Access Solutions Enrollment Experience UAPI
External - Technical Documentation
FHIR IG Examples
Enrollment Workflow Queries in FHIR IG
Use Cases
Access Solutions requires 2 main aspects to initiate their services. They are:
- Prescriber Service
- Patient Consent
The Prescriber Service includes patient, insurance and prescription information used when Genentech Access Solutions contacts a patient's health insurance plan to determine his or her coverage.
The Patient Consent is acknowledged and dated by the patient giving permission for Genentech Access Solutions to discuss his or her health information with the Doctor's office and the patient's health insurance plan. This consent is valid for 6 years from the sign date and valid for 1 year from the sign date for residents in Maryland.
Access Solutions understands that both of these requirements may not be obtained at the same time. Thus, the following scenarios are accepted in the API:
| Use Case | Description | Bundle Example |
|---|---|---|
| Prescriber Service with Patient Consent | This is the ideal package. Access Solutions will be able to immediately initiate their services if both have been submitted. | Link |
| Prescriber Service Only | Sometimes the patient is not available to their Prescriber Office to provide patient consent. Thus, the Prescriber Service can be submitted by itself without the Patient Consent. However, if the patient has an existing Patient Consent on file with Access Solutions, then only the Prescriber Service is needed. | Link |
| Patient Consent Only | When a patient is able to provide Patient Consent and a Prescriber Service is unneeded to be submitted, because the Prescriber Service has already been submitted prior or the Patient Consent on file with Access Solutions is close to expiring. | Link |
Patient Enrollment Resources
Below is the list of Resources used for Patient enrollment:
| FHIR Resource Name | Profile Link | Description |
|---|---|---|
| Bundle | UAPI Bundle - Access Solutions Enrollment | A container for a collection of resources and contains the Transaction ID. |
| MessageHeader | UAPI MessageHeader | The resource that identifies the type of request and high-level information for the request, such as sender information and endpoints. |
| List | List | The resource containing reference to all the resources in incoming bundle request (except bundle and MessageHeader). |
| Patient | UAPI Patient | The resource containing patient information. |
| Practitioner | UAPI Practitioner | The resource containing prescriber details. |
| Organization | UAPI Organization | The resource used to capture details like practice information, payer address, and site of treatment information. |
| MedicationRequest | UAPI MedicationRequest | The resource containing the order for both supply of the medication and the instructions for administration of the medicine to a patient. |
| QuestionnaireResponse | QuestionnaireResponse | The resource that captures the questions related to medication, patient, or services being applied during an enrollment. |
| Condition | UAPI Condition | The resource containing clinical condition, problem, diagnosis. |
| Coverage | UAPI Coverage | The resource containing insurance information of the patient. |
| Consent | UAPI Consent | The resource containing different patient consents. |
| Provenance | UAPI Provenance | The resource that captures the patient's or practitioner signature. |
| ServiceRequest | UAPI ServiceRequest | The resource that contains the services requested during enrollment such. |
| RelatedPerson | UAPI RelatedPerson | The resource that contains the person(s) related to the patient. |