FHIR IG analytics| Package | hl7.fhir.us.specialty-rx.r4b |
| Resource Type | Task |
| Id | Task-specialty-rx-task-consent-request-2-completed.json |
| FHIR Version | R4B |
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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
| - | Type | Value[x] |
| * | Consent Form Reference (Specialty Rx Code System - Task Characteristic#consent-form-reference) | Consent/specialty-rx-consent-requested-1: Consent form to be completed |
| - | Type | Value[x] |
| * | Completed and signed consent form (Specialty Rx Code System - Task Characteristic#completed-consent-reference) | Consent/specialty-rx-consent-1 |
{
"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"
}
}
]
}