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 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 "uapi-copay-request-response-enrollment"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-copay-request-response-bundle"^^xsd:anyURI ; fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-copay-request-response-bundle> ] ) ] ; # fhir:identifier [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://risrx.com/requestId"^^xsd:anyURI ] ; fhir:value [ fhir:v "42c481a9-7e7e-4d14-ab37-f648e376802d" ] ] ; # fhir:type [ fhir:v "message"] ; # fhir:timestamp [ fhir:v "2024-04-19T08:10:17-05:00"^^xsd:dateTime] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "urn:uuid:cdd9f845-427b-4a48-a02d-279d80b9e415"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:cdd9f845-427b-4a48-a02d-279d80b9e415> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:6a576317-329d-4fd6-9b37-896cb97436e6"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:6a576317-329d-4fd6-9b37-896cb97436e6> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:1d68bd2d-4b8d-4e3d-85fc-2632e48e267d"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:1d68bd2d-4b8d-4e3d-85fc-2632e48e267d> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d5e01ac4-7210-4e10-b288-45adb6b93e66"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d5e01ac4-7210-4e10-b288-45adb6b93e66> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:ba8a0351-e1f0-42bf-9590-4ea49b444f56"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:ba8a0351-e1f0-42bf-9590-4ea49b444f56> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d9acfd1d-addc-4e0d-b7a6-ff921bde9236"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d9acfd1d-addc-4e0d-b7a6-ff921bde9236> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d02db104-a75c-433f-8764-9778c2e20626> ) ] ) . # <urn:uuid:cdd9f845-427b-4a48-a02d-279d80b9e415> a fhir:MessageHeader ; fhir:id [ fhir:v "cdd9f845-427b-4a48-a02d-279d80b9e415"] ; # 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 "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_cdd9f845-427b-4a48-a02d-279d80b9e415\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader cdd9f845-427b-4a48-a02d-279d80b9e415</b></p><a name=\"cdd9f845-427b-4a48-a02d-279d80b9e415\"> </a><a name=\"hccdd9f845-427b-4a48-a02d-279d80b9e415\"> </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>UAPI MessageHeader Timestamp</b>: 2023-03-03 08:10:13-0500</p><p><b>event</b>: uapi-event-type copay-enrollment-insert: copay-enrollment-insert</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>RisRx</td><td><a href=\"https://www.risrx.com/fhir/v1/enroll\">https://www.risrx.com/fhir/v1/enroll</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; 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>RisRx-Web</td><td><a href=\"https://risrx.com/hcpportal\">https://risrx.com/hcpportal</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>2fa9b704-914f-4a3c-b49f-39e2960ede95</td><td>OK</td></tr></table><p><b>focus</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-6a576317-329d-4fd6-9b37-896cb97436e6\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/message-timestamp"^^xsd:anyURI ] ; fhir:value [ a fhir:dateTime ; fhir:v "2023-03-03T08:10:13-05:00"^^xsd:dateTime ] ] ) ; # 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 "copay-enrollment-insert" ] ] ; # fhir:destination ( [ fhir:name [ fhir:v "RisRx" ] ; fhir:endpoint [ fhir:v "https://www.risrx.com/fhir/v1/enroll"^^xsd:anyURI ] ] ) ; # fhir:sender [ fhir:reference [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ; # fhir:source [ fhir:name [ fhir:v "RisRx-Web" ] ; fhir:endpoint [ fhir:v "https://risrx.com/hcpportal"^^xsd:anyURI ] ] ; # fhir:response [ fhir:identifier [ fhir:v "2fa9b704-914f-4a3c-b49f-39e2960ede95" ] ; fhir:code [ fhir:v "ok" ] ] ; # fhir:focus ( [ fhir:reference [ fhir:v "urn:uuid:6a576317-329d-4fd6-9b37-896cb97436e6" ] ; fhir:type [ fhir:v "List"^^xsd:anyURI ] ] ) . # <urn:uuid:6a576317-329d-4fd6-9b37-896cb97436e6> a fhir:List ; fhir:id [ fhir:v "6a576317-329d-4fd6-9b37-896cb97436e6"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_6a576317-329d-4fd6-9b37-896cb97436e6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List 6a576317-329d-4fd6-9b37-896cb97436e6</b></p><a name=\"6a576317-329d-4fd6-9b37-896cb97436e6\"> </a><a name=\"hc6a576317-329d-4fd6-9b37-896cb97436e6\"> </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-uapi-copay-request-response-enrollment.html#urn-uuid-1d68bd2d-4b8d-4e3d-85fc-2632e48e267d\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-4db51d32-65c3-4f8c-959e-0155c6d14545\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d5e01ac4-7210-4e10-b288-45adb6b93e66\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><a href=\"Bundle-04afa000-48a5-4fb2-8707-6a43af045868.html#urn-uuid-42b41bdb-1781-49aa-a091-78cdd92129df\">Bundle: identifier = Resource identifier: 6a7dbbed-6c6f-48b0-b32e-0a5d89dc72b2; type = message; timestamp = 2024-04-02 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-7c8f5054-015b-4bce-99f5-4160a82a4225.html#urn-uuid-d212ac11-903c-4040-a3d7-6b3e1874a311\">Bundle: identifier = Resource identifier: 7c8f5054-015b-4bce-99f5-4160a82a4225; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-d3637025-883d-4678-9e0a-1d243a338f9f\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-7c8f5054-015b-4bce-99f5-4160a82a4225.html#urn-uuid-982e97af-668d-41ef-b9f9-2bbc4a059330\">Bundle: identifier = Resource identifier: 7c8f5054-015b-4bce-99f5-4160a82a4225; type = message; timestamp = 2020-03-11 