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

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0-ballot: STU2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Patient: patientBSJ1

Page standards status: Informative

Betsy Smith-Johnson female, DoB: 1950-11-01 ( Medical Record Number: #10A3D58WH1600 (use: USUAL))

Active:trueMarital Status:Not married
Contact Details:
  • ph: 210-222-1111(MOBILE)
  • 111 Maple Ct, San Antonio, TX 78212
Language:US (preferred)
Contact
  • Charles Johnson
  • Relationships: Son, Emergency Contact, Guardian
  • 100 Montana St., San Antonio, TX 78203
  • ph: (210) 222-3333
Daughter:
  • Debra Johnson
  • 333 W. Camden St., Baltimore, MD 21201
  • ph: (410) 444-5555
US Core Ethnicity Extension:
US Core Race Extension: