https://fhir.developer.gene.com/Bundle/19729d3a-4770-4587-b7c6-a369a878df88
type: Bundle
node role: treeRoot
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-as-enrollment-bundle
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-as-enrollment-bundle
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: RI
      display:
        v: Resource identifier
  system:
    v: http://vendor.com/ab
  assigner:
    display:
      v: Alpha Beta
type:
  v: message
timestamp:
  v: 2020-03-11T08:10:13-05:00

urn:…
type: MessageHeader
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader
text:
  status:
    v: generated
  div: Generated Narrative: MessageHeader eb5eb40b-78e8-4a52-903a-0348c1eac387 Profile: UAPI MessageHeader event: uapi-event-type enrollment-with-consent: enrollment-with-consent Destinations - Name Endpoint * UAPI-ENR-V2.1 https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment sender: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Sources - Name Endpoint * Vendor_AB http://vendor.com/fhir/enrollmentID/ENR-00001 focus: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
event: Coding
  system:
    v: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type
  code:
    v: enrollment-with-consent
destination:
  name:
    v: UAPI-ENR-V2.1
  endpoint:
    v: https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment
sender:
  type:
    v: Organization
source:
  name:
    v: Vendor_AB
  endpoint:
    v: http://vendor.com/fhir/enrollmentID/ENR-00001
focus:
  type:
    v: List

urn:…
type: List
text:
  status:
    v: generated
  div: Generated Narrative: List cff5e9a7-51f3-4beb-a2d3-d8ec79c8a571 messageContext Mode: Change List Status: Current Items Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: 6a7dbbed-6c6f-48b0-b32e-0a5d89dc72b2; type = message; timestamp = 2024-04-02 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: 6a7dbbed-6c6f-48b0-b32e-0a5d89dc72b2; type = message; timestamp = 2024-04-02 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
status:
  v: current
mode:
  v: changes
title:
  v: messageContext
entry:
  item:
    type:
      v: Patient
entry:
  item:
    type:
      v: Organization
entry:
  item:
    type:
      v: Practitioner
entry:
  item:
    type:
      v: Coverage
entry:
  item:
    type:
      v: RelatedPerson
entry:
  item:
    type:
      v: QuestionnaireResponse
entry:
  item:
    type:
      v: Condition
entry:
  item:
    type:
      v: Consent
entry:
  item:
    type:
      v: Consent
entry:
  item:
    type:
      v: Provenance
entry:
  item:
    type:
      v: ServiceRequest
entry:
  item:
    type:
      v: MedicationRequest
entry:
  item:
    type:
      v: Organization
entry:
  item:
    type:
      v: Organization

urn:…
type: Patient
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-patient
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-patient
text:
  status:
    v: generated
  div: Generated Narrative: Patient fc2e5a72-c363-4616-ae00-4ad25cbcb45c Profile: UAPI Patient Ryan Michaelson (official) Male, DoB: 1972-10-29 ( Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177 (use: official, )) Contact Detail ph: 1231231234(Home) ph: 1234561234(Mobile) bobster83@example.com 1234 Main St San Francisco CA 94105 US Language: English (preferred) Links: General Practitioner: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Managing Organization: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PI
      display:
        v: Patient internal identifier
  system:
    v: http://vendor.com/ab
  assigner:
    display:
      v: AB Vendor
name:
  use:
    v: official
  family:
    v: Michaelson
  given:
    v: Ryan
telecom:
  system:
    v: phone
  value:
    v: 1231231234
  use:
    v: home
  rank:
    v: 1
telecom:
  system:
    v: phone
  value:
    v: 1234561234
  use:
    v: mobile
  rank:
    v: 2
telecom:
  system:
    v: email
  use:
    v: home
  rank:
    v: 3
gender:
  v: male
birth date:
  v: 1972-10-29
address:
  line:
    v: 1234 Main St
  city:
    v: San Francisco
  state:
    v: CA
  postal code:
    v: 94105
  country:
    v: US
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: en
      display:
        v: English
  preferred:
    v: true

