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 
XML representation of the eLTSSServicePlanModel Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="eLTSSServicePlanModel"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>eLTSS Service Plan Logical Model</b></p> </div> </text> <url value="http://hl7.org/fhir/us/eltss/StructureDefinition/eLTSSServicePlanModel"/> <identifier> <system value="http://hl7.org/fhir/us/eltss"/> <value value="eLTSS.ServicePlan"/> </identifier> <version value="0.1.0"/> <name value="ELTSSServicePlanModel"/> <title value="eLTSS Service Plan Logical Model"/> <status value="draft"/> <date value="2019-02-07T00:00:00+11:00"/> <publisher value="The HL7 Community Based Care and Privacy Workgroup"/> <description value="ServicePlan data included in the eLTSS Dataset."/> <kind value="logical"/> <abstract value="false"/> <type value="eLTSSServicePlanModel"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="eLTSSServicePlanModel"> <path value="eLTSSServicePlanModel"/> <definition value="eLTSS Dataset ServicePlan data."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.beneficiary"> <path value="eLTSSServicePlanModel.beneficiary"/> <short value="The person for whom the plan is for."/> <definition value="The person for whom the plan is for."/> <min value="1"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.beneficiary"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eLTSSPersonModel"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.effectiveDate"> <path value="eLTSSServicePlanModel.effectiveDate"/> <short value="The date upon which the plan goes into effect. Start date is required, end date is optional."/> <definition value="The date upon which the plan goes into effect. Start date is required, end date is optional."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.effectiveDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.supportPlanner"> <path value="eLTSSServicePlanModel.supportPlanner"/> <short value="The person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <definition value="The person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlanner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlanner.name"> <path value="eLTSSServicePlanModel.supportPlanner.name"/> <short value="The name of the person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <definition value="The name of the person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlanner.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlanner.phoneNumber"> <path value="eLTSSServicePlanModel.supportPlanner.phoneNumber"/> <short value="The primary phone number (and extension when applicable) of the support planner."/> <definition value="The primary phone number (and extension when applicable) of the support planner."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.supportPlanner.phoneNumber"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.planMonitor"> <path value="eLTSSServicePlanModel.planMonitor"/> <short value="The person responsible for monitoring the plan."/> <definition value="The person responsible for monitoring the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.planMonitor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.planMonitor.name"> <path value="eLTSSServicePlanModel.planMonitor.name"/> <short value="The name of the person responsible for monitoring the plan."/> <definition value="The name of the person responsible for monitoring the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.planMonitor.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.planMonitor.phoneNumber"> <path value="eLTSSServicePlanModel.planMonitor.phoneNumber"/> <short value="The primary phone number (and extension when applicable) of the plan monitor."/> <definition value="The primary phone number (and extension when applicable) of the plan monitor."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.planMonitor.phoneNumber"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.emergencyBackupPlan"> <path value="eLTSSServicePlanModel.emergencyBackupPlan"/> <short value="Description of how to address unforeseen events."/> <definition value="Description of how to address unforeseen events, emergency health events, emergency events, problems with medical equipment and supplies, and unavailable staffing situations for critical services that put the person’s health and safety at risk."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.emergencyBackupPlan"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.goal"> <path value="eLTSSServicePlanModel.goal"/> <short value="A statement of a desired result that the person wants to achieve."/> <definition value="A statement of a desired result that the person wants to achieve."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.goal"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.preference"> <path value="eLTSSServicePlanModel.preference"/> <short value="Presents the person’s personal thoughts about something he or she feels is relevant to his or her life experience and may be pertinent when planning."/> <definition value="Presents the person’s personal thoughts about something he or she feels is relevant to his or her life experience and may be pertinent when planning."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.preference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.strength"> <path value="eLTSSServicePlanModel.strength"/> <short value="A favorable attribute of the person, his/her support network, environment and/or elements of his/her life."/> <definition value="A favorable attribute of the person, his/her support network, environment and/or elements of his/her life."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.strength"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.assessedNeed"> <path value="eLTSSServicePlanModel.assessedNeed"/> <short value="The clinical and/or community-based necessity or desire as identified through an assessment that should be addressed by a service."/> <definition value="The clinical and/or community-based necessity or desire as identified through an assessment that should be addressed by a service."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.assessedNeed"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.identifiedRisk"> <path value="eLTSSServicePlanModel.identifiedRisk"/> <short value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <definition value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.identifiedRisk"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.riskManagementPlan"> <path value="eLTSSServicePlanModel.riskManagementPlan"/> <short value="Description of planned activities to minimize identified risks that endanger the person’s health and safety."/> <definition value="Description of planned activities to minimize identified risks that endanger the person’s health and safety. This can be included as free text or attachment."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.identifiedRisk"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.service"> <path value="eLTSSServicePlanModel.service"/> <short value="A service provided under this plan."/> <definition value="A service provided under this plan."