Universal API Implementation Guide
1.1.20 - ci-build
Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "df929183-0365-4f13-b558-0c455b47e544"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-as-enrollment-bundle"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-as-enrollment-bundle> ] ) ] ; # fhir:identifier [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "RI" ] ; fhir:display [ fhir:v "Resource identifier" ] ] ) ] ; fhir:system [ fhir:v "http://vendor.com/ab"^^xsd:anyURI ] ; fhir:value [ fhir:v "df929183-0365-4f13-b558-0c455b47e544" ] ; fhir:assigner [ fhir:display [ fhir:v "Alpha Beta" ] ] ] ; # fhir:type [ fhir:v "message"] ; # fhir:timestamp [ fhir:v "2020-03-11T08:10:13-05:00"^^xsd:dateTime] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "urn:uuid:67379338-7852-425e-aa9b-f68d03699943"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:67379338-7852-425e-aa9b-f68d03699943> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:34768fee-4578-46fc-b51e-540e9685d65f"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:34768fee-4578-46fc-b51e-540e9685d65f> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:0ec0f18c-5869-4d10-9752-79ea39e1f7ac"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:0ec0f18c-5869-4d10-9752-79ea39e1f7ac> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:090e5caf-fdbd-4a67-8535-2983a3868f41"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:090e5caf-fdbd-4a67-8535-2983a3868f41> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:7ec5069e-799f-413a-a0d2-d107acdfad3d"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:7ec5069e-799f-413a-a0d2-d107acdfad3d> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:b83bae44-3e47-4d5c-807e-41944016dc79"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:b83bae44-3e47-4d5c-807e-41944016dc79> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:94a59676-0e1f-42d6-b046-3c456758b90b"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:94a59676-0e1f-42d6-b046-3c456758b90b> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:3f640e58-2f13-4d07-9356-8bc2ee64054d"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:3f640e58-2f13-4d07-9356-8bc2ee64054d> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:ccd28c58-83e7-4657-b06a-53c8cc4ac94f"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:ccd28c58-83e7-4657-b06a-53c8cc4ac94f> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:28d3f8af-7f77-43ed-9d84-ed67eaa2e674"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:28d3f8af-7f77-43ed-9d84-ed67eaa2e674> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:e551b51b-0646-4b23-b1ac-9ec623756ec6"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:e551b51b-0646-4b23-b1ac-9ec623756ec6> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:694ce192-7b69-4d75-8f91-0031bb2b0811"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:694ce192-7b69-4d75-8f91-0031bb2b0811> ) ] ) . # <urn:uuid:67379338-7852-425e-aa9b-f68d03699943> a fhir:MessageHeader ; fhir:id [ fhir:v "67379338-7852-425e-aa9b-f68d03699943"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_67379338-7852-425e-aa9b-f68d03699943\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 67379338-7852-425e-aa9b-f68d03699943</b></p><a name=\"67379338-7852-425e-aa9b-f68d03699943\"> </a><a name=\"hc67379338-7852-425e-aa9b-f68d03699943\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-messageheader.html\">UAPI MessageHeader</a></p></div><p><b>event</b>: uapi-event-type enrollment-with-consent: enrollment-with-consent</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</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=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-e69e5e73-0723-4f42-bfdd-b69f181160bf\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</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=\"Bundle-df929183-0365-4f13-b558-0c455b47e544.html#urn-uuid-34768fee-4578-46fc-b51e-540e9685d65f\">Bundle: identifier = Resource identifier: df929183-0365-4f13-b558-0c455b47e544; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:event [ a fhir:Coding ; fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "enrollment-with-consent" ] ] ; # fhir:destination ( [ fhir:name [ fhir:v "UAPI-ENR-V2.1" ] ; fhir:endpoint [ fhir:v "https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment"^^xsd:anyURI ] ] ) ; # fhir:sender [ fhir:reference [ fhir:v "urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ; # fhir:source [ fhir:name [ fhir:v "Vendor_AB" ] ; fhir:endpoint [ fhir:v "http://vendor.com/fhir/enrollmentID/ENR-00001"^^xsd:anyURI ] ] ; # fhir:focus ( [ fhir:reference [ fhir:v "urn:uuid:34768fee-4578-46fc-b51e-540e9685d65f" ] ; fhir:type [ fhir:v "List"^^xsd:anyURI ] ] ) . # <urn:uuid:34768fee-4578-46fc-b51e-540e9685d65f> a fhir:List ; fhir:id [ fhir:v "34768fee-4578-46fc-b51e-540e9685d65f"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_34768fee-4578-46fc-b51e-540e9685d65f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List 34768fee-4578-46fc-b51e-540e9685d65f</b></p><a name=\"34768fee-4578-46fc-b51e-540e9685d65f\"> </a><a name=\"hc34768fee-4578-46fc-b51e-540e9685d65f\"> </a><h2>messageContext</h2><table class=\"clstu\"><tr><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-e69e5e73-0723-4f42-bfdd-b69f181160bf\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-df929183-0365-4f13-b558-0c455b47e544.html#urn-uuid-28d3f8af-7f77-43ed-9d84-ed67eaa2e674\">Bundle: identifier = Resource identifier: df929183-0365-4f13-b558-0c455b47e544; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-df929183-0365-4f13-b558-0c455b47e544.html#urn-uuid-694ce192-7b69-4d75-8f91-0031bb2b0811\">Bundle: identifier = Resource identifier: df929183-0365-4f13-b558-0c455b47e544; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-090e5caf-fdbd-4a67-8535-2983a3868f41\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-e551b51b-0646-4b23-b1ac-9ec623756ec6\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-2722d5ae-1658-4d7f-8f64-de1299a1fb7f\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-7ec5069e-799f-413a-a0d2-d107acdfad3d\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-3f640e58-2f13-4d07-9356-8bc2ee64054d\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-ccd28c58-83e7-4657-b06a-53c8cc4ac94f\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-0ec0f18c-5869-4d10-9752-79ea39e1f7ac\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-4fd42cc9-559c-463e-8968-3e291ba91066.html#urn-uuid-94a59676-0e1f-42d6-b046-3c456758b90b\">Bundle: identifier = Resource identifier: 4fd42cc9-559c-463e-8968-3e291ba91066; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-4fd42cc9-559c-463e-8968-3e291ba91066.html#urn-uuid-b83bae44-3e47-4d5c-807e-41944016dc79\">Bundle: identifier = Resource identifier: 4fd42cc9-559c-463e-8968-3e291ba91066; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "current"] ; # fhir:mode [ fhir:v "changes"] ; # fhir:title [ fhir:v "messageContext"] ; # fhir:entry ( [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c" ] ; fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:28d3f8af-7f77-43ed-9d84-ed67eaa2e674" ] ; fhir:type [ fhir:v "MedicationRequest"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:694ce192-7b69-4d75-8f91-0031bb2b0811" ] ; fhir:type [ fhir:v "QuestionnaireResponse"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:090e5caf-fdbd-4a67-8535-2983a3868f41" ] ; fhir:type [ fhir:v "Condition"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:e551b51b-0646-4b23-b1ac-9ec623756ec6" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:7ec5069e-799f-413a-a0d2-d107acdfad3d" ] ; fhir:type [ fhir:v "Consent"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:3f640e58-2f13-4d07-9356-8bc2ee64054d" ] ; fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:ccd28c58-83e7-4657-b06a-53c8cc4ac94f" ] ; fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:0ec0f18c-5869-4d10-9752-79ea39e1f7ac" ] ; fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:94a59676-0e1f-42d6-b046-3c456758b90b" ] ; fhir:type [ fhir:v "Consent"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:b83bae44-3e47-4d5c-807e-41944016dc79" ] ; fhir:type [ fhir:v "Provenance"^^xsd:anyURI ] ] ] ) . # <urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa> a fhir:Patient ; fhir:id [ fhir:v "1b315218-49b7-4264-816e-05d4b92ecbaa"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-patient"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-patient> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_1b315218-49b7-4264-816e-05d4b92ecbaa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 1b315218-49b7-4264-816e-05d4b92ecbaa</b></p><a name=\"1b315218-49b7-4264-816e-05d4b92ecbaa\"> </a><a name=\"hc1b315218-49b7-4264-816e-05d4b92ecbaa\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-patient.html\">UAPI Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ryan Michaelson (official) Male, DoB: 1972-10-29 ( Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177 (use: official, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1231231234(Home)</li><li>ph: 1234561234(Mobile)</li><li><a