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 Contained - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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-contained"] ; # 
  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-contained\"> </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-contained&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>: 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 patient, Amy Shaw, complete the attached consent form</p><p><b>for</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1: Amy Shaw</a> &quot; DOE&quot;</p><p><b>authoredOn</b>: 2022-05-05</p><p><b>requester</b>: <span>: Bryant Avenue Pharmacy</span></p><p><b>owner</b>: <a href=\"Practitioner-specialty-rx-practitioner-1.html\">Practitioner/specialty-rx-practitioner-1: Melissa Jenkins, MD</a> &quot; SMITH&quot;</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 name=\"consent-request\"> </a><blockquote><p/><p><a name=\"consent-request\"> </a></p><p><b>status</b>: proposed</p><p><b>scope</b>: Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: Consent Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#59284-0)</span></p><p><b>patient</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1: Amy Shaw</a> &quot; DOE&quot;</p><p><b>dateTime</b>: 2022-05-05 09:35:39-0500</p><p><b>performer</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1: Amy Shaw</a> &quot; DOE&quot;</p><p><b>organization</b>: <a href=\"Organization-us-core-organization-clinic-1.html\">Organization/us-core-organization-clinic-1: Acme Clinic</a> &quot;Acme Clinic&quot;</p><p><b>source</b>: </p><p><b>policyRule</b>: opt-in <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#OPTIN)</span></p></blockquote></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Consent #consent-request</b><a name=\"consent-request\"> </a></p><p><b>status</b>: proposed</p><p><b>scope</b>: Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: Consent Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#59284-0)</span></p><p><b>patient</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1: Amy Shaw</a> &quot; DOE&quot;</p><p><b>dateTime</b>: 2022-05-05 09:35:39-0500</p><p><b>performer</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1: Amy Shaw</a> &quot; DOE&quot;</p><p><b>organization</b>: <a href=\"Organization-us-core-organization-clinic-1.html\">Organization/us-core-organization-clinic-1: Acme Clinic</a> &quot;Acme Clinic&quot;</p><p><b>source</b>: </p><p><b>policyRule</b>: opt-in <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#OPTIN)</span></p></blockquote></div>"
  ] ; # 
  fhir:contained ( [
a fhir:Consent ;
fhir:id [ fhir:v "consent-request" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-consent-requested"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-consent-requested>       ] )     ] ;
fhir:status [ fhir:v "proposed" ] ;
fhir:scope [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ] ;
fhir:code [ fhir:v "patient-privacy" ]       ] )     ] ;
    ( fhir:category [
      ( fhir:coding [
a loinc:59284-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59284-0" ] ;
fhir:display [ fhir:v "Consent Document" ]       ] )     ] ) ;
fhir:patient [
fhir:reference [ fhir:v "Patient/specialty-rx-patient-1" ] ;
fhir:display [ fhir:v "Amy Shaw" ]     ] ;
fhir:dateTime [ fhir:v "2022-05-05T09:35:39.415-05:00"^^xsd:dateTime ] ;
    ( fhir:performer [
fhir:reference [ fhir:v "Patient/specialty-rx-patient-1" ] ;
fhir:display [ fhir:v "Amy Shaw" ]     ] ) ;
    ( fhir:organization [
fhir:reference [ fhir:v "Organization/us-core-organization-clinic-1" ] ;
fhir:display [ fhir:v "Acme Clinic" ]     ] ) ;
fhir:source [
a fhir:Attachment ;
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ] ;
fhir:title [ fhir:v "Xamproxitelopeldoleodl Patient Consent Form" ] ;
fhir:creation [ fhir:v "2021-12-01T16:35:00.000-05:00"^^xsd:dateTime ]     ] ;
fhir:policyRule [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "OPTIN" ] ;
fhir:display [ fhir:v "opt-in" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "requested"] ; # 
  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:text [ fhir:v "Obtain Consent for Product Fulfillment" ]
  ] ; # 
  fhir:description [ fhir:v "Have patient, Amy Shaw, complete the attached consent form"] ; # 
  fhir:for [
fhir:reference [ fhir:v "Patient/specialty-rx-patient-1" ] ;
fhir:identifier [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ]         ] ) ;
fhir:text [ fhir:v "Medical Record Number" ]       ] ;
fhir:system [ fhir:v "https://specialty-fhir.azurewebsites.net/responder/dynamic/fhir"^^xsd:anyURI ] ;
fhir:value [ fhir:v "P100001" ]     ] ;
fhir:display [ fhir:v "Amy Shaw" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2022-05-05"^^xsd:date] ; # 
  fhir:requester [
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "5026456111" ]     ] ;
fhir:display [ fhir:v "Bryant Avenue Pharmacy" ]
  ] ; # 
  fhir:owner [
fhir:reference [ fhir:v "Practitioner/specialty-rx-practitioner-1" ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1111111111" ]     ] ;
fhir:display [ fhir:v "Melissa Jenkins, MD" ]
  ] ; # 
  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:text [ fhir:v "Consent Form Reference" ]     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#consent-request" ] ;
fhir:type [ fhir:v "Consent"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Xamproxitelopeldoleodl Patient Consent Form" ]     ]
  ] ) . #