Specialty Medication Enrollment
2.0.0-ballot - STU 2 Ballot US

This page is part of the Specialty Medication Enrollment (v2.0.0-ballot: STU2 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example Task: Specialty Rx Task - Consent Request 2 - Completed

Example notes

This example illustrates the Task content after the patient has completed and signed the supplied consent form.

Key elements in the completed Task are…

  • Task.status: completed
  • Task.output: A reference to a Consent resource containing the completed consent form

Example data content

Task
id@value:  specialty-rx-task-consent-request-2-completed
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request
textstatus@value:  generated
status@value:  completed
intent@value:  plan
codecodingsystem@value:  http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-typecode@value:  obtain-consentdisplay@value:  Obtain Consent for Product Fulfillment
description@value:  Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent
forreference@value:  Patient/specialty-rx-patient-1
authoredOn@value:  2021-12-08
requesteridentifiersystem@value:  http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value:  0999017
display@value:  Our Pharmacy
owneridentifiersystem@value:  http://hl7.org/fhir/sid/us-npivalue@value:  9941339108
display@value:  Jane Smith MD
reasonReferenceidentifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  PLACdisplay@value:  Placer Identifier
value@value:  prescription-70222056
display@value:  Humira Injector Pen - 2020-03-10
inputtypecodingsystem@value:  http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-input-typecode@value:  consent-form-referencedisplay@value:  Consent Form Reference
valueReferencereference@value:  Consent/specialty-rx-consent-requested-1type@value:  Consentdisplay@value:  Consent form to be completed
outputtypecodingsystem@value:  http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-output-typecode@value:  completed-consent-reference
text@value:  Completed and signed consent form
valueReferencereference@value:  Consent/specialty-rx-consent-1type@value:  Consent

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 Type#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 Input Type#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 Output Type#completed-consent-reference)Consent/specialty-rx-consent-1