Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2 United States of America flag

Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm, published by HL7 International / Human and Social Services. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/eLTSS/ and changes regularly. See the Directory of published versions

Example Bundle: eLTSS data elements example

NOTE

Review JSON and/or XML, as not all elements are rendered by the publisher in the narrative content

Bundle 2039212f3fa5406bb4ffd4a of type collection


Entry 1 - fullUrl = https://hl7.org/fhir/Patient/patientBSJ1

Resource Patient:

Anonymous Patient Female, DoB: 1950-11-01 ( Medical Record Number: United States Medicare Number#10A3D58WH1600 (use: usual))


Entry 2 - fullUrl = https://hl7.org/fhir/CarePlan/careplan1

Resource CarePlan:

Generated Narrative: CarePlan

ResourceCarePlan "careplan1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: CarePlan_eltss

status: ACTIVE

intent: PLAN

category: Assessment and Plan of Treatment (US Core CarePlan Category Extension Codes#assess-plan)

title: Betsy Smith Johnson's Services and Supports Plan

description: A service and support plan that outlines Betsy's assessed needs, goals, strengths, preferences, and services/providers to meet those needs and goals.

subject: See on this page: Patient/patientBSJ1

period: 2020-05-01 --> 2020-12-31

addresses:

  • Condition/need1
  • Condition/need2
  • Condition/need3
  • Condition/need4

supportingInfo:

goal:

activity

activity

activity

activity

activity

progress: Betsy will start doing balance exercises ( @2020-05-10)

activity

progress: Betsy working on mobility to dance at son's upcoming wedding ( @2020-05-10)


Entry 3 - fullUrl = https://hl7.org/fhir/Task/Task1

Resource Task:

Generated Narrative: Task

ResourceTask "Task1"

ServiceRequest Pertains To Goal: See on this page: Goal/goal1

status: READY

intent: ORDER

priority: ROUTINE

code: Fulfill the focal request (Task Codes#fulfill)

description: Perform exercises to improve balance skills.

for: See on this page: Patient/patientBSJ1: Betsy

requester: See on this page: Practitioner/planner1: Mark Planner

owner: See on this page: Patient/patientBSJ1: Betsy


Entry 4 - fullUrl = https://hl7.org/fhir/Task/Task2

Resource Task:

Generated Narrative: Task

ResourceTask "Task2"

ServiceRequest Pertains To Goal: See on this page: Goal/goal2

status: READY

intent: ORDER

priority: ROUTINE

code: Fulfill the focal request (Task Codes#fulfill)

description: Son working with Besty to work on mobility to dance at son's upcoming wedding.

for: See on this page: Patient/patientBSJ1: Betsy

requester: See on this page: Practitioner/planner1: Mark Planner

owner: See on this page: RelatedPerson/son1: Charles - Betsy's son


Entry 5 - fullUrl = https://hl7.org/fhir/Goal/goal2

Resource Goal:

Generated Narrative: Goal

ResourceGoal "goal2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Goal_eltss

lifecycleStatus: ACCEPTED

description: Dance at son's upcoming wedding ()

subject: See on this page: Patient/patientBSJ1


Entry 6 - fullUrl = https://hl7.org/fhir/Goal/goal1

Resource Goal:

Generated Narrative: Goal

ResourceGoal "goal1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Goal_eltss

lifecycleStatus: ACCEPTED

description: Improve balance skills ()

subject: See on this page: Patient/patientBSJ1


Entry 7 - fullUrl = https://hl7.org/fhir/Practitioner/planner1

Resource Practitioner:

Generated Narrative: Practitioner

ResourcePractitioner "planner1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Practitioner_eltss

identifier: United States National Provider Identifier/9941339100, http://www.acme.org/practitioners/25456

name: Mark Planner

telecom: ph: (210) 555 1221


Entry 8 - fullUrl = https://hl7.org/fhir/ServiceRequest/service2

Resource ServiceRequest:

Generated Narrative: ServiceRequest

ResourceServiceRequest "service2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: ServiceRequest_eltss

status: ACTIVE

intent: PLAN

code: Non-emergency transportation; encounter/trip (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#T2003)

quantity: 2 trips (Details: NCI Thesaurus codeC141286 = 'Transportation')/1 month (Details: UCUM codemo = 'mo')

subject: See on this page: Patient/patientBSJ1

occurrence: 2020-07-01 --> 2020-12-31

performer: See on this page: Organization/provider2a

insurance: See on this page: Coverage/coverage1

supportingInfo: Claim/claim1

note: Service provider will provide a reminder the business day before the trip, and will call when on the way.


