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

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

eLTSS Contract Example

Format(s):

Narrative view

Bundle contract-contract1 of type collection

Entry 1 - Full URL = http://example.org/eLTSS/planner

Resource Practitioner:

Support Planner / Phone: Mark Planner / (678) 555 1221

Entry 2 - Full URL = http://example.org/eLTSS/caremgr

Resource Practitioner:

Plan Monitor / Phone: Sam Monitor / (770) 224 1599

Entry 3 - Full URL = http://example.org/eLTSS/provider1

Resource Practitioner:

Provider: Lisa Performer

Entry 4 - Full URL = http://example.org/eLTSS/provider2

Resource Organization:

Organization: The Transporter

Entry 5 - Full URL = http://example.org/eLTSS/provider3

Resource Practitioner:

Practitioner: Bill Driver

Entry 6 - Full URL = http://example.org/eLTSS/contract

Resource Contract:

eLTSS Signature in Contract form [eLTSS Support Planner Signature], [eLTSS Support Planner Printed Name], [eLTSS Support Planner Signature Date]