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
Example Bundle: External - UAPI AS Enrollment: Hemlibra
Profile: UAPI Bundle - AS Enrollment
Bundle e905f503-090c-45ab-b197-1b1d10998h2a of type message
Entry 1 - fullUrl = urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387
Resource MessageHeader:
Profile: UAPI MessageHeader
event: uapi-event-type enrollment-only: enrollment-only
Destinations
Name UAPI-ENR-V2.1 Sources
Name Vendor_AB
Entry 2 - fullUrl = urn:uuid:2cefcd97-82de-4242-ab0c-6bc37d7ed931
Resource List:
messageContext
Mode: Change List Status: Current
Entry 3 - fullUrl = urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c
Resource Patient:
Profile: UAPI Patient
Ryan Michaelson (official) Male, DoB: 1972-10-29 ( Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177 (use: official, ))
Contact Detail
- ph: 1231231234(Home)
- ph: 1234561234(Mobile)
- bobster83@example.com
- 1234 Main St San Francisco CA 94105 US
Language: English (preferred) Links:
- General Practitioner: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
- Managing Organization: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
Entry 4 - fullUrl = urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088
Resource Organization:
Profile: UAPI Organization
identifier:
http://vendor.com/ab/HOSP-12345 (use: usual, )type: Healthcare Provider
name: Mid Atlantic Retina
contact
telecom: mar@example.com
address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US
contact
name: Venus Yardav (Official)
telecom: ph: 8882704882(Work), fax: 8179974042(Work)
Entry 5 - fullUrl = urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1
Resource Practitioner:
Profile: UAPI Practitioner
identifier: Provider number/1922071448 (use: official, ), Tax ID number/00000000 (use: official, ), National provider identifier/1639285034 (use: official, )
name: MARISSA CRUZ (Official)
Entry 6 - fullUrl = urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df
Resource Coverage:
Profile: UAPI Coverage
status: Active
type: health insurance plan policy
subscriberId: 4353
Classes
Type Value Name Group 12344frgr Group Number order: 1
network: Dakotacare
Entry 7 - fullUrl = urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545
Resource RelatedPerson:
Profile: UAPI RelatedPerson
relationship: significant other
name: Bob Paul Smith (Official)
telecom: ph: 1234567890(Mobile)
birthDate: 1972-10-29
Entry 8 - fullUrl = urn:uuid:5342779a-184f-42ba-ab44-3a8e02397he1
Resource QuestionnaireResponse:
LinkID Text Definition Answer 5342779a-184f-42ba-ab44-3a8e02397he1
Questionnaire:https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234 detailed-message
Ok to leave a detailed message? Yes TCPA Consent Provided? Yes Weight (kg) 80 Has it been 12 months or more since the patient's last HEMLIBRA injection? Yes Has the patient started prescribed HEMLIBRA® (emicizumab)? Yes Does your patient have Hemophilia A With Inhibitors Do not contact patient Yes Is this a Prescription plan? No Enroll Patient in Benefits Reverification Yes Preferred Specialty Pharmacy (Optional) Optional Specialty Pharmacy Onsite Pharmacy Name (Optional) Onsite Pharmacy Name Documentation for this format
Entry 9 - fullUrl = urn:uuid:80addde0-ebdf-48fa-abf9-a72961769b6e
Resource MedicationRequest:
Profile: UAPI MedicationRequest
status: Active
intent: Order
courseOfTherapyType: Subsequent Dose
note:
6-mg/kg
dosageInstruction
text: String (up to 50 characters)
DoseAndRates
Dose[x] 6 mg/kg dispenseRequest
UAPI MedicationRequest Dispenser Instructions:
Dispense Instruction: Quantity 1 of 12 mg vial(s) and Quantity 1 of 30 mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
- dispenseQuantity: 1
- dispenseUnit: 12mg vial(s)
UAPI MedicationRequest Dispense Quantity Detailed Breakdown
- dispenseQuantity: 1
- dispenseUnit: 30mg vial(s)
numberOfRepeatsAllowed: 0
ExpectedSupplyDurations
Value Unit System Code 1 mo http://unitsofmeasure.org mo
Entry 10 - fullUrl = urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f
Resource Organization:
Profile: UAPI Organization
identifier:
http://vendor.com/ab/PAY-111 (use: usual, )type: Insurance Company
name: Dakotacare
Contacts
Telecom ph: 8778472862(Work)
Entry 11 - fullUrl = urn:uuid:212c57ad-45cd-4882-87e7-8415ded3db05
Resource ServiceRequest:
Profile: UAPI ServiceRequest
status: Active
intent: Order
code: Benefit Investigation / Prior Authorization
Entry 12 - fullUrl = urn:uuid:bc20c5ea-f639-4221-ab61-ce75c5e64aba
Resource Condition:
code: Hereditary factor VIII deficiency