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 - TTL Representation

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@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-query-response-2-bipa"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-query-response"^^xsd:anyURI ;
fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-query-response>     ] )
  ] ; # 
  fhir:type [ fhir:v "message"] ; # 
  fhir:timestamp [ fhir:v "2024-02-11T08:10:17-05:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:04ba6102-8344-4c3e-b96e-e9fc75a7840c"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:04ba6102-8344-4c3e-b96e-e9fc75a7840c> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2> )
  ] ) . # 

<urn:uuid:04ba6102-8344-4c3e-b96e-e9fc75a7840c> a fhir:MessageHeader ;
  fhir:id [ fhir:v "04ba6102-8344-4c3e-b96e-e9fc75a7840c"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "query-response" ] ;
fhir:display [ fhir:v "Query Response" ]
  ] ; # 
  fhir:source [
fhir:name [ fhir:v "Genentech-FHIR-DEV" ] ;
fhir:endpoint [ fhir:v "https://fhir.developer.gene.com/$process-message"^^xsd:anyURI ]
  ] ; # 
  fhir:response [
fhir:identifier [ fhir:v "5065aa9f-bd6d-49a8-924c-5d00f5d0b997" ] ;
fhir:code [ fhir:v "ok" ]
  ] ; # 
  fhir:focus ( [
fhir:reference [ fhir:v "urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf" ]
  ] ) . # 

<urn:uuid:7abdeaee-85a9-4337-85a7-cc5b47c7e2cf> a fhir:Parameters ;
  fhir:id [ fhir:v "7abdeaee-85a9-4337-85a7-cc5b47c7e2cf"] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "responder-patient" ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55" ]     ]
  ] [
fhir:name [ fhir:v "search-result" ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2" ]     ]
  ] ) . # 

<urn:uuid:b3d46ea3-62e6-4171-b818-d64712edfe55> a fhir:Patient ;
  fhir:id [ fhir:v "b3d46ea3-62e6-4171-b818-d64712edfe55"] ; # 
  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_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 (use: usual, ))</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 (use: official, )</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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PI" ] ;
fhir:display [ fhir:v "Patient internal identifier" ]       ] )     ] ;
fhir:system [ fhir:v "http://vendor.com/ab"^^xsd:anyURI ] ;
fhir:value [ fhir:v "540002" ] ;
fhir:assigner [
fhir:display [ fhir:v "AB Vendor" ]     ]
  ] [
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://dev.gene.com/patientmaster"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MPAT-000123" ] ;
fhir:assigner [
fhir:display [ fhir:v "Genentech Patient Master" ]     ]
  ] ) ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "Michaelson" ] ;
    ( fhir:given [ fhir:v "Ryan" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1231231234" ] ;
fhir:use [ fhir:v "home" ] ;
fhir:rank [ fhir:v "1"^^xsd:positiveInteger ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1234561234" ] ;
fhir:use [ fhir:v "mobile" ] ;
fhir:rank [ fhir:v "2"^^xsd:positiveInteger ]
  ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "bobster83@example.com" ] ;
fhir:use [ fhir:v "home" ] ;
fhir:rank [ fhir:v "3"^^xsd:positiveInteger ]
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1972-10-29"^^xsd:date] ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "1234 Main St" ] ) ;
fhir:city [ fhir:v "San Francisco" ] ;
fhir:state [ fhir:v "CA" ] ;
fhir:postalCode [ fhir:v "94105" ] ;
fhir:country [ fhir:v "US" ]
  ] ) ; # 
  fhir:communication ( [
fhir:language [
      ( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ]       ] )     ] ;
fhir:preferred [ fhir:v true ]
  ] ) ; # 
  fhir:generalPractitioner ( [
fhir:reference [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ]
  ] ) ; # 
  fhir:managingOrganization [
fhir:reference [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088" ]
  ] . # 

