Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions
Example Bundle: External - UAPI AS Enrollment for Venclexta
Bundle df929183-0365-4f13-b558-0c455b47e544 of type message
Entry 1 - Full URL = urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "05621068-0e0b-4bc3-a0d0-d21f9270bcfd"
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
- 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:c5713bd1-a3d4-4f37-b9d7-9f5a15567696)
Entry 2 - Full URL = urn:uuid:c5713bd1-a3d4-4f37-b9d7-9f5a15567696
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: USUAL))
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: mar@example.com
address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US
contact
name: Venus Yardav (OFFICIAL)
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:8a1598e4-ecec-4161-a691-b031a005f17f
Resource QuestionnaireResponse:
LinkId Text Definition Answer 334d57a4-c441-4603-b0e5-de3e2d89ba94
QuestionnaireResponse authorization
Authorization # Date of Treatment Household size Line of therapy-other? Onsite Pharmacy Name (Optional) Pharmacy Contact Person (Optional) Pharmacy Phone (Optional) Preferred Specialty Pharmacy (Optional) What is the date of Vencompass information filling Do not contact patient Ok to leave a detailed message? Has treatment started? Annual household income Line of therapy? Onsite Pharmacy? Is prior authorization in place? Is this a Prescription plan? Re-verify benefits at PA expiration Site of Treatment Specialty Pharmacy? TCPA Consent Provided? Ok to send a text message? Do you want to receive news and updates about AbbVie's products, clinical trials, research opportunities and other information that may be of interest to you? What is the best time to call? Want to proceed with Vencompass? For which condition are you being treated? 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:1b53bfb2-1361-4906-acd8-35294d30273b
Resource 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
Recorded Jan 6, 2021, 10:49:41 PM Agents
who See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
Entry 12 - Full URL = urn:uuid:21b30e89-e799-484a-abcd-8c25c0b2599b
Resource Consent:
Resource Consent "21b30e89-e799-484a-abcd-8c25c0b2599b"
Profile: UAPI Consent
Texts
- Div * <div></div> status: ACTIVE
category: Prescriber Signature (LOINC#59284-0)
Entry 13 - Full URL = urn:uuid:3cb05f30-9842-4651-a17d-930d7170bedf
Resource Provenance:
Provenance for See above (urn:uuid:21b30e89-e799-484a-abcd-8c25c0b2599b)
Summary
Recorded Feb 7, 2022, 1:49:39 AM Agents
who See above (urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1)
Entry 14 - 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:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)
Entry 15 - 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 16 - Full URL = urn:uuid:07f49842-2bf6-4ed1-9912-184631333aa9
Resource MedicationRequest:
Generated Narrative: MedicationRequest
Resource MedicationRequest "07f49842-2bf6-4ed1-9912-184631333aa9"
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)
courseOfTherapyType: CLL/SLL (Maint) ()
insurance: See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)
note: Maintenance
dispenseRequest
numberOfRepeatsAllowed: 1
ExpectedSupplyDurations
- Value Unit System Code * 1 mo Unified Code for Units of Measure (UCUM) mo
Entry 17 - 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 18 - Full URL = urn:uuid:e29f6c9e-4b3f-485f-af90-adcd49260ac0
Resource QuestionnaireResponse:
LinkId Text Definition Answer QuestionnaireResponse BIPA Service Request Applied? Copay Service Request Applied? Do not contact patient Household size (including you) Annual household income Ok to send text messag Anticipated Date of Treatment Ok to leave detailed message Type of Procedure Place of Service Site of treatment Has treatment started?
Entry 19 - Full URL = urn:uuid:334d57a4-c441-4603-b0e5-de3e2d89ba94
Resource QuestionnaireResponse:
LinkId Text Definition Answer QuestionnaireResponse Authorization # Date of Treatment Household size Line of therapy-other? Onsite Pharmacy Name (Optional) Pharmacy Contact Person (Optional) Pharmacy Phone (Optional) Preferred Specialty Pharmacy (Optional) What is the date of Vencompass information filling Do not contact patient Ok to leave a detailed message? Has treatment started? Annual household income Line of therapy? Onsite Pharmacy? Is prior authorization in place? Is this a Prescription plan? Re-verify benefits at PA expiration Site of Treatment Specialty Pharmacy? TCPA Consent Provided? Ok to send a text message? Do you want to receive news and updates about AbbVie's products, clinical trials, research opportunities and other information that may be of interest to you? What is the best time to call? Want to proceed with Vencompass? For which condition are you being treated?