Universal API Implementation Guide
1.1.0 - ci-build
Universal API Implementation Guide - Local Development build (v1.1.0). See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="52b4e271-b63c-41bf-a6ab-7bca6cbda4c6"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-copay-enrollment-bundle"/>
</meta>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="RI"/>
<display value="Resource identifier"/>
</coding>
</type>
<system value="http://vendor.com/ab"/>
<value value="52b4e271-b63c-41bf-a6ab-7bca6cbda4c6"/>
<assigner>
<display value="Alpha Beta"/>
</assigner>
</identifier>
<type value="message"/>
<timestamp value="2020-03-11T08:10:13-05:00"/>
<entry>
<fullUrl value="urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387"/>
<resource>
<MessageHeader>
<id value="eb5eb40b-78e8-4a52-903a-0348c1eac387"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="eb5eb40b-78e8-4a52-903a-0348c1eac387"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader "eb5eb40b-78e8-4a52-903a-0348c1eac387" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-messageheader.html">UAPI MessageHeader</a></p></div><p><b>UAPI MessageHeader Timestamp</b>: 2020-03-11 08:10:13-0500</p><p><b>event</b>: 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')</p><h3>Destinations</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>UAPI-ENR-V2.0</td><td><a href="https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment">https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment</a></td></tr></table><p><b>sender</b>: <a href="#Organization_01c31a2f-321d-4c6e-8349-206af8a88088">See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)</a></p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>Vendor_AB</td><td><a href="http://vendor.com/fhir/enrollmentID/ENR-00001">http://vendor.com/fhir/enrollmentID/ENR-00001</a></td></tr></table><p><b>focus</b>: <a href="#List_681d6d3e-7e29-44f5-81c2-b5c00f232b19">See above (urn:uuid:681d6d3e-7e29-44f5-81c2-b5c00f232b19)</a></p></div>
</text>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/message-timestamp">
<valueDateTime value="2020-03-11T08:10:13-05:00"/>
</extension>
<eventCoding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"/>
<code value="enrollment-with-consent"/>
</eventCoding>
<destination>
<name value="UAPI-ENR-V2.0"/>
<endpoint
value="https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment"/>
</destination>
<sender>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</sender>
<source>
<name value="Vendor_AB"/>
<endpoint value="http://vendor.com/fhir/enrollmentID/ENR-00001"/>
</source>
<focus>
<reference value="urn:uuid:681d6d3e-7e29-44f5-81c2-b5c00f232b19"/>
<type value="List"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:681d6d3e-7e29-44f5-81c2-b5c00f232b19"/>
<resource>
<List>
<id value="681d6d3e-7e29-44f5-81c2-b5c00f232b19"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: List</b><a name="681d6d3e-7e29-44f5-81c2-b5c00f232b19"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource List "681d6d3e-7e29-44f5-81c2-b5c00f232b19" </p></div><p><b>status</b>: current</p><p><b>mode</b>: changes</p><p><b>title</b>: messageContext</p><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Organization_01c31a2f-321d-4c6e-8349-206af8a88088">See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Practitioner_695d0991-5e03-46df-934a-85a28acd95c1">See above (urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#MedicationRequest_df610b38-2561-423c-b17a-36364f5a82c1">See above (urn:uuid:df610b38-2561-423c-b17a-36364f5a82c1)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#QuestionnaireResponse_5342779a-184f-42ba-ab44-3a8e023979f7">See above (urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Condition_bc20c5ea-f639-4221-ab61-ce75c5e64aba">See above (urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Organization_d3637025-883d-4678-9e0a-1d243a338f9f">See above (urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Coverage_42b41bdb-1781-49aa-a091-78cdd92129df">See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Consent_5cc5785f-002e-48f3-b9b7-893c3321f4b9">See above (urn:uuid:5cc5785f-002e-48f3-b9b7-893c3321f4b9)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#Account_98f1c980-79a9-4f0b-9c14-59bd55aa2c19">See above (urn:uuid:98f1c980-79a9-4f0b-9c14-59bd55aa2c19)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#ServiceRequest_f71a66c4-f747-4b46-8adc-875a45f8ee7e">See above (urn:uuid:f71a66c4-f747-4b46-8adc-875a45f8ee7e)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#RelatedPerson_4db51d32-65c3-4f8c-959e-0155c6d14545">See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)</a></p></blockquote></div>
</text>
<status value="current"/>
<mode value="changes"/>
<title value="messageContext"/>
<entry>
<item>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
<type value="Practitioner"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:df610b38-2561-423c-b17a-36364f5a82c1"/>
