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-status-update-1"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-status-update"/>
</meta>
<type value="message"/>
<timestamp value="2020-03-11T08:10:13-05:00"/>
<entry>
<fullUrl value="urn:uuid:5c0cdcfa-4e39-4c4d-bff2-9d70a2f49eaa"/>
<resource>
<MessageHeader>
<id value="5c0cdcfa-4e39-4c4d-bff2-9d70a2f49eaa"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="5c0cdcfa-4e39-4c4d-bff2-9d70a2f49eaa"> </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 "5c0cdcfa-4e39-4c4d-bff2-9d70a2f49eaa" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-messageheader.html">UAPI MessageHeader</a></p></div><p><b>event</b>: status-update (Details: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type code status-update = 'status-update', stated as 'null')</p><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>Genentech-PACT</td><td><a href="https://genentech-pps.my.salesforce.com">https://genentech-pps.my.salesforce.com</a></td></tr></table><p><b>focus</b>: <a href="#List_8e055260-dd74-4c89-9ccf-3d2f47135ee0">See above (urn:uuid:8e055260-dd74-4c89-9ccf-3d2f47135ee0)</a></p></div>
</text>
<eventCoding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"/>
<code value="status-update"/>
</eventCoding>
<sender>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</sender>
<source>
<name value="Genentech-PACT"/>
<endpoint value="https://genentech-pps.my.salesforce.com"/>
</source>
<focus>
<reference value="urn:uuid:8e055260-dd74-4c89-9ccf-3d2f47135ee0"/>
<type value="List"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8e055260-dd74-4c89-9ccf-3d2f47135ee0"/>
<resource>
<List>
<id value="8e055260-dd74-4c89-9ccf-3d2f47135ee0"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: List</b><a name="8e055260-dd74-4c89-9ccf-3d2f47135ee0"> </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 "8e055260-dd74-4c89-9ccf-3d2f47135ee0" </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="Bundle-uapi-query-response-1-gpf.html#urn-uuid-b3d46ea3-62e6-4171-b818-d64712edfe55">urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55</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="#CoverageEligibilityRequest_223ec8d6-fdc6-4598-9694-74f782eb5104">See above (urn:uuid:223ec8d6-fdc6-4598-9694-74f782eb5104)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href="#CoverageEligibilityResponse_0bd127dd-6ba9-4fcf-9a3a-607fc15dd450">See above (urn:uuid:0bd127dd-6ba9-4fcf-9a3a-607fc15dd450)</a></p></blockquote></div>
</text>
<status value="current"/>
<mode value="changes"/>
<title value="messageContext"/>
<entry>
<item>
<reference value="urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55"/>
<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:223ec8d6-fdc6-4598-9694-74f782eb5104"/>
<type value="CoverageEligibilityRequest"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0bd127dd-6ba9-4fcf-9a3a-607fc15dd450"/>
<type value="CoverageEligibilityResponse"/>
</item>
</entry>
</List>
</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), id: Vendor_AB_HOSP-12345(use: OFFICIAL)</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><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>
</text>
<identifier>
<use value="usual"/>
<system value="http://vendor.com/ab"/>
<value value="HOSP-12345"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<identifier>
<use value="official"/>
<system value="http://dev.gene.com/fhir/mulesoft"/>
<value value="Vendor_AB_HOSP-12345"/>
<assigner>
<display value="UAPI Process API Mulesoft"/>
</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"/>
<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:7c0c0017-e08d-4a14-9889-9eea26303ff2"/>
<resource>
<Patient>
<id value="7c0c0017-e08d-4a14-9889-9eea26303ff2"/>
<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="7c0c0017-e08d-4a14-9889-9eea26303ff2"> </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 "7c0c0017-e08d-4a14-9889-9eea26303ff2" </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: 540002(use: OFFICIAL), Patient internal identifier: MPAT-000123(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="#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="540002"/>
<assigner>
<display value="AB Vendor"/>
</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://dev.gene.com/patientmaster"/>
<value value="MPAT-000123"/>
<assigner>
<display value="Genentech Patient Master"/>
</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:223ec8d6-fdc6-4598-9694-74f782eb5104"/>
