FHIR IG analytics| Package | hl7.fhir.us.specialty-rx.r4 |
| Resource Type | Task |
| Id | Task-specialty-rx-task-consent-request-contained.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Resource Task "specialty-rx-task-consent-request-contained"
Profile: Specialty Rx Task - Consent Request
status: requested
intent: plan
code: Obtain Consent for Product Fulfillment (Specialty Rx Code System - Task Characteristic#obtain-consent)
description: Have patient, Amy Shaw, complete the attached consent form
for: Patient/specialty-rx-patient-1: Amy Shaw " DOE"
authoredOn: 2022-05-05
requester: : Bryant Avenue Pharmacy
owner: Practitioner/specialty-rx-practitioner-1: Melissa Jenkins, MD " SMITH"
| - | Type | Value[x] |
| * | Consent Form Reference (Specialty Rx Code System - Task Characteristic#consent-form-reference) |
|
Generated Narrative: Consent #consent-request
status: proposed
scope: Privacy Consent (Consent Scope Codes#patient-privacy)
category: Consent Document (LOINC#59284-0)
patient: Patient/specialty-rx-patient-1: Amy Shaw " DOE"
dateTime: 2022-05-05 09:35:39-0500
performer: Patient/specialty-rx-patient-1: Amy Shaw " DOE"
organization: Organization/us-core-organization-clinic-1: Acme Clinic "Acme Clinic"
source:
policyRule: opt-in (ActCode#OPTIN)
{
"resourceType": "Task",
"id": "specialty-rx-task-consent-request-contained",
"meta": {
"profile": [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Consent",
"id": "consent-request",
"meta": {
"profile": [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-consent-requested"
]
},
"status": "proposed",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "patient-privacy"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "59284-0",
"display": "Consent Document"
}
]
}
],
"patient": {
"reference": "Patient/specialty-rx-patient-1",
"display": "Amy Shaw"
},
"dateTime": "2022-05-05T09:35:39.415-05:00",
"performer": [
{
"reference": "Patient/specialty-rx-patient-1",
"display": "Amy Shaw"
}
],
"organization": [
{
"reference": "Organization/us-core-organization-clinic-1",
"display": "Acme Clinic"
}
],
"sourceAttachment": {
"contentType": "application/pdf",
"data": "JVBERi0xLjMKJbrfrOAKMyAwIG9iago8PC9UeXBlIC9QYWdlCi9QYXJlbnQgMSAwIFIKL1Jlc291cmNlcyAyIDAgUgovTWVkaWFCb3ggWzAgMCA2MTIuIDc5Mi5dCi9Db250ZW50cyA0IDAgUgo+PgplbmRvYmoKNCAwIG9iago8PAovTGVuZ3RoIDY2Ngo+PgpzdHJlYW0KMC41NjcwMDAwMDAwMDAwMDAxIHcKMCBHCkJUCi9GMTAgMTYgVGYKMTguMzk5OTk5OTk5OTk5OTk4NiBUTAowIGcKNDIuNTE5Njg1MDM5MzcwMDgxNCA3NDkuNDgwMzE0OTYwNjI5OTI1NyBUZAooWGFtcHJveGl0ZWxvcGVsZG9sZW9kbCBQYXRpZW50IENvbnNlbnQpIFRqCkVUCkJUCi9GOSAxMiBUZgoxMy43OTk5OTk5OTk5OTk5OTg5IFRMCjAgZwo0Mi41MTk2ODUwMzkzNzAwODE0IDcwOS43OTUyNzU1OTA1NTEyMjc3IFRkCihJIGdpdmUgbXkgY29uc2VudCBmb3IuLi4pIFRqCkVUCkJUCi9GOSAxMiBUZgoxMy43OTk5OTk5OTk5OTk5OTg5IFRMCjAgZwo0Mi41MTk2ODUwMzkzNzAwODE0IDYzMC40MjUxOTY4NTAzOTM3MTc4IFRkCihfX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX18gICAgICAgICAgICAgICAgIF9fX19fX19fX19fX19fX19fX19fX19fKSBUagpFVApCVAovRjkgMTIgVGYKMTMuNzk5OTk5OTk5OTk5OTk4OSBUTAowIGcKNDIuNTE5Njg1MDM5MzcwMDgxNCA2MTAuNTgyNjc3MTY1MzU0MzExOSBUZAooU2lnbmF0dXJlICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIERhdGUpIFRqCkVUCmVuZHN0cmVhbQplbmRvYmoKMSAwIG9iago8PC9UeXBlIC9QYWdlcwovS2lkcyBbMyAwIFIgXQovQ291bnQgMQo+PgplbmRvYmoKNSAwIG9iago8PAovVHlwZSAvRm9udAovQmFzZUZvbnQgL0hlbHZldGljYQovU3VidHlwZSAvVHlwZTEKL0VuY29kaW5nIC9XaW5BbnNpRW5jb2RpbmcKL0ZpcnN0Q2hhciAzMgovTGFzdENoYXIgMjU1Cj4+CmVuZG9iago2IDAgb2JqCjw8Ci9UeXBlIC9Gb250Ci9CYXNlRm9udCAvSGVsdmV0aWNhLUJvbGQKL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKNyAwIG9iago8PAovVHlwZSAvRm9udAovQmFzZUZvbnQgL0hlbHZldGljYS1PYmxpcXVlCi9TdWJ0eXBlIC9UeXBlMQovRW5jb2RpbmcgL1dpbkFuc2lFbmNvZGluZwovRmlyc3RDaGFyIDMyCi9MYXN0Q2hhciAyNTUKPj4KZW5kb2JqCjggMCBvYmoKPDwKL1R5cGUgL0ZvbnQKL0Jhc2VGb250IC9IZWx2ZXRpY2EtQm9sZE9ibGlxdWUKL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKOSAwIG9iago8PAovVHlwZSAvRm9udAovQmFzZUZvbnQgL0NvdXJpZXIKL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKMTAgMCBvYmoKPDwKL1R5cGUgL0ZvbnQKL0Jhc2VGb250IC9Db3VyaWVyLUJvbGQKL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKMTEgMCBvYmoKPDwKL1R5cGUgL0ZvbnQKL0Jhc2VGb250IC9Db3VyaWVyLU9ibGlxdWUKL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKMTIgMCBvYmoKPDwKL1R5cGUgL0ZvbnQKL0Jhc2VGb250IC9Db3VyaWVyLUJvbGRPYmxpcXVlCi9TdWJ0eXBlIC9UeXBlMQovRW5jb2RpbmcgL1dpbkFuc2lFbmNvZGluZwovRmlyc3RDaGFyIDMyCi9MYXN0Q2hhciAyNTUKPj4KZW5kb2JqCjEzIDAgb2JqCjw8Ci9UeXBlIC9Gb250Ci9CYXNlRm9udCAvVGltZXMtUm9tYW4KL1N1YnR5cGUgL1R5cGUxCi9FbmNvZGluZyAvV2luQW5zaUVuY29kaW5nCi9GaXJzdENoYXIgMzIKL0xhc3RDaGFyIDI1NQo+PgplbmRvYmoKMTQgMCBvYmoKPDwKL1R5cGUgL0ZvbnQKL0Jhc2VGb250IC9UaW1lcy1Cb2xkCi9TdWJ0eXBlIC9UeXBlMQovRW5jb2RpbmcgL1dpbkFuc2lFbmNvZGluZwovRmlyc3RDaGFyIDMyCi9MYXN0Q2hhciAyNTUKPj4KZW5kb2JqCjE1IDAgb2JqCjw8Ci9UeXBlIC9Gb250Ci9CYXNlRm9udCAvVGltZXMtSXRhbGljCi9TdWJ0eXBlIC9UeXBlMQovRW5jb2RpbmcgL1dpbkFuc2lFbmNvZGluZwovRmlyc3RDaGFyIDMyCi9MYXN0Q2hhciAyNTUKPj4KZW5kb2JqCjE2IDAgb2JqCjw8Ci9UeXBlIC9Gb250Ci9CYXNlRm9udCAvVGltZXMtQm9sZEl0YWxpYwovU3VidHlwZSAvVHlwZTEKL0VuY29kaW5nIC9XaW5BbnNpRW5jb2RpbmcKL0ZpcnN0Q2hhciAzMgovTGFzdENoYXIgMjU1Cj4+CmVuZG9iagoxNyAwIG9iago8PAovVHlwZSAvRm9udAovQmFzZUZvbnQgL1phcGZEaW5nYmF0cwovU3VidHlwZSAvVHlwZTEKL0ZpcnN0Q2hhciAzMgovTGFzdENoYXIgMjU1Cj4+CmVuZG9iagoxOCAwIG9iago8PAovVHlwZSAvRm9udAovQmFzZUZvbnQgL1N5bWJvbAovU3VidHlwZSAvVHlwZTEKL0ZpcnN0Q2hhciAzMgovTGFzdENoYXIgMjU1Cj4+CmVuZG9iagoyIDAgb2JqCjw8Ci9Qcm9jU2V0IFsvUERGIC9UZXh0IC9JbWFnZUIgL0ltYWdlQyAvSW