<type value="MedicationRequest"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7"/>
<type value="QuestionnaireResponse"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba"/>
<type value="Condition"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f"/>
<type value="Organization"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df"/>
<type value="Coverage"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5cc5785f-002e-48f3-b9b7-893c3321f4b9"/>
<type value="Consent"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:98f1c980-79a9-4f0b-9c14-59bd55aa2c19"/>
<type value="Account"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f71a66c4-f747-4b46-8adc-875a45f8ee7e"/>
<type value="ServiceRequest"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<type value="RelatedPerson"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<resource>
<Patient>
<id value="fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="fc2e5a72-c363-4616-ae00-4ad25cbcb45c"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "fc2e5a72-c363-4616-ae00-4ad25cbcb45c" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-patient.html">UAPI Patient</a></p></div><p><b>identifier</b>: Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177(use: OFFICIAL)</p><p><b>name</b>: Ryan Michaelson (OFFICIAL)</p><p><b>telecom</b>: ph: 1231231234(HOME), ph: 1234561234(MOBILE), <a href="mailto:bobster83@example.com">bobster83@example.com</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1972-10-29</p><p><b>address</b>: 1234 Main St San Francisco CA 94105 US </p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en)</span></td><td>true</td></tr></table><p><b>generalPractitioner</b>: <a href="#Practitioner_695d0991-5e03-46df-934a-85a28acd95c1">See above (urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1)</a></p><p><b>managingOrganization</b>: <a href="#Organization_01c31a2f-321d-4c6e-8349-206af8a88088">See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)</a></p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
</type>
<system value="http://vendor.com/ab"/>
<value value="6bcd8467-0473-4836-9128-2e7972f23177"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<name>
<use value="official"/>
<family value="Michaelson"/>
<given value="Ryan"/>
</name>
<telecom>
<system value="phone"/>
<value value="1231231234"/>
<use value="home"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="1234561234"/>
<use value="mobile"/>
<rank value="2"/>
</telecom>
<telecom>
<system value="email"/>
<value value="bobster83@example.com"/>
<use value="home"/>
<rank value="3"/>
</telecom>
<gender value="male"/>
<birthDate value="1972-10-29"/>
<address>
<line value="1234 Main St"/>
<city value="San Francisco"/>
<state value="CA"/>
<postalCode value="94105"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
<preferred value="true"/>
</communication>
<generalPractitioner>
<reference value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
</generalPractitioner>
<managingOrganization>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<resource>
<Organization>
<id value="01c31a2f-321d-4c6e-8349-206af8a88088"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="01c31a2f-321d-4c6e-8349-206af8a88088"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "01c31a2f-321d-4c6e-8349-206af8a88088" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-organization.html">UAPI Organization</a></p></div><p><b>identifier</b>: id: HOSP-12345(use: USUAL)</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-organization-type.html">OrganizationType</a>#prov)</span></p><p><b>name</b>: Mid Atlantic Retina</p><p><b>telecom</b>: ph: -unknown-</p><p><b>address</b>: 8 Ranoldo Terrace Cherry Hill NJ 08034 US </p><blockquote><p><b>contact</b></p><p><b>name</b>: Venus Yardav (OFFICIAL)</p><p><b>telecom</b>: ph: -unknown-</p></blockquote><blockquote><p><b>contact</b></p><p><b>telecom</b>: ph: 8882704882(WORK), fax: 8179974042(WORK)</p></blockquote></div>
</text>
<identifier>
<use value="usual"/>
<system value="http://vendor.com/ab"/>
<value value="HOSP-12345"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Mid Atlantic Retina"/>
<telecom>
<system value="phone"/>
</telecom>
<address>
<line value="8 Ranoldo Terrace"/>
<city value="Cherry Hill"/>
<state value="NJ"/>
<postalCode value="08034"/>
<country value="US"/>
</address>
<contact>
<name>
<use value="official"/>
<family value="Yardav"/>
<given value="Venus"/>
</name>
<telecom>
<system value="phone"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="phone"/>
<value value="8882704882"/>
<use value="work"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="8179974042"/>
<use value="work"/>
<rank value="2"/>
</telecom>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
<resource>
<Practitioner>