href=\"mailto:bobster83@example.com\">bobster83@example.com</a></li><li>1234 Main St San Francisco CA 94105 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></li><li>Managing Organization: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-e69e5e73-0723-4f42-bfdd-b69f181160bf\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></li></ul></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "PI" ] ; fhir:display [ fhir:v "Patient internal identifier" ] ] ) ] ; fhir:system [ fhir:v "http://vendor.com/ab"^^xsd:anyURI ] ; fhir:value [ fhir:v "6bcd8467-0473-4836-9128-2e7972f23177" ] ; fhir:assigner [ fhir:display [ fhir:v "AB Vendor" ] ] ] ) ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "Michaelson" ] ; ( fhir:given [ fhir:v "Ryan" ] ) ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "1231231234" ] ; fhir:use [ fhir:v "home" ] ; fhir:rank [ fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "1234561234" ] ; fhir:use [ fhir:v "mobile" ] ; fhir:rank [ fhir:v "2"^^xsd:positiveInteger ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "bobster83@example.com" ] ; fhir:use [ fhir:v "home" ] ; fhir:rank [ fhir:v "3"^^xsd:positiveInteger ] ] ) ; # fhir:gender [ fhir:v "male"] ; # fhir:birthDate [ fhir:v "1972-10-29"^^xsd:date] ; # fhir:address ( [ ( fhir:line [ fhir:v "1234 Main St" ] ) ; fhir:city [ fhir:v "San Francisco" ] ; fhir:state [ fhir:v "CA" ] ; fhir:postalCode [ fhir:v "94105" ] ; fhir:country [ fhir:v "US" ] ] ) ; # fhir:communication ( [ fhir:language [ ( fhir:coding [ fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ; fhir:code [ fhir:v "en" ] ; fhir:display [ fhir:v "English" ] ] ) ] ; fhir:preferred [ fhir:v true ] ] ) ; # fhir:generalPractitioner ( [ fhir:reference [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c" ] ] ) ; # fhir:managingOrganization [ fhir:reference [ fhir:v "urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf" ] ] . # <urn:uuid:e69e5e73-0723-4f42-bfdd-b69f181160bf> a fhir:Organization ; fhir:id [ fhir:v "e69e5e73-0723-4f42-bfdd-b69f181160bf"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-organization"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-organization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_e69e5e73-0723-4f42-bfdd-b69f181160bf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization e69e5e73-0723-4f42-bfdd-b69f181160bf</b></p><a name=\"e69e5e73-0723-4f42-bfdd-b69f181160bf\"> </a><a name=\"hce69e5e73-0723-4f42-bfdd-b69f181160bf\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-organization.html\">UAPI Organization</a></p></div><p><b>identifier</b>: <code>http://vendor.com/ab</code>/HOSP-12345 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</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><blockquote><p><b>contact</b></p><p><b>name</b>: Venus Yardav (Official)</p><p><b>telecom</b>: ph: 8882704882(Work), fax: 8179974042(Work)</p></blockquote></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://vendor.com/ab"^^xsd:anyURI ] ; fhir:value [ fhir:v "HOSP-12345" ] ; fhir:assigner [ fhir:display [ fhir:v "AB Vendor" ] ] ] ) ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "prov" ] ; fhir:display [ fhir:v "Healthcare Provider" ] ] ) ] ) ; # fhir:name [ fhir:v "Mid Atlantic Retina"] ; # fhir:telecom ( [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "mar@example.com" ] ] ) ; # fhir:address ( [ ( fhir:line [ fhir:v "8 Ranoldo Terrace" ] ) ; fhir:city [ fhir:v "Cherry Hill" ] ; fhir:state [ fhir:v "NJ" ] ; fhir:postalCode [ fhir:v "08034" ] ; fhir:country [ fhir:v "US" ] ] ) ; # fhir:contact ( [ fhir:name [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "Yardav" ] ; ( fhir:given [ fhir:v "Venus" ] ) ] ; ( fhir:telecom [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "8882704882" ] ; fhir:use [ fhir:v "work" ] ; fhir:rank [ fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:system [ fhir:v "fax" ] ; fhir:value [ fhir:v "8179974042" ] ; fhir:use [ fhir:v "work" ] ; fhir:rank [ fhir:v "2"^^xsd:positiveInteger ] ] ) ] ) . # <urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c> a fhir:Practitioner ; fhir:id [ fhir:v "78ef1b71-b14a-44a1-a1e8-c9c9efcc157c"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 78ef1b71-b14a-44a1-a1e8-c9c9efcc157c</b></p><a name=\"78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\"> </a><a name=\"hc78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-practitioner.html\">UAPI Practitioner</a></p></div><p><b>identifier</b>: Provider number/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>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "PRN" ] ; fhir:display [ fhir:v "Provider number" ] ] ) ] ; fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ; fhir:value [ fhir:v "1922071448" ] ; fhir:assigner [ fhir:display [ fhir:v "Centers for Medicare & Medicaid Services" ] ] ] [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "TAX" ] ; fhir:display [ fhir:v "Tax ID number" ] ] ) ] ; fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ; fhir:value [ fhir:v "00000000" ] ] [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "NPI" ] ; fhir:display [ fhir:v "National provider identifier" ] ] ) ] ; fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ; fhir:value [ fhir:v "1639285034" ] ] ) ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "CRUZ" ] ; ( fhir:given [ fhir:v "MARISSA" ] ) ] ) . # <urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f> a fhir:Coverage ; fhir:id [ fhir:v "2722d5ae-1658-4d7f-8f64-de1299a1fb7f"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-coverage> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_2722d5ae-1658-4d7f-8f64-de1299a1fb7f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 2722d5ae-1658-4d7f-8f64-de1299a1fb7f</b></p><a name=\"2722d5ae-1658-4d7f-8f64-de1299a1fb7f\"> </a><a name=\"hc2722d5ae-1658-4d7f-8f64-de1299a1fb7f\"> </a><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\"/><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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-0ec0f18c-5869-4d10-9752-79ea39e1f7ac\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>subscriberId</b>: 4353</p><p><b>beneficiary</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>payor</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-e551b51b-0646-4b23-b1ac-9ec623756ec6\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">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>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "HIP" ] ; fhir:display [ fhir:v "health insurance plan policy" ] ] ) ] ; # fhir:subscriber [ fhir:reference [ fhir:v "urn:uuid:0ec0f18c-5869-4d10-9752-79ea39e1f7ac" ] ; fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ] ; # fhir:subscriberId [ fhir:v "4353"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:e551b51b-0646-4b23-b1ac-9ec623756ec6" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ) ; # fhir:class ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "group" ] ; fhir:display [ fhir:v "Group" ] ] ) ] ; fhir:value [ fhir:v "12344frgr" ] ; fhir:name [ fhir:v "Group Number" ] ] ) ; # fhir:order [ fhir:v "1"^^xsd:positiveInteger] ; # fhir:network [ fhir:v "Dakotacare"] . # <urn:uuid:0ec0f18c-5869-4d10-9752-79ea39e1f7ac> a fhir:RelatedPerson ; fhir:id [ fhir:v "0ec0f18c-5869-4d10-9752-79ea39e1f7ac"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_0ec0f18c-5869-4d10-9752-79ea39e1f7ac\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson 0ec0f18c-5869-4d10-9752-79ea39e1f7ac</b></p><a name=\"0ec0f18c-5869-4d10-9752-79ea39e1f7ac\"> </a><a name=\"hc0ec0f18c-5869-4d10-9752-79ea39e1f7ac\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-relatedPerson.html\">UAPI RelatedPerson</a></p></div><p><b>patient</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SIGOTHR}\">significant other</span></p><p><b>name</b>: Bob Paul Smith (Official)</p><p><b>telecom</b>: ph: 1234567890(Mobile)</p><p><b>birthDate</b>: 1972-10-29</p></div>"^^rdf:XMLLiteral ] ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:relationship ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "SIGOTHR" ] ; fhir:display [ fhir:v "significant other" ] ] ) ] ) ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "Smith" ] ; ( fhir:given [ fhir:v "Bob Paul" ] ) ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "1234567890" ] ; fhir:use [ fhir:v "mobile" ] ] ) ; # fhir:birthDate [ fhir:v "1972-10-29"^^xsd:date] . # <urn:uuid:090e5caf-fdbd-4a67-8535-2983a3868f41> a fhir:Condition ; fhir:id [ fhir:v "090e5caf-fdbd-4a67-8535-2983a3868f41"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_090e5caf-fdbd-4a67-8535-2983a3868f41\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 090e5caf-fdbd-4a67-8535-2983a3868f41</b></p><a name=\"090e5caf-fdbd-4a67-8535-2983a3868f41\"> </a><a name=\"hc090e5caf-fdbd-4a67-8535-2983a3868f41\"> </a><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm C91.10}\">Chronic lymphocytic leuk of B-cell type not achieve remis</span></p><p><b>subject</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ; fhir:code [ fhir:v "C91.10" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] . # <urn:uuid:7ec5069e-799f-413a-a0d2-d107acdfad3d> a