This page is part of the Specialty Medication Enrollment (v2.0.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
: Specialty Rx Task - Consent Request 1 - XML Representation
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<Task xmlns="http://hl7.org/fhir">
<id value="specialty-rx-task-consent-request-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Task</b><a name="specialty-rx-task-consent-request-1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Task "specialty-rx-task-consent-request-1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-specialty-rx-task-consent-request.html">Specialty Rx Task - Consent Request</a></p></div><p><b>status</b>: requested</p><p><b>intent</b>: plan</p><p><b>code</b>: Obtain Consent for Product Fulfillment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-specialty-rx-task-characteristic.html">Specialty Rx Code System - Task Characteristic</a>#obtain-consent)</span></p><p><b>description</b>: Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent</p><p><b>for</b>: <a href="Patient-specialty-rx-patient-1.html">Patient/specialty-rx-patient-1</a> " DOE"</p><p><b>authoredOn</b>: 2021-12-08</p><p><b>requester</b>: <span>: Our Pharmacy</span></p><p><b>owner</b>: <span>: Jane Smith MD</span></p><p><b>reasonReference</b>: <span>: Humira Injector Pen - 2020-03-10</span></p><h3>Inputs</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Consent Form Reference <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-specialty-rx-task-characteristic.html">Specialty Rx Code System - Task Characteristic</a>#consent-form-reference)</span></td><td><a href="Consent-specialty-rx-consent-requested-1.html">Consent/specialty-rx-consent-requested-1: Consent form to be completed</a></td></tr></table></div>
</text>
<status value="requested"/>
<intent value="plan"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"/>
<code value="obtain-consent"/>
<display value="Obtain Consent for Product Fulfillment"/>
</coding>
</code>
<description
value="Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent"/>
<for>
<reference value="Patient/specialty-rx-patient-1"/>
</for>
<authoredOn value="2021-12-08"/>
<requester>
<identifier>
<system
value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
<value value="0999017"/>
</identifier>
<display value="Our Pharmacy"/>
</requester>
<owner>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<display value="Jane Smith MD"/>
</owner>
<reasonReference>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<value value="prescription-70222056"/>
</identifier>
<display value="Humira Injector Pen - 2020-03-10"/>
</reasonReference>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"/>
<code value="consent-form-reference"/>
<display value="Consent Form Reference"/>
</coding>
</type>
<valueReference>
<reference value="Consent/specialty-rx-consent-requested-1"/>
<type value="Consent"/>
<display value="Consent form to be completed"/>
</valueReference>
</input>
</Task>
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