urn:…
type: Organization
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization 01c31a2f-321d-4c6e-8349-206af8a88088 Profile: UAPI Organization identifier: http://vendor.com/ab/HOSP-12345 (use: usual, ) type: Healthcare Provider name: Mid Atlantic Retina telecom: mar@example.com address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US contact name: Venus Yardav (Official) telecom: ph: 8882704882(Work), fax: 8179974042(Work)
identifier:
  use:
    v: usual
  system:
    v: http://vendor.com/ab
  value:
    v: HOSP-12345
  assigner:
    display:
      v: AB Vendor
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
    code:
      v: prov
    display:
      v: Healthcare Provider
name:
  v: Mid Atlantic Retina
telecom:
  system:
    v: email
address:
  line:
    v: 8 Ranoldo Terrace
  city:
    v: Cherry Hill
  state:
    v: NJ
  postal code:
    v: 08034
  country:
    v: US
contact:
  name:
    use:
      v: official
    family:
      v: Yardav
    given:
      v: Venus
  telecom:
    system:
      v: phone
    value:
      v: 8882704882
    use:
      v: work
    rank:
      v: 1
  telecom:
    system:
      v: fax
    value:
      v: 8179974042
    use:
      v: work
    rank:
      v: 2

urn:…
type: Practitioner
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner 695d0991-5e03-46df-934a-85a28acd95c1 Profile: UAPI Practitioner identifier: Provider number/1922071448 (use: official, ), Tax ID number/00000000 (use: official, ), National provider identifier/1639285034 (use: official, ) name: MARISSA CRUZ (Official)
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PRN
      display:
        v: Provider number
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1922071448
  assigner:
    display:
      v: Centers for Medicare & Medicaid Services
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: TAX
      display:
        v: Tax ID number
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 00000000
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: NPI
      display:
        v: National provider identifier
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1639285034
name:
  use:
    v: official
  family:
    v: CRUZ
  given:
    v: MARISSA

urn:…
type: Coverage
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-coverage
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-coverage
text:
  status:
    v: generated
  div: Generated Narrative: Coverage 42b41bdb-1781-49aa-a091-78cdd92129df Profile: UAPI Coverage status: Active type: health insurance plan policy subscriber: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 subscriberId: 4353 beneficiary: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 payor: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Classes - Type Value Name * Group 12344frgr Group Number order: 1 network: Dakotacare
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    code:
      v: HIP
    display:
      v: health insurance plan policy
subscriber:
  type:
    v: RelatedPerson
subscriber id:
  v: 4353
beneficiary:
  type:
    v: Patient
payor:
  type:
    v: Organization
class:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/coverage-class
      code:
        v: group
      display:
        v: Group
  value:
    v: 12344frgr
  name:
    v: Group Number
order:
  v: 1
network:
  v: Dakotacare

urn:…
type: RelatedPerson
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson 4db51d32-65c3-4f8c-959e-0155c6d14545 Profile: UAPI RelatedPerson patient: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 relationship: significant other name: Bob Paul Smith (Official) telecom: ph: 1234567890(Mobile) birthDate: 1972-10-29
patient:
  type:
    v: Patient
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: SIGOTHR
    display:
      v: significant other
name:
  use:
    v: official
  family:
    v: Smith
  given:
    v: Bob Paul
telecom:
  system:
    v: phone
  value:
    v: 1234567890
  use:
    v: mobile
birth date:
  v: 1972-10-29