1hZ2VJXQovRm9udCA8PAovRjEgNSAwIFIKL0YyIDYgMCBSCi9GMyA3IDAgUgovRjQgOCAwIFIKL0Y1IDkgMCBSCi9GNiAxMCAwIFIKL0Y3IDExIDAgUgovRjggMTIgMCBSCi9GOSAxMyAwIFIKL0YxMCAxNCAwIFIKL0YxMSAxNSAwIFIKL0YxMiAxNiAwIFIKL0YxMyAxNyAwIFIKL0YxNCAxOCAwIFIKPj4KL1hPYmplY3QgPDwKPj4KPj4KZW5kb2JqCjE5IDAgb2JqCjw8Ci9Qcm9kdWNlciAoanNQREYgMi4wLjApCi9DcmVhdGlvbkRhdGUgKEQ6MjAyMjA0MTMyMTQwMTEtMDUnMDAnKQo+PgplbmRvYmoKMjAgMCBvYmoKPDwKL1R5cGUgL0NhdGFsb2cKL1BhZ2VzIDEgMCBSCi9PcGVuQWN0aW9uIFszIDAgUiAvRml0SCBudWxsXQovUGFnZUxheW91dCAvT25lQ29sdW1uCj4+CmVuZG9iagp4cmVmCjAgMjEKMDAwMDAwMDAwMCA2NTUzNSBmCjAwMDAwMDA4MzcgMDAwMDAgbgowMDAwMDAyNjU0IDAwMDAwIG4KMDAwMDAwMDAxNSAwMDAwMCBuCjAwMDAwMDAxMjAgMDAwMDAgbgowMDAwMDAwODk0IDAwMDAwIG4KMDAwMDAwMTAxOSAwMDAwMCBuCjAwMDAwMDExNDkgMDAwMDAgbgowMDAwMDAxMjgyIDAwMDAwIG4KMDAwMDAwMTQxOSAwMDAwMCBuCjAwMDAwMDE1NDIgMDAwMDAgbgowMDAwMDAxNjcxIDAwMDAwIG4KMDAwMDAwMTgwMyAwMDAwMCBuCjAwMDAwMDE5MzkgMDAwMDAgbgowMDAwMDAyMDY3IDAwMDAwIG4KMDAwMDAwMjE5NCAwMDAwMCBuCjAwMDAwMDIzMjMgMDAwMDAgbgowMDAwMDAyNDU2IDAwMDAwIG4KMDAwMDAwMjU1OCAwMDAwMCBuCjAwMDAwMDI5MDIgMDAwMDAgbgowMDAwMDAyOTg4IDAwMDAwIG4KdHJhaWxlcgo8PAovU2l6ZSAyMQovUm9vdCAyMCAwIFIKL0luZm8gMTkgMCBSCi9JRCBbIDw3NEUxQTg1MzI1N0VFMDA2Q0VDOTY1REZGNThCNTI5Rj4gPDc0RTFBODUzMjU3RUUwMDZDRUM5NjVERkY1OEI1MjlGPiBdCj4+CnN0YXJ0eHJlZgozMDkyCiUlRU9G",
"title": "Xamproxitelopeldoleodl Patient Consent Form",
"creation": "2021-12-01T16:35:00.000-05:00"
},
"policyRule": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "OPTIN",
"display": "opt-in"
}
]
}
}
],
"status": "requested",
"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"
}
],
"text": "Obtain Consent for Product Fulfillment"
},
"description": "Have patient, Amy Shaw, complete the attached consent form",
"for": {
"reference": "Patient/specialty-rx-patient-1",
"identifier": {
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical Record Number"
}
],
"text": "Medical Record Number"
},
"system": "https://specialty-fhir.azurewebsites.net/responder/dynamic/fhir",
"value": "P100001"
},
"display": "Amy Shaw"
},
"authoredOn": "2022-05-05",
"requester": {
"identifier": {
"use": "official",
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "5026456111"
},
"display": "Bryant Avenue Pharmacy"
},
"owner": {
"reference": "Practitioner/specialty-rx-practitioner-1",
"identifier": {
"use": "official",
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1111111111"
},
"display": "Melissa Jenkins, MD"
},
"input": [
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic",
"code": "consent-form-reference",
"display": "Consent Form Reference"
}
],
"text": "Consent Form Reference"
},
"valueReference": {
"reference": "#consent-request",
"type": "Consent",
"display": "Xamproxitelopeldoleodl Patient Consent Form"
}
}
]
}