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

: External - UAPI Status Query RESPONSE:  BIPA - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "uapi-query-response-2-bipa",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-query-response"
    ]
  },
  "type" : "message",
  "timestamp" : "2024-02-11T08:10:17-05:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:04ba6102-8344-4c3e-b96e-e9fc75a7840c",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "04ba6102-8344-4c3e-b96e-e9fc75a7840c",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_04ba6102-8344-4c3e-b96e-e9fc75a7840c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 04ba6102-8344-4c3e-b96e-e9fc75a7840c</b></p><a name=\"04ba6102-8344-4c3e-b96e-e9fc75a7840c\"> </a><a name=\"hc04ba6102-8344-4c3e-b96e-e9fc75a7840c\"> </a><p><b>event</b>: uapi-event-type query-response: Query 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>5065aa9f-bd6d-49a8-924c-5d00f5d0b997</td><td>OK</td></tr></table><p><b>focus</b>: <a href=\"Bundle-uapi-query-response-2-bipa.html#urn-uuid-7abdeaee-85a9-4337-85a7-cc5b47c7e2cf\">Bundle: type = message; timestamp = 2024-02-11 08:10:17-0500</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type",
          "code" : "query-response",
          "display" : "Query Response"
        },
        "source" : {
          "name" : "Genentech-FHIR-DEV",
          "endpoint" : "https://fhir.developer.gene.com/$process-message"
        },
        "response" : {
          "identifier" : "5065aa9f-bd6d-49a8-924c-5d00f5d0b997",
          "code" : "ok"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "7abdeaee-85a9-4337-85a7-cc5b47c7e2cf",
        "parameter" : [
          {
            "name" : "responder-patient",
            "valueReference" : {
              "reference" : "urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55"
            }
          },
          {
            "name" : "search-result",
            "valueReference" : {
              "reference" : "urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "b3d46ea3-62e6-4171-b818-d64712edfe55",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_b3d46ea3-62e6-4171-b818-d64712edfe55\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient b3d46ea3-62e6-4171-b818-d64712edfe55</b></p><a name=\"b3d46ea3-62e6-4171-b818-d64712edfe55\"> </a><a name=\"hcb3d46ea3-62e6-4171-b818-d64712edfe55\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-patient.html\">UAPI Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ryan Michaelson (official) Male, DoB: 1972-10-29 ( Patient internal identifier: MPAT-000123\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Patient internal identifier/540002\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1231231234(Home)</li><li>ph: 1234561234(Mobile)</li><li><a href=\"mailto:bobster83@example.com\">bobster83@example.com</a></li><li>1234 Main St San Francisco CA 94105 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: <a href=\"Bundle-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></li><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></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PI",
                  "display" : "Patient internal identifier"
                }
              ]
            },
            "system" : "http://vendor.com/ab",
            "value" : "540002",
            "assigner" : {
              "display" : "AB Vendor"
            }
          },
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PI",
                  "display" : "Patient internal identifier"
                }
              ]
            },
            "system" : "http://dev.gene.com/patientmaster",
            "value" : "MPAT-000123",
            "assigner" : {
              "display" : "Genentech Patient Master"
            }
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Michaelson",
            "given" : [
              "Ryan"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "1231231234",
            "use" : "home",
            "rank" : 1
          },
          {
            "system" : "phone",
            "value" : "1234561234",
            "use" : "mobile",
            "rank" : 2
          },
          {
            "system" : "email",
            "value" : "bobster83@example.com",
            "use" : "home",
            "rank" : 3
          }
        ],
        "gender" : "male",
        "birthDate" : "1972-10-29",
        "address" : [
          {
            "line" : [
              "1234 Main St"
            ],
            "city" : "San Francisco",
            "state" : "CA",
            "postalCode" : "94105",
            "country" : "US"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en",
                  "display" : "English"
                }
              ]
            },
            "preferred" : true
          }
        ],
        "generalPractitioner" : [
          {
            "reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"
          }
        ],
        "managingOrganization" : {
          "reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "Inline-Instance-search-result-for-uapi-query-response-2-bipa",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result"
          ]
        },
        "type" : "searchset",
        "total" : 1,
        "link" : [
          {
            "relation" : "self",
            "url" : "CoverageEligibilityResponse?status=active&patient=patient1-GNE-version&request.provider=vendorid_hospitalid&_include=CoverageEligibilityResponse:request"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "urn:uuid:e89b0285-4582-4b1b-a448-f2cc467664f4",
            "resource" : {
              "resourceType" : "CoverageEligibilityResponse",
              "id" : "e89b0285-4582-4b1b-a448-f2cc467664f4",
              "meta" : {
                "profile" : [
                  🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-response"
                ]
              },
              "contained" : [
                {
                  "resourceType" : "Organization",
                  "id" : "d3637025-883d-4678-9e0a-1d243a338f9f",
                  "meta" : {
                    "profile" : [
                      🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-organization"
                    ]
                  },
                  "identifier" : [
                    {
                      "use" : "usual",
                      "system" : "http://vendor.com/ab",
                      "value" : "PAY-111",
                      "assigner" : {
                        "display" : "AB Vendor"
                      }
                    }
                  ],
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                          "code" : "ins"
                        }
                      ]
                    }
                  ],
                  "name" : "Dakotacare",
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "8778472862",
                      "use" : "work",
                      "rank" : 1
                    }
                  ]
                },
                {
                  "resourceType" : "Coverage",
                  "id" : "42b41bdb-1781-49aa-a091-78cdd92129df",
                  "meta" : {
                    "profile" : [
                      🔗 "https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"
                    ]
                  },
                  "extension" : [
                    {
                      "url" : "https://fhir.developer.gene.com/StructureDefinition/PlanYear",
                      "valueString" : "Calendar Year"
                    },
                    {
                      "url" : "https://fhir.developer.gene.com/StructureDefinition/ReferenceNumber",
                      "valueString" : "jhgfdsd56e5r76"
                    }
                  ],
                  "status" : "active",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                        "code" : "HIP",
                        "display" : "health insurance plan policy"
                      }
                    ]
                  },
                  "subscriber" : {
                    "reference" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
                    "type" : "RelatedPerson"
                  },
                  "subscriberId" : "4353",
                  "beneficiary" : {