fhir:Consent ; fhir:id [ fhir:v "7ec5069e-799f-413a-a0d2-d107acdfad3d"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-consent"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-consent> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_7ec5069e-799f-413a-a0d2-d107acdfad3d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent 7ec5069e-799f-413a-a0d2-d107acdfad3d</b></p><a name=\"7ec5069e-799f-413a-a0d2-d107acdfad3d\"> </a><a name=\"hc7ec5069e-799f-413a-a0d2-d107acdfad3d\"> </a><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\"/><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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentscope patient-privacy}\">Privacy Consent</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 59284-0}\">Patient Authorization Signature</span></p><p><b>patient</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>dateTime</b>: 2016-06-16 16:24:45+0000</p><p><b>performer</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>policyRule</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentpolicycodes hipaa-auth}\">HIPAA Authorization</span></p><h3>Provisions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>Opt In</td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:scope [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ] ; fhir:code [ fhir:v "patient-privacy" ] ; fhir:display [ fhir:v "Privacy Consent" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ a loinc:59284-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "59284-0" ] ; fhir:display [ fhir:v "Patient Authorization Signature" ] ] ) ] ) ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:dateTime [ fhir:v "2016-06-16T16:24:45Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ) ; # fhir:policyRule [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentpolicycodes"^^xsd:anyURI ] ; fhir:code [ fhir:v "hipaa-auth" ] ; fhir:display [ fhir:v "HIPAA Authorization" ] ] ) ] ; # fhir:provision [ fhir:type [ fhir:v "permit" ] ] . # <urn:uuid:b83bae44-3e47-4d5c-807e-41944016dc79> a fhir:Provenance ; fhir:id [ fhir:v "b83bae44-3e47-4d5c-807e-41944016dc79"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-provenance"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-provenance> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_b83bae44-3e47-4d5c-807e-41944016dc79\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance b83bae44-3e47-4d5c-807e-41944016dc79</b></p><a name=\"b83bae44-3e47-4d5c-807e-41944016dc79\"> </a><a name=\"hcb83bae44-3e47-4d5c-807e-41944016dc79\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-provenance.html\">UAPI Provenance</a></p></div><p>Provenance for <a href=\"Bundle-4fd42cc9-559c-463e-8968-3e291ba91066.html#urn-uuid-94a59676-0e1f-42d6-b046-3c456758b90b\">Bundle: identifier = Resource identifier: 4fd42cc9-559c-463e-8968-3e291ba91066; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2022-02-07 09:49:39+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>who</b></td></tr><tr><td><a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:target ( [ fhir:reference [ fhir:v "urn:uuid:94a59676-0e1f-42d6-b046-3c456758b90b" ] ; fhir:type [ fhir:v "Consent"^^xsd:anyURI ] ] ) ; # fhir:recorded [ fhir:v "2022-02-07T09:49:39.382941+00:00"^^xsd:dateTime] ; # fhir:agent ( [ fhir:who [ fhir:reference [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c" ] ; fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ] ] ) ; # fhir:signature ( [ ( fhir:type [ fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ; fhir:code [ fhir:v "1.2.840.10065.1.12.1.7" ] ; fhir:display [ fhir:v "Consent Signature" ] ] ) ; fhir:when [ fhir:v "2022-02-07T09:49:39.382897+00:00"^^xsd:dateTime ] ; fhir:who [ fhir:reference [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c" ] ; fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ] ; fhir:sigFormat [ fhir:v "image/*" ] ; fhir:data [ fhir:v "bQ=="^^xsd:base64Binary ] ] ) . # <urn:uuid:94a59676-0e1f-42d6-b046-3c456758b90b> a fhir:Consent ; fhir:id [ fhir:v "94a59676-0e1f-42d6-b046-3c456758b90b"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-consent"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-consent> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_94a59676-0e1f-42d6-b046-3c456758b90b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent 94a59676-0e1f-42d6-b046-3c456758b90b</b></p><a name=\"94a59676-0e1f-42d6-b046-3c456758b90b\"> </a><a