Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
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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 ServiceRequest: service3

Page standards status: Informative

Generated Narrative: ServiceRequest

Resource ServiceRequest "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 (HCFA Procedure Codes (HCPCS)#G0108)

quantity: 1 visit (Details: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl code C25716 = 'C25716')/1 week (Details: UCUM code wk = 'wk')

subject: Patient/patientBSJ1 " SMITH-JOHNSON"

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

performer: Practitioner/provider3 " EDUCATOR"

reasonReference: Condition/need2

supportingInfo: Claim/claim2