Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2 United States of America flag

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

Example ServiceRequest: service3

Page standards status: Informative

Generated Narrative: ServiceRequest

ResourceServiceRequest "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 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#G0108)

quantity: 1 visit (Details: NCI Thesaurus codeC25716 = 'Visit')/1 week (Details: UCUM codewk = 'wk')

subject: Patient/patientBSJ1 " SMITH-JOHNSON"

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

performer: Practitioner/provider3 " EDUCATOR"

reasonReference: Condition/need2

supportingInfo: Claim/claim2