Universal API Implementation Guide
1.1.19 - ci-build

Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions

: External - UAPI PCF only Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "73d19620-8168-4d4c-ad4b-9fb8f29419fg",
  "meta" : {
    "profile" : [
      "https://fhir.developer.gene.com/StructureDefinition/uapi-PCF-enrollment-bundle"
    ]
  },
  "identifier" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "RI",
          "display" : "Resource identifier"
        }
      ]
    },
    "system" : "http://vendor.com/ab",
    "value" : "73d19620-8168-4d4c-ad4b-9fb8f29419fg",
    "assigner" : {
      "display" : "Alpha Beta"
    }
  },
  "type" : "message",
  "timestamp" : "2020-03-11T08:10:13-05:00",
  "entry" : [
    {
      "fullUrl" : "50ddc1a3-1fec-4467-b380-5ac0333a8fbf",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "eb5eb40b-78e8-4a52-903a-0348c1eac387",
        "meta" : {
          "profile" : [
            "https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"eb5eb40b-78e8-4a52-903a-0348c1eac387\"> </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 MessageHeader \"eb5eb40b-78e8-4a52-903a-0348c1eac387\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-messageheader.html\">UAPI MessageHeader</a></p></div><p><b>event</b>: consent-only (Details: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type code consent-only = 'consent-only', stated as 'null')</p><h3>Destinations</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>UAPI-ENR-V2.0</td><td><a href=\"https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment\">https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088\">urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>Vendor_AB</td><td><a href=\"http://vendor.com/fhir/enrollmentID/ENR-00001\">http://vendor.com/fhir/enrollmentID/ENR-00001</a></td></tr></table><p><b>focus</b>: <a href=\"#List_584681db-df12-4038-bc82-7c438b06e63b\">See above (urn:uuid:08352e51-aec9-4773-a077-89226f99fc99)</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type",
          "code" : "consent-only"
        },
        "destination" : [
          {
            "name" : "UAPI-ENR-V2.0",
            "endpoint" : "https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment"
          }
        ],
        "sender" : {
          "reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088",
          "type" : "Organization"
        },
        "source" : {
          "name" : "Vendor_AB",
          "endpoint" : "http://vendor.com/fhir/enrollmentID/ENR-00001"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:08352e51-aec9-4773-a077-89226f99fc99",
            "type" : "List"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:08352e51-aec9-4773-a077-89226f99fc99",
      "resource" : {
        "resourceType" : "List",
        "id" : "584681db-df12-4038-bc82-7c438b06e63b",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: List</b><a name=\"584681db-df12-4038-bc82-7c438b06e63b\"> </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 List \"584681db-df12-4038-bc82-7c438b06e63b\" </p></div><p><b>status</b>: current</p><p><b>mode</b>: changes</p><p><b>title</b>: messageContext</p><blockquote><p><b>entry</b></p><p><b>item</b>: <a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href=\"#QuestionnaireResponse_5342779a-184f-42ba-ab44-3a8e023979f7\">See above (urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href=\"#Consent_1b53bfb2-1361-4906-acd8-35294d30273b\">See above (urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b)</a></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: <a href=\"#RelatedPerson_4db51d32-65c3-4f8c-959e-0155c6d14545\">See above (urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545)</a></p></blockquote></div>"
        },
        "status" : "current",
        "mode" : "changes",
        "title" : "messageContext",
        "entry" : [
          {
            "item" : {
              "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
              "type" : "Patient"
            }
          },
          {
            "item" : {
              "reference" : "urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7",
              "type" : "QuestionnaireResponse"
            }
          },
          {
            "item" : {
              "reference" : "urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b",
              "type" : "Consent"
            }
          },
          {
            "item" : {
              "reference" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
              "type" : "RelatedPerson"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
        "meta" : {
          "profile" : [
            "https://fhir.developer.gene.com/StructureDefinition/uapi-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"fc2e5a72-c363-4616-ae00-4ad25cbcb45c\"> </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 Patient \"fc2e5a72-c363-4616-ae00-4ad25cbcb45c\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-patient.html\">UAPI Patient</a></p></div><p><b>identifier</b>: Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177(use: USUAL)</p><p><b>name</b>: Ryan Michaelson (OFFICIAL)</p><p><b>telecom</b>: ph: 1231231234(HOME), ph: 1234561234(MOBILE), <a href=\"mailto:bobster83@example.com\">bobster83@example.com</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1972-10-29</p><p><b>address</b>: 1234 Main St San Francisco CA 94105 US </p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en)</span></td><td>true</td></tr></table><p><b>generalPractitioner</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1</a></p><p><b>managingOrganization</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-01c31a2f-321d-4c6e-8349-206af8a88088\">urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088</a></p></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PI",
                  "display" : "Patient internal identifier"
                }
              ]
            },
            "system" : "http://vendor.com/ab",
            "value" : "6bcd8467-0473-4836-9128-2e7972f23177",
            "assigner" : {
              "display" : "AB Vendor"
            }
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Michaelson",