<id value="695d0991-5e03-46df-934a-85a28acd95c1"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="695d0991-5e03-46df-934a-85a28acd95c1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "695d0991-5e03-46df-934a-85a28acd95c1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-practitioner.html">UAPI Practitioner</a></p></div><p><b>identifier</b>: Provider identifier: 1922071448(use: OFFICIAL), Tax ID number: 00000000(use: OFFICIAL), National provider identifier: 1639285034(use: OFFICIAL)</p><p><b>name</b>: MARISSA CRUZ (OFFICIAL)</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1922071448"/>
<assigner>
<display value="Centers for Medicare & Medicaid Services"/>
</assigner>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="00000000"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1639285034"/>
</identifier>
<name>
<use value="official"/>
<family value="CRUZ"/>
<given value="MARISSA"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df"/>
<resource>
<Coverage>
<id value="42b41bdb-1781-49aa-a091-78cdd92129df"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="42b41bdb-1781-49aa-a091-78cdd92129df"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Coverage "42b41bdb-1781-49aa-a091-78cdd92129df" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-coverage.html">UAPI Coverage</a></p></div><p><b>status</b>: active</p><p><b>type</b>: health insurance plan policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#HIP)</span></p><p><b>subscriber</b>: <a href="#RelatedPerson_4db51d32-65c3-4f8c-959e-0155c6d14545">See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)</a></p><p><b>subscriberId</b>: 4353</p><p><b>beneficiary</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>payor</b>: <a href="#Organization_d3637025-883d-4678-9e0a-1d243a338f9f">See above (urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f)</a></p><h3>Classes</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-coverage-class.html">Coverage Class Codes</a>#group)</span></td><td>12344frgr</td><td>Group Number</td></tr></table><p><b>order</b>: 1</p><p><b>network</b>: Dakotacare</p></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="HIP"/>
<display value="health insurance plan policy"/>
</coding>
</type>
<subscriber>
<reference value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<type value="RelatedPerson"/>
</subscriber>
<subscriberId value="4353"/>
<beneficiary>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</beneficiary>
<payor>
<reference value="urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f"/>
<type value="Organization"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="Group"/>
</coding>
</type>
<value value="12344frgr"/>
<name value="Group Number"/>
</class>
<order value="1"/>
<network value="Dakotacare"/>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<resource>
<RelatedPerson>
<id value="4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: RelatedPerson</b><a name="4db51d32-65c3-4f8c-959e-0155c6d14545"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource RelatedPerson "4db51d32-65c3-4f8c-959e-0155c6d14545" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-relatedPerson.html">UAPI RelatedPerson</a></p></div><p><b>patient</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>relationship</b>: significant other <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-RoleCode.html">RoleCode</a>#SIGOTHR)</span></p><p><b>name</b>: Bob Paul Smith (OFFICIAL)</p><p><b>telecom</b>: <a href="tel:+33(237)998327">+33 (237) 998327</a></p><p><b>birthDate</b>: 1972-10-29</p></div>
</text>
<patient>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="SIGOTHR"/>
<display value="significant other"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Smith"/>
<given value="Bob Paul"/>
</name>
<telecom>
<system value="phone"/>
<value value="+33 (237) 998327"/>
<use value="mobile"/>
</telecom>
<birthDate value="1972-10-29"/>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7"/>
<resource>
<QuestionnaireResponse>
<id value="5342779a-184f-42ba-ab44-3a8e023979f7"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: QuestionnaireResponse</b><a name="5342779a-184f-42ba-ab44-3a8e023979f7"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource QuestionnaireResponse "5342779a-184f-42ba-ab44-3a8e023979f7" </p></div><p><b>questionnaire</b>: <a href="https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234">https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: do-not-contact-patient</p><p><b>text</b>: Do not contact patient</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: has-patient-started-therapy</p><p><b>text</b>: Has Patient Started Therapy</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ok-to-send-text-message</p><p><b>text</b>: Ok to send text messag</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anticipated-date-of-treatment</p><p><b>text</b>: Anticipated Date of Treatment</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>2021-01-03</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ok-to-leave-detailed-message</p><p><b>text</b>: Ok to leave detailed message</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: pa-in-place</p><p><b>text</b>: Is prior authorization in place?