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 Claim: claim2

Page standards status: Informative

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: Patient/patientBSJ1 " SMITH-JOHNSON"

created: 2020-05-01

provider: Organization/funding1 "Texas Department of Community Health"

priority: Normal (Process Priority Codes#normal)

Insurances

-SequenceFocalCoverage
*1trueCoverage/coverage1

item

sequence: 1

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

UnitPrices

-ValueCurrency
*55USD

Nets

-ValueCurrency
*660USD