<resource>
<CoverageEligibilityRequest>
<id value="223ec8d6-fdc6-4598-9694-74f782eb5104"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-request"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name="223ec8d6-fdc6-4598-9694-74f782eb5104"> </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 CoverageEligibilityRequest "223ec8d6-fdc6-4598-9694-74f782eb5104" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-coverage-eligibility-request.html">UAPI CoverageEligibilityRequest</a></p></div><p><b>UAPI CoverageEligibilityRequest ServiceRequestType</b>: Patient Foundation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-sr-type.html">UAPI Code System - Service Request Type</a>#gpf)</span></p><p><b>UAPI CoverageEligibilityRequest Product</b>: Lucentis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-product-name.html">UAPI Code System - Product Names</a>#lucentis)</span></p><p><b>identifier</b>: id: c78bde64-95e8-41f9-8a37-b2ac9aaf33d6(use: OLD), id: Lucentis-5001P00000maWeFQAU-(use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>purpose</b>: benefits</p><p><b>patient</b>: <a href="#Patient_7c0c0017-e08d-4a14-9889-9eea26303ff2">See above (urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2)</a></p><p><b>created</b>: 2021-05-27 08:10:13-0500</p><p><b>provider</b>: <a href="#Organization_01c31a2f-321d-4c6e-8349-206af8a88088">See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)</a></p><p><b>insurer</b>: <a name="8a0a8882-2667-4703-8c35-fdff0f6cf19f"> </a></p><blockquote><p></p><p><a name="8a0a8882-2667-4703-8c35-fdff0f6cf19f"> </a></p><p><b>identifier</b>: id: ORG-00001(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>: Genentech Patient Foundation</p><p><b>telecom</b>: ph: 1800654332211(WORK)</p></blockquote></div>
</text>
<contained>
<Organization>
<id value="8a0a8882-2667-4703-8c35-fdff0f6cf19f"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://gene.com"/>
<value value="ORG-00001"/>
<assigner>
<display value="Genentech"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Genentech Patient Foundation"/>
<telecom>
<system value="phone"/>
<value value="1800654332211"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</Organization>
</contained>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/SRType">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"/>
<code value="gpf"/>
<display value="Patient Foundation"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/Product">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-product-name"/>
<code value="lucentis"/>
<display value="Lucentis"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<use value="old"/>
<system
value="https://fhir.developer.gene.com/enrollment/bundle-enrollment-id"/>
<value value="c78bde64-95e8-41f9-8a37-b2ac9aaf33d6"/>
</identifier>
<identifier>
<use value="official"/>
<system
value="https://genentech-pps.my.salesforce.com/Product-Case-Insurance"/>
<value value="Lucentis-5001P00000maWeFQAU-"/>
</identifier>
<status value="active"/>
<purpose value="benefits"/>
<patient>
<reference value="urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2"/>
<type value="Patient"/>
</patient>
<created value="2021-05-27T08:10:13-05:00"/>
<provider>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</provider>
<insurer>
<reference value="#8a0a8882-2667-4703-8c35-fdff0f6cf19f"/>
<type value="Organization"/>
</insurer>
</CoverageEligibilityRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0bd127dd-6ba9-4fcf-9a3a-607fc15dd450"/>
<resource>
<CoverageEligibilityResponse>
<id value="0bd127dd-6ba9-4fcf-9a3a-607fc15dd450"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-response"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name="0bd127dd-6ba9-4fcf-9a3a-607fc15dd450"> </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 CoverageEligibilityResponse "0bd127dd-6ba9-4fcf-9a3a-607fc15dd450" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-uapi-coverage-eligibility-response.html">UAPI CoverageEligibilityResponse</a></p></div><p><b>UAPI CoverageEligibilityResponse Shipment Method</b>: Upfront <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-gpf-shipment-method.html">UAPI Code System - Shipment Methods</a>#upfront)</span></p><p><b>UAPI CoverageEligibilityResponse Status</b>: Approved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-coverage-outcome.html">UAPI Code System - CoverageEligibilityRequest outcome</a>#approved)</span></p><p><b>status</b>: active</p><p><b>purpose</b>: benefits</p><p><b>patient</b>: <a href="#Patient_7c0c0017-e08d-4a14-9889-9eea26303ff2">See above (urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2)</a></p><p><b>serviced</b>: 2021-06-01</p><p><b>created</b>: 2021-05-27 08:10:13-0500</p><p><b>request</b>: <a name="0c3b8b8b-cf22-41e2-a14d-1f3c288760c9"> </a></p><blockquote><p></p><p><a name="0c3b8b8b-cf22-41e2-a14d-1f3c288760c9"> </a></p><p><b>UAPI CoverageEligibilityRequest ServiceRequestType</b>: Patient Foundation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-sr-type.html">UAPI Code System - Service Request Type</a>#gpf)</span></p><p><b>UAPI CoverageEligibilityRequest Product</b>: Lucentis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-uapi-product-name.html">UAPI Code System - Product Names</a>#lucentis)</span></p><p><b>status</b>: active</p><p><b>purpose</b>: benefits</p><p><b>patient</b>: <a href="#Patient_7c0c0017-e08d-4a14-9889-9eea26303ff2">See above (urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2)</a></p><p><b>created</b>: 2021-05-27 08:10:13-0500</p><p><b>provider</b>: <a href="#Organization_01c31a2f-321d-4c6e-8349-206af8a88088">See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)</a></p><p><b>insurer</b>: <a href="Bundle-uapi-query-response-1-gpf.html#urn-uuid-8a0a8882-2667-4703-8c35-fdff0f6cf19f">urn:uuid:8a0a8882-2667-4703-8c35-fdff0f6cf19f</a></p></blockquote><p><b>outcome</b>: complete</p><p><b>disposition</b>: Not Insured</p><p><b>insurer</b>: <a name="8a0a8882-2667-4703-8c35-fdff0f6cf19f"> </a></p><blockquote><p></p><p><a name="8a0a8882-2667-4703-8c35-fdff0f6cf19f"> </a></p><p><b>identifier</b>: id: ORG-00001(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>: Genentech Patient Foundation</p><p><b>telecom</b>: ph: 1800654332211(WORK)</p></blockquote></div>
</text>
<contained>
<Organization>
<id value="8a0a8882-2667-4703-8c35-fdff0f6cf19f"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://gene.com"/>
<value value="ORG-00001"/>
<assigner>
<display value="Genentech"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Genentech Patient Foundation"/>
<telecom>
<system value="phone"/>
<value value="1800654332211"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</Organization>
</contained>
<contained>
<CoverageEligibilityRequest>
<id value="0c3b8b8b-cf22-41e2-a14d-1f3c288760c9"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-request"/>
</meta>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/SRType">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"/>
<code value="gpf"/>
<display value="Patient Foundation"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/Product">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-product-name"/>
<code value="lucentis"/>
<display value="Lucentis"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<purpose value="benefits"/>
<patient>
<reference
value="urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2"/>
<type value="Patient"/>
</patient>
<created value="2021-05-27T08:10:13-05:00"/>
<provider>
<reference
value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</provider>
<insurer>
<reference
value="urn:uuid:8a0a8882-2667-4703-8c35-fdff0f6cf19f"/>
<type value="Organization"/>
</insurer>
</CoverageEligibilityRequest>
</contained>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/gpf-shipment-method">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/gpf-shipment-method"/>
<code value="upfront"/>
<display value="Upfront"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.developer.gene.com/StructureDefinition/statusOutcome">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-coverage-outcome"/>
<code value="approved"/>
<display value="Approved"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<purpose value="benefits"/>
<patient>
<reference value="urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2"/>
<type value="Patient"/>
</patient>
<servicedDate value="2021-06-01"/>
<created value="2021-05-27T08:10:13-05:00"/>
<request>
<reference value="#0c3b8b8b-cf22-41e2-a14d-1f3c288760c9"/>
<type value="CoverageEligibilityRequest"/>
</request>
<outcome value="complete"/>
<disposition value="Not Insured"/>
<insurer>
<reference value="#8a0a8882-2667-4703-8c35-fdff0f6cf19f"/>
<type value="Organization"/>
</insurer>
</CoverageEligibilityResponse>
</resource>
</entry>
</Bundle>
IG © 2021+ . Package gene.com.fhir.uapi#1.1.19 based on FHIR 4.3.0. Generated 2024-02-19
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