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
Page standards status: Informative |
<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
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<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 "contract1" Version"1" Updated"2020-09-03 10:16:03-0400" </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> " SMITH-JOHNSON"</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> " SMITH-JOHNSON"</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> " CHARLES"</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> " CHARLES"</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> " PLANNER"</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> " PLANNER"</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> " MONITOR"</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> " MONITOR"</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> " EDUCATOR"</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> " EDUCATOR"</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> " DRIVER"</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> " DRIVER"</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> " CHARLES"</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> " CHARLES"</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> " TRAINER"</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> " TRAINER"</td><td>(base64 data - 187 bytes)</td></tr></table></blockquote></div>
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<signer>
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<code value="AUT"/>
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<party>🔗
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<party>🔗
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<code value="HPROV"/>
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<party>🔗
<reference value="Practitioner/provider3"/>
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<signature>
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<signer>
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<party>🔗
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<signer>
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