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.service"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eLTSSServiceModel"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceOptionsGivenIndicator"> <path value="eLTSSServicePlanModel.serviceOptionsGivenIndicator"/> <short value="States whether or not the person was given a choice of services outlined in the plan."/> <definition value="States whether or not the person was given a choice of services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceOptionsGivenIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceSelectionIndicator"> <path value="eLTSSServicePlanModel.serviceSelectionIndicator"/> <short value="States whether or not the person participated in the selection of the services outlined in the plan."/> <definition value="States whether or not the person participated in the selection of the services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceSelectionIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.agreementIndicator"> <path value="eLTSSServicePlanModel.agreementIndicator"/> <short value="States whether or not the person agrees to the services outlined in the plan."/> <definition value="States whether or not the person agrees to the services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.agreementIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"> <path value="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"/> <short value="States whether or not the person was offered a choice of providers for each service."/> <definition value="States whether or not the person was offered a choice of providers for each service."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"> <path value="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"/> <short value="States whether or not the person feels he/she made an informed choice in selecting the provider for each service."/> <definition value="States whether or not the person feels he/she made an informed choice in selecting the provider for each service."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSettingChoiceIndicator"> <path value="eLTSSServicePlanModel.personSettingChoiceIndicator"/> <short value="Indicator that reflects the setting in which the person resides is chosen by the individual."/> <definition value="Indicator that reflects the setting in which the person resides is chosen by the individual."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSettingChoiceIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSettingChoiceOptions"> <path value="eLTSSServicePlanModel.personSettingChoiceOptions"/> <short value="The alternative home and community-based settings that were considered by the individual."/> <definition value="The alternative home and community-based settings that were considered by the individual."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSettingChoiceOptions"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature"> <path value="eLTSSServicePlanModel.personSignature"/> <short value="The of the person's signature as proof of identify and intent for the plan."/> <definition value="The of the person's signature as proof of identify and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.value"> <path value="eLTSSServicePlanModel.personSignature.value"/> <short value="The depiction of the person's signature as proof of identify and intent for the plan."/> <definition value="The depiction of the person's signature as proof of identify and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.printedName"> <path value="eLTSSServicePlanModel.personSignature.printedName"/> <short value="The printed or typed name of the person."/> <definition value="The printed or typed name of the person."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.date"> <path value="eLTSSServicePlanModel.personSignature.date"/> <short value="The date the person signed the plan."/> <definition value="The date the person signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature"> <path value="eLTSSServicePlanModel.representativeSignature"/> <short value="The guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <definition value="The guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.representativeSignature"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.value"> <path value="eLTSSServicePlanModel.representativeSignature.value"/> <short value="The depiction of the guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <definition value="The depiction of the guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.printedName"> <path value="eLTSSServicePlanModel.representativeSignature.printedName"/> <short value="The printed or typed name of the guardian or legally authorized representative."/> <definition value="The printed or typed name of the guardian or legally authorized representative."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.date"> <path value="eLTSSServicePlanModel.representativeSignature.date"/> <short value="The date the guardian or legally authorized representative signed the plan."/> <definition value="The date the guardian or legally authorized representative signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature"> <path value="eLTSSServicePlanModel.supportPlannerSignature"/> <short value="The support planner’s signature as proof of identity and intent for the plan."/> <definition value="The support planner’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.value"> <path value="eLTSSServicePlanModel.supportPlannerSignature.value"/> <short value="The depiction of the support planner’s signature as proof of identity and intent for the plan."/> <definition value="The depiction of the support planner’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.printedName"> <path value="eLTSSServicePlanModel.supportPlannerSignature.printedName"/> <short value="The printed or typed name of the support planner."/> <definition value="The printed or typed name of the support planner."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.date"> <path value="eLTSSServicePlanModel.supportPlannerSignature.date"/> <short value="The date the support planner signed the plan."/> <definition value="The date the support planner signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature"> <path value="eLTSSServicePlanModel.serviceProviderSignature"/> <short value="The service provider’s signature as proof they agree to the services they will provide."/> <definition value="The service provider’s signature as proof they agree to the services they will provide."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.value"> <path value="eLTSSServicePlanModel.serviceProviderSignature.value"/> <short value="The depiction of the service provider’s signature as proof they agree to the services they will provide."/> <definition value="The depiction of the service provider’s signature as proof they agree to the services they will provide."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.printedName"> <path value="eLTSSServicePlanModel.serviceProviderSignature.printedName"/> <short value="The printed or typed name of the service provider."/> <definition value="The printed or typed name of the service provider."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.date"> <path value="eLTSSServicePlanModel.serviceProviderSignature.date"/> <short value="The date the service provider signed the plan."/> <definition value="The date the service provider signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="eLTSSServicePlanModel"> <path value="eLTSSServicePlanModel"/> <definition value="eLTSS Dataset ServicePlan data."