urn:…
type: QuestionnaireResponse
text:
  status:
    v: generated
  div: Generated Narrative: QuestionnaireResponse ad06da9c-768b-4e4b-8d73-cded38cd8194 LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> ad06da9c-768b-4e4b-8d73-cded38cd8194 Questionnaire:https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234 #xD; detailed-message Ok to leave detailed message Yes #xD; household-size Household size (including you) 2 #xD; household-income-amount Annual household income $75,000 #xD; eligibility-reason Eligibility Reason Insured: No Coverage for Medication #xD; contact-patient Do not contact patient Yes #xD; herceptin-drug-allergies Drug Allergies? No Known #xD; herceptin-other-allergies Other Allergies some allergy #xD; herceptin-other-medicines-prescribed Other Medicines Prescribed none #xD; shipment-options Shipment Options Upfront #xD; ship-to Ship to: Site of Treatment #xD; site-of-treatment-2 Third-party Site of Treatment Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 #xD; treatment-started Has treatment started? Yes #xD; prescription-plan Is this a Prescription plan? No #xD; has-treatment-started Has treatment started? No #xD; tcpa-consent TCPA Consent Provided? Yes #xD; pos Place of Service Infusion Center #xD; ins-type-1 Insurance Type 1 Comm #xD; ins-max-oop-1 Maximum out of pocket 1 5000 #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
questionnaire:
  v: https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234
  link: https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234
status:
  v: completed
subject:
  type:
    v: Patient
item:
  link id:
    v: detailed-message
  text:
    v: Ok to leave detailed message
  answer:
    value: string
      v: Yes
item:
  link id:
    v: household-size
  text:
    v: Household size (including you)
  answer:
    value: string
      v: 2
item:
  link id:
    v: household-income-amount
  text:
    v: Annual household income
  answer:
    value: string
      v: $75,000
item:
  link id:
    v: eligibility-reason
  text:
    v: Eligibility Reason
  answer:
    value: string
      v: Insured: No Coverage for Medication
item:
  link id:
    v: contact-patient
  text:
    v: Do not contact patient
  answer:
    value: string
      v: Yes
item:
  link id:
    v: herceptin-drug-allergies
  text:
    v: Drug Allergies?
  answer:
    value: string
      v: No Known
item:
  link id:
    v: herceptin-other-allergies
  text:
    v: Other Allergies
  answer:
    value: string
      v: some allergy
item:
  link id:
    v: herceptin-other-medicines-prescribed
  text:
    v: Other Medicines Prescribed
  answer:
    value: string
      v: none
item:
  link id:
    v: shipment-options
  text:
    v: Shipment Options
  answer:
    value: string
      v: Upfront
item:
  link id:
    v: ship-to
  text:
    v: Ship to:
  answer:
    value: string
      v: Site of Treatment
item:
  link id:
    v: site-of-treatment-2
  text:
    v: Third-party Site of Treatment
  answer:
    value: Reference
      type:
        v: Organization
item:
  link id:
    v: treatment-started
  text:
    v: Has treatment started?
  answer:
    value: string
      v: Yes
item:
  link id:
    v: prescription-plan
  text:
    v: Is this a Prescription plan?
  answer:
    value: string
      v: No
item:
  link id:
    v: has-treatment-started
  text:
    v: Has treatment started?
  answer:
    value: string
      v: No
item:
  link id:
    v: tcpa-consent
  text:
    v: TCPA Consent Provided?
  answer:
    value: string
      v: Yes
item:
  link id:
    v: pos
  text:
    v: Place of Service
  answer:
    value: string
      v: Infusion Center
item:
  link id:
    v: ins-type-1
  text:
    v: Insurance Type 1
  answer:
    value: string
      v: Comm
item:
  link id:
    v: ins-max-oop-1
  text:
    v: Maximum out of pocket 1
  answer:
    value: decimal
      v: 5000

urn:…
type: Condition
text:
  status:
    v: generated
  div: Generated Narrative: Condition bc20c5ea-f639-4221-ab61-ce75c5e64aba code: Malignant neoplasm of nipple and areola, right female breast subject: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10-cm
    code:
      v: C50.011
subject:
  type:
    v: Patient

urn:…
type: Consent
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-consent
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-consent
text:
  status:
    v: generated
  div: Generated Narrative: Consent 1b53bfb2-1361-4906-acd8-35294d30273b Profile: UAPI Consent status: Active scope: Privacy Consent category: Patient Authorization Signature patient: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 dateTime: 2016-06-16 16:24:45+0000 performer: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 policyRule: HIPAA Authorization Provisions - Type * Opt In
status:
  v: active
scope:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentscope
    code:
      v: patient-privacy
    display:
      v: Privacy Consent
category:
  coding: https://loinc.org/rdf/59284-0
    system:
      v: http://loinc.org
    code:
      v: 59284-0
    display:
      v: Patient Authorization Signature
patient:
  type:
    v: Patient
date time:
  v: 2016-06-16T16:24:45Z
performer:
  type:
    v: Patient
policy rule:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentpolicycodes
    code:
      v: hipaa-auth
    display:
      v: HIPAA Authorization
provision:
  type:
    v: permit

urn:…
type: Consent
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-consent
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-consent
text:
  status:
    v: generated
  div: Generated Narrative: Consent 21b30e89-e799-484a-abcd-8c25c0b2599b Profile: UAPI Consent status: Active scope: Privacy Consent category: Prescriber Signature patient: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 policyRule: HIPAA Authorization
status:
  v: active
scope:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentscope
    code:
      v: patient-privacy
    display:
      v: Privacy Consent
category:
  coding: https://loinc.org/rdf/59284-0
    system:
      v: http://loinc.org
    code:
      v: 59284-0
    display:
      v: Prescriber Signature
patient:
  type:
    v: Patient
policy rule:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentpolicycodes
    code:
      v: hipaa-auth
    display:
      v: HIPAA Authorization