</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: re-verify-benefits-at-pa-expiration</p><p><b>text</b>: Re-verify benefits at PA expiration</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: specialty-pharmacy</p><p><b>text</b>: Specialty Pharmacy?</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: onsite-pharmacy</p><p><b>text</b>: Onsite Pharmacy?</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: authorization</p><p><b>text</b>: Authorization #</p><h3>Answers</h3><table class="grid"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>#3456789</td></tr></table></blockquote></div>
</text>
<questionnaire
value="https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234"/>
<status value="completed"/>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
<item>
<linkId value="do-not-contact-patient"/>
<text value="Do not contact patient"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="has-patient-started-therapy"/>
<text value="Has Patient Started Therapy"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="ok-to-send-text-message"/>
<text value="Ok to send text messag"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="anticipated-date-of-treatment"/>
<text value="Anticipated Date of Treatment"/>
<answer>
<valueDate value="2021-01-03"/>
</answer>
</item>
<item>
<linkId value="ok-to-leave-detailed-message"/>
<text value="Ok to leave detailed message"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="pa-in-place"/>
<text value="Is prior authorization in place?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="re-verify-benefits-at-pa-expiration"/>
<text value="Re-verify benefits at PA expiration"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="specialty-pharmacy"/>
<text value="Specialty Pharmacy?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="onsite-pharmacy"/>
<text value="Onsite Pharmacy?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="authorization"/>
<text value="Authorization #"/>
<answer>
<valueString value="#3456789"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba"/>
<resource>
<Condition>
<id value="bc20c5ea-f639-4221-ab61-ce75c5e64aba"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b><a name="bc20c5ea-f639-4221-ab61-ce75c5e64aba"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "bc20c5ea-f639-4221-ab61-ce75c5e64aba" </p></div><p><b>code</b>: Type 1 diab with mild nonp rtnop with macular edema, r eye <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E10.3211)</span></p><p><b>subject</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p></div>
</text>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="E10.3211"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5cc5785f-002e-48f3-b9b7-893c3321f4b9"/>
<resource>
<Consent>
<id value="5cc5785f-002e-48f3-b9b7-893c3321f4b9"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-consent"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Consent</b><a name="5cc5785f-002e-48f3-b9b7-893c3321f4b9"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Consent "5cc5785f-002e-48f3-b9b7-893c3321f4b9" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-consent.html">UAPI Consent</a></p></div><p><b>status</b>: active</p><p><b>scope</b>: Privacy Consent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-consent-scope.html">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: Patient Authorization Signature <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#59284-0)</span></p><p><b>patient</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>dateTime</b>: 2021-05-01</p><p><b>policyRule</b>: HIPAA Authorization <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-consent-policy.html">Policy Codes</a>#hipaa-auth)</span></p></div>
</text>
<status value="active"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="patient-privacy"/>
<display value="Privacy Consent"/>
</coding>
</scope>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
<display value="Patient Authorization Signature"/>
</coding>
</category>
<patient>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</patient>
<dateTime value="2021-05-01"/>
<policyRule>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
<code value="hipaa-auth"/>
<display value="HIPAA Authorization"/>
</coding>
</policyRule>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f"/>
<resource>
<Organization>
<id value="d3637025-883d-4678-9e0a-1d243a338f9f"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="d3637025-883d-4678-9e0a-1d243a338f9f"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "d3637025-883d-4678-9e0a-1d243a338f9f" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-organization.html">UAPI Organization</a></p></div><p><b>identifier</b>: id: PAY-111(use: USUAL)</p><p><b>type</b>: Insurance Company <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-organization-type.html">OrganizationType</a>#ins)</span></p><p><b>name</b>: Dakotacare</p><p><b>telecom</b>: ph: 8778472862(WORK)</p></div>
