this page: Practitioner/caremgr1 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 See on this page: Practitioner/caremgr1 (base64 data - 187 bytes) signer type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ') party: See on this page: Practitioner/provider3 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 See on this page: Practitioner/provider3 (base64 data - 187 bytes) signer type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ') party: See on this page: Practitioner/provider2b 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 See on this page: Practitioner/provider2b (base64 data - 187 bytes) signer type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ') party: See on this page: RelatedPerson/son1 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 See on this page: RelatedPerson/son1 (base64 data - 187 bytes) signer type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ') party: See on this page: Practitioner/provider4 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 See on this page: Practitioner/provider4 (base64 data - 187 bytes)
Generated Narrative: Coverage ResourceCoverage "coverage1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! status: active beneficiary: See on this page: Patient/patientBSJ1 payor: See on this page: Organization/funding1
Generated Narrative: EpisodeOfCare ResourceEpisodeOfCare "episode1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: EpisodeOfCare_eltss status: active patient: See on this page: Patient/patientBSJ1 careManager: See on this page: Practitioner/caremgr1
Generated Narrative: Organization ResourceOrganization "funding1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: US Core Organization Profile identifier: United States National Provider Identifier/1144221847, <a href="http://terminology.hl7.org/5.5.0/NamingSystem-CLIA.html" title=""The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 330,000 laboratory entities. The Division of Clinical Laboratory Improvement & Quality, within the Quality, Safety & Oversight Group, under the Center for Clinical Standards and Quality (CCSQ) has the responsibility for implementing the CLIA Program. The objective of the CLIA program is to ensure quality laboratory testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities." CMS CLIA certified laboratories will be assigned a10-digit alphanumeric CLIA identification number, with the "D" in the third position identifying the provider/supplier as a laboratory certified under CLIA." CLIA is maintained by CMS. It is in the public domain and free to use without restriction. See http://cms.gov/regulations-and-guidance/legislation/clia.">Clinical Laboratory Improvement Amendments/12D4567890 active: true name: Texas Department of Community Health address: 7430 Louis Pasteur Dr, San Antonio, TX 78229
7430 Louis Pasteur Dr, San Antonio, TX 78229
Generated Narrative: RelatedPerson ResourceRelatedPerson "guardian1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: eLTSS RelatedPerson Profile active: true patient: See on this page: Patient/patientBSJ1 relationship: guardian (RoleCode#GUARD) name: Charles Johnson
Generated Narrative: Location ResourceLocation "location1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Location_eltss name: In Home address: 111 Maple Ct, San Antonio, TX 78212
Generated Narrative: Condition ResourceCondition "need1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Condition_eltss clinicalStatus: Active (Condition Clinical Status Codes#active) verificationStatus: Confirmed (ConditionVerificationStatus#confirmed) category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), SDOH (US Core Category#sdoh) code: Needs transportation (SNOMED CT#713458007 "Lack of access to transportation (finding)") subject: See on this page: Patient/patientBSJ1
Lack of access to transportation (finding)
Generated Narrative: Condition ResourceCondition "need2" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Condition_eltss clinicalStatus: Active (Condition Clinical Status Codes#active) verificationStatus: Confirmed (ConditionVerificationStatus#confirmed) category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need) code: Needs health / nutrition education for diabetes (SNOMED CT#734920002 "Diabetes mellitus education service") subject: See on this page: Patient/patientBSJ1
Needs health / nutrition education for diabetes
Generated Narrative: Condition ResourceCondition "need3" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Condition_eltss clinicalStatus: Active (Condition Clinical Status Codes#active) verificationStatus: Confirmed (ConditionVerificationStatus#confirmed) category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), Cognitive Status (US Core Category#cognitive-status) code: Depression (on treatment) (SNOMED CT#35489007 "Depressive disorder (disorder)") subject: See on this page: Patient/patientBSJ1
Generated Narrative: Condition ResourceCondition "need4" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Condition_eltss Condition Due To: See on this page: Condition/need3 clinicalStatus: Active (Condition Clinical Status Codes#active) verificationStatus: Confirmed (ConditionVerificationStatus#confirmed) category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), SDOH (US Core Category#sdoh) code: Needs physical exercises (SNOMED CT#183301007 "Physical exercises (regime/therapy)") subject: See on this page: Patient/patientBSJ1
Generated Narrative: Observation ResourceObservation "pref1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Observation_eltss status: final category: Social History (Observation Category Codes#social-history) code: Care experience preference (LOINC#95541-9) subject: See on this page: Patient/patientBSJ1 effective: 2013-04-02 10:30:10+0100 issued: Apr 3, 2013, 2:30:10 PM performer: See on this page: Practitioner/caremgr1: Care Manager value: Accessing the ICWP Waiver for her current service needs, and would like to remain on ICWP and continue with her current services.
Accessing the ICWP Waiver for her current service needs, and would like to remain on ICWP and continue with her current services.