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.beneficiary"> <path value="eLTSSServicePlanModel.beneficiary"/> <short value="The person for whom the plan is for."/> <definition value="The person for whom the plan is for."/> <min value="1"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.beneficiary"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eLTSSPersonModel"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.effectiveDate"> <path value="eLTSSServicePlanModel.effectiveDate"/> <short value="The date upon which the plan goes into effect. Start date is required, end date is optional."/> <definition value="The date upon which the plan goes into effect. Start date is required, end date is optional."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.effectiveDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.supportPlanner"> <path value="eLTSSServicePlanModel.supportPlanner"/> <short value="The person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <definition value="The person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlanner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlanner.name"> <path value="eLTSSServicePlanModel.supportPlanner.name"/> <short value="The name of the person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <definition value="The name of the person (e.g., Case Manager, Care Coordinator, Plan Coordinator) who helped develop the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlanner.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlanner.phoneNumber"> <path value="eLTSSServicePlanModel.supportPlanner.phoneNumber"/> <short value="The primary phone number (and extension when applicable) of the support planner."/> <definition value="The primary phone number (and extension when applicable) of the support planner."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.supportPlanner.phoneNumber"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.planMonitor"> <path value="eLTSSServicePlanModel.planMonitor"/> <short value="The person responsible for monitoring the plan."/> <definition value="The person responsible for monitoring the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.planMonitor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.planMonitor.name"> <path value="eLTSSServicePlanModel.planMonitor.name"/> <short value="The name of the person responsible for monitoring the plan."/> <definition value="The name of the person responsible for monitoring the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.planMonitor.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.planMonitor.phoneNumber"> <path value="eLTSSServicePlanModel.planMonitor.phoneNumber"/> <short value="The primary phone number (and extension when applicable) of the plan monitor."/> <definition value="The primary phone number (and extension when applicable) of the plan monitor."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.planMonitor.phoneNumber"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.emergencyBackupPlan"> <path value="eLTSSServicePlanModel.emergencyBackupPlan"/> <short value="Description of how to address unforeseen events."/> <definition value="Description of how to address unforeseen events, emergency health events, emergency events, problems with medical equipment and supplies, and unavailable staffing situations for critical services that put the person’s health and safety at risk."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.emergencyBackupPlan"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.goal"> <path value="eLTSSServicePlanModel.goal"/> <short value="A statement of a desired result that the person wants to achieve."/> <definition value="A statement of a desired result that the person wants to achieve."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.goal"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.preference"> <path value="eLTSSServicePlanModel.preference"/> <short value="Presents the person’s personal thoughts about something he or she feels is relevant to his or her life experience and may be pertinent when planning."/> <definition value="Presents the person’s personal thoughts about something he or she feels is relevant to his or her life experience and may be pertinent when planning."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.preference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.strength"> <path value="eLTSSServicePlanModel.strength"/> <short value="A favorable attribute of the person, his/her support network, environment and/or elements of his/her life."/> <definition value="A favorable attribute of the person, his/her support network, environment and/or elements of his/her life."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.strength"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.assessedNeed"> <path value="eLTSSServicePlanModel.assessedNeed"/> <short value="The clinical and/or community-based necessity or desire as identified through an assessment that should be addressed by a service."/> <definition value="The clinical and/or community-based necessity or desire as identified through an assessment that should be addressed by a service."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.assessedNeed"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="eLTSSServicePlanModel.identifiedRisk"> <path value="eLTSSServicePlanModel.identifiedRisk"/> <short value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <definition value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.identifiedRisk"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.riskManagementPlan"> <path value="eLTSSServicePlanModel.riskManagementPlan"/> <short value="Description of planned activities to minimize identified risks that endanger the person’s health and safety."/> <definition value="Description of planned activities to minimize identified risks that endanger the person’s health and safety. This can be included as free text or attachment."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.identifiedRisk"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.service"> <path value="eLTSSServicePlanModel.service"/> <short value="A service provided under this plan."/> <definition value="A service provided under this plan."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.service"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eLTSSServiceModel"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceOptionsGivenIndicator"> <path value="eLTSSServicePlanModel.serviceOptionsGivenIndicator"/> <short value="States whether or not the person was given a choice of services outlined in the plan."/> <definition value="States whether or not the person was given a choice of services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceOptionsGivenIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceSelectionIndicator"> <path value="eLTSSServicePlanModel.serviceSelectionIndicator"/> <short value="States whether or not the person participated in the selection of the services outlined in the plan."/> <definition value="States whether or not the person participated in the selection of the services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceSelectionIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.agreementIndicator"> <path value="eLTSSServicePlanModel.agreementIndicator"/> <short value="States whether or not the person agrees to the services outlined in the plan."