Procedure Example: procedure-example-HCBS

Narrative

Personal care services provided at person's home

Based On : Peter's Long Term Services and Supports (LTSS) care plan

Status : completed

Beneficiary : Peter James

Service Name/Code : Personal care services (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})

Service Date : Apr 5, 2018

Service Provider : Adam Careful

Service Delivery Address : Peter's home

Service Comment : Assisted with bathing and dressing, doing laundry, and meal preparation

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/procedure.xsd">
    <id value="HCBS"/>
    <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p>
                <b> Personal care services provided at person's home</b>
            </p>
            <p>
                <b> Based On</b> : Peter's Long Term Services and Supports (LTSS) care plan</p>
            <p>
                <b> Status</b> : completed</p>
            <p>
                <b> Beneficiary</b> : Peter James</p>
            <p>
                <b> Service Name/Code</b> : Personal care services <span> (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})</span>
            </p>
            <p>
                <b> Service Date</b> : Apr 5, 2018</p>
            <p>
                <b> Service Provider</b> : Adam Careful</p>
            <p>
                <b> Service Delivery Address</b> : Peter's home</p>
            <p>
                <b> Service Comment</b> : Assisted with bathing and dressing, doing laundry, and meal preparation</p>
        </div>
    </text>
    <basedOn>
        <!-- <reference value="CarePlan/example-HCBS"/>   -->
        <display value="Peter's Long Term Service and Supports (LTSS) Care Plan"/>
    </basedOn>
    <status value="completed"/>
    <code>
        <coding>
            <system value="https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html"/>
            <code value="T1019"/>
            <display value="Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment."/>
        </coding>
        <text value="Personal care services"/>
    </code>
    <subject>
        <reference value="Patient/example"/>
        <display value="Peter James"/>
    </subject>
    <occurrenceDateTime value="2018-04-05"/>
    <performer>
        <actor>
            <reference value="Practitioner/example"/>
            <display value="Adam Careful"/>
        </actor>
    </performer>
    <location>
        <reference value="Location/ph"/>
        <display value="Peter's Home"/>
    </location>
    <note>
        <text value="Assisted with bathing and dressing, doing laundry, and meal preparation"/>
    </note>
</Procedure>