Generated Narrative: Organization ResourceOrganization "provider2a" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: US Core Organization Profile identifier: United States National Provider Identifier/1144221847, <a href="http://terminology.hl7.org/5.5.0/NamingSystem-CLIA.html" title=""The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 330,000 laboratory entities. The Division of Clinical Laboratory Improvement & Quality, within the Quality, Safety & Oversight Group, under the Center for Clinical Standards and Quality (CCSQ) has the responsibility for implementing the CLIA Program. The objective of the CLIA program is to ensure quality laboratory testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities." CMS CLIA certified laboratories will be assigned a10-digit alphanumeric CLIA identification number, with the "D" in the third position identifying the provider/supplier as a laboratory certified under CLIA." CLIA is maintained by CMS. It is in the public domain and free to use without restriction. See http://cms.gov/regulations-and-guidance/legislation/clia.">Clinical Laboratory Improvement Amendments/12D4567890 active: true name: The Transporter, Inc. telecom: ph: (210) 555 1313 address: 111 Business Street, San Antonio, TX 78212
111 Business Street, San Antonio, TX 78212
Generated Narrative: Practitioner ResourcePractitioner "provider2b" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Practitioner_eltss identifier: http://www.acme.org/practitioners/11223344 name: Bill Driver telecom: ph: (210) 111 2222
Generated Narrative: Practitioner ResourcePractitioner "provider3" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Practitioner_eltss identifier: http://www.acme.org/practitioners/987654 name: Lisa Educator telecom: ph: (210) 555 1213
Generated Narrative: Practitioner ResourcePractitioner "provider4" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Practitioner_eltss identifier: http://www.acme.org/practitioners/987657 name: Norma Trainer telecom: ph: (210) 555 1214
Generated Narrative: PractitionerRole ResourcePractitionerRole "PractitionerRole-1" Profile: eLTSS PractitionerRole Profile practitioner: See on this page: Practitioner/caremgr1: Sam Monitor organization: See on this page: Organization/funding1: Texas Department of Community Health code: Community Health Worker (provider-taxonomy#172V00000X) specialty: Case Manager/Care Coordinator (provider-taxonomy#171M00000X) location: See on this page: Location/communitysite: Health Level Seven International telecom: ph: (210) 555 1222
Generated Narrative: Location ResourceLocation "communitysite" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Location_eltss name: In Home address: 7430 Louis Pasteur Dr, San Antonio, TX 78229
Generated Narrative: Questionnaire ResourceQuestionnaire "questionnaire1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: Questionnaire_eltss url: http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1 identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:oid:2.999 name: Questionnaire1 status: active item linkId: q1 text: Did you choose the setting in which you reside? type: boolean item linkId: q2 text: What alternative home and community-based settings were considered? type: string item linkId: q3 text: Were you given a choice of services outlined in the plan? type: boolean item linkId: q4 text: Did you participate in the selection of services outlined in the plan? type: boolean item linkId: q5 text: Do you agree to the services outlined in the plan? type: boolean item linkId: q6 text: Were you offered a choice of providers for each service? type: boolean item linkId: q7 text: Do you feel you made an informed choice in selecting the provider for each service? type: boolean
Did you choose the setting in which you reside?
What alternative home and community-based settings were considered?
Were you given a choice of services outlined in the plan?
Did you participate in the selection of services outlined in the plan?
Do you agree to the services outlined in the plan?
Were you offered a choice of providers for each service?
Do you feel you made an informed choice in selecting the provider for each service?
Generated Narrative: QuestionnaireResponse ResourceQuestionnaireResponse "questionnaireresponse1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: eLTSS QuestionnaireResponse Profile questionnaire: Questionnaire1 status: completed subject: See on this page: Patient/patientBSJ1 authored: 2020-09-03 10:16:03-0400 item linkId: q1 Answers - Value[x] * true item linkId: q2 Answers - Value[x] * Assisted living facility item linkId: q3 Answers - Value[x] * true item linkId: q4 Answers - Value[x] * true item linkId: q5 Answers - Value[x] * true item linkId: q6 Answers - Value[x] * true item linkId: q7 Answers - Value[x] * true
Generated Narrative: RiskAssessment ResourceRiskAssessment "risk1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: RiskAssessment_eltss RiskPlan: : This points to a management plan for any risks. This is not the backup plan, which is an alternative plan for the CarePlan. The risk management plan is meant to help avoid needing the backup plan. status: final subject: See on this page: Patient/patientBSJ1 prediction outcome: At risk for falls (finding) (SNOMED CT#129839007) prediction outcome: At risk of stroke (SNOMED CT#866240007) mitigation: Betsy is at risk for falls and of having a stroke. Her risk is increased due to her depression medication. She has grab bars installed in the shower and is working on her balance with a trainer.
This points to a management plan for any risks. This is not the backup plan, which is an alternative plan for the CarePlan. The risk management plan is meant to help avoid needing the backup plan.
Betsy is at risk for falls and of having a stroke. Her risk is increased due to her depression medication. She has grab bars installed in the shower and is working on her balance with a trainer.
Generated Narrative: ServiceRequest ResourceServiceRequest "service1" Version"1" Updated"2020-09-03 10:16:03-0400" Information Source: #KZ0jzPjXDrhCiMif! Profile: ServiceRequest_eltss Eltss_directedBy: self () status: active intent: plan code: Bath tub wall rail, each (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#E0241) quantity: 1 install (Details: NCI Thesaurus codeC81906 = 'Deploy') subject: See on this page: Patient/patientBSJ1 occurrence: 2020-05-01 --> 2020-12-31 performer: See on this page: RelatedPerson/son1 locationReference: See on this page: Location/location1 supportingInfo: See on this page: RiskAssessment/risk1