08:10:13-0500</a></td></tr><tr><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-ba8a0351-e1f0-42bf-9590-4ea49b444f56\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d9acfd1d-addc-4e0d-b7a6-ff921bde9236\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr><tr><td><code>urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3</code></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:1d68bd2d-4b8d-4e3d-85fc-2632e48e267d" ] ; fhir:type [ fhir:v "Task"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ] ; fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545" ] ; fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:d5e01ac4-7210-4e10-b288-45adb6b93e66" ] ; fhir:type [ fhir:v "QuestionnaireResponse"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d" ] ; fhir:type [ fhir:v "ExplanationOfBenefit"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:ba8a0351-e1f0-42bf-9590-4ea49b444f56" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:d9acfd1d-addc-4e0d-b7a6-ff921bde9236" ] ; fhir:type [ fhir:v "ExplanationOfBenefit"^^xsd:anyURI ] ] ] [ fhir:item [ fhir:reference [ fhir:v "urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3" ] ; fhir:type [ fhir:v "Coverage"^^xsd:anyURI ] ] ] ) . # <urn:uuid:1d68bd2d-4b8d-4e3d-85fc-2632e48e267d> a fhir:Task ; fhir:id [ fhir:v "1d68bd2d-4b8d-4e3d-85fc-2632e48e267d"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_1d68bd2d-4b8d-4e3d-85fc-2632e48e267d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task 1d68bd2d-4b8d-4e3d-85fc-2632e48e267d</b></p><a name=\"1d68bd2d-4b8d-4e3d-85fc-2632e48e267d\"> </a><a name=\"hc1d68bd2d-4b8d-4e3d-85fc-2632e48e267d\"> </a><p><b>status</b>: Requested</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes:{https://fhir.developer.gene.com/CodeSystem/uapi-sr-type copay}\">Copay</span></p><p><b>for</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>authoredOn</b>: 2023-01-23 08:10:13-0500</p><p><b>requester</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type enroll-by-id}\">enroll-by-id</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-enrollby-id 1}\">Patient</span></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type brandId}\">brandId</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-brand-id 520d92fe-360c-4bad-98ab-9af941a43a9b}\">520d92fe-360c-4bad-98ab-9af941a43a9b</span></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type brandId}\">brandId</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-brand-id 135cc659-da2f-4f7b-afec-5b7334ae5bc0}\">135cc659-da2f-4f7b-afec-5b7334ae5bc0</span></p></blockquote></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "requested"] ; # fhir:intent [ fhir:v "plan"] ; # 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:for [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:authoredOn [ fhir:v "2023-01-23T08:10:13-05:00"^^xsd:dateTime] ; # fhir:requester [ fhir:reference [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088" ] ; fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ] ; # fhir:input ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "enroll-by-id" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-enrollby-id"^^xsd:anyURI ] ; fhir:code [ fhir:v "1" ] ; fhir:display [ fhir:v "Patient" ] ] ) ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "brandId" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-brand-id"^^xsd:anyURI ] ; fhir:code [ fhir:v "520d92fe-360c-4bad-98ab-9af941a43a9b" ] ] ) ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "brandId" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-brand-id"^^xsd:anyURI ] ; fhir:code [ fhir:v "135cc659-da2f-4f7b-afec-5b7334ae5bc0" ] ] ) ] ] ) . # <urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a> a fhir:Patient ; fhir:id [ fhir:v "3fd08ef2-34a2-4191-ad04-44353c2f133a"] ; # 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_3fd08ef2-34a2-4191-ad04-44353c2f133a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 3fd08ef2-34a2-4191-ad04-44353c2f133a</b></p><a name=\"3fd08ef2-34a2-4191-ad04-44353c2f133a\"> </a><a name=\"hc3fd08ef2-34a2-4191-ad04-44353c2f133a\"> </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 Tom Michaelson (official) Male, DoB: 1972-10-29 ( Patient internal identifier: 12220c4c-b03b-4ebc-9bb7-1c5ddafbb30c (use: usual, ))</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>Managing Organization: <code>urn:uuid:cf3f3cea-f679-4e30-891b-457e4dd46468</code></li></ul></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; 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://risrx.com/masterpatientcardid"^^xsd:anyURI ] ; fhir:value [ fhir:v "12220c4c-b03b-4ebc-9bb7-1c5ddafbb30c" ] ; fhir:assigner [ fhir:display [ fhir:v "RisRx" ] ] ] ) ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "Michaelson" ] ; ( fhir:given [ fhir:v "Ryan" ] [ fhir:v "Tom" ] ) ] ) ; # 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:managingOrganization [ fhir:reference [ fhir:v "urn:uuid:cf3f3cea-f679-4e30-891b-457e4dd46468" ] ] . # <urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088> a fhir:Organization ; fhir:id [ fhir:v "01c31a2f-321d-4c6e-8349-206af8a88088"] ; # 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_01c31a2f-321d-4c6e-8349-206af8a88088\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 01c31a2f-321d-4c6e-8349-206af8a88088</b></p><a name=\"01c31a2f-321d-4c6e-8349-206af8a88088\"> </a><a name=\"hc01c31a2f-321d-4c6e-8349-206af8a88088\"> </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:695d0991-5e03-46df-934a-85a28acd95c1> a fhir:Practitioner ; fhir:id [ fhir:v "695d0991-5e03-46df-934a-85a28acd95c1"] ; # 