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
{
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"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-as-enrollment-bundle"
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},
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "RI",
"display" : "Resource identifier"
}
]
},
"system" : "http://vendor.com/ab",
"value" : "316e9740-2c4d-4c5d-98b0-c68c84706807",
"assigner" : {
"display" : "Alpha Beta"
}
},
"type" : "message",
"timestamp" : "2020-03-11T08:10:13-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "fe0cc042-1a9a-4bfc-9989-aba61523366f",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"fe0cc042-1a9a-4bfc-9989-aba61523366f\"> </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 \"fe0cc042-1a9a-4bfc-9989-aba61523366f\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-messageheader.html\">UAPI MessageHeader</a></p></div><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-V2.1</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_4881c09f-657b-4262-afff-542b72880f99\">See above (urn:uuid:b9604e41-5785-4a40-a4ac-a6112f22ef70)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type",
"code" : "enrollment-with-consent"
},
"destination" : [
{
"name" : "UAPI-ENR-V2.1",
"endpoint" : "https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment"
}
],
"sender" : {
"reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088",
"type" : "Organization"
},
"source" : {
"name" : "Vendor_AB",
"endpoint" : "http://vendor.com/fhir/enrollmentID/ENR-00001"
},
"focus" : [
{
"reference" : "urn:uuid:b9604e41-5785-4a40-a4ac-a6112f22ef70",
"type" : "List"
}
]
}
},
{
"fullUrl" : "urn:uuid:b9604e41-5785-4a40-a4ac-a6112f22ef70",
"resource" : {
"resourceType" : "List",
"id" : "4881c09f-657b-4262-afff-542b72880f99",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: List</b><a name=\"4881c09f-657b-4262-afff-542b72880f99\"> </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 \"4881c09f-657b-4262-afff-542b72880f99\" </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=\"#QuestionnaireResponse_5342779a-184f-42ba-ab44-3a8e02397he1\">See above (urn:uuid:5342779a-184f-42ba-ab44-3a8e02397he1)</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_1b53bfb2-1361-4906-acd8-35294d30273b\">See above (urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-45cf0b29-8c1d-4882-91e1-00bc28c06a52\">urn:uuid:45cf0b29-8c1d-4882-91e1-00bc28c06a52</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>"
},
"status" : "current",
"mode" : "changes",
"title" : "messageContext",
"entry" : [
{
"item" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
}
},
{
"item" : {
"reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088",
"type" : "Organization"
}
},
{
"item" : {
"reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1",
"type" : "Practitioner"
}
},
{
"item" : {
"reference" : "urn:uuid:5342779a-184f-42ba-ab44-3a8e02397he1",
"type" : "QuestionnaireResponse"
}
},
{
"item" : {
"reference" : "urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df",
"type" : "Coverage"
}
},
{
"item" : {
"reference" : "urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b",
"type" : "Consent"
}
},
{
"item" : {
"reference" : "urn:uuid:45cf0b29-8c1d-4882-91e1-00bc28c06a52",
"type" : "Organization"
}
},
{
"item" : {
"reference" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
"type" : "RelatedPerson"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"resource" : {
"resourceType" : "Patient",
"id" : "fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<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: USUAL)</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/5.3.0/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>"
},
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI",
"display" : "Patient internal identifier"
}
]
},
"system" : "http://vendor.com/ab",
"value" : "6bcd8467-0473-4836-9128-2e7972f23177",
"assigner" : {
"display" : "AB Vendor"
}
}
],
"name" : [
{
"use" : "official",
"family" : "Michaelson",
"given" : [
"Ryan"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1231231234",
"use" : "home",
"rank" : 1
},
{
"system" : "phone",
"value" : "1234561234",
"use" : "mobile",
"rank" : 2
},
{
"system" : "email",
"value" : "bobster83@example.com",
"use" : "home",
"rank" : 3
}
],
"gender" : "male",
"birthDate" : "1972-10-29",
"address" : [
{
"line" : [
"1234 Main St"
],
"city" : "San Francisco",
"state" : "CA",
"postalCode" : "94105",
"country" : "US"
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "English"
}
]
},