name=\"hc94a59676-0e1f-42d6-b046-3c456758b90b\"> </a><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\"/><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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentscope patient-privacy}\">Privacy Consent</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 59284-0}\">Prescriber Signature</span></p><p><b>patient</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>policyRule</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentpolicycodes hipaa-auth}\">HIPAA Authorization</span></p></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:scope [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ] ; fhir:code [ fhir:v "patient-privacy" ] ; fhir:display [ fhir:v "Privacy Consent" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ a loinc:59284-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "59284-0" ] ; fhir:display [ fhir:v "Prescriber Signature" ] ] ) ] ) ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:policyRule [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentpolicycodes"^^xsd:anyURI ] ; fhir:code [ fhir:v "hipaa-auth" ] ; fhir:display [ fhir:v "HIPAA Authorization" ] ] ) ] . # <urn:uuid:3f640e58-2f13-4d07-9356-8bc2ee64054d> a fhir:ServiceRequest ; fhir:id [ fhir:v "3f640e58-2f13-4d07-9356-8bc2ee64054d"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_3f640e58-2f13-4d07-9356-8bc2ee64054d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 3f640e58-2f13-4d07-9356-8bc2ee64054d</b></p><a name=\"3f640e58-2f13-4d07-9356-8bc2ee64054d\"> </a><a name=\"hc3f640e58-2f13-4d07-9356-8bc2ee64054d\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-servicerequest.html\">UAPI ServiceRequest</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{https://fhir.developer.gene.com/CodeSystem/uapi-sr-type bipa}\">Benefit Investigation / Prior Authorization</span></p><p><b>subject</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "bipa" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] . # <urn:uuid:ccd28c58-83e7-4657-b06a-53c8cc4ac94f> a fhir:ServiceRequest ; fhir:id [ fhir:v "ccd28c58-83e7-4657-b06a-53c8cc4ac94f"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ccd28c58-83e7-4657-b06a-53c8cc4ac94f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ccd28c58-83e7-4657-b06a-53c8cc4ac94f</b></p><a name=\"ccd28c58-83e7-4657-b06a-53c8cc4ac94f\"> </a><a name=\"hcccd28c58-83e7-4657-b06a-53c8cc4ac94f\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-servicerequest.html\">UAPI ServiceRequest</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{https://fhir.developer.gene.com/CodeSystem/uapi-sr-type copay}\">Copay</span></p><p><b>subject</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "copay" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] . # <urn:uuid:28d3f8af-7f77-43ed-9d84-ed67eaa2e674> a fhir:MedicationRequest ; fhir:id [ fhir:v "28d3f8af-7f77-43ed-9d84-ed67eaa2e674"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_28d3f8af-7f77-43ed-9d84-ed67eaa2e674\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 28d3f8af-7f77-43ed-9d84-ed67eaa2e674</b></p><a name=\"28d3f8af-7f77-43ed-9d84-ed67eaa2e674\"> </a><a name=\"hc28d3f8af-7f77-43ed-9d84-ed67eaa2e674\"> </a><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\"/><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>: <span title=\"Codes:{https://fhir.developer.gene.com/CodeSystem/uapi-product-name venclexta}\">Venclexta</span></p><p><b>subject</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-1b315218-49b7-4264-816e-05d4b92ecbaa\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>requester</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-78ef1b71-b14a-44a1-a1e8-c9c9efcc157c\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:\">CLL/SLL (Maint)</span></p><p><b>insurance</b>: <a href=\"Bundle-05c47586-a4e8-4ab2-9dff-51f73ff6bda3.html#urn-uuid-2722d5ae-1658-4d7f-8f64-de1299a1fb7f\">Bundle: identifier = Resource identifier: 05c47586-a4e8-4ab2-9dff-51f73ff6bda3; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>note</b>: </p><blockquote><div><p>Maintenance</p>\n</div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Once per 1 day</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>200 mg</td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 1</p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>mo</td><td><a href=\"http://terminology.hl7.org/6.4.