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_695d0991-5e03-46df-934a-85a28acd95c1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 695d0991-5e03-46df-934a-85a28acd95c1</b></p><a name=\"695d0991-5e03-46df-934a-85a28acd95c1\"> </a><a name=\"hc695d0991-5e03-46df-934a-85a28acd95c1\"> </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:4db51d32-65c3-4f8c-959e-0155c6d14545> a fhir:RelatedPerson ; fhir:id [ fhir:v "4db51d32-65c3-4f8c-959e-0155c6d14545"] ; # 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_4db51d32-65c3-4f8c-959e-0155c6d14545\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson 4db51d32-65c3-4f8c-959e-0155c6d14545</b></p><a name=\"4db51d32-65c3-4f8c-959e-0155c6d14545\"> </a><a name=\"hc4db51d32-65c3-4f8c-959e-0155c6d14545\"> </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-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; 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:fc2e5a72-c363-4616-ae00-4ad25cbcb45c" ] ; 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:d5e01ac4-7210-4e10-b288-45adb6b93e66> a fhir:QuestionnaireResponse ; fhir:id [ fhir:v "d5e01ac4-7210-4e10-b288-45adb6b93e66"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_d5e01ac4-7210-4e10-b288-45adb6b93e66\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse d5e01ac4-7210-4e10-b288-45adb6b93e66</b></p><a name=\"d5e01ac4-7210-4e10-b288-45adb6b93e66\"> </a><a name=\"hcd5e01ac4-7210-4e10-b288-45adb6b93e66\"> </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\"/> d5e01ac4-7210-4e10-b288-45adb6b93e66</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/4321</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\"/> consent-to-enroll</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 you consent to enroll in the XOLAIR Co-pay Program for drug and administration assistance?</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\"/> 18-years-or-older</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\">Are you 18 years of age or older?</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\"/> fda-approved-indications</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\">Are you using XOLAIR for one of the following FDA-approved indications?</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\"><span><span>[not stated] combination: Moderate to severe persistent asthma in people 6 years of age and older whose asthma symptoms are not well controlled with asthma medicines called inhaled corticosteroids. A skin or blood test is performed to see if you have allergies to year-round allergens. It is not known if Xolair is safe and effective in people with asthma under 6 years of age.</span></span></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\"/> commercial-private-insurance</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\">Are you on commercial (also known as private) insurance? This includes insurance from an employer and non-government funded insurance purchased from a health insurance marketplace.</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\"/> federal-state-funded-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\">Are you using a federal or state-funded insurance program? This includes, but is not limited to, Medicare, Medicaid, Medigap, VA, DoD and TRICARE.</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\"/> residence-state</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\">What state do you live in?</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\">DC</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\"/> receiving-medication-from-gpf</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\">Are you currently receiving XOLAIR from the Genentech Patient Foundation?</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\"/> receiving-assistance-from-charitable-organization</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\">Are you currently receiving assistance from any other charitable organization for any of your out-of-pocket costs that are covered by the XOLAIR Co-pay Program?</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\"/> agree-to-genentech-privacy-policy</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\">I acknowledge and agree that any of my information disclosed during enrollment, including contact information, demographic information, and sensitive personal information, such as information related to my medical condition, treatments, and health insurance benefits, will be shared with Genentech, the sponsor of the program, its partners, and their respective affiliates. In addition, information shared by the pharmacy/physician, such as the date the prescription was filled, the date the medication was administered by the physician (if applicable) and the amount that will be reimbursed by Genentech will also be shared. I authorize Genentech to receive, use, and share my personal information in connection with the XOLAIR Co-payProgram. I agree to be contacted by phone, mail, or email about the XOLAIR Co-pay Program. For more information, please see the Genentech Privacy Policy at www.gene.com/privacy- policy. To withdraw from the Program, please contact the Program at (855) 965-2472 Monday through Friday between 9am – 8pm ET.