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
<Bundle xmlns="http://hl7.org/fhir">
<id value="uapi-copay-response-1"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-query-response"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://connectiverx.com/requestId"/>
<value value="86a42a99-663b-48b8-8fd9-c1afdbca5b98"/>
</identifier>
<type value="message"/>
<timestamp value="2023-01-11T08:10:17-05:00"/>
<entry>
<fullUrl value="urn:uuid:410f399f-e309-4bc9-be19-8ab330e40397"/>
<resource>
<MessageHeader>
<id value="410f399f-e309-4bc9-be19-8ab330e40397"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="410f399f-e309-4bc9-be19-8ab330e40397"> </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 "410f399f-e309-4bc9-be19-8ab330e40397" </p></div><p><b>event</b>: Enrollment Response (Details: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type code enrollment-response = 'enrollment-response', stated as 'Enrollment Response')</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>Genentech-FHIR-DEV</td><td><a href="https://fhir.developer.gene.com/$process-message">https://fhir.developer.gene.com/$process-message</a></td></tr></table><h3>Responses</h3><table class="grid"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>1-63c61a26-4965b3a156f488da6e0800ed</td><td>ok</td></tr></table><p><b>focus</b>: <a href="#Parameters_09cdac62-7c6b-48e6-8738-00f270280ba1">See above (urn:uuid:09cdac62-7c6b-48e6-8738-00f270280ba1)</a></p></div>
</text>
<eventCoding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"/>
<code value="enrollment-response"/>
<display value="Enrollment Response"/>
</eventCoding>
<source>
<name value="Genentech-FHIR-DEV"/>
<endpoint value="https://fhir.developer.gene.com/$process-message"/>
</source>
<response>
<identifier value="1-63c61a26-4965b3a156f488da6e0800ed"/>
<code value="ok"/>
</response>
<focus>
<reference value="urn:uuid:09cdac62-7c6b-48e6-8738-00f270280ba1"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:09cdac62-7c6b-48e6-8738-00f270280ba1"/>
<resource>
<Parameters>
<id value="09cdac62-7c6b-48e6-8738-00f270280ba1"/>
<parameter>
<name value="responder-patient"/>
<valueReference>
<reference value="urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164"/>
</valueReference>
</parameter>
</Parameters>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<resource>
<Patient>
<id value="2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<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="2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"> </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 "2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9" </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: ca3c6274-e70b-45cf-a65a-30e8386d50bb(use: USUAL), Patient internal identifier: 8132413049(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>managingOrganization</b>: <a href="Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088">urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088</a></p></div>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
</type>
<system value="http://gene.com/patientmaster"/>
<value value="ca3c6274-e70b-45cf-a65a-30e8386d50bb"/>
<assigner>
<display value="Genentech Patient Master"/>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
</type>
<system value="http://connectiverx.com/confirmationId"/>
<value value="8132413049"/>
<assigner>
<display value="CRX"/>
</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>
<managingOrganization>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b1fc009a-3710-49d8-81ad-cfa8e4a979fb"/>
<resource>
<Bundle>
<id value="b1fc009a-3710-49d8-81ad-cfa8e4a979fb"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result"/>
</meta>
<type value="searchset"/>
<total value="1"/>
<link>
<relation value="self"/>
<url
value="ExplanationOfBenefit?patient=xyz&_include=ExplanationOfBenefit:coverage"/>
</link>
<entry>
<fullUrl value="urn:uuid:4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"/>
<resource>
<ExplanationOfBenefit>
<id value="4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"/>
<identifier>
<use value="usual"/>
<system value="http://connectiverx.com/enrollmentId"/>
<value value="45d1b98c-587c-ed11-8279-d6b6a2da4722"/>
</identifier>
<status value="active"/>
<type>
<coding>
<code value="pharmacy"/>
</coding>
</type>
<use value="predetermination"/>
<patient>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
</patient>
<created value="2023-02-07T08:10:13-05:00"/>
<insurer>
<reference
value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
</insurer>
<provider>
<reference
value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
</provider>
<outcome value="complete"/>
<insurance>
<focal value="true"/>
<coverage>
<reference
value="urn:uuid:597540c9-6248-466e-81e0-58e78f15454e"/>
</coverage>
</insurance>
</ExplanationOfBenefit>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="urn:uuid:597540c9-6248-466e-81e0-58e78f15454e"/>
<resource>
<Coverage>
<id value="597540c9-6248-466e-81e0-58e78f15454e"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
</meta>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/IssuedDate">
<valueDate value="2023-01-01"/>
</extension>
<status value="active"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="pay"/>
<display value="Pay"/>
</coding>
</type>
<subscriber>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<type value="Patient"/>
</subscriber>
<subscriberId value="EYE00044117"/>
<beneficiary>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<type value="Patient"/>
</beneficiary>
<period>
<start value="2023-01-01"/>
<end value="2023-12-31"/>
</period>
<payor>
<reference
value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
<type value="Organization"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxbin"/>
<display value="RX BIN"/>
</coding>
</type>
<value value="600426"/>
<name value="BIN"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxpcn"/>
<display value="RX PCN"/>
</coding>
</type>
<value value="54"/>
<name value="PCN"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="Group"/>
</coding>
</type>
<value value="EC38517002"/>
<name value="Group Number"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
<display value="Plan"/>
</coding>
</type>
<value value="Vabysmo-Drug"/>
<name value="Ophthalmology Co Pay program"/>
</class>
<order value="1"/>
<network value="Genentech"/>
</Coverage>
</resource>
<search>
<mode value="include"/>
</search>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>
IG © 2021+ . Package gene.com.fhir.uapi#1.1.19 based on FHIR 4.3.0. Generated 2024-02-19
Links: Table of Contents |
QA Report