urn:…
type: Provenance
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-provenance
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-provenance
text:
  status:
    v: generated
  div: Generated Narrative: Provenance 3cb05f30-9842-4651-a17d-930d7170bedf Profile: UAPI Provenance Provenance for Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 Summary Recorded 2022-02-07 09:49:39+0000 Agents who Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
target:
  type:
    v: Consent
recorded:
  v: 2022-02-07T09:49:39.382941+00:00
agent:
  who:
    type:
      v: Practitioner
signature:
  type:
    system:
      v: urn:iso-astm:E1762-95:2013
    code:
      v: 1.2.840.10065.1.12.1.7
    display:
      v: Consent Signature
  when:
    v: 2022-02-07T09:49:39.382897+00:00
  who:
    type:
      v: Practitioner
  sig format:
    v: image/*

urn:…
type: ServiceRequest
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-servicerequest
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest aecbb129-9a73-4b59-9d66-ff5cdb3f3164 Profile: UAPI ServiceRequest status: Active intent: Order code: Patient Foundation subject: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500
status:
  v: active
intent:
  v: order
code:
  coding:
    system:
      v: https://fhir.developer.gene.com/CodeSystem/uapi-sr-type
    code:
      v: gpf
subject:
  type:
    v: Patient

urn:…
type: MedicationRequest
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-medicationrequest
text:
  status:
    v: generated
  div: Generated Narrative: MedicationRequest 36d0ee7e-0e25-4b78-ba93-77786150a76c Profile: UAPI MedicationRequest status: Active intent: Order medication: Herceptin subject: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 requester: Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500 insurance: Bundle: identifier = Resource identifier: 6a7dbbed-6c6f-48b0-b32e-0a5d89dc72b2; type = message; timestamp = 2024-04-02 08:10:13-0500 note: Once every 3 weeks dosageInstruction timing: Once per 3 weeks DoseAndRates - Dose[x] * 150 mg dispenseRequest numberOfRepeatsAllowed: 2 ExpectedSupplyDurations - Value Unit * 3 150 mg vial(s)
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: https://fhir.developer.gene.com/CodeSystem/uapi-product-name
    code:
      v: herceptin
    display:
      v: Herceptin
subject:
  type:
    v: Patient
requester:
  type:
    v: Practitioner
insurance:
  type:
    v: Coverage
note:
  text:
    v: Once every 3 weeks
dosage instruction:
  timing:
    repeat:
      frequency:
        v: 1
      period:
        v: 3
      period unit:
        v: wk
  dose and rate:
    dose: Quantity
      value:
        v: 150
      unit:
        v: mg
dispense request:
  number of repeats allowed:
    v: 2
  expected supply duration:
    value:
      v: 3
    unit:
      v: 150 mg vial(s)

urn:…
type: Organization
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization d3637025-883d-4678-9e0a-1d243a338f9f Profile: UAPI Organization identifier: http://vendor.com/ab/PAY-111 (use: usual, ) type: Insurance Company name: Dakotacare telecom: ph: 8778472862(Work)
identifier:
  use:
    v: usual
  system:
    v: http://vendor.com/ab
  value:
    v: PAY-111
  assigner:
    display:
      v: AB Vendor
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
    code:
      v: ins
name:
  v: Dakotacare
telecom:
  system:
    v: phone
  value:
    v: 8778472862
  use:
    v: work
  rank:
    v: 1

urn:…
type: Organization
meta:
  profile:
    v: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
    link: https://fhir.developer.gene.com/StructureDefinition/uapi-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization 45cf0b29-8c1d-4882-91e1-00bc28c06a52 Profile: UAPI Organization identifier: http://SOT.com/ab/Infusion Site Id (use: usual, ) type: Site of Treatment name: Infusion Centre telecom: ph: 8882704882(Work), fax: 8179974042(Work) address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US Contacts - Name Telecom * Venus Yardav (Official) ph: -unknown-
identifier:
  use:
    v: usual
  system:
    v: http://SOT.com/ab
  value:
    v: Infusion Site Id
  assigner:
    display:
      v: Site of Treatment/Infusion Centre Name
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
    code:
      v: other
    display:
      v: Site of Treatment
  text:
    v: Site of Treatment
name:
  v: Infusion Centre
telecom:
  system:
    v: phone
  value:
    v: 8882704882
  use:
    v: work
  rank:
    v: 1
telecom:
  system:
    v: fax
  value:
    v: 8179974042
  use:
    v: work
  rank:
    v: 2
address:
  line:
    v: 8 Ranoldo Terrace
  city:
    v: Cherry Hill
  state:
    v: NJ
  postal code:
    v: 08034
  country:
    v: US
contact:
  name:
    use:
      v: official
    family:
      v: Yardav
    given:
      v: Venus
  telecom:
    system:
      v: phone