"preferred" : true
}
],
"generalPractitioner" : [
{
"reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"
}
],
"managingOrganization" : {
"reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"
}
}
},
{
"fullUrl" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088",
"resource" : {
"resourceType" : "Organization",
"id" : "01c31a2f-321d-4c6e-8349-206af8a88088",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<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>: <a href=\"mailto:mar@example.com\">mar@example.com</a></p><p><b>address</b>: 8 Ranoldo Terrace Cherry Hill NJ 08034 US </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Telecom</b></td></tr><tr><td>*</td><td>Venus Yardav (OFFICIAL)</td><td>ph: 8882704882(WORK), fax: 8179974042(WORK)</td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://vendor.com/ab",
"value" : "HOSP-12345",
"assigner" : {
"display" : "AB Vendor"
}
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Mid Atlantic Retina",
"telecom" : [
{
"system" : "email",
"value" : "mar@example.com"
}
],
"address" : [
{
"line" : [
"8 Ranoldo Terrace"
],
"city" : "Cherry Hill",
"state" : "NJ",
"postalCode" : "08034",
"country" : "US"
}
],
"contact" : [
{
"name" : {
"use" : "official",
"family" : "Yardav",
"given" : [
"Venus"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "8882704882",
"use" : "work",
"rank" : 1
},
{
"system" : "fax",
"value" : "8179974042",
"use" : "work",
"rank" : 2
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "695d0991-5e03-46df-934a-85a28acd95c1",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider identifier"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1922071448",
"assigner" : {
"display" : "Centers for Medicare & Medicaid Services"
}
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "00000000"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1639285034"
}
],
"name" : [
{
"use" : "official",
"family" : "CRUZ",
"given" : [
"MARISSA"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df",
"resource" : {
"resourceType" : "Coverage",
"id" : "42b41bdb-1781-49aa-a091-78cdd92129df",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"
]
},
"text" : {
"status" : "generated",
"div" : "<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/5.3.0/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>"
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "HIP",
"display" : "health insurance plan policy"
}
]
},
"subscriber" : {
"reference" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
"type" : "RelatedPerson"
},
"subscriberId" : "4353",
"beneficiary" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
},
"payor" : [
{
"reference" : "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f",
"type" : "Organization"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "group",
"display" : "Group"
}
]
},
"value" : "12344frgr",
"name" : "Group Number"
}
],
"order" : 1,
"network" : "Dakotacare"
}
},
{
"fullUrl" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "4db51d32-65c3-4f8c-959e-0155c6d14545",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"
]
},
"text" : {
"status" : "generated",
"div" : "<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/5.3.0/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>"
},
"patient" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "SIGOTHR",
"display" : "significant other"
}
]
}
],
"name" : [
{
"use" : "official",
"family" : "Smith",
"given" : [
"Bob Paul"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+33 (237) 998327",
"use" : "mobile"
}
],
"birthDate" : "1972-10-29"
}
},
{
"fullUrl" : "urn:uuid:5342779a-184f-42ba-ab44-3a8e02397he1",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "5342779a-184f-42ba-ab44-3a8e02397he1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: QuestionnaireResponse</b><a name=\"5342779a-184f-42ba-ab44-3a8e02397he1\"> </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-ab44-3a8e02397he1\" </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>: detailed-message</p><p><b>text</b>: Ok to leave a 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>: household-size</p><p><b>text</b>: Household size (including you)</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>3</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: household-income-amount</p><p><b>text</b>: Annual household income amount</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>$75,000</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: tcpa-consent</p><p><b>text</b>: TCPA Consent Provided?