Universal API Implementation Guide
1.1.19 - ci-build

Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions

Example Bundle: Internal - UAPI AS Enrollment for MPS Redesign biPA Bundle Before (Ocrevus)

Bundle 316b5e76-22a6-499a-a27d-c02d798000c9 of type message


Entry 1 - Full URL = urn:uuid:2fa6bc10-aa73-4bec-b357-39839c736ab9

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "2fa6bc10-aa73-4bec-b357-39839c736ab9"

Profile: UAPI MessageHeader

Texts

-Div
*<div></div>

event: enrollment-with-consent (Details: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type code enrollment-with-consent = 'enrollment-with-consent', stated as 'null')

Destinations

-NameEndpoint
*UAPI-ENR-V2.0https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment

sender: See above (urn:uuid:9edd9044-26ab-4639-b59c-be07d459e045)

Sources

-NameEndpoint
*<MPS Practice Name>http://mps.gene.com

focus: urn:uuid:584681db-df12-4038-bc82-7c438b06e63b


Entry 2 - Full URL = urn:uuid:b898769f-53d9-4453-a957-2683942af961

Resource List:

messageContext

Mode: Change ListStatus: Current
Items
urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c
urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088
urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1
urn:uuid:df610b38-2561-423c-b17a-36364f5a82c1
urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7
urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba
urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f
urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df
urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b
urn:uuid:cb626b8a-4e0e-484b-b4fb-1f48fd318418
urn:uuid:212c57ad-45cd-4882-87e7-8415ded3db05
urn:uuid:1409c0e9-6b06-4de5-82e7-577516c866db
urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545


Entry 3 - Full URL = urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4

Resource Patient:

Ryan Michaelson (OFFICIAL) Male, DoB: 1972-10-29 ( Patient internal identifier: 746db8d7-8660-4b59-bd2f-fc240bd181b4(use: OFFICIAL))


Entry 4 - Full URL = urn:uuid:9edd9044-26ab-4639-b59c-be07d459e045

Resource Organization:

Generated Narrative: Organization

Resource Organization "9edd9044-26ab-4639-b59c-be07d459e045"

Profile: UAPI Organization

Texts

-Div
*<div></div>

identifier: id: 0011P000019Y4bLQAS(use: USUAL)

type: Healthcare Provider (OrganizationType#prov)

name: Healthstar Physicians

contact

telecom: ph: -unknown-

address: 420 W MORRIS BLVD MORRISTOWN TN 37813 US

contact

name: Luis McLean (OFFICIAL)

telecom: ph: 4232002041(WORK), fax: 4235862410(WORK)


Entry 5 - Full URL = urn:uuid:0eba1bbc-782a-4727-b186-03e3abe86648

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "0eba1bbc-782a-4727-b186-03e3abe86648"

Profile: UAPI Practitioner

Texts

-Div
*<div></div>

identifier: id: PRES-31448(use: OFFICIAL)

name: MARISSA CRUZ (OFFICIAL)


Entry 6 - Full URL = urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df

Resource Coverage:

Generated Narrative: Coverage

Resource Coverage "42b41bdb-1781-49aa-a091-78cdd92129df"

Profile: UAPI Coverage

Texts

-Div
*<div></div>

status: ACTIVE

type: health insurance plan policy (ActCode#HIP)

subscriber: See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)

subscriberId: id: 4353

beneficiary: See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)

Classes

-TypeValueName
*Group (Coverage Class Codes#group)id: 12344frgrGroup Number

order: 1

network: Dakotacare


Entry 7 - Full URL = urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545

Resource RelatedPerson:

Generated Narrative: RelatedPerson

Resource RelatedPerson "4db51d32-65c3-4f8c-959e-0155c6d14545"

Profile: UAPI RelatedPerson

Texts

-Div
*<div></div>

patient: See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)

relationship: significant other (RoleCode#SIGOTHR)

name: Bob Paul Smith (OFFICIAL)

telecom: +33 (237) 998327

birthDate: 1972-10-29


Entry 8 - Full URL = urn:uuid:680fa043-5770-4ca9-84e7-5b1acacc1657

Resource QuestionnaireResponse:

LinkIdTextDefinitionAnswerdoco
.. 680fa043-5770-4ca9-84e7-5b1acacc1657QuestionnaireResponse
... authorizationAuthorization #
... household-sizeHousehold size
... opn-optionalOnsite Pharmacy Name (Optional)
... site-of-treatmentSite of Treatment
... contact-patientDo not contact patient
... detailed-messageOk to leave a detailed message?
... household-incomeAnnual household income
... onsite-pharmacyOnsite Pharmacy?
... pa-in-placeIs prior authorization in place?
... posPlace of Service
... prescription-planIs this a Prescription plan?
... re-verify-benefits-at-pa-expirationRe-verify benefits at PA expiration
... specialty-pharmacySpecialty Pharmacy?
... tcpa-consentTCPA Consent Provided?
... text-messageOk to send a text message?

doco Documentation for this format


Entry 9 - Full URL = urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba

Resource Condition:

Generated Narrative: Condition

Resource Condition "bc20c5ea-f639-4221-ab61-ce75c5e64aba"

Texts

-Div
*<div></div>

code: Type 1 diab with mild nonp rtnop with macular edema, r eye (International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#E10.3211)

subject: See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)


Entry 10 - Full URL = urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b

Resource Consent:

Generated Narrative: Consent

Resource Consent "1b53bfb2-1361-4906-acd8-35294d30273b"

Profile: UAPI Consent

Texts

-Div
*<div></div>

status: ACTIVE

category: Patient Authorization Signature (LOINC#59284-0)


Entry 11 - Full URL = urn:uuid:cb626b8a-4e0e-484b-b4fb-1f48fd318418

Resource Provenance:

Provenance for See above (urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b)

Summary

RecordedJan 6, 2021, 10:49:41 PM

Agents

who
See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)


Entry 12 - Full URL = urn:uuid:212c57ad-45cd-4882-87e7-8415ded3db05

Resource ServiceRequest:

Generated Narrative: ServiceRequest

Resource ServiceRequest "212c57ad-45cd-4882-87e7-8415ded3db05"

Profile: UAPI ServiceRequest

Texts

-Div
*<div></div>

status: ACTIVE

intent: ORDER

code: Benefit Investigation / Prior Authorization (UAPI Code System - Service Request Type#bipa)

subject: See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)


Entry 13 - Full URL = urn:uuid:8ae8ca14-1d93-45d1-bfd0-f6dcbc1fede8

Resource MedicationRequest:

Generated Narrative: MedicationRequest

Resource MedicationRequest "8ae8ca14-1d93-45d1-bfd0-f6dcbc1fede8"

Profile: UAPI MedicationRequest

Texts

-Div
*<div></div>

status: ACTIVE

intent: ORDER

subject: See above (urn:uuid:746db8d7-8660-4b59-bd2f-fc240bd181b4)

requester: See above (urn:uuid:0eba1bbc-782a-4727-b186-03e3abe86648)

courseOfTherapyType: Subsequent Dose ()

insurance: See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)

note: Every 6 months

dispenseRequest

numberOfRepeatsAllowed: 1

ExpectedSupplyDurations

-ValueUnit
*2300 mg vial(s)


Entry 14 - Full URL = urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f

Resource Organization:

Generated Narrative: Organization

Resource Organization "d3637025-883d-4678-9e0a-1d243a338f9f"

Profile: UAPI Organization

Texts

-Div
*<div></div>

identifier: id: PAY-111(use: USUAL)

type: Insurance Company (OrganizationType#ins)

name: Dakotacare

Contacts

-Telecom
*ph: 8778472862(WORK)


Entry 15 - Full URL = urn:uuid:45cf0b29-8c1d-4882-91e1-00bc28c06a52

Resource Organization:

Generated Narrative: Organization

Resource Organization "45cf0b29-8c1d-4882-91e1-00bc28c06a52"

Profile: UAPI Organization

Texts

-Div
*<div></div>

identifier: id: Infusion Site Id(use: USUAL)

type: Site of Treatment (OrganizationType#other)

name: Infusion Centre

contact

telecom: ph: 8882704882(WORK), fax: 8179974042(WORK)

address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US

contact

name: Venus Yardav (OFFICIAL)

telecom: ph: -unknown-