Entry 9 - fullUrl = https://hl7.org/fhir/ServiceRequest/service3

Resource ServiceRequest:

Generated Narrative: ServiceRequest

ResourceServiceRequest "service3" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: ServiceRequest_eltss

status: ACTIVE

intent: PLAN

code: Diabetes outpatient self-management training services, individual, per 30 minutes (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#G0108)

quantity: 1 visit (Details: NCI Thesaurus codeC25716 = 'Visit')/1 week (Details: UCUM codewk = 'wk')

subject: See on this page: Patient/patientBSJ1

occurrence: 2020-05-01 --> 2020-08-01

performer: See on this page: Practitioner/provider3

supportingInfo: Claim/claim2


Entry 10 - fullUrl = https://hl7.org/fhir/ServiceRequest/service4

Resource ServiceRequest:

Generated Narrative: ServiceRequest

ResourceServiceRequest "service4" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: ServiceRequest_eltss

status: ACTIVE

intent: PLAN

code: therapeutic exercises to improve balance skills (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#97110)

quantity: 1 visit (Details: NCI Thesaurus codeC25716 = 'Visit')/1 week (Details: UCUM codewk = 'wk')

subject: See on this page: Patient/patientBSJ1

occurrence: 2020-05-01 --> 2020-08-01

performer: See on this page: Practitioner/provider4

supportingInfo:

  • Goal/goal1
  • Goal/goal2
  • Claim/claim3


Entry 11 - fullUrl = https://hl7.org/fhir/RelatedPerson/son1

Resource RelatedPerson:

Generated Narrative: RelatedPerson

ResourceRelatedPerson "son1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: eLTSS RelatedPerson Profile

active: true

patient: See on this page: Patient/patientBSJ1

relationship: son (RoleCode#SONC)

name: Charles Johnson


Entry 12 - fullUrl = https://hl7.org/fhir/Observation/strength1

Resource Observation:

Generated Narrative: Observation

ResourceObservation "strength1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Observation_eltss

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Strength (eLTSS Observation Codes#strength)

subject: See on this page: Patient/patientBSJ1

effective: 2013-04-02 10:30:10+0100

issued: Apr 3, 2013, 2:30:10 PM

performer: See on this page: Practitioner/caremgr1: Care Manager

value: Able to manage her bills.


Entry 13 - fullUrl = https://hl7.org/fhir/Observation/strength2

Resource Observation:

Generated Narrative: Observation

ResourceObservation "strength2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Observation_eltss

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Strength (eLTSS Observation Codes#strength)

subject: See on this page: Patient/patientBSJ1

effective: 2013-04-02 10:30:10+0100

issued: Apr 3, 2013, 2:30:10 PM

performer: See on this page: Practitioner/caremgr1: Care Manager

value: Independent walking with cane.


Entry 14 - fullUrl = https://hl7.org/fhir/Practitioner/caremgr1

Resource Practitioner:

Generated Narrative: Practitioner

ResourcePractitioner "caremgr1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Practitioner_eltss

identifier: United States National Provider Identifier/1144221847, http://www.acme.org/practitioners/25457

name: Sam Monitor

telecom: ph: (210) 224 1599


Entry 15 - fullUrl = https://hl7.org/fhir/CarePlan/careplan2

Resource CarePlan:

Generated Narrative: CarePlan

ResourceCarePlan "careplan2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: CarePlan_eltss

partOf: See on this page: CarePlan/careplan1

status: ACTIVE

intent: PLAN

category: Assessment and Plan of Treatment (US Core CarePlan Category Extension Codes#assess-plan)

description: Weather Emergency: A shelf-stable meal is delivered to Meals On Wheels clients. It is to be eaten in the unlikely event of cancellation. Weather meals are donated by the Sheboygan Service Club.