<urn:uuid:95f9ed28-29f6-4b3e-a645-658533f679a2> a fhir:Bundle ;
  fhir:id [ fhir:v "Inline-Instance-search-result-for-uapi-query-response-2-bipa"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result"^^xsd:anyURI ;
fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-bundle-search-result>     ] )
  ] ; # 
  fhir:type [ fhir:v "searchset"] ; # 
  fhir:total [ fhir:v "1"^^xsd:nonNegativeInteger] ; # 
  fhir:link ( [
fhir:relation [ fhir:v "self" ] ;
fhir:url [ fhir:v "CoverageEligibilityResponse?status=active&patient=patient1-GNE-version&request.provider=vendorid_hospitalid&_include=CoverageEligibilityResponse:request"^^xsd:anyURI ]
  ] ) ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:e89b0285-4582-4b1b-a448-f2cc467664f4"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:e89b0285-4582-4b1b-a448-f2cc467664f4> ) ;
fhir:search [
fhir:mode [ fhir:v "match" ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a0e6a72c-a35b-4e1c-890e-6d34ed51d4de"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a0e6a72c-a35b-4e1c-890e-6d34ed51d4de> ) ;
fhir:search [
fhir:mode [ fhir:v "include" ]     ]
  ] ) . # 

<urn:uuid:e89b0285-4582-4b1b-a448-f2cc467664f4> a fhir:CoverageEligibilityResponse ;
  fhir:id [ fhir:v "e89b0285-4582-4b1b-a448-f2cc467664f4"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-response"^^xsd:anyURI ;
fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-response>     ] )
  ] ; # 
  fhir:contained ( [
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: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 ]     ] )
  ] [
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:extension [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/PlanYear"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Calendar Year"       ]     ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/ReferenceNumber"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "jhgfdsd56e5r76"       ]     ] ) ;
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:4db51d32-65c3-4f8c-959e-0155c6d14545" ] ;
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 "2021-08-31"^^xsd:date ] ;
fhir:end [ fhir:v "2021-09-07"^^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 "subplan" ] ;
fhir:display [ fhir:v "SubPlan" ]         ] )       ] ;
fhir:value [ fhir:v "CHAMPVA" ] ;
fhir:name [ fhir:v "SubPlan" ]     ] [
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 "Miltary" ] ;
fhir:name [ fhir:v "Plan" ]     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ] ;
fhir:display [ fhir:v "Group" ]         ] )       ] ;
fhir:value [ fhir:v "12344frgr" ] ;
fhir:name [ fhir:v "Group" ]     ] ) ;
fhir:order [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:network [ fhir:v "Dakotacare" ]
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/statusOutcome"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-coverage-outcome"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approved" ] ;
fhir:display [ fhir:v "Approved" ]       ] )     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/predAuthTAT"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "5-7 Business Days"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/pcpReferralRequired"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "No"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/preReferralEffectiveDate"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2022-05-14"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/pcpReferralOnFile"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Yes"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/pcpReferralRecertificationDate"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2022-05-14"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/spendDownFrequency"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "6"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/peerToPeerAvailable"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Yes"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/noOfAppealsAllowed"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/appealSubmissionDeadline"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2022-05-14"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/additionalDocumentsRequired"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Denial Letter"     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/estimatedAppealTAT"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "4"     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "old" ] ;
fhir:system [ fhir:v "https://fhir.developer.gene.com/enrollment/bundle-enrollment-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "c78bde64-95e8-41f9-8a37-b2ac9aaf33d6" ]
  ] [
fhir:use [ fhir:v "old" ] ;
fhir:system [ fhir:v "https://fhir.developer.gene.com/enrollment/Case"^^xsd:anyURI ] ;
fhir:value [ fhir:v "05971219" ]
  ] [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://genentech-pps.my.salesforce.com/ProductCoverageID"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PC-4856067" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "benefits"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]
  ] ; # 
  fhir:serviced [
a fhir:date ;
fhir:v "2021-06-01"^^xsd:date
  ] ; # 
  fhir:created [ fhir:v "2021-05-27T08:10:13-05:00"^^xsd:dateTime] ; # 
  fhir:request [
fhir:reference [ fhir:v "urn:uuid:a0e6a72c-a35b-4e1c-890e-6d34ed51d4de" ] ;
fhir:type [ fhir:v "CoverageEligibilityRequest"^^xsd:anyURI ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Yes, if medically necessary"] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "#d3637025-883d-4678-9e0a-1d243a338f9f" ] ;
fhir:type [ fhir:v "Organization"^^xsd:anyURI ]
  ] ; # 
  fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "#42b41bdb-1781-49aa-a091-78cdd92129df" ]     ] ;
    ( fhir:item [
fhir:productOrService [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-service"^^xsd:anyURI ] ;
fhir:code [ fhir:v "billing" ] ;
fhir:display [ fhir:v "Billing Code" ]         ] )       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fullBI" ] ;
fhir:display [ fhir:v "Full BI" ]           ] )         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DeductibleApply" ] ;
fhir:display [ fhir:v "Does Deductible Apply?" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "doesIndDedApplyFamily" ] ;
fhir:display [ fhir:v "does ind ded apply to family" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "FamDedMetBefore" ] ;
fhir:display [ fhir:v "Must Fam Ded Be Met Before Bene Cov" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "OOPApply" ] ;
fhir:display [ fhir:v "Does OOP Apply" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IndividualOOPFamily" ] ;
fhir:display [ fhir:v "Does Individual OOP Apply to Family" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "100%Cov" ] ;
fhir:display [ fhir:v "100% Cov only if Family OOP Met" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "InsurerCostShare" ] ;
fhir:display [ fhir:v "Insurer Cost Share %" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PatientCostShare" ] ;
fhir:display [ fhir:v "Patient Cost Share %" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BuyBill" ] ;
fhir:display [ fhir:v "Buy and Bill" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DrugTierLevel" ] ;
fhir:display [ fhir:v "Drug Tier Level" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PatientCostInitial" ] ;
fhir:display [ fhir:v "Patient Cost Share % **Initial Coverage Stage" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "25"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DaysSupplyInitial" ] ;
fhir:display [ fhir:v "Day Supply **Initial Coverage Stage" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "30 day supply"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DrugCopayInitial" ] ;
fhir:display [ fhir:v "Drug Copay **Initial Coverage Stage" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "30.00"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PatientCostCatastrophic" ] ;
fhir:display [ fhir:v "Patient Cost Share % **Catastrophic Coverage Stage" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "15"         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DrugCopayCatastrophic" ] ;
fhir:display [ fhir:v "Drug Co-pay **Catastrophic Coverage Stage" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "10"         ]       ] ) ;
fhir:authorizationRequired [ fhir:v true ]     ] [
fhir:productOrService [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-service"^^xsd:anyURI ] ;
fhir:code [ fhir:v "admin" ] ;
fhir:display [ fhir:v "Admin Code" ]         ] )       ] ;
fhir:unit [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-insurance-unit"^^xsd:anyURI ] ;
fhir:code [ fhir:v "indivitual" ] ;
fhir:display [ fhir:v "Indivitual" ]         ] )       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "deductible" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "OOPMax" ] ;
fhir:display [ fhir:v "OOP MAx" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MaxBenefit/Year" ] ;
fhir:display [ fhir:v "Max Benefit/Year" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MaxLifetimeAmount" ] ;
fhir:display [ fhir:v "Max Lifetime Amount" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SpentDownAmount" ] ;
fhir:display [ fhir:v "Spent Down Amount" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CoverageGap" ] ;
fhir:display [ fhir:v "Coverage Gap" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] ) ;
fhir:authorizationRequired [ fhir:v true ] ;
      ( fhir:authorizationSupporting [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-authorization-supporting"^^xsd:anyURI ] ;
fhir:code [ fhir:v "form" ] ;
fhir:display [ fhir:v "Form" ]         ] )       ] )     ] [
fhir:productOrService [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-service"^^xsd:anyURI ] ;
fhir:code [ fhir:v "billing" ] ;
fhir:display [ fhir:v "Billing Code" ]         ] )       ] ;
fhir:unit [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-insurance-unit"^^xsd:anyURI ] ;
fhir:code [ fhir:v "family" ] ;
fhir:display [ fhir:v "Family" ]         ] )       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "deductible" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "OOPMax" ] ;
fhir:display [ fhir:v "OOP Max" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MaxBenefit/Year" ] ;
fhir:display [ fhir:v "Max Benefit/Year" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] )     ] [
fhir:productOrService [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-service"^^xsd:anyURI ] ;
fhir:code [ fhir:v "billing" ] ;
fhir:display [ fhir:v "Billing Code" ]         ] )       ] ;
fhir:network [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
fhir:code [ fhir:v "in" ] ;
fhir:display [ fhir:v "In Network" ]         ] )       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DrugCo-Pay" ] ;
fhir:display [ fhir:v "Drug Co-Pay" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SpecialistCo-Pay" ] ;
fhir:display [ fhir:v "Specialist Co-Pay" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]         ]       ] [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DeductibleApplyOOP" ] ;
fhir:display [ fhir:v "Does Deductible Apply to OOP" ]           ] )         ] ;
fhir:allowed [
a fhir:string ;
fhir:v "Yes"         ]       ] )     ] )
  ] ) . # 