</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\">Agree</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_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: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> agree-to-copay-program-terms</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\">The Co-pay Program is valid ONLY for patients with commercial (private or non-governmental) insurance who have a valid prescription for a Food and Drug Administration (FDA)-approved indication of a Genentech medicine. Patients using Medicare, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DoD), TRICARE or any other federal or state government program (collectively, “Government Programs”) to pay for their Genentech medicine are not eligible. The Program is not valid for Genentech medicines that are eligible to be reimbursed in their entirety by private insurance plans or other programs.\n\nUnder the Program, the patient may pay a co-pay. The final amount owed by a patient may be as little as $0 for the Genentech medicine (see Program specific details). The total patient out-of-pocket cost is dependent on the patient’s health insurance plan. The Program assists with the cost of the Genentech medicine only. It does not assist with the cost of other medicines, procedures or office visit fees. After reaching the maximum annual Program benefit amount, the patient will be responsible for all remaining out-of-pocket expenses. The Program benefit amount cannot exceed the patient’s out-of-pocket expenses for the cost associated with the Genentech medicine. The maximum Program benefit will reset every January 1st. The Program is not health insurance or a benefit plan. The patient’s non-governmental insurance is the primary payer. The Program does not obligate the use of any specific medicine or provider. Patients receiving assistance from charitable free medicine programs (such as the Genentech Patient Foundation) or any other charitable organizations for the same expenses covered by the Program are not eligible. The Program benefit cannot be combined with any other rebate, free trial or a similar offer for the Genentech medicine. No party may seek reimbursement for all or any part of the benefit received through the Program.\n\nThe Program may be accepted by participating pharmacies, physicians’ offices or hospitals. Once a patient is enrolled, the Program will honor claims with a date of service that precedes the Program enrollment date up to 180 days. Claims must be submitted within 365 days from the date of service unless otherwise indicated. Use of the Program must be consistent with all relevant health insurance requirements. Participating patients, pharmacies, physicians’ offices and hospitals are responsible for reporting the receipt of all Program benefits as required by any insurer or by law. Programs’ benefits may not be sold, purchased, traded or offered for sale.\n\nThe patient or their guardian must be 18 years of age or older to receive Program assistance. The Program is only valid in the United States and U.S. Territories, is void where prohibited by law and shall follow state restrictions in relation to AB-rated generic equivalents (e.g., MA, CA) where applicable. Eligible patients will be automatically re-enrolled in the Program on an annual basis. Eligible patients will be removed from the Program after 3 years of inactivity (e.g., no claims submitted in a 3-year timeframe). Program eligibility and automatic re-enrollment are contingent upon the patient’s ability to meet all requirements set forth by the Program. Healthcare providers may not advertise or otherwise use the Program as a means of promoting their services or Genentech medicines to patients. The Program is intended for the patient. Only the patient using the Program may receive the funds made available through the Program. The Program is not intended for third parties who reduce the amount available to the patient or take a portion for their own purposes. Patients with health plans that redirect Genentech Program assistance intended for patient out-of-pocket costs may be subject to alternate Program benefit structures. Genentech reserves the right to rescind, revoke or amend the Program without notice at any time.</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\">Agree</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/4321"^^xsd:anyURI ; fhir:link <https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/4321> ] ; # fhir:status [ fhir:v "completed"] ; # fhir:subject [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:item ( [ fhir:linkId [ fhir:v "consent-to-enroll" ] ; fhir:text [ fhir:v "Do you consent to enroll in the XOLAIR Co-pay Program for drug and administration assistance?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "18-years-or-older" ] ; fhir:text [ fhir:v "Are you 18 years of age or older?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "fda-approved-indications" ] ; fhir:text [ fhir:v "Are you using XOLAIR for one of the following FDA-approved indications?" ] ; ( fhir:answer [ fhir:value [ a fhir:Coding ; fhir:code [ fhir:v "combination" ] ; fhir:display [ fhir:v "Moderate to severe persistent asthma in people 6 years of age and older whose asthma symptoms are not well controlled with asthma medicines called inhaled corticosteroids. A skin or blood test is performed to see if you have allergies to year-round allergens. It is not known if Xolair is safe and effective in people with asthma under 6 years of age." ] ] ] ) ] [ fhir:linkId [ fhir:v "commercial-private-insurance" ] ; fhir:text [ fhir:v "Are you on commercial (also known as private) insurance? This includes insurance from an employer and non-government funded insurance purchased from a health insurance marketplace." ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Yes" ] ] ) ] [ fhir:linkId [ fhir:v "federal-state-funded-insurance" ] ; fhir:text [ fhir:v "Are you using a federal or state-funded insurance program? This includes, but is not limited to, Medicare, Medicaid, Medigap, VA, DoD and TRICARE." ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "residence-state" ] ; fhir:text [ fhir:v "What state do you live in?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "DC" ] ] ) ] [ fhir:linkId [ fhir:v "receiving-medication-from-gpf" ] ; fhir:text [ fhir:v "Are you currently receiving XOLAIR from the Genentech Patient Foundation?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "receiving-assistance-from-charitable-organization" ] ; fhir:text [ fhir:v "Are you currently receiving assistance from any other charitable organization for any of your out-of-pocket costs that are covered by the XOLAIR Co-pay Program?" ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "No" ] ] ) ] [ fhir:linkId [ fhir:v "agree-to-genentech-privacy-policy" ] ; fhir:text [ fhir:v "I acknowledge and agree that any of my information disclosed during enrollment, including contact information, demographic information, and sensitive personal information, such as information related to my medical condition, treatments, and health insurance benefits, will be shared with Genentech, the sponsor of the program, its partners, and their respective affiliates. In addition, information shared by the pharmacy/physician, such as the date the prescription was filled, the date the medication was administered by the physician (if applicable) and the amount that will be reimbursed by Genentech will also be shared. I authorize Genentech to receive, use, and share my personal information in connection with the XOLAIR Co-payProgram. I agree to be contacted by phone, mail, or email about the XOLAIR Co-pay Program. For more information, please see the Genentech Privacy Policy at www.gene.com/privacy- policy. To withdraw from the Program, please contact the Program at (855) 965-2472 Monday through Friday between 9am – 8pm ET." ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Agree" ] ] ) ] [ fhir:linkId [ fhir:v "agree-to-copay-program-terms" ] ; fhir:text [ fhir:v "The Co-pay Program is valid ONLY for patients with commercial (private or non-governmental) insurance who have a valid prescription for a Food and Drug Administration (FDA)-approved indication of a Genentech medicine. Patients using Medicare, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DoD), TRICARE or any other federal or state government program (collectively, “Government Programs”) to pay for their Genentech medicine are not eligible. The Program is not valid for Genentech medicines that are eligible to be reimbursed in their entirety by private insurance plans or other programs.\n\nUnder the Program, the patient may pay a co-pay. The final amount owed by a patient may be as little as $0 for the Genentech medicine (see Program specific details). The total patient out-of-pocket cost is dependent on the patient’s health insurance plan. The Program assists with the cost of the Genentech medicine only. It does not assist with the cost of other medicines, procedures or office visit fees. After reaching the maximum annual Program benefit amount, the patient will be responsible for all remaining out-of-pocket expenses. The Program benefit amount cannot exceed the patient’s out-of-pocket expenses for the cost associated with the Genentech medicine. The maximum Program benefit will reset every January 1st. The Program is not health insurance or a benefit plan. The patient’s non-governmental insurance is the primary payer. The Program does not obligate the use of any specific medicine or provider. Patients receiving assistance from charitable free medicine programs (such as the Genentech Patient Foundation) or any other charitable organizations for the same expenses covered by the Program are not eligible. The Program benefit cannot be combined with any other rebate, free trial or a similar offer for the Genentech medicine. No party may seek reimbursement for all or any part of the benefit received through the Program.\n\nThe Program may be accepted by participating pharmacies, physicians’ offices or hospitals. Once a patient is enrolled, the Program will honor claims with a date of service that precedes the Program enrollment date up to 180 days. Claims must be submitted within 365 days from the date of service unless otherwise indicated. Use of the Program must be consistent with all relevant health insurance requirements. Participating patients, pharmacies, physicians’ offices and hospitals are responsible for reporting the receipt of all Program benefits as required by any insurer or by law. Programs’ benefits may not be sold, purchased, traded or offered for sale.\n\nThe patient or their guardian must be 18 years of age or older to receive Program assistance. The Program is only valid in the United States and U.S. Territories, is void where prohibited by law and shall follow state restrictions in relation to AB-rated generic equivalents (e.g., MA, CA) where applicable. Eligible patients will be automatically re-enrolled in the Program on an annual basis. Eligible patients will be removed from the Program after 3 years of inactivity (e.g., no claims submitted in a 3-year timeframe). Program eligibility and automatic re-enrollment are contingent upon the patient’s ability to meet all requirements set forth by the Program. Healthcare providers may not advertise or otherwise use the Program as a means of promoting their services or Genentech medicines to patients. The Program is intended for the patient. Only the patient using the Program may receive the funds made available through the Program. The Program is not intended for third