subject: See on this page: Patient/patientBSJ1


Entry 16 - fullUrl = https://hl7.org/fhir/Claim/claim1

Resource Claim:

Generated Narrative: Claim

ResourceClaim "claim1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Claim_eltss

status: ACTIVE

type: Professional (Claim Type Codes#professional)

use: CLAIM

patient: See on this page: Patient/patientBSJ1

created: 2020-05-01

provider: See on this page: Organization/funding1

priority: Normal (Process Priority Codes#normal)

Insurances

-SequenceFocalCoverage
*1trueSee on this page: Coverage/coverage1

item

sequence: 1

productOrService: T2003 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#T2003)

UnitPrices

-ValueCurrency
*60USD

Nets

-ValueCurrency
*600USD


Entry 17 - fullUrl = https://hl7.org/fhir/Claim/claim2

Resource Claim:

Generated Narrative: Claim

ResourceClaim "claim2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Claim_eltss

status: ACTIVE

type: Professional (Claim Type Codes#professional)

use: CLAIM

patient: See on this page: Patient/patientBSJ1

created: 2020-05-01

provider: See on this page: Organization/funding1

priority: Normal (Process Priority Codes#normal)

Insurances

-SequenceFocalCoverage
*1trueSee on this page: Coverage/coverage1

item

sequence: 1

productOrService: G0108 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#G0108)

UnitPrices

-ValueCurrency
*55USD

Nets

-ValueCurrency
*660USD


Entry 18 - fullUrl = https://hl7.org/fhir/Claim/claim3

Resource Claim:

Generated Narrative: Claim

ResourceClaim "claim3" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Claim_eltss

status: ACTIVE

type: Professional (Claim Type Codes#professional)

use: CLAIM

patient: See on this page: Patient/patientBSJ1

created: 2020-05-01

provider: See on this page: Organization/funding1

priority: Normal (Process Priority Codes#normal)

Insurances

-SequenceFocalCoverage
*1trueSee on this page: Coverage/coverage1

item

sequence: 1

productOrService: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility (Current Procedural Terminology (CPT®)#97110)

UnitPrices

-ValueCurrency
*65USD

Nets

-ValueCurrency
*780USD


Entry 19 - fullUrl = https://hl7.org/fhir/Contract/contract1

Resource Contract:

Generated Narrative: Contract

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

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Contract_eltss

signer

type: Patient (Details: Contract Signer Type Codes code PAT = ' Patient , stated as null ')

party: See on this page: Patient/patientBSJ1

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Patient/patientBSJ1(base64 data - 187 bytes)

signer

type: Guardian (Details: Contract Signer Type Codes code GUARD = ' Guardian , stated as null ')

party: See on this page: RelatedPerson/guardian1

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: RelatedPerson/guardian1(base64 data - 187 bytes)

signer

type: Author (Details: Contract Signer Type Codes code AUT = ' Author , stated as null ')

party: See on this page: Practitioner/planner1

Signatures

-TypeWhenWhoData
*Author's Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.1 = ' Author's Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Practitioner/planner1(base64 data - 187 bytes)

signer

type: Co-Author (Details: Contract Signer Type Codes code COAUTH = ' Co-Author , stated as null ')

party: See on this page: Practitioner/caremgr1

Signatures

-TypeWhenWhoData
*Author's Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.1 = ' Author's Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Practitioner/caremgr1(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')

party: See on this page: Practitioner/provider3

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Practitioner/provider3(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')

party: See on this page: Practitioner/provider2b

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Practitioner/provider2b(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')

party: See on this page: RelatedPerson/son1

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: RelatedPerson/son1(base64 data - 187 bytes)

signer

type: Healthcare Provider (Details: Contract Signer Type Codes code HPROV = ' Healthcare Provider , stated as null ')

party: See on this page: Practitioner/provider4

Signatures

-TypeWhenWhoData
*Consent Signature (Details: Signature Type Codes code 1.2.840.10065.1.12.1.7 = ' Consent Signature , stated as null ')Apr 2, 2020, 3:00:00 AMSee on this page: Practitioner/provider4(base64 data - 187 bytes)


Entry 20 - fullUrl = https://hl7.org/fhir/Coverage/coverage1

Resource Coverage:

Generated Narrative: Coverage

ResourceCoverage "coverage1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

status: ACTIVE

beneficiary: See on this page: Patient/patientBSJ1


Entry 21 - fullUrl = https://hl7.org/fhir/EpisodeOfCare/episode1

Resource EpisodeOfCare:

Generated Narrative: EpisodeOfCare

ResourceEpisodeOfCare "episode1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: EpisodeOfCare_eltss

status: ACTIVE

patient: See on this page: Patient/patientBSJ1

careManager: See on this page: Practitioner/caremgr1


Entry 22 - fullUrl = https://hl7.org/fhir/Organization/funding1

Resource Organization:

Generated Narrative: Organization

ResourceOrganization "funding1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: US Core Organization Profile

identifier: United States National Provider Identifier/1144221847, Clinical Laboratory Improvement Amendments/12D4567890

active: true

name: Texas Department of Community Health

Contacts

-Address
*7430 Louis Pasteur Dr, San Antonio, TX 78229


Entry 23 - fullUrl = https://hl7.org/fhir/RelatedPerson/guardian1

Resource RelatedPerson:

Generated Narrative: RelatedPerson

ResourceRelatedPerson "guardian1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: eLTSS RelatedPerson Profile

active: true

patient: See on this page: Patient/patientBSJ1

relationship: guardian (RoleCode#GUARD)

name: Charles Johnson


Entry 24 - fullUrl = https://hl7.org/fhir/Location/location1

Resource Location:

Generated Narrative: Location

ResourceLocation "location1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Location_eltss

name: In Home

address: 111 Maple Ct, San Antonio, TX 78212


Entry 25 - fullUrl = https://hl7.org/fhir/Condition/need1

Resource Condition:

Generated Narrative: Condition

ResourceCondition "need1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Condition_eltss

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), SDOH (US Core Category#sdoh)

code: Needs transportation (SNOMED CT#713458007 "Lack of access to transportation (finding)")

subject: See on this page: Patient/patientBSJ1


Entry 26 - fullUrl = https://hl7.org/fhir/Condition/need2

Resource Condition:

Generated Narrative: Condition

ResourceCondition "need2" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Condition_eltss

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need)

code: Needs health / nutrition education for diabetes (SNOMED CT#734920002 "Diabetes mellitus education service")

subject: See on this page: Patient/patientBSJ1


Entry 27 - fullUrl = https://hl7.org/fhir/Condition/need3

Resource Condition:

Generated Narrative: Condition

ResourceCondition "need3" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Condition_eltss

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), Cognitive Status (US Core Category#cognitive-status)

code: Depression (on treatment) (SNOMED CT#35489007 "Depressive disorder (disorder)")

subject: See on this page: Patient/patientBSJ1


Entry 28 - fullUrl = https://hl7.org/fhir/Condition/need4

Resource Condition:

Generated Narrative: Condition

ResourceCondition "need4" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Condition_eltss

Condition Due To: See on this page: Condition/need3

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Assessed Need (eLTSS Condition Category Codes#assessed-need), SDOH (US Core Category#sdoh)

code: Needs physical exercises (SNOMED CT#183301007 "Physical exercises (regime/therapy)")

subject: See on this page: Patient/patientBSJ1


Entry 29 - fullUrl = https://hl7.org/fhir/Observation/pref1

Resource Observation:

Generated Narrative: Observation

ResourceObservation "pref1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Observation_eltss

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Care experience preference (LOINC#95541-9)

subject: See on this page: Patient/patientBSJ1

effective: 2013-04-02 10:30:10+0100

issued: Apr 3, 2013, 2:30:10 PM

performer: See on this page: Practitioner/caremgr1: Care Manager

value: Accessing the ICWP Waiver for her current service needs, and would like to remain on ICWP and continue with her current services.


Entry 30 - fullUrl = https://hl7.org/fhir/Organization/provider2a

Resource Organization:

Generated Narrative: Organization

ResourceOrganization "provider2a" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: US Core Organization Profile

identifier: United States National Provider Identifier/1144221847, Clinical Laboratory Improvement Amendments/12D4567890

active: true

name: The Transporter, Inc.

