{

"resourceType": "Procedure",
"id": "HCBS",
"basedOn": [
  {
    "display": "Peter's Long Term Service and Supports (LTSS) Care Plan"
  }
],
"status": "completed",
"code": {
  "coding": [
    {
      "system": "https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html",
      "code": "T1019",
      "display": "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."
    }
  ],
  "text": "Personal care services"
},
"subject": {
  "reference": "Patient/example",
  "display": "Peter James"
},
"performedDateTime": "2018-04-05",
"performer": [
  {
    "actor": {
      "reference": "Practitioner/example",
      "display": "Adam Careful"
    }
  }
],
"location": {
  "reference": "Location/ph",
  "display": "Peter's Home"
},
"note": [
  {
    "text": "Assisted with bathing and dressing, doing laundry, and meal preparation"
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}