</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>: hemlibra-weight-kg</p><p><b>text</b>: Weight (kg)</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>80</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: hemlibra-12-months-or-more-since-hemlibra-injection</p><p><b>text</b>: Has it been 12 months or more since the patient's last HEMLIBRA injection?</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>: hemlibra-started-prescribed-hemlibra-emicizumab</p><p><b>text</b>: Has the patient started prescribed HEMLIBRA® (emicizumab)?</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>: hemlibra-hemophilia-a</p><p><b>text</b>: Does your patient have Hemophilia A</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>With Inhibitors</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 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>: prescription-plan</p><p><b>text</b>: Is this a Prescription plan?</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>: enroll-in-br</p><p><b>text</b>: Enroll Patient in Benefits Reverification</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>: preferred-sp-optional</p><p><b>text</b>: Preferred Specialty Pharmacy (Optional)</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Optional Specialty Pharmacy</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: opn-optional</p><p><b>text</b>: Onsite Pharmacy Name (Optional)</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Onsite Pharmacy Name</td></tr></table></blockquote></div>"
},
"questionnaire" : "https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234",
"status" : "completed",
"subject" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
},
"item" : [
{
"linkId" : "detailed-message",
"text" : "Ok to leave a detailed message?",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "household-size",
"text" : "Household size (including you)",
"answer" : [
{
"valueString" : "3"
}
]
},
{
"linkId" : "household-income-amount",
"text" : "Annual household income amount",
"answer" : [
{
"valueString" : "$75,000"
}
]
},
{
"linkId" : "tcpa-consent",
"text" : "TCPA Consent Provided?",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "hemlibra-weight-kg",
"text" : "Weight (kg)",
"answer" : [
{
"valueString" : "80"
}
]
},
{
"linkId" : "hemlibra-12-months-or-more-since-hemlibra-injection",
"text" : "Has it been 12 months or more since the patient's last HEMLIBRA injection?",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "hemlibra-started-prescribed-hemlibra-emicizumab",
"text" : "Has the patient started prescribed HEMLIBRA® (emicizumab)?",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "hemlibra-hemophilia-a",
"text" : "Does your patient have Hemophilia A",
"answer" : [
{
"valueString" : "With Inhibitors"
}
]
},
{
"linkId" : "contact-patient",
"text" : "Do not contact patient",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "prescription-plan",
"text" : "Is this a Prescription plan?",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "enroll-in-br",
"text" : "Enroll Patient in Benefits Reverification",
"answer" : [
{
"valueString" : "Yes"
}
]
},
{
"linkId" : "preferred-sp-optional",
"text" : "Preferred Specialty Pharmacy (Optional)",
"answer" : [
{
"valueString" : "Optional Specialty Pharmacy"
}
]
},
{
"linkId" : "opn-optional",
"text" : "Onsite Pharmacy Name (Optional)",
"answer" : [
{
"valueString" : "Onsite Pharmacy Name"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b",
"resource" : {
"resourceType" : "Consent",
"id" : "1b53bfb2-1361-4906-acd8-35294d30273b",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-consent"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Consent</b><a name=\"1b53bfb2-1361-4906-acd8-35294d30273b\"> </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 \"1b53bfb2-1361-4906-acd8-35294d30273b\" </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>: 2016-06-16 04:24:45+0000</p><p><b>performer</b>: <a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></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><h3>Provisions</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>permit</td></tr></table></div>"
},
"status" : "active",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "patient-privacy",
"display" : "Privacy Consent"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59284-0",
"display" : "Patient Authorization Signature"
}
]
}
],
"patient" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
},
"dateTime" : "2016-06-16T16:24:45Z",
"performer" : [
{
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
}
],
"policyRule" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