Contacts

-TelecomAddress
*ph: (210) 555 1313111 Business Street, San Antonio, TX 78212


Entry 31 - fullUrl = https://hl7.org/fhir/Practitioner/provider2b

Resource Practitioner:

Generated Narrative: Practitioner

ResourcePractitioner "provider2b" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Practitioner_eltss

identifier: http://www.acme.org/practitioners/11223344

name: Bill Driver

telecom: ph: (210) 111 2222


Entry 32 - fullUrl = https://hl7.org/fhir/Practitioner/provider3

Resource Practitioner:

Generated Narrative: Practitioner

ResourcePractitioner "provider3" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Practitioner_eltss

identifier: http://www.acme.org/practitioners/987654

name: Lisa Educator

telecom: ph: (210) 555 1213


Entry 33 - fullUrl = https://hl7.org/fhir/Practitioner/provider4

Resource Practitioner:

Generated Narrative: Practitioner

ResourcePractitioner "provider4" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Practitioner_eltss

identifier: http://www.acme.org/practitioners/987657

name: Norma Trainer

telecom: ph: (210) 555 1214


Entry 34 - fullUrl = https://hl7.org/fhir/PractitionerRole/PractitionerRole-1

Resource PractitionerRole:

Generated Narrative: PractitionerRole

ResourcePractitionerRole "PractitionerRole-1"

Profile: eLTSS PractitionerRole Profile

practitioner: See on this page: Practitioner/caremgr1: Sam Monitor

organization: See on this page: Organization/funding1: Texas Department of Community Health

code: Community Health Worker (provider-taxonomy#172V00000X)

specialty: Case Manager/Care Coordinator (provider-taxonomy#171M00000X)

location: See on this page: Location/communitysite: Health Level Seven International


Entry 35 - fullUrl = https://hl7.org/fhir/Location/communitysite

Resource Location:

Generated Narrative: Location

ResourceLocation "communitysite" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: Location_eltss

name: In Home

address: 7430 Louis Pasteur Dr, San Antonio, TX 78229


Entry 36 - fullUrl = https://hl7.org/fhir/Questionnaire/questionnaire1

Resource Questionnaire:

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire1Questionnairehttp://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1
... q1Did you choose the setting in which you reside?0..1boolean
... q2What alternative home and community-based settings were considered?0..1string
... q3Were you given a choice of services outlined in the plan?0..1boolean
... q5Do you agree to the services outlined in the plan?0..1boolean
... q6Were you offered a choice of providers for each service?0..1boolean
... q7Do you feel you made an informed choice in selecting the provider for each service?0..1boolean

doco Documentation for this format


Entry 37 - fullUrl = https://hl7.org/fhir/QuestionnaireResponse/questionnaireresponse1

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
.. questionnaireresponse1QuestionnaireResponse
... q1
... q2
... q3
... q5
... q6
... q7

doco Documentation for this format


Entry 38 - fullUrl = https://hl7.org/fhir/RiskAssessment/risk1

Resource RiskAssessment:

Generated Narrative: RiskAssessment

ResourceRiskAssessment "risk1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: RiskAssessment_eltss

RiskPlan: : This points to a management plan for any risks. This is not the backup plan, which is an alternative plan for the CarePlan. The risk management plan is meant to help avoid needing the backup plan.

status: FINAL

subject: See on this page: Patient/patientBSJ1

prediction

outcome: At risk for falls (finding) (SNOMED CT#129839007)

prediction

outcome: At risk of stroke (SNOMED CT#866240007)

mitigation: Betsy is at risk for falls and of having a stroke. Her risk is increased due to her depression medication. She has grab bars installed in the shower and is working on her balance with a trainer.


Entry 39 - fullUrl = https://hl7.org/fhir/ServiceRequest/service1

Resource ServiceRequest:

Generated Narrative: ServiceRequest

ResourceServiceRequest "service1" Version"1" Updated"2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: ServiceRequest_eltss

Eltss_directedBy: self ()

status: ACTIVE

intent: PLAN

code: Bath tub wall rail, each (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#E0241)

quantity: 1 install (Details: NCI Thesaurus codeC81906 = 'Deploy')

subject: See on this page: Patient/patientBSJ1

occurrence: 2020-05-01 --> 2020-12-31

performer: See on this page: RelatedPerson/son1

supportingInfo: RiskAssessment/risk1