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Packagehl7.fhir.us.specialty-rx.r4
Resource TypeTask
IdTask-specialty-rx-task-consent-request-2-completed.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Task

Resource Task "specialty-rx-task-consent-request-2-completed"

Profile: Specialty Rx Task - Consent Request

status: completed

intent: plan

code: Obtain Consent for Product Fulfillment (Specialty Rx Code System - Task Characteristic#obtain-consent)

description: Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent

for: Patient/specialty-rx-patient-1 " DOE"

authoredOn: 2021-12-08

requester: : Our Pharmacy

owner: : Jane Smith MD

reasonReference: : Humira Injector Pen - 2020-03-10

Inputs

-TypeValue[x]
*Consent Form Reference (Specialty Rx Code System - Task Characteristic#consent-form-reference)Consent/specialty-rx-consent-requested-1: Consent form to be completed

Outputs

-TypeValue[x]
*Completed and signed consent form (Specialty Rx Code System - Task Characteristic#completed-consent-reference)Consent/specialty-rx-consent-1

Source1

{
  "resourceType": "Task",
  "id": "specialty-rx-task-consent-request-2-completed",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "completed",
  "intent": "plan",
  "code": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic",
        "code": "obtain-consent",
        "display": "Obtain Consent for Product Fulfillment"
      }
    ]
  },
  "description": "Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent",
  "for": {
    "reference": "Patient/specialty-rx-patient-1"
  },
  "authoredOn": "2021-12-08",
  "requester": {
    "identifier": {
      "system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
      "value": "0999017"
    },
    "display": "Our Pharmacy"
  },
  "owner": {
    "identifier": {
      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "9941339108"
    },
    "display": "Jane Smith MD"
  },
  "reasonReference": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "PLAC",
            "display": "Placer Identifier"
          }
        ]
      },
      "value": "prescription-70222056"
    },
    "display": "Humira Injector Pen - 2020-03-10"
  },
  "input": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic",
            "code": "consent-form-reference",
            "display": "Consent Form Reference"
          }
        ]
      },
      "valueReference": {
        "reference": "Consent/specialty-rx-consent-requested-1",
        "type": "Consent",
        "display": "Consent form to be completed"
      }
    }
  ],
  "output": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic",
            "code": "completed-consent-reference"
          }
        ],
        "text": "Completed and signed consent form"
      },
      "valueReference": {
        "reference": "Consent/specialty-rx-consent-1",
        "type": "Consent"
      }
    }
  ]
}