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Packagehl7.fhir.us.eltss.r4
Resource TypeContract
IdContract-contract1.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Contract

Resource Contract "contract1" Version "1" Updated "2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Contract_eltss

signer

type: Patient (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code PAT = 'Patient', stated as 'null')

party: Patient/patientBSJ1 " SMITH-JOHNSON"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPatient/patientBSJ1 " SMITH-JOHNSON"(base64 data - 187 bytes)

signer

type: Guardian (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code GUARD = 'Guardian', stated as 'null')

party: RelatedPerson/guardian1 " CHARLES"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMRelatedPerson/guardian1 " CHARLES"(base64 data - 187 bytes)

signer

type: Author (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code AUT = 'Author', stated as 'null')

party: Practitioner/planner1 " PLANNER"

Signatures

-TypeWhenWhoData
*Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPractitioner/planner1 " PLANNER"(base64 data - 187 bytes)

signer

type: Co-Author (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code COAUTH = 'Co-Author', stated as 'null')

party: Practitioner/caremgr1 " MONITOR"

Signatures

-TypeWhenWhoData
*Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPractitioner/caremgr1 " MONITOR"(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')

party: Practitioner/provider3 " EDUCATOR"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPractitioner/provider3 " EDUCATOR"(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')

party: Practitioner/provider2b " DRIVER"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPractitioner/provider2b " DRIVER"(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')

party: RelatedPerson/son1 " CHARLES"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMRelatedPerson/son1 " CHARLES"(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: http://terminology.hl7.org/CodeSystem/contractsignertypecodes code HPROV = 'Healthcare Provider', stated as 'null')

party: Practitioner/provider4 " TRAINER"

Signatures

-TypeWhenWhoData
*Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'null')Apr 2, 2020, 3:00:00 AMPractitioner/provider4 " TRAINER"(base64 data - 187 bytes)

Source1

{
  "resourceType": "Contract",
  "id": "contract1",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-09-03T10:16:03.512-04:00",
    "source": "#KZ0jzPjXDrhCiMif",
    "profile": [
      "http://hl7.org/fhir/us/eltss/StructureDefinition/Contract-eltss"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "signer": [
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "PAT"
      },
      "party": {
        "reference": "Patient/patientBSJ1"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Patient/patientBSJ1"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "GUARD"
      },
      "party": {
        "reference": "RelatedPerson/guardian1"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "RelatedPerson/guardian1"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "AUT"
      },
      "party": {
        "reference": "Practitioner/planner1"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Practitioner/planner1"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "COAUTH"
      },
      "party": {
        "reference": "Practitioner/caremgr1"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Practitioner/caremgr1"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "HPROV"
      },
      "party": {
        "reference": "Practitioner/provider3"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Practitioner/provider3"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "HPROV"
      },
      "party": {
        "reference": "Practitioner/provider2b"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Practitioner/provider2b"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "HPROV"
      },
      "party": {
        "reference": "RelatedPerson/son1"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "RelatedPerson/son1"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    },
    {
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code": "HPROV"
      },
      "party": {
        "reference": "Practitioner/provider4"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.7"
            }
          ],
          "when": "2020-04-02T03:00:00Z",
          "who": {
            "reference": "Practitioner/provider4"
          },
          "data": "R0lGODlhIAAgALMAADNmmWNjnGOcnJycnJzOnM7OnP///////////////////////////////////////yH5BAEAAAUALAAAAAAgACAAAARosMhJq704680l6OD0fSFHFmd5pai6vi7FerGYzWAK7HKs8zYVazcUVojH0gyZzFmYvQ4OGtXgUMDn5kqtwlZZLeaKJXOtYbG31lrXdKb0lyySi+l1PE1v5CtpbE0eRISFhod+gYoXEQAAOw=="
        }
      ]
    }
  ]
}