                    "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
                    "type" : "Patient"
                  },
                  "period" : {
                    "start" : "2021-08-31",
                    "end" : "2021-09-07"
                  },
                  "payor" : [
                    {
                      "reference" : "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f",
                      "type" : "Organization"
                    }
                  ],
                  "class" : [
                    {
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                            "code" : "subplan",
                            "display" : "SubPlan"
                          }
                        ]
                      },
                      "value" : "CHAMPVA",
                      "name" : "SubPlan"
                    },
                    {
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                            "code" : "plan",
                            "display" : "Plan"
                          }
                        ]
                      },
                      "value" : "Miltary",
                      "name" : "Plan"
                    },
                    {
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                            "code" : "group",
                            "display" : "Group"
                          }
                        ]
                      },
                      "value" : "12344frgr",
                      "name" : "Group"
                    }
                  ],
                  "order" : 1,
                  "network" : "Dakotacare"
                }
              ],
              "extension" : [
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/statusOutcome",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "https://fhir.developer.gene.com/CodeSystem/uapi-coverage-outcome",
                        "code" : "approved",
                        "display" : "Approved"
                      }
                    ]
                  }
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/predAuthTAT",
                  "valueString" : "5-7 Business Days"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/pcpReferralRequired",
                  "valueString" : "No"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/preReferralEffectiveDate",
                  "valueString" : "2022-05-14"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/pcpReferralOnFile",
                  "valueString" : "Yes"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/pcpReferralRecertificationDate",
                  "valueString" : "2022-05-14"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/spendDownFrequency",
                  "valueString" : "6"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/peerToPeerAvailable",
                  "valueString" : "Yes"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/noOfAppealsAllowed",
                  "valueString" : "2"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/appealSubmissionDeadline",
                  "valueString" : "2022-05-14"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/additionalDocumentsRequired",
                  "valueString" : "Denial Letter"
                },
                {
                  "url" : "https://fhir.developer.gene.com/StructureDefinition/estimatedAppealTAT",
                  "valueString" : "4"
                }
              ],
              "identifier" : [
                {
                  "use" : "old",
                  "system" : "https://fhir.developer.gene.com/enrollment/bundle-enrollment-id",
                  "value" : "c78bde64-95e8-41f9-8a37-b2ac9aaf33d6"
                },
                {
                  "use" : "old",
                  "system" : "https://fhir.developer.gene.com/enrollment/Case",
                  "value" : "05971219"
                },
                {
                  "use" : "official",
                  "system" : "https://genentech-pps.my.salesforce.com/ProductCoverageID",
                  "value" : "PC-4856067"
                }
              ],
              "status" : "active",
              "purpose" : [
                "benefits"
              ],
              "patient" : {
                "reference" : "urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2",
                "type" : "Patient"
              },
              "servicedDate" : "2021-06-01",
              "created" : "2021-05-27T08:10:13-05:00",
              "request" : {
                "reference" : "urn:uuid:a0e6a72c-a35b-4e1c-890e-6d34ed51d4de",
                "type" : "CoverageEligibilityRequest"
              },
              "outcome" : "complete",
              "disposition" : "Yes, if medically necessary",
              "insurer" : {
                "reference" : "#d3637025-883d-4678-9e0a-1d243a338f9f",
                "type" : "Organization"
              },
              "insurance" : [
                {
                  "coverage" : {
                    "reference" : "#42b41bdb-1781-49aa-a091-78cdd92129df"
                  },
                  "item" : [
                    {
                      "productOrService" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-service",
                            "code" : "billing",
                            "display" : "Billing Code"
                          }
                        ]
                      },
                      "benefit" : [
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "fullBI",
                                "display" : "Full BI"
                              }
                            ]
                          }
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "DeductibleApply",
                                "display" : "Does Deductible Apply?"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "doesIndDedApplyFamily",
                                "display" : "does ind ded apply to family"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "FamDedMetBefore",
                                "display" : "Must Fam Ded Be Met Before Bene Cov"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "OOPApply",
                                "display" : "Does OOP Apply"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "IndividualOOPFamily",
                                "display" : "Does Individual OOP Apply to Family"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "100%Cov",
                                "display" : "100% Cov only if Family OOP Met"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "InsurerCostShare",
                                "display" : "Insurer Cost Share %"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "PatientCostShare",
                                "display" : "Patient Cost Share %"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "BuyBill",
                                "display" : "Buy and Bill"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "DrugTierLevel",
                                "display" : "Drug Tier Level"
                              }
                            ]
                          },
                          "allowedString" : "Yes"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "PatientCostInitial",
                                "display" : "Patient Cost Share % **Initial Coverage Stage"
                              }
                            ]
                          },
                          "allowedString" : "25"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "DaysSupplyInitial",
                                "display" : "Day Supply **Initial Coverage Stage"
                              }
                            ]
                          },
                          "allowedString" : "30 day supply"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "DrugCopayInitial",
                                "display" : "Drug Copay **Initial Coverage Stage"
                              }
                            ]
                          },
                          "allowedString" : "30.00"
                        },
                        {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type",
                                "code" : "PatientCostCatastrophic",
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