/> <definition value="States whether or not the person agrees to the services outlined in the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.agreementIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"> <path value="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"/> <short value="States whether or not the person was offered a choice of providers for each service."/> <definition value="States whether or not the person was offered a choice of providers for each service."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderOptionsGivenIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"> <path value="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"/> <short value="States whether or not the person feels he/she made an informed choice in selecting the provider for each service."/> <definition value="States whether or not the person feels he/she made an informed choice in selecting the provider for each service."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSelectionAgreementIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSettingChoiceIndicator"> <path value="eLTSSServicePlanModel.personSettingChoiceIndicator"/> <short value="Indicator that reflects the setting in which the person resides is chosen by the individual."/> <definition value="Indicator that reflects the setting in which the person resides is chosen by the individual."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSettingChoiceIndicator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSettingChoiceOptions"> <path value="eLTSSServicePlanModel.personSettingChoiceOptions"/> <short value="The alternative home and community-based settings that were considered by the individual."/> <definition value="The alternative home and community-based settings that were considered by the individual."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSettingChoiceOptions"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature"> <path value="eLTSSServicePlanModel.personSignature"/> <short value="The of the person's signature as proof of identify and intent for the plan."/> <definition value="The of the person's signature as proof of identify and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.value"> <path value="eLTSSServicePlanModel.personSignature.value"/> <short value="The depiction of the person's signature as proof of identify and intent for the plan."/> <definition value="The depiction of the person's signature as proof of identify and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.printedName"> <path value="eLTSSServicePlanModel.personSignature.printedName"/> <short value="The printed or typed name of the person."/> <definition value="The printed or typed name of the person."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.personSignature.date"> <path value="eLTSSServicePlanModel.personSignature.date"/> <short value="The date the person signed the plan."/> <definition value="The date the person signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.personSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature"> <path value="eLTSSServicePlanModel.representativeSignature"/> <short value="The guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <definition value="The guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.representativeSignature"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.value"> <path value="eLTSSServicePlanModel.representativeSignature.value"/> <short value="The depiction of the guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <definition value="The depiction of the guardian or legally authorized representative’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.printedName"> <path value="eLTSSServicePlanModel.representativeSignature.printedName"/> <short value="The printed or typed name of the guardian or legally authorized representative."/> <definition value="The printed or typed name of the guardian or legally authorized representative."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.representativeSignature.date"> <path value="eLTSSServicePlanModel.representativeSignature.date"/> <short value="The date the guardian or legally authorized representative signed the plan."/> <definition value="The date the guardian or legally authorized representative signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.representativeSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature"> <path value="eLTSSServicePlanModel.supportPlannerSignature"/> <short value="The support planner’s signature as proof of identity and intent for the plan."/> <definition value="The support planner’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.value"> <path value="eLTSSServicePlanModel.supportPlannerSignature.value"/> <short value="The depiction of the support planner’s signature as proof of identity and intent for the plan."/> <definition value="The depiction of the support planner’s signature as proof of identity and intent for the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.printedName"> <path value="eLTSSServicePlanModel.supportPlannerSignature.printedName"/> <short value="The printed or typed name of the support planner."/> <definition value="The printed or typed name of the support planner."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.supportPlannerSignature.date"> <path value="eLTSSServicePlanModel.supportPlannerSignature.date"/> <short value="The date the support planner signed the plan."/> <definition value="The date the support planner signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.supportPlannerSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature"> <path value="eLTSSServicePlanModel.serviceProviderSignature"/> <short value="The service provider’s signature as proof they agree to the services they will provide."/> <definition value="The service provider’s signature as proof they agree to the services they will provide."/> <min value="0"/> <max value="*"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.value"> <path value="eLTSSServicePlanModel.serviceProviderSignature.value"/> <short value="The depiction of the service provider’s signature as proof they agree to the services they will provide."/> <definition value="The depiction of the service provider’s signature as proof they agree to the services they will provide."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.printedName"> <path value="eLTSSServicePlanModel.serviceProviderSignature.printedName"/> <short value="The printed or typed name of the service provider."/> <definition value="The printed or typed name of the service provider."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.printedName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="eLTSSServicePlanModel.serviceProviderSignature.date"> <path value="eLTSSServicePlanModel.serviceProviderSignature.date"/> <short value="The date the service provider signed the plan."/> <definition value="The date the service provider signed the plan."/> <min value="0"/> <max value="1"/> <base> <path value="eLTSSServicePlanModel.serviceProviderSignature.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>
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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