parties who reduce the amount available to the patient or take a portion for their own purposes. Patients with health plans that redirect Genentech Program assistance intended for patient out-of-pocket costs may be subject to alternate Program benefit structures. Genentech reserves the right to rescind, revoke or amend the Program without notice at any time." ] ; ( fhir:answer [ fhir:value [ a fhir:string ; fhir:v "Agree" ] ] ) ] ) . # <urn:uuid:42b41bdb-1781-49aa-a091-78cdd92129df> a fhir:Coverage ; fhir:id [ fhir:v "42b41bdb-1781-49aa-a091-78cdd92129df"] ; # 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_42b41bdb-1781-49aa-a091-78cdd92129df\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 42b41bdb-1781-49aa-a091-78cdd92129df</b></p><a name=\"42b41bdb-1781-49aa-a091-78cdd92129df\"> </a><a name=\"hc42b41bdb-1781-49aa-a091-78cdd92129df\"> </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-7c8f5054-015b-4bce-99f5-4160a82a4225.html#urn-uuid-12ed44e8-fde2-415d-9dcc-8e9117c73d2a\">Bundle: identifier = Resource identifier: 7c8f5054-015b-4bce-99f5-4160a82a4225; 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-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>period</b>: 2023-01-01 --> (ongoing)</p><p><b>payor</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-d3637025-883d-4678-9e0a-1d243a338f9f\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: K12345</p><p><b>name</b>: BIN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: K234516</p><p><b>name</b>: PCN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: KAI2345</p><p><b>name</b>: Group Number</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: HMO</p><p><b>name</b>: Plan</p></blockquote><p><b>order</b>: 1</p><p><b>network</b>: Kaiser</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:12ed44e8-fde2-415d-9dcc-8e9117c73d2a" ] ; fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ] ; # fhir:subscriberId [ fhir:v "4353"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:period [ fhir:start [ fhir:v "2023-01-01"^^xsd:date ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f" ] ; 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 "rxbin" ] ; fhir:display [ fhir:v "RX BIN" ] ] ) ] ; fhir:value [ fhir:v "K12345" ] ; fhir:name [ fhir:v "BIN" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "rxpcn" ] ; fhir:display [ fhir:v "RX PCN" ] ] ) ] ; fhir:value [ fhir:v "K234516" ] ; fhir:name [ fhir:v "PCN" ] ] [ 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 "KAI2345" ] ; fhir:name [ fhir:v "Group Number" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "plan" ] ; fhir:display [ fhir:v "Plan" ] ] ) ] ; fhir:value [ fhir:v "HMO" ] ; fhir:name [ fhir:v "Plan" ] ] ) ; # fhir:order [ fhir:v "1"^^xsd:positiveInteger] ; # fhir:network [ fhir:v "Kaiser"] . # <urn:uuid:d212ac11-903c-4040-a3d7-6b3e1874a311> a fhir:Coverage ; fhir:id [ fhir:v "d212ac11-903c-4040-a3d7-6b3e1874a311"] ; # 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_d212ac11-903c-4040-a3d7-6b3e1874a311\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage d212ac11-903c-4040-a3d7-6b3e1874a311</b></p><a name=\"d212ac11-903c-4040-a3d7-6b3e1874a311\"> </a><a name=\"hcd212ac11-903c-4040-a3d7-6b3e1874a311\"> </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 DRUGPOL}\">drug policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-7c8f5054-015b-4bce-99f5-4160a82a4225.html#urn-uuid-12ed44e8-fde2-415d-9dcc-8e9117c73d2a\">Bundle: identifier = Resource identifier: 7c8f5054-015b-4bce-99f5-4160a82a4225; 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-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>period</b>: 2023-01-01 --> (ongoing)</p><p><b>payor</b>: <a href=\"Bundle-7c8f5054-015b-4bce-99f5-4160a82a4225.html#urn-uuid-982e97af-668d-41ef-b9f9-2bbc4a059330\">Bundle: identifier = Resource identifier: 7c8f5054-015b-4bce-99f5-4160a82a4225; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: K3456</p><p><b>name</b>: BIN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: K334455</p><p><b>name</b>: PCN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: KAI2345</p><p><b>name</b>: Group Number</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: HMO</p><p><b>name</b>: Plan</p></blockquote><p><b>order</b>: 1</p><p><b>network</b>: CVS Specialty</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 "DRUGPOL" ] ; fhir:display [ fhir:v "drug policy" ] ] ) ] ; # fhir:subscriber [ fhir:reference [ fhir:v "urn:uuid:12ed44e8-fde2-415d-9dcc-8e9117c73d2a" ] ; fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ] ; # fhir:subscriberId [ fhir:v "4353"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:period [ fhir:start [ fhir:v "2023-01-01"^^xsd:date ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:982e97af-668d-41ef-b9f9-2bbc4a059330" ] ; 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 "rxbin" ] ; fhir:display [ fhir:v "RX BIN" ] ] ) ] ; fhir:value [ fhir:v "K3456" ] ; fhir:name [ fhir:v "BIN" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "rxpcn" ] ; fhir:display [ fhir:v "RX PCN" ] ] ) ] ; fhir:value [ fhir:v "K334455" ] ; fhir:name [ fhir:v "PCN" ] ] [ 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 "KAI2345" ] ; fhir:name [ fhir:v "Group Number" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "plan" ] ; fhir:display [ fhir:v "Plan" ] ] ) ] ; fhir:value [ fhir:v "HMO" ] ; fhir:name [ fhir:v "Plan" ] ] ) ; # fhir:order [ fhir:v "1"^^xsd:positiveInteger] ; # fhir:network [ fhir:v "CVS Specialty"] . # <urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f> a fhir:Organization ; fhir:id [ fhir:v "d3637025-883d-4678-9e0a-1d243a338f9f"] ; # 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_d3637025-883d-4678-9e0a-1d243a338f9f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization d3637025-883d-4678-9e0a-1d243a338f9f</b></p><a name=\"d3637025-883d-4678-9e0a-1d243a338f9f\"> </a><a name=\"hcd3637025-883d-4678-9e0a-1d243a338f9f\"> </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:982e97af-668d-41ef-b9f9-2bbc4a059330> a fhir:Organization ; fhir:id [ fhir:v "982e97af-668d-41ef-b9f9-2bbc4a059330"] ; # 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_982e97af-668d-41ef-b9f9-2bbc4a059330\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 982e97af-668d-41ef-b9f9-2bbc4a059330</b></p><a name=\"982e97af-668d-41ef-b9f9-2bbc4a059330\"> </a><a name=\"hc982e97af-668d-41ef-b9f9-2bbc4a059330\"> </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-145 (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>: Pharmacare</p><p><b>telecom</b>: ph: -unknown-</p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Telecom</b></td></tr><tr><td style=\"display: none\">*</td><td>ph: 8778472862(Work)</td></tr></table></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-145" ] ; fhir:assigner [ fhir:display [ fhir:v "Ph 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 "Pharmacare"] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ] ) ; # fhir:contact ( [ ( 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:4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d> a fhir:ExplanationOfBenefit ; fhir:id [ fhir:v "4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ExplanationOfBenefit_4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit 4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d</b></p><a name=\"4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d\"> </a><a name=\"hc4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d\"> </a><p><b>identifier</b>: <code>http://risrx.com/enrollmentId</code>/52f6c814-d858-4f57-a797-a6b065e9d655 (use: usual, )</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">pharmacy</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>created</b>: 2023-02-07 08:10:13-0500</p><p><b>insurer</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>provider</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>outcome</b>: Complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-ba8a0351-e1f0-42bf-9590-4ea49b444f56\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://risrx.com/enrollmentId"^^xsd:anyURI ] ; fhir:value [ fhir:v "52f6c814-d858-4f57-a797-a6b065e9d655" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ fhir:code [ fhir:v "pharmacy" ] ] ) ] ; # fhir:use [ fhir:v "predetermination"] ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ] ; # fhir:created [ fhir:v "2023-02-07T08:10:13-05:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # fhir:insurance ( [ fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:ba8a0351-e1f0-42bf-9590-4ea49b444f56" ] ] ] ) . # <urn:uuid:ba8a0351-e1f0-42bf-9590-4ea49b444f56> a fhir:Coverage ; fhir:id [ fhir:v "ba8a0351-e1f0-42bf-9590-4ea49b444f56"] ; # 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 "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_ba8a0351-e1f0-42bf-9590-4ea49b444f56\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage ba8a0351-e1f0-42bf-9590-4ea49b444f56</b></p><a name=\"ba8a0351-e1f0-42bf-9590-4ea49b444f56\"> </a><a name=\"hcba8a0351-e1f0-42bf-9590-4ea49b444f56\"> </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>UAPI Coverage - Card issuance date</b>: 2023-01-01</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode pay}\">Pay</span></p><p><b>subscriber</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>subscriberId</b>: EYE00044117</p><p><b>beneficiary</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>period</b>: 2023-01-01 --> 2023-12-31</p><p><b>payor</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: 600426</p><p><b>name</b>: BIN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: 54</p><p><b>name</b>: PCN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: EC38517002</p><p><b>name</b>: Group Number</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: Xolair-Drug</p><p><b>name</b>: Xolair Co Pay program</p></blockquote><p><b>order</b>: 1</p><p><b>network</b>: Genentech</p></div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/IssuedDate"^^xsd:anyURI ] ; fhir:value [ a fhir:date ; fhir:v "2023-01-01"^^xsd:date ] ] ) ; # 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 "pay" ] ; fhir:display [ fhir:v "Pay" ] ] ) ] ; # fhir:subscriber [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:subscriberId [ fhir:v "EYE00044117"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:period [ fhir:start [ fhir:v "2023-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2023-12-31"^^xsd:date ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ] ; 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 "rxbin" ] ; fhir:display [ fhir:v "RX BIN" ] ] ) ] ; fhir:value [ fhir:v "600426" ] ; fhir:name [ fhir:v "BIN" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "rxpcn" ] ; fhir:display [ fhir:v "RX PCN" ] ] ) ] ; fhir:value [ fhir:v "54" ] ; fhir:name [ fhir:v "PCN" ] ] [ 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 "EC38517002" ] ; fhir:name [ fhir:v "Group Number" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "plan" ] ; fhir:display [ fhir:v "Plan" ] ] ) ] ; fhir:value [ fhir:v "Xolair-Drug" ] ; fhir:name [ fhir:v "Xolair Co Pay program" ] ] ) ; # fhir:order [ fhir:v "1"^^xsd:positiveInteger] ; # fhir:network [ fhir:v "Genentech"] . # <urn:uuid:d9acfd1d-addc-4e0d-b7a6-ff921bde9236> a fhir:ExplanationOfBenefit ; fhir:id [ fhir:v "d9acfd1d-addc-4e0d-b7a6-ff921bde9236"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ExplanationOfBenefit_d9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit d9acfd1d-addc-4e0d-b7a6-ff921bde9236</b></p><a name=\"d9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a><a name=\"hcd9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a><p><b>identifier</b>: <code>http://risrx.com/enrollmentId</code>/5195d04d-893e-44bd-b71a-d0ab4a7945b3 (use: usual, )</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">institutional</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>created</b>: 2023-02-26 21:01:11+0000</p><p><b>insurer</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>provider</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>outcome</b>: Complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><code>urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3</code></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://risrx.com/enrollmentId"^^xsd:anyURI ] ; fhir:value [ fhir:v "5195d04d-893e-44bd-b71a-d0ab4a7945b3" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ fhir:code [ fhir:v "institutional" ] ] ) ] ; # fhir:use [ fhir:v "predetermination"] ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ] ; # fhir:created [ fhir:v "2023-02-26T21:01:11.230Z"^^xsd:dateTime] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # fhir:insurance ( [ fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3" ] ] ] ) . # <urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e> a fhir:Coverage ; fhir:id [ fhir:v "b0574bf9-d016-4af7-a895-269abd739db3"] ; # 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 "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_b0574bf9-d016-4af7-a895-269abd739db3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage b0574bf9-d016-4af7-a895-269abd739db3</b></p><a name=\"b0574bf9-d016-4af7-a895-269abd739db3\"> </a><a name=\"hcb0574bf9-d016-4af7-a895-269abd739db3\"> </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>UAPI Coverage - Card issuance date</b>: 2023-02-26</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode pay}\">Pay</span></p><p><b>subscriber</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>subscriberId</b>: EYE00044137</p><p><b>beneficiary</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-3fd08ef2-34a2-4191-ad04-44353c2f133a\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>period</b>: 2023-02-08 --> 2199-12-31</p><p><b>payor</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: 600426</p><p><b>name</b>: BIN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: 54</p><p><b>name</b>: PCN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: EC38532005</p><p><b>name</b>: Group Number</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: Xolair-Admin</p><p><b>name</b>: Xolair Co Pay program</p></blockquote><p><b>order</b>: 1</p><p><b>network</b>: Genentech</p></div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/IssuedDate"^^xsd:anyURI ] ; fhir:value [ a fhir:date ; fhir:v "2023-02-26"^^xsd:date ] ] ) ; # 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 "pay" ] ; fhir:display [ fhir:v "Pay" ] ] ) ] ; # fhir:subscriber [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:subscriberId [ fhir:v "EYE00044137"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a" ] ; fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ] ; # fhir:period [ fhir:start [ fhir:v "2023-02-08"^^xsd:date ] ; fhir:end [ fhir:v "2199-12-31"^^xsd:date ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ] ; 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 "rxbin" ] ; fhir:display [ fhir:v "RX BIN" ] ] ) ] ; fhir:value [ fhir:v "600426" ] ; fhir:name [ fhir:v "BIN" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "rxpcn" ] ; fhir:display [ fhir:v "RX PCN" ] ] ) ] ; fhir:value [ fhir:v "54" ] ; fhir:name [ fhir:v "PCN" ] ] [ 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 "EC38532005" ] ; fhir:name [ fhir:v "Group Number" ] ] [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ; fhir:code [ fhir:v "plan" ] ; fhir:display [ fhir:v "Plan" ] ] ) ] ; fhir:value [ fhir:v "Xolair-Admin" ] ; fhir:name [ fhir:v "Xolair Co Pay program" ] ] ) ; # fhir:order [ fhir:v "1"^^xsd:positiveInteger] ; # fhir:network [ fhir:v "Genentech"] . # <urn:uuid:d02db104-a75c-433f-8764-9778c2e20626> a fhir:Organization ; fhir:id [ fhir:v "d02db104-a75c-433f-8764-9778c2e20626"] ; # 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_d02db104-a75c-433f-8764-9778c2e20626\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization d02db104-a75c-433f-8764-9778c2e20626</b></p><a name=\"d02db104-a75c-433f-8764-9778c2e20626\"> </a><a name=\"hcd02db104-a75c-433f-8764-9778c2e20626\"> </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://gene.com</code>/ORG-00002 (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>: Copay Organization - CRX</p><p><b>telecom</b>: ph: 1800654332211(Work)</p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:system [ fhir:v "http://gene.com"^^xsd:anyURI ] ; fhir:value [ fhir:v "ORG-00002" ] ; fhir:assigner [ fhir:display [ fhir:v "Genentech" ] ] ] ) ; # 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 "Copay Organization - CRX"] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "1800654332211" ] ; fhir:use [ fhir:v "work" ] ; fhir:rank [ fhir:v "1"^^xsd:positiveInteger ] ] ) . #
IG © 2021+ . Package gene.com.fhir.uapi#1.1.20 based on FHIR 4.3.0. Generated 2025-06-25
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