</text>
<identifier>
<use value="usual"/>
<system value="http://vendor.com/ab"/>
<value value="PAY-111"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Dakotacare"/>
<telecom>
<system value="phone"/>
<value value="8778472862"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f71a66c4-f747-4b46-8adc-875a45f8ee7e"/>
<resource>
<ServiceRequest>
<id value="f71a66c4-f747-4b46-8adc-875a45f8ee7e"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="f71a66c4-f747-4b46-8adc-875a45f8ee7e"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ServiceRequest "f71a66c4-f747-4b46-8adc-875a45f8ee7e" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-servicerequest.html">UAPI ServiceRequest</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Copay <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-sr-type.html">UAPI Code System - Service Request Type</a>#copay)</span></p><p><b>subject</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<code>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"/>
<code value="copay"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:df610b38-2561-423c-b17a-36364f5a82c1"/>
<resource>
<MedicationRequest>
<id value="df610b38-2561-423c-b17a-36364f5a82c1"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="df610b38-2561-423c-b17a-36364f5a82c1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest "df610b38-2561-423c-b17a-36364f5a82c1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-medicationrequest.html">UAPI MedicationRequest</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: Alecensa <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-product-name.html">UAPI Code System - Product Names</a>#alecensa)</span></p><p><b>subject</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>requester</b>: <a href="#Practitioner_695d0991-5e03-46df-934a-85a28acd95c1">See above (urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1)</a></p><p><b>insurance</b>: <a href="#Coverage_42b41bdb-1781-49aa-a091-78cdd92129df">See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)</a></p><p><b>note</b>: 600 mg twice a day</p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Do 2 per 1 days</p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 3</p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>1</td><td>mo</td><td><a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a></td><td>mo</td></tr></table></blockquote></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-product-name"/>
<code value="alecensa"/>
<display value="Alecensa"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
<requester>
<reference value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
<type value="Practitioner"/>
</requester>
<insurance>
<reference value="urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df"/>
<type value="Coverage"/>
</insurance>
<note>
<text value="600 mg twice a day"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="600"/>
<unit value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<numberOfRepeatsAllowed value="3"/>
<expectedSupplyDuration>
<value value="1"/>
<unit value="mo"/>
<system value="http://unitsofmeasure.org"/>
<code value="mo"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:98f1c980-79a9-4f0b-9c14-59bd55aa2c19"/>
<resource>
<Account>
<id value="98f1c980-79a9-4f0b-9c14-59bd55aa2c19"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-account"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Account</b><a name="98f1c980-79a9-4f0b-9c14-59bd55aa2c19"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Account "98f1c980-79a9-4f0b-9c14-59bd55aa2c19" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-account.html">UAPI Account</a></p></div><p><b>UAPI Account Enrolled By Id</b>: 2</p><p><b>identifier</b>: brandId: bbbbbbbb(use: OFFICIAL), programId: ppppppp(use: SECONDARY)</p><p><b>status</b>: unknown</p><p><b>name</b>: COPAY Application</p><p><b>subject</b>: <a href="#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>servicePeriod</b>: 2021-01-01 --> 2022-01-01</p><h3>Coverages</h3><table class="grid"><tr><td>-</td><td><b>Coverage</b></td></tr><tr><td>*</td><td><a href="#Coverage_42b41bdb-1781-49aa-a091-78cdd92129df">See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)</a></td></tr></table></div>
</text>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/enroll-by-id">
<valueString value="2"/>
</extension>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-acct-id-type"/>
<code value="brandId"/>
</coding>
</type>
<system value="https://fhir.developer.gene.com"/>
<value value="bbbbbbbb"/>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-acct-id-type"/>
<code value="programId"/>
</coding>
</type>
<system value="https://fhir.developer.gene.com"/>