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>mo</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-product-name"^^xsd:anyURI ] ; fhir:code [ fhir:v "venclexta" ] ; fhir:display [ fhir:v "Venclexta" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:requester [ fhir:reference [ fhir:v "urn:uuid:78ef1b71-b14a-44a1-a1e8-c9c9efcc157c" ] ; fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ] ; # fhir:courseOfTherapyType [ fhir:text [ fhir:v "CLL/SLL (Maint)" ] ] ; # fhir:insurance ( [ fhir:reference [ fhir:v "urn:uuid:2722d5ae-1658-4d7f-8f64-de1299a1fb7f" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ) ; # fhir:note ( [ fhir:text [ fhir:v "Maintenance" ] ] ) ; # fhir:dosageInstruction ( [ fhir:timing [ fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ] ] ; ( fhir:doseAndRate [ fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "200"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg" ] ] ] ) ] ) ; # fhir:dispenseRequest [ fhir:numberOfRepeatsAllowed [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:expectedSupplyDuration [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "mo" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mo" ] ] ] . # <urn:uuid:e551b51b-0646-4b23-b1ac-9ec623756ec6> a fhir:Organization ; fhir:id [ fhir:v "e551b51b-0646-4b23-b1ac-9ec623756ec6"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-organization"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-organization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_e551b51b-0646-4b23-b1ac-9ec623756ec6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization e551b51b-0646-4b23-b1ac-9ec623756ec6</b></p><a name=\"e551b51b-0646-4b23-b1ac-9ec623756ec6\"> </a><a name=\"hce551b51b-0646-4b23-b1ac-9ec623756ec6\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-organization.html\">UAPI Organization</a></p></div><p><b>identifier</b>: <code>http://vendor.com/ab</code>/PAY-111 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: Dakotacare</p><p><b>telecom</b>: ph: 8778472862(Work)</p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://vendor.com/ab"^^xsd:anyURI ] ; fhir:value [ fhir:v "PAY-111" ] ; fhir:assigner [ fhir:display [ fhir:v "AB Vendor" ] ] ] ) ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ins" ] ] ) ] ) ; # fhir:name [ fhir:v "Dakotacare"] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "8778472862" ] ; fhir:use [ fhir:v "work" ] ; fhir:rank [ fhir:v "1"^^xsd:positiveInteger ] ] ) . # <urn:uuid:694ce192-7b69-4d75-8f91-0031bb2b0811> a fhir:QuestionnaireResponse ; fhir:id [ fhir:v "694ce192-7b69-4d75-8f91-0031bb2b0811"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_694ce192-7b69-4d75-8f91-0031bb2b0811\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse 694ce192-7b69-4d75-8f91-0031bb2b0811</b></p><a name=\"694ce192-7b69-4d75-8f91-0031bb2b0811\"> </a><a name=\"hc694ce192-7b69-4d75-8f91-0031bb2b0811\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> 694ce192-7b69-4d75-8f91-0031bb2b0811</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> authorization</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Authorization #</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">#3456789</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> dot</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Treatment</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">2022-02-28</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> opn-optional</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Onsite Pharmacy Name (Optional)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">OSP - name</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> pharmacy-contact-person-optional</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pharmacy Contact Person (Optional)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ph contact</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> pharmacy-phone-optional</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pharmacy Phone (Optional)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">222-222-2222</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> preferred-sp-optional</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Preferred Specialty Pharmacy (Optional)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSP Name</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> contact-patient</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do not contact patient</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">No</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> detailed-message</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ok to leave a detailed message?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> has-treatment-started</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Has treatment started?