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
<Bundle xmlns="http://hl7.org/fhir">
<id value="uapi-copay-update-response-3"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-query-response"/>
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<identifier>
<use value="usual"/>
<system value="http://connectiverx.com/requestId"/>
<value value="86a42a99-663b-48b8-8fd9-c1afdbca5b98"/>
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<type value="message"/>
<timestamp value="2023-04-11T08:10:17-05:00"/>
<entry>
<fullUrl value="urn:uuid:76559729-e6ad-43d6-ab26-a98a4fe0a87b"/>
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<MessageHeader>
<id value="76559729-e6ad-43d6-ab26-a98a4fe0a87b"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_76559729-e6ad-43d6-ab26-a98a4fe0a87b"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 76559729-e6ad-43d6-ab26-a98a4fe0a87b</b></p><a name="76559729-e6ad-43d6-ab26-a98a4fe0a87b"> </a><a name="hc76559729-e6ad-43d6-ab26-a98a4fe0a87b"> </a><p><b>event</b>: uapi-event-type copay-update-resp: Copay Update Response</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>Genentech-FHIR-DEV</td><td><a href="https://fhir.developer.gene.com/$process-message">https://fhir.developer.gene.com/$process-message</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>1-63c61a26-4965b3a156f488da6e0800ed</td><td>OK</td></tr></table><p><b>focus</b>: <a href="Bundle-uapi-copay-update-response-3.html#urn-uuid-f36738d7-c4bd-4f36-b842-cddd50800cc3">Bundle: identifier = http://connectiverx.com/requestId#86a42a99-663b-48b8-8fd9-c1afdbca5b98 (use: usual, ); type = message; timestamp = 2023-04-11 08:10:17-0500</a></p></div>
</text>
<eventCoding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"/>
<code value="copay-update-resp"/>
<display value="Copay Update Response"/>
</eventCoding>
<source>
<name value="Genentech-FHIR-DEV"/>
<endpoint value="https://fhir.developer.gene.com/$process-message"/>
</source>
<response>
<identifier value="1-63c61a26-4965b3a156f488da6e0800ed"/>
<code value="ok"/>
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<focus>
<reference value="urn:uuid:f36738d7-c4bd-4f36-b842-cddd50800cc3"/>
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<entry>
<fullUrl value="urn:uuid:f36738d7-c4bd-4f36-b842-cddd50800cc3"/>
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<Parameters>
<id value="f36738d7-c4bd-4f36-b842-cddd50800cc3"/>
<parameter>
<name value="responder-patient"/>
<valueReference>
<reference value="urn:uuid:16ddbd62-396d-4f84-80db-0346ae44e995"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="urn:uuid:f8835064-7810-4d5a-b8cc-0a62aff991ef"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="urn:uuid:743cfeb3-ed54-4887-ad84-73023ea3451a"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="urn:uuid:803a1b8b-a597-4543-aa38-109d9d15f51d"/>
</valueReference>
</parameter>
</Parameters>
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</entry>
<entry>
<fullUrl value="urn:uuid:16ddbd62-396d-4f84-80db-0346ae44e995"/>
<resource>
<Patient>
<id value="16ddbd62-396d-4f84-80db-0346ae44e995"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_16ddbd62-396d-4f84-80db-0346ae44e995"> </a><p class="res-header-id"><b>Generated Narrative: Patient 16ddbd62-396d-4f84-80db-0346ae44e995</b></p><a name="16ddbd62-396d-4f84-80db-0346ae44e995"> </a><a name="hc16ddbd62-396d-4f84-80db-0346ae44e995"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient (no stated gender), DoB Unknown ( Patient internal identifier: 8132413049 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>Managing Organization: <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></li></ul></td></tr></table><hr/><p><b>Contained Resource</b></p><hr/><a name="16ddbd62-396d-4f84-80db-0346ae44e995/01c31a2f-321d-4c6e-8349-206af8a88088"> </a><p class="res-header-id"><b>Organization #01c31a2f-321d-4c6e-8349-206af8a88088</b></p><a name="hc16ddbd62-396d-4f84-80db-0346ae44e995/01c31a2f-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>
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<Organization>
<id value="01c31a2f-321d-4c6e-8349-206af8a88088"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://vendor.com/ab"/>
<value value="HOSP-12345"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Mid Atlantic Retina"/>
<telecom>
<system value="email"/>
<value value="mar@example.com"/>
</telecom>
<address>
<line value="8 Ranoldo Terrace"/>
<city value="Cherry Hill"/>
<state value="NJ"/>
<postalCode value="08034"/>
<country value="US"/>
</address>
<contact>
<name>
<use value="official"/>
<family value="Yardav"/>
<given value="Venus"/>
</name>
<telecom>
<system value="phone"/>
<value value="8882704882"/>
<use value="work"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="8179974042"/>
<use value="work"/>
<rank value="2"/>
</telecom>
</contact>
</Organization>
</contained>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
</type>
<system value="http://connectiverx.com/confirmationId"/>
<value value="8132413049"/>
<assigner>
<display value="CRX"/>
</assigner>
</identifier>
<managingOrganization>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f8835064-7810-4d5a-b8cc-0a62aff991ef"/>
<resource>
<Bundle>
<id value="f8835064-7810-4d5a-b8cc-0a62aff991ef"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result"/>
</meta>
<type value="searchset"/>
<total value="1"/>
<link>
<relation value="self"/>
<url
value="ExplanationOfBenefit?patient=xyz&_include=ExplanationOfBenefit:coverage&_include=ExplanationOfBenefit:provider"/>
</link>
<entry>
<fullUrl value="urn:uuid:e344813d-eb60-466e-806b-ebd35c988293"/>
<resource>
<ExplanationOfBenefit>
<id value="e344813d-eb60-466e-806b-ebd35c988293"/>
<contained>
<Organization>
<id value="d02db104-a75c-433f-8764-9778c2e20626"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://gene.com"/>
<value value="ORG-00002"/>
<assigner>
<display value="Genentech"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Copay Organization - CRX"/>
<telecom>
<system value="phone"/>
<value value="1800654332211"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</Organization>
</contained>
<contained>
<OperationOutcome>
<id value="5ce061a8-302e-4135-a300-f68c73f31100"/>
<issue>
<severity value="error"/>
<code value="processing"/>
<details>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-copay-enrollment-error"/>
<code value="identification-check"/>
<display value="Identification Check"/>
</coding>
<text
value="Provided patient information does not meet minimum criteria for verification."/>
</details>
</issue>
</OperationOutcome>
</contained>
<identifier>
<use value="usual"/>
<system value="http://connectiverx.com/enrollmentId"/>
<value value="ad44f19a-42b6-ed11-827c-9e11af077484"/>
</identifier>
<status value="cancelled"/>
<type>
<coding>
<code value="institutional"/>
</coding>
</type>
<use value="predetermination"/>
<patient>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
</patient>
<created value="2023-04-11T21:01:11.230Z"/>
<insurer>
<reference
value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
</insurer>
<provider>
<reference
value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
</provider>
<outcome value="error"/>
<insurance>
<focal value="false"/>
<coverage>
<reference
value="urn:uuid:e6e8d8c6-a074-4ea5-be1a-a67cb8628a85"/>
</coverage>
</insurance>
</ExplanationOfBenefit>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="urn:uuid:e6e8d8c6-a074-4ea5-be1a-a67cb8628a85"/>
<resource>
<Coverage>
<id value="e6e8d8c6-a074-4ea5-be1a-a67cb8628a85"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
</meta>
<contained>
<Organization>
<id value="d02db104-a75c-433f-8764-9778c2e20626"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-organization"/>
</meta>
<identifier>
<use value="usual"/>
<system value="http://gene.com"/>
<value value="ORG-00002"/>
<assigner>
<display value="Genentech"/>
</assigner>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Copay Organization - CRX"/>
<telecom>
<system value="phone"/>
<value value="1800654332211"/>
<use value="work"/>
<rank value="1"/>
</telecom>
</Organization>
</contained>
<status value="cancelled"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="pay"/>
<display value="Pay"/>
</coding>
</type>
<subscriber>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<type value="Patient"/>
</subscriber>
<beneficiary>
<reference
value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
<type value="Patient"/>
</beneficiary>
<payor>
<reference
value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
<type value="Organization"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
<display value="Plan"/>
</coding>
</type>
<value value="Vabysmo-Drug"/>
<name value="Ophthalmology Co Pay program"/>
</class>
<order value="1"/>
<network value="Genentech"/>
</Coverage>
</resource>
<search>
<mode value="include"/>
</search>
</entry>
<entry>
<fullUrl value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
<resource>
<Practitioner>
<id value="695d0991-5e03-46df-934a-85a28acd95c1"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"/>
</meta>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1922071448"/>
<assigner>
<display
value="Centers for Medicare & Medicaid Services"/>
</assigner>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="00000000"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1639285034"/>
</identifier>
<name>
<use value="official"/>
<family value="CRUZ"/>
<given value="MARISSA"/>
</name>
</Practitioner>
</resource>
<search>
<mode value="include"/>
</search>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:743cfeb3-ed54-4887-ad84-73023ea3451a"/>
<resource>
<Bundle>
<id value="743cfeb3-ed54-4887-ad84-73023ea3451a"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result"/>
</meta>
<type value="searchset"/>
<total value="1"/>
<link>
<relation value="self"/>
<url value="Task?for=xyz"/>
</link>
<entry>
<fullUrl value="urn:uuid:b4b2493c-f20d-4a83-849c-ebbd64ec2ff3"/>
<resource>
<Task>
<id value="b4b2493c-f20d-4a83-849c-ebbd64ec2ff3"/>
<status value="requested"/>
<intent value="plan"/>
<code>
<coding>
<system
value="https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"/>
<code value="copay"/>
</coding>
</code>
<for>
<reference
value="urn:uuid:77a64848-bcb5-4fa1-a132-d09952b1c891"/>
<type value="Patient"/>
</for>
<authoredOn value="2023-01-23T08:10:13-05:00"/>
<input>
<type>
<coding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-task-input-type"/>
<code value="brandId"/>
</coding>
</type>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-brand-id"/>
<code value="9c2693fd-4eb2-4543-a26b-2c85a3450fe2"/>
</coding>
</valueCodeableConcept>
</input>
</Task>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>