Specialty Medication Enrollment
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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 2 - Completed - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Task ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "specialty-rx-task-consent-request-2-completed"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-task-consent-request>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"specialty-rx-task-consent-request-2-completed\"> </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 &quot;specialty-rx-task-consent-request-2-completed&quot; </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>: completed</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> &quot; DOE&quot;</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><h3>Outputs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Completed and signed consent form <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>#completed-consent-reference)</span></td><td><a href=\"Consent-specialty-rx-consent-1.html\">Consent/specialty-rx-consent-1</a></td></tr></table></div>"
  ] ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "plan"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"^^xsd:anyURI ] ;
fhir:code [ fhir:v "obtain-consent" ] ;
fhir:display [ fhir:v "Obtain Consent for Product Fulfillment" ]     ] )
  ] ; # 
  fhir:description [ fhir:v "Have the patient complete the attached consent form and capture a PDF of the signed form in a Consent"] ; # 
  fhir:for [
fhir:reference [ fhir:v "Patient/specialty-rx-patient-1" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2021-12-08"^^xsd:date] ; # 
  fhir:requester [
fhir:identifier [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0999017" ]     ] ;
fhir:display [ fhir:v "Our Pharmacy" ]
  ] ; # 
  fhir:owner [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9941339108" ]     ] ;
fhir:display [ fhir:v "Jane Smith MD" ]
  ] ; # 
  fhir:reasonReference [
fhir:identifier [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PLAC" ] ;
fhir:display [ fhir:v "Placer Identifier" ]         ] )       ] ;
fhir:value [ fhir:v "prescription-70222056" ]     ] ;
fhir:display [ fhir:v "Humira Injector Pen - 2020-03-10" ]
  ] ; # 
  fhir:input ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"^^xsd:anyURI ] ;
fhir:code [ fhir:v "consent-form-reference" ] ;
fhir:display [ fhir:v "Consent Form Reference" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Consent/specialty-rx-consent-requested-1" ] ;
fhir:type [ fhir:v "Consent"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Consent form to be completed" ]     ]
  ] ) ; # 
  fhir:output ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"^^xsd:anyURI ] ;
fhir:code [ fhir:v "completed-consent-reference" ]       ] ) ;
fhir:text [ fhir:v "Completed and signed consent form" ]     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Consent/specialty-rx-consent-1" ] ;
fhir:type [ fhir:v "Consent"^^xsd:anyURI ]     ]
  ] ) . #