<urn:uuid:a0e6a72c-a35b-4e1c-890e-6d34ed51d4de> a fhir:CoverageEligibilityRequest ;
  fhir:id [ fhir:v "a0e6a72c-a35b-4e1c-890e-6d34ed51d4de"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-request"^^xsd:anyURI ;
fhir:link <https://fhir.developer.gene.com/StructureDefinition/uapi-coverage-eligibility-request>     ] )
  ] ; # 
  fhir:contained ( [
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: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 ]     ] )
  ] [
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:extension [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/PlanYear"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Calendar Year"       ]     ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/ReferenceNumber"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "jhgfdsd56e5r76"       ]     ] ) ;
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:4db51d32-65c3-4f8c-959e-0155c6d14545" ] ;
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 "2021-08-31"^^xsd:date ] ;
fhir:end [ fhir:v "2021-09-07"^^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 "subplan" ] ;
fhir:display [ fhir:v "SubPlan" ]         ] )       ] ;
fhir:value [ fhir:v "CHAMPVA" ] ;
fhir:name [ fhir:v "SubPlan" ]     ] [
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 "Miltary" ] ;
fhir:name [ fhir:v "Plan" ]     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ] ;
fhir:display [ fhir:v "Group" ]         ] )       ] ;
fhir:value [ fhir:v "12344frgr" ] ;
fhir:name [ fhir:v "Group" ]     ] ) ;
fhir:order [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:network [ fhir:v "Dakotacare" ]
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/SRType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-sr-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "bipa" ] ;
fhir:display [ fhir:v "Benefit Investigation / Prior Authorization" ]       ] )     ]
  ] [
fhir:url [ fhir:v "https://fhir.developer.gene.com/StructureDefinition/Product"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.developer.gene.com/CodeSystem/uapi-product-name"^^xsd:anyURI ] ;
fhir:code [ fhir:v "lucentis" ] ;
fhir:display [ fhir:v "Lucentis" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "old" ] ;
fhir:system [ fhir:v "https://fhir.developer.gene.com/enrollment/bundle-enrollment-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "c78bde64-95e8-41f9-8a37-b2ac9aaf33d6" ]
  ] [
fhir:use [ fhir:v "old" ] ;
fhir:system [ fhir:v "https://fhir.developer.gene.com/enrollment/Case"^^xsd:anyURI ] ;
fhir:value [ fhir:v "05971219" ]
  ] [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://genentech-pps.my.salesforce.com/ProductCoverageID"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PC-4856067" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "benefits"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "urn:uuid:7c0c0017-e08d-4a14-9889-9eea26303ff2" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]
  ] ; # 
  fhir:created [ fhir:v "2021-05-27T08:10:13-05:00"^^xsd:dateTime] ; # 
  fhir:provider [
fhir:reference [ fhir:v "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088" ] ;
fhir:type [ fhir:v "Organization"^^xsd:anyURI ]
  ] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "urn:uuid:d3637025-883d-4678-9e0a-1d243a338f9f" ] ;
fhir:type [ fhir:v "Organization"^^xsd:anyURI ]
  ] ; # 
  fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "#42b41bdb-1781-49aa-a091-78cdd92129df" ]     ]
  ] ) ; # 
  fhir:item ( [
    ( fhir:diagnosis [
fhir:diagnosis [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "E11.3513" ]         ] )       ]     ] )
  ] ) . #