Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
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This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: contract1 - XML Representation

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<Contract xmlns="http://hl7.org/fhir">
  <id value="contract1"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-09-03T10:16:03.512-04:00"/>
    <source value="#KZ0jzPjXDrhCiMif"/>
    <profile
             value="http://hl7.org/fhir/us/eltss/StructureDefinition/Contract-eltss"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Contract </b><a name="contract1"> </a><a name="hccontract1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceContract &quot;contract1&quot; Version&quot;1&quot; Updated&quot;2020-09-03 10:16:03-0400&quot; </p><p style="margin-bottom: 0px">Information Source: #KZ0jzPjXDrhCiMif!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Contract-eltss.html">Contract_eltss</a></p></div><blockquote><p><b>signer</b></p><p><b>type</b>: Patient (Details: Contract Signer Type Codes code PAT  = ' Patient ', stated as ' null ')</p><p><b>party</b>: <a href="Patient-patientBSJ1.html">Patient/patientBSJ1</a> &quot; SMITH-JOHNSON&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Patient-patientBSJ1.html">Patient/patientBSJ1</a> &quot; SMITH-JOHNSON&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Guardian (Details: Contract Signer Type Codes code GUARD  = ' Guardian ', stated as ' null ')</p><p><b>party</b>: <a href="RelatedPerson-guardian1.html">RelatedPerson/guardian1</a> &quot; CHARLES&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="RelatedPerson-guardian1.html">RelatedPerson/guardian1</a> &quot; CHARLES&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Author (Details: Contract Signer Type Codes code AUT  = ' Author ', stated as ' null ')</p><p><b>party</b>: <a href="Practitioner-planner1.html">Practitioner/planner1</a> &quot; PLANNER&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Author's Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.1  = ' Author's Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Practitioner-planner1.html">Practitioner/planner1</a> &quot; PLANNER&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Co-Author (Details: Contract Signer Type Codes code COAUTH  = ' Co-Author ', stated as ' null ')</p><p><b>party</b>: <a href="Practitioner-caremgr1.html">Practitioner/caremgr1</a> &quot; MONITOR&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Author's Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.1  = ' Author's Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Practitioner-caremgr1.html">Practitioner/caremgr1</a> &quot; MONITOR&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Healthcare Provider (Details: Contract Signer Type Codes code HPROV  = ' Healthcare Provider ', stated as ' null ')</p><p><b>party</b>: <a href="Practitioner-provider3.html">Practitioner/provider3</a> &quot; EDUCATOR&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Practitioner-provider3.html">Practitioner/provider3</a> &quot; EDUCATOR&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Healthcare Provider (Details: Contract Signer Type Codes code HPROV  = ' Healthcare Provider ', stated as ' null ')</p><p><b>party</b>: <a href="Practitioner-provider2b.html">Practitioner/provider2b</a> &quot; DRIVER&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Practitioner-provider2b.html">Practitioner/provider2b</a> &quot; DRIVER&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Healthcare Provider (Details: Contract Signer Type Codes code HPROV  = ' Healthcare Provider ', stated as ' null ')</p><p><b>party</b>: <a href="RelatedPerson-son1.html">RelatedPerson/son1</a> &quot; CHARLES&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="RelatedPerson-son1.html">RelatedPerson/son1</a> &quot; CHARLES&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: Healthcare Provider (Details: Contract Signer Type Codes code HPROV  = ' Healthcare Provider ', stated as ' null ')</p><p><b>party</b>: <a href="Practitioner-provider4.html">Practitioner/provider4</a> &quot; TRAINER&quot;</p><h3>Signatures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7  = ' Consent Signature ', stated as ' null ')</td><td>Apr 2, 2020, 3:00:00 AM</td><td><a href="Practitioner-provider4.html">Practitioner/provider4</a> &quot; TRAINER&quot;</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote></div>
  </text>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="PAT"/>
    </type>
    <party>🔗 
      <reference value="Patient/patientBSJ1"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Patient/patientBSJ1"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="GUARD"/>
    </type>
    <party>🔗 
      <reference value="RelatedPerson/guardian1"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="RelatedPerson/guardian1"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="AUT"/>
    </type>
    <party>🔗 
      <reference value="Practitioner/planner1"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.1"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Practitioner/planner1"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="COAUTH"/>
    </type>
    <party>🔗 
      <reference value="Practitioner/caremgr1"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.1"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Practitioner/caremgr1"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="HPROV"/>
    </type>
    <party>🔗 
      <reference value="Practitioner/provider3"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Practitioner/provider3"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="HPROV"/>
    </type>
    <party>🔗 
      <reference value="Practitioner/provider2b"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Practitioner/provider2b"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="HPROV"/>
    </type>
    <party>🔗 
      <reference value="RelatedPerson/son1"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="RelatedPerson/son1"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
  <signer>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
      <code value="HPROV"/>
    </type>
    <party>🔗 
      <reference value="Practitioner/provider4"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.7"/>
      </type>
      <when value="2020-04-02T03:00:00Z"/>
      <who>🔗 
        <reference value="Practitioner/provider4"/>
      </who>
      <data
            value="R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="/>
    </signature>
  </signer>
</Contract>