"code" : "hipaa-auth",
"display" : "HIPAA Authorization"
}
]
},
"provision" : {
"type" : "permit"
}
}
},
{
"fullUrl" : "urn:uuid:80addde0-ebdf-48fa-abf9-a72961769b6e",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "80addde0-ebdf-48fa-abf9-a72961769b6e",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"80addde0-ebdf-48fa-abf9-a72961769b6e\"> </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 \"80addde0-ebdf-48fa-abf9-a72961769b6e\" </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>: Hemlibra <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-uapi-product-name.html\">UAPI Code System - Product Names</a>#hemlibra)</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>courseOfTherapyType</b>: Starter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></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>: 30-day Subsequent Dose (6mg/kg)</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: String (up to 50 characters)</p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>UAPI MedicationRequest Dispenser Instructions</b>: 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)</p><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><p><b>value</b>: 1</p><p><b>value</b>: 60mg vial(s)</p></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><p><b>value</b>: 1</p><p><b>value</b>: 105mg vial(s)</p></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><p><b>value</b>: 1</p><p><b>value</b>: 150mg vial(s)</p></blockquote><blockquote><p><b>UAPI MedicationRequest Dispense Quantity Detailed Breakdown</b></p><p><b>value</b>: 1</p><p><b>value</b>: 30mg vial(s)</p></blockquote><p><b>numberOfRepeatsAllowed</b>: 0</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/5.3.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>mo</td></tr></table></blockquote></div>"
},
"status" : "active",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.developer.gene.com/CodeSystem/uapi-product-name",
"code" : "hemlibra",
"display" : "Hemlibra"
}
]
},
"subject" : {
"reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
"type" : "Patient"
},
"requester" : {
"reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1",
"type" : "Practitioner"
},
"courseOfTherapyType" : {
"text" : "Starter"
},
"insurance" : [
{
"reference" : "urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df",
"type" : "Coverage"
}
],
"note" : [
{
"text" : "30-day Subsequent Dose (6mg/kg)"
}
],
"dosageInstruction" : [
{
"text" : "String (up to 50 characters)",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 6,
"unit" : "mg/kg"
}
}
]
}
],
"dispenseRequest" : {
"extension" : [
{
"url" : "https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction",
"valueAnnotation" : {
"text" : "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)"
}
},
{
"extension" : [
{
"url" : "dispenseQuantity",
"valueQuantity" : {
"value" : 1
}
},
{
"url" : "dispenseUnit",
"valueString" : "60mg vial(s)"
}
],
"url" : "https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail"
},
{
"extension" : [
{
"url" : "dispenseQuantity",
"valueQuantity" : {
"value" : 1
}
},
{
"url" : "dispenseUnit",
"valueString" : "105mg vial(s)"
}
],
"url" : "https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail"
},
{
"extension" : [
{
"url" : "dispenseQuantity",
"valueQuantity" : {
"value" : 1
}
},
{
"url" : "dispenseUnit",
"valueString" : "150mg vial(s)"
}
],
"url" : "https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail"
},
{
"extension" : [
{
"url" : "dispenseQuantity",
"valueQuantity" : {
"value" : 1
}
},
{
"url" : "dispenseUnit",
"valueString" : "30mg vial(s)"
}
],
"url" : "https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail"
}
],
"numberOfRepeatsAllowed" : 0,
"expectedSupplyDuration" : {
"value" : 1,
"unit" : "mo",
"system" : "http://unitsofmeasure.org",
"code" : "mo"
}
}
}
},
{
"fullUrl" : "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f",
"resource" : {
"resourceType" : "Organization",
"id" : "d3637025-883d-4678-9e0a-1d243a338f9f",
"meta" : {
"profile" : [
"https://fhir.developer.gene.com/StructureDefinition/uapi-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://vendor.com/ab",
"value" : "PAY-111",
"assigner" : {
"display" : "AB Vendor"
}
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "ins"
}
]
}
],
"name" : "Dakotacare",
"telecom" : [
{
"system" : "phone",
"value" : "8778472862",
"use" : "work",
"rank" : 1
}
]
}
}
]
}
IG © 2021+ . Package gene.com.fhir.uapi#1.1.19 based on FHIR 4.3.0. Generated 2024-02-19
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