<value value="ppppppp"/>
</identifier>
<status value="unknown"/>
<name value="COPAY Application"/>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
<servicePeriod>
<start value="2021-01-01"/>
<end value="2022-01-01"/>
</servicePeriod>
<coverage>
<coverage>
<reference value="urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df"/>
<type value="Coverage"/>
</coverage>
</coverage>
</Account>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330"/>
<resource>
<Organization>
<id value="982e97af-668d-41ef-b9f9-2bbc4a059330"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="982e97af-668d-41ef-b9f9-2bbc4a059330"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "982e97af-668d-41ef-b9f9-2bbc4a059330" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-organization.html">UAPI Organization</a></p></div><p><b>identifier</b>: id: PAY-145(use: USUAL)</p><p><b>type</b>: Insurance Company <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-organization-type.html">OrganizationType</a>#ins)</span></p><p><b>name</b>: Pharmacare</p><p><b>telecom</b>: ph: -unknown-</p><h3>Contacts</h3><table class="grid"><tr><td>-</td><td><b>Telecom</b></td></tr><tr><td>*</td><td>ph: 8778472862(WORK)</td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<system value="http://vendor.com/ab"/>
<value value="PAY-145"/>
<assigner>
<display value="Ph Vendor"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Pharmacare"/>
<telecom>
<system value="phone"/>
</telecom>
<contact>
<telecom>
<system value="phone"/>
<value value="8778472862"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311"/>
<resource>
<Coverage>
<id value="d212ac11-903c-4040-a3d7-6b3e1874a311"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="d212ac11-903c-4040-a3d7-6b3e1874a311"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Coverage "d212ac11-903c-4040-a3d7-6b3e1874a311" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-coverage.html">UAPI Coverage</a></p></div><p><b>status</b>: active</p><p><b>type</b>: Pharmacy insurance plan policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#DRUGPOL)</span></p><p><b>subscriber</b>: <a href="#RelatedPerson_4db51d32-65c3-4f8c-959e-0155c6d14545">See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)</a></p><p><b>subscriberId</b>: 2578</p><p><b>beneficiary</b>: <a href="Bundle-uapi-query-response-1.html#urn-uuid-b3d46ea3-62e6-4171-b818-d64712edfe55">urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55</a></p><p><b>payor</b>: <a href="#Organization_982e97af-668d-41ef-b9f9-2bbc4a059330">See above (urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330)</a></p><blockquote><p><b>class</b></p><p><b>type</b>: Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-coverage-class.html">Coverage Class Codes</a>#group)</span></p><p><b>value</b>: 1255phtr</p><p><b>name</b>: Group Number</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: plan <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-coverage-class.html">Coverage Class Codes</a>#group)</span></p><p><b>value</b>: 125B37FC</p><p><b>name</b>: plan</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: rxBIN <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-coverage-class.html">Coverage Class Codes</a>#group)</span></p><p><b>value</b>: 987654</p><p><b>name</b>: rxBIN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: rxPCN <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4B/codesystem-coverage-class.html">Coverage Class Codes</a>#group)</span></p><p><b>value</b>: 234516</p><p><b>name</b>: rxPCN</p></blockquote><p><b>order</b>: 1</p><p><b>network</b>: Pharmacare</p></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="DRUGPOL"/>
<display value="Pharmacy insurance plan policy"/>
</coding>
</type>
<subscriber>
<reference value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<type value="RelatedPerson"/>
</subscriber>
<subscriberId value="2578"/>
<beneficiary>
<reference value="urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55"/>
<type value="Patient"/>
</beneficiary>
<payor>
<reference value="urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330"/>
<type value="Organization"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="Group"/>
</coding>
</type>
<value value="1255phtr"/>
<name value="Group Number"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="plan"/>
</coding>
</type>
<value value="125B37FC"/>
<name value="plan"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="rxBIN"/>
</coding>
</type>
<value value="987654"/>
<name value="rxBIN"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="rxPCN"/>
</coding>
</type>
<value value="234516"/>
<name value="rxPCN"/>
</class>
<order value="1"/>
<network value="Pharmacare"/>
</Coverage>
</resource>
</entry>
</Bundle>
IG © 2021+ . Package gene.com.fhir.uapi#1.1.0 based on FHIR 4.3.0. Generated 2022-12-23
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