Specialty Medication Enrollment
2.1.0 - CI Build

Specialty Medication Enrollment, published by HL7 International - Pharmacy. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-specialty-rx/ and changes regularly. See the Directory of published versions

## : Specialty Rx Task - Consent Request 2 - Completed - XML Representation

Raw xml | Download

    <Task xmlns="http://hl7.org/fhir">
      <id value="specialty-rx-task-consent-request-2-completed"/>
      <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-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>
      </text>
      <status value="completed"/>
      <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>
      <output>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-task-characteristic"/>
            <code value="completed-consent-reference"/>
          </coding>
          <text value="Completed and signed consent form"/>
        </type>
        <valueReference>
          <reference value="Consent/specialty-rx-consent-1"/>
          <type value="Consent"/>
        </valueReference>
      </output>
    </Task>