ELTSS 0.1.0 - STU1 Ballot 1
This page is part of the electronic Long-Term Services and Supports Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
Format(s):
Narrative view
Bundle careplan of type collection
Entry 1 - Full URL = http://example.org/eLTSS/careplan1
Resource CarePlan:
Sally Person's Long Term Services and Supports (LTSS) Service Plan
Plan Effective Date: 2018-05-01 - 2018-12-31
Step or Action: client action - manage diet
Step or Action: client action - exercise / join a fitness club
Entry 2 - Full URL = http://example.org/eLTSS/planner1
Resource Practitioner:
Support Planner / Phone: Mark Planner / (678) 555 1221
Entry 3 - Full URL = http://example.org/eLTSS/caremgr1
Resource Practitioner:
Plan Monitor / Phone: Sam Monitor / (770) 224 1599
Entry 4 - Full URL = http://example.org/eLTSS/patient1
Resource Patient:
Person Name: Sally Person
Person Identifier | Type: 123456ABC | MRN
Person Phone: (404) 555 1212
Person Date of Birth: 1935-05-01
Person Address: 2222 Peachtree Street, Atlanta GA, 30318
Emergency Contact Name: Jane Daughter
Emergency Contact Relationship: daughter
Emergency Contact Phone Number: (770) 224 1544
Entry 5 - Full URL = http://example.org/eLTSS/episode1
Resource EpisodeOfCare:
Entry 6 - Full URL = http://example.org/eLTSS/careplan2
Resource CarePlan:
Entry 7 - Full URL = http://example.org/eLTSS/goal1
Resource Goal:
Person Goal: lose weight
Entry 8 - Full URL = http://example.org/eLTSS/goal2
Resource Goal:
Person Goal: dance at daughter's wedding
Entry 9 - Full URL = http://example.org/eLTSS/need1
Resource Condition:
Assessed Need: lack of transportation
Entry 10 - Full URL = http://example.org/eLTSS/need2
Resource Condition:
Assessed Need: difficulty in bathing
Entry 11 - Full URL = http://example.org/eLTSS/need3
Resource Condition:
Assessed Need: difficulty in dressing
Entry 12 - Full URL = http://example.org/eLTSS/provider1
Resource Practitioner:
Entry 13 - Full URL = http://example.org/eLTSS/provider2
Resource Organization:
Entry 14 - Full URL = http://example.org/eLTSS/provider3
Resource Practitioner:
Entry 15 - Full URL = http://example.org/eLTSS/funding1
Resource Organization:
Service Funding Source: Georgia Department of Community Health
Entry 16 - Full URL = http://example.org/eLTSS/relative1
Resource RelatedPerson:
Entry 17 - Full URL = http://example.org/eLTSS/guardian1
Resource RelatedPerson:
Entry 18 - Full URL = http://example.org/eLTSS/service1
Resource ServiceRequest:
Service Name: Personal care services, per 15 minutes - 5 units per week
Service Start Date / End Date: 2018-05-01 / 2018-12-31
Entry 19 - Full URL = http://example.org/eLTSS/service2
Resource ServiceRequest:
Service Name: Non-emergency transportation; encounter/trip - 10 trips total
Service Start Date / End Date: 2018-07-01 / 2018-12-31
Entry 20 - Full URL = http://example.org/eLTSS/service3
Resource ServiceRequest:
Service Name: House cleaning - one per week
Service Start Date / End Date: 2018-05-01 / 2018-12-31
Entry 21 - Full URL = http://example.org/eLTSS/strength1
Resource Observation:
Person Strength: Able to manage her bills. Has strong family support.
Entry 22 - Full URL = http://example.org/eLTSS/pref1
Resource Observation:
Person Preference: Accessing the ICWP Waiver for her current service needs, and would like to remain on ICWP and continue with her current services.
Entry 23 - Full URL = http://example.org/eLTSS/risk1
Resource RiskAssessment:
Entry 24 - Full URL = http://example.org/eLTSS/questionnaire1
Resource Questionnaire:
Entry 25 - Full URL = http://example.org/eLTSS/qr1
Resource QuestionnaireResponse:
Entry 26 - Full URL = http://example.org/eLTSS/contract1
Resource Contract:
Entry 27 - Full URL = http://example.org/eLTSS/location1
Resource Location:
Entry 28 - Full URL = http://example.org/eLTSS/coverage1
Resource Coverage:
Entry 29 - Full URL = http://example.org/eLTSS/claim2
Resource Claim:
Implementation Guide © 2017+ HL7 International Community-Based Care and Privacy Work Group hl7.fhir.us.eltss#0.1.0 based on FHIR v4.0.0 generated 27/03/2019.
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