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

Example QuestionnaireResponse: External - Rozlytrek QuestionnaireResponse

LinkIdTextDefinitionAnswerdoco
.. b7dd9929-a193-4d66-9ec3-1d121cb6584bQuestionnaireResponse
... authorizationAuthorization ##123456
... dotDate of Treatment2022-02-28
... household-sizeHousehold size11
... opn-optionalOnsite Pharmacy Name (Optional)Name of pharmacy
... preferred-sp-optionalPreferred Specialty Pharmacy (Optional)SP ...
... contact-patientDo not contact patientYes
... detailed-messageOk to leave a detailed message?No
... has-treatment-startedHas treatment started?Yes
... household-incomeAnnual household income$100,001 - $125,000
... onsite-pharmacyOnsite Pharmacy?Yes
... pa-in-placeIs prior authorization in place?Yes
... prescription-planIs this a Prescription plan?Yes
... re-verify-benefits-at-pa-expirationRe-verify benefits at PA expirationYes
... rozlytrek-nsclcMetastatic non-small cell lung cancer (NSCLC)?Yes
... rozlytrek-positive-for-ntrk-fusions-without-acquired-resistancePositive for neurotropic tropomyosoin receptor kinase (NTRK) fusions without a known acquired resistance?Yes
... rozlytrek-ros1Positive for ROS1?Yes
... ship-toShip to:Practice
... specialty-pharmacySpecialty Pharmacy?Yes
... tcpa-consentTCPA Consent Provided?Yes
... text-messageOk to send a text message?No

doco Documentation for this format