Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions
Example Bundle: EXTERNAL - UAPI AS Enrollemnt + Digital Consent
Bundle e905f503-090c-45ab-b197-1b1d10998h2a of type message
Entry 1 - Full URL = urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "fe0cc042-1a9a-4bfc-9989-aba61523366f"
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-V2.1 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:b9604e41-5785-4a40-a4ac-a6112f22ef70)
Entry 2 - Full URL = urn:uuid:b9604e41-5785-4a40-a4ac-a6112f22ef70
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:5342779a-184f-42ba-ab44-3a8e02397he1
Resource QuestionnaireResponse:
LinkId Text Definition Answer 5342779a-184f-42ba-ab44-3a8e02397he1
QuestionnaireResponse detailed-message
Ok to leave a detailed message? Household size (including you) Annual household income amount TCPA Consent Provided? Weight (kg) Has it been 12 months or more since the patient's last HEMLIBRA injection? Has the patient started prescribed HEMLIBRA® (emicizumab)? Does your patient have Hemophilia A Do not contact patient Is this a Prescription plan? Enroll Patient in Benefits Reverification Preferred Specialty Pharmacy (Optional) Onsite Pharmacy Name (Optional) Documentation for this format
Entry 9 - 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)
dateTime: 2016-06-16 04:24:45+0000
Provisions
- Type * PERMIT
Entry 10 - Full URL = urn:uuid:80addde0-ebdf-48fa-abf9-a72961769b6e
Resource MedicationRequest:
Generated Narrative: MedicationRequest
Resource MedicationRequest "80addde0-ebdf-48fa-abf9-a72961769b6e"
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: Starter ()
insurance: See above (urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df)
note: 30-day Subsequent Dose (6mg/kg)
dispenseRequest
UAPI MedicationRequest Dispenser Instructions: Dispense Instruction: Quantity 1 of 60 mg vial(s) and Quantity 1 of 105 mg vial(s) and Quantity 1 of 150 mg vial(s) and Quantity 1 of 30 mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
value: 1
value: 60mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
value: 1
value: 105mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
value: 1
value: 150mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
value: 1
value: 30mg vial(s)
numberOfRepeatsAllowed: 0
ExpectedSupplyDurations
- Value Unit System Code * 1 mo Unified Code for Units of Measure (UCUM) mo
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)