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> line-of-therapy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Line of therapy?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> onsite-pharmacy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Onsite Pharmacy?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> pa-in-place</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Is prior authorization in place?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> prescription-plan</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Is this a Prescription plan?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">No</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> re-verify-benefits-at-pa-expiration</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Re-verify benefits at PA expiration</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">No</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> specialty-pharmacy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Specialty Pharmacy?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> tcpa-consent</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">TCPA Consent Provided?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yes</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> certify-patient-for-copay-program</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Co-pay program Commercial Insurance</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">No</td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4B/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:questionnaire [ fhir:v "https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234"^^xsd:anyURI ; fhir:link <https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234> ] ; # fhir:status [ fhir:v "completed"] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:1b315218-49b7-4264-816e-05d4b92ecbaa" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:item ( [ fhir:linkId [ fhir:v "authorization" ] ; fhir:text [ fhir:v "Authorization #" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "#3456789" ] ] ) ] [ fhir:linkId [ fhir:v "dot" ] ; fhir:text [ fhir:v "Date of Treatment" ] ; ( fhir:answer [ fhir:value [ a fhir:date ; fhir:v "2022-02-28"^^xsd:date ] ] ) ] [ fhir:linkId [ fhir:v "opn-optional" ] ; fhir:text [ fhir:v "Onsite Pharmacy Name (Optional)" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "OSP - name" ] ] ) ] [ fhir:linkId [ fhir:v "pharmacy-contact-person-optional" ] ; fhir:text [ fhir:v "Pharmacy Contact Person (Optional)" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Ph contact" ] ] ) ] [ fhir:linkId [ fhir:v "pharmacy-phone-optional" ] ; fhir:text [ fhir:v "Pharmacy Phone (Optional)" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "222-222-2222" ] ] ) ] [ fhir:linkId [ fhir:v "preferred-sp-optional" ] ; fhir:text [ fhir:v "Preferred Specialty Pharmacy (Optional)" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "PSP Name" ] ] ) ] [ fhir:linkId [ fhir:v "contact-patient" ] ; fhir:text [ fhir:v "Do not contact patient" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "detailed-message" ] ; fhir:text [ fhir:v "Ok to leave a detailed message?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "has-treatment-started" ] ; fhir:text [ fhir:v "Has treatment started?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "line-of-therapy" ] ; fhir:text [ fhir:v "Line of therapy?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "First" ] ] ) ] [ fhir:linkId [ fhir:v "onsite-pharmacy" ] ; fhir:text [ fhir:v "Onsite Pharmacy?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "pa-in-place" ] ; fhir:text [ fhir:v "Is prior authorization in place?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "prescription-plan" ] ; fhir:text [ fhir:v "Is this a Prescription plan?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "re-verify-benefits-at-pa-expiration" ] ; fhir:text [ fhir:v "Re-verify benefits at PA expiration" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "specialty-pharmacy" ] ; fhir:text [ fhir:v "Specialty Pharmacy?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "tcpa-consent" ] ; fhir:text [ fhir:v "TCPA Consent Provided?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "certify-patient-for-copay-program" ] ; fhir:text [ fhir:v "Co-pay program Commercial Insurance" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] ) . #
IG © 2021+ . Package gene.com.fhir.uapi#1.1.20 based on FHIR 4.3.0. Generated 2025-06-25
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