Universal API Implementation Guide - Local Development build (v1.1.0). See the Directory of published versions
Example Bundle: External - UAPI Copay Enrollment Bundle with Pharmacy Insurance
Bundle 52b4e271-b63c-41bf-a6ab-7bca6cbda4c6 of type message
Entry 1 - Full URL = urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "eb5eb40b-78e8-4a52-903a-0348c1eac387"
Profile: UAPI MessageHeader
Texts
- Div * <div></div> UAPI MessageHeader Timestamp: 2020-03-11 08:10:13-0500
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
- Name Endpoint * UAPI-ENR-V2.0 https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment sender: See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)
Sources
- Name Endpoint * Vendor_AB http://vendor.com/fhir/enrollmentID/ENR-00001 focus: See above (urn:uuid:681d6d3e-7e29-44f5-81c2-b5c00f232b19)
Entry 2 - Full URL = urn:uuid:681d6d3e-7e29-44f5-81c2-b5c00f232b19
Resource List:
messageContext
Mode: Change List Status: Current
Entry 3 - Full URL = urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c
Resource Patient:
Ryan Michaelson (OFFICIAL) Male, DoB: 1972-10-29 ( Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177(use: OFFICIAL))
Entry 4 - Full URL = urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088
Resource Organization:
Generated Narrative: Organization
Resource Organization "01c31a2f-321d-4c6e-8349-206af8a88088"
Profile: UAPI Organization
Texts
- Div * <div></div> identifier: id: HOSP-12345(use: USUAL)
type: Healthcare Provider (OrganizationType#prov)
name: Mid Atlantic Retina
contact
telecom: ph: -unknown-
address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US
contact
name: Venus Yardav (OFFICIAL)
telecom: ph: -unknown-
contact
telecom: ph: 8882704882(WORK), fax: 8179974042(WORK)
Entry 5 - Full URL = urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1
Resource Practitioner:
Generated Narrative: Practitioner
Resource Practitioner "695d0991-5e03-46df-934a-85a28acd95c1"
Profile: UAPI Practitioner
Texts
- Div * <div></div> identifier: Provider identifier: 1922071448(use: OFFICIAL), Tax ID number: 00000000(use: OFFICIAL), National provider identifier: 1639285034(use: OFFICIAL)
name: MARISSA CRUZ (OFFICIAL)
Entry 6 - Full URL = urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df
Resource 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:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
Classes
- Type Value Name * Group (Coverage Class Codes#group) id: 12344frgr Group 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:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
relationship: significant other (RoleCode#SIGOTHR)
name: Bob Paul Smith (OFFICIAL)
telecom: +33 (237) 998327
birthDate: 1972-10-29
Entry 8 - Full URL = urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7
Resource QuestionnaireResponse:
LinkId Text Definition Answer 5342779a-184f-42ba-ab44-3a8e023979f7
QuestionnaireResponse do-not-contact-patient
Do not contact patient Has Patient Started Therapy Ok to send text messag Anticipated Date of Treatment Ok to leave detailed message Is prior authorization in place? Re-verify benefits at PA expiration Specialty Pharmacy? Onsite Pharmacy? Authorization # 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:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
Entry 10 - Full URL = urn:uuid:5cc5785f-002e-48f3-b9b7-893c3321f4b9
Resource Consent:
Resource Consent "5cc5785f-002e-48f3-b9b7-893c3321f4b9"
Profile: UAPI Consent
Texts
- Div * <div></div> status: ACTIVE
category: Patient Authorization Signature (LOINC#59284-0)
dateTime: 2021-05-01
Entry 11 - 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 12 - Full URL = urn:uuid:f71a66c4-f747-4b46-8adc-875a45f8ee7e
Resource ServiceRequest:
Generated Narrative: ServiceRequest
Resource ServiceRequest "f71a66c4-f747-4b46-8adc-875a45f8ee7e"
Profile: UAPI ServiceRequest
Texts
- Div * <div></div> status: ACTIVE
intent: ORDER
code: Copay (UAPI Code System - Service Request Type#copay)
subject: See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
Entry 13 - Full URL = urn:uuid:df610b38-2561-423c-b17a-36364f5a82c1
Resource MedicationRequest:
Generated Narrative: MedicationRequest
Resource MedicationRequest "df610b38-2561-423c-b17a-36364f5a82c1"
Profile: UAPI MedicationRequest
Texts
- Div * <div></div> status: ACTIVE
intent: ORDER
subject: See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
requester: See above (urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1)
insurance: See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)
note: 600 mg twice a day
dispenseRequest
numberOfRepeatsAllowed: 3
ExpectedSupplyDurations
- Value Unit System Code * 1 mo Unified Code for Units of Measure (UCUM) mo
Entry 14 - Full URL = urn:uuid:98f1c980-79a9-4f0b-9c14-59bd55aa2c19
Resource Account:
Resource Account "98f1c980-79a9-4f0b-9c14-59bd55aa2c19"
Profile: UAPI Account
Texts
- Div * <div></div> UAPI Account Enrolled By Id: 2
identifier: brandId: bbbbbbbb(use: OFFICIAL), programId: ppppppp(use: SECONDARY)
status: UNKNOWN
name: COPAY Application
subject: See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
servicePeriod: 2021-01-01 --> 2022-01-01
Coverages
- Coverage * See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)
Entry 15 - Full URL = urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330
Resource Organization:
Generated Narrative: Organization
Resource Organization "982e97af-668d-41ef-b9f9-2bbc4a059330"
Profile: UAPI Organization
Texts
- Div * <div></div> identifier: id: PAY-145(use: USUAL)
type: Insurance Company (OrganizationType#ins)
name: Pharmacare
contact
telecom: ph: -unknown-
contact
telecom: ph: 8778472862(WORK)
Entry 16 - Full URL = urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311
Resource Coverage:
Resource Coverage "d212ac11-903c-4040-a3d7-6b3e1874a311"
Profile: UAPI Coverage
Texts
- Div * <div></div> status: ACTIVE
type: Pharmacy insurance plan policy (ActCode#DRUGPOL)
subscriber: See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)
subscriberId: id: 2578
beneficiary: urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55
class
type: Group (Coverage Class Codes#group)
value: id: 1255phtr
name: Group Number
class
type: plan (Coverage Class Codes#group)
value: id: 125B37FC
name: plan
class
type: rxBIN (Coverage Class Codes#group)
value: id: 987654
name: rxBIN
class
type: rxPCN (Coverage Class Codes#group)
value: id: 234516
name: rxPCN
order: 1
network: Pharmacare