            "given" : [
              "Ryan"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "1231231234",
            "use" : "home",
            "rank" : 1
          },
          {
            "system" : "phone",
            "value" : "1234561234",
            "use" : "mobile",
            "rank" : 2
          },
          {
            "system" : "email",
            "value" : "bobster83@example.com",
            "use" : "home",
            "rank" : 3
          }
        ],
        "gender" : "male",
        "birthDate" : "1972-10-29",
        "address" : [
          {
            "line" : [
              "1234 Main St"
            ],
            "city" : "San Francisco",
            "state" : "CA",
            "postalCode" : "94105",
            "country" : "US"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en",
                  "display" : "English"
                }
              ]
            },
            "preferred" : true
          }
        ],
        "generalPractitioner" : [
          {
            "reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"
          }
        ],
        "managingOrganization" : {
          "reference" : "urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "4db51d32-65c3-4f8c-959e-0155c6d14545",
        "meta" : {
          "profile" : [
            "https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b><a name=\"4db51d32-65c3-4f8c-959e-0155c6d14545\"> </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 RelatedPerson \"4db51d32-65c3-4f8c-959e-0155c6d14545\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-relatedPerson.html\">UAPI RelatedPerson</a></p></div><p><b>patient</b>: <a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>relationship</b>: significant other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#SIGOTHR)</span></p><p><b>name</b>: Bob Paul Smith (OFFICIAL)</p><p><b>telecom</b>: <a href=\"tel:+33(237)998327\">+33 (237) 998327</a></p><p><b>birthDate</b>: 1972-10-29</p></div>"
        },
        "patient" : {
          "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
          "type" : "Patient"
        },
        "relationship" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "SIGOTHR",
                "display" : "significant other"
              }
            ]
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Smith",
            "given" : [
              "Bob Paul"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+33 (237) 998327",
            "use" : "mobile"
          }
        ],
        "birthDate" : "1972-10-29"
      }
    },
    {
      "fullUrl" : "urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7",
      "resource" : {
        "resourceType" : "QuestionnaireResponse",
        "id" : "5342779a-184f-42ba-ab44-3a8e023979f7",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: QuestionnaireResponse</b><a name=\"5342779a-184f-42ba-ab44-3a8e023979f7\"> </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 QuestionnaireResponse \"5342779a-184f-42ba-ab44-3a8e023979f7\" </p></div><p><b>questionnaire</b>: <a href=\"https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234\">https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: do-not-contact-patient</p><p><b>text</b>: Do not contact patient</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: has-patient-started-therapy</p><p><b>text</b>: Has Patient Started Therapy</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ok-to-send-text-message</p><p><b>text</b>: Ok to send text messag</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anticipated-date-of-treatment</p><p><b>text</b>: Anticipated Date of Treatment</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>2021-01-03</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ok-to-leave-detailed-message</p><p><b>text</b>: Ok to leave detailed message</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Yes</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: pa-in-place</p><p><b>text</b>: Is prior authorization in place?</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: re-verify-benefits-at-pa-expiration</p><p><b>text</b>: Re-verify benefits at PA expiration</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: specialty-pharmacy</p><p><b>text</b>: Specialty Pharmacy?</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: onsite-pharmacy</p><p><b>text</b>: Onsite Pharmacy?</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>No</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: authorization</p><p><b>text</b>: Authorization #</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>#3456789</td></tr></table></blockquote></div>"
        },
        "questionnaire" : "https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234",
        "status" : "completed",
        "subject" : {
          "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
          "type" : "Patient"
        },
        "item" : [
          {
            "linkId" : "do-not-contact-patient",
            "text" : "Do not contact patient",
            "answer" : [
              {
                "valueString" : "Yes"
              }
            ]
          },
          {
            "linkId" : "has-patient-started-therapy",
            "text" : "Has Patient Started Therapy",
            "answer" : [
              {
                "valueString" : "Yes"
              }
            ]
          },
          {
            "linkId" : "ok-to-send-text-message",
            "text" : "Ok to send text messag",
            "answer" : [
              {
                "valueString" : "Yes"
              }
            ]
          },
          {
            "linkId" : "anticipated-date-of-treatment",
            "text" : "Anticipated Date of Treatment",
            "answer" : [
              {
                "valueDate" : "2021-01-03"
              }
            ]
          },
          {
            "linkId" : "ok-to-leave-detailed-message",
            "text" : "Ok to leave detailed message",
            "answer" : [
              {
                "valueString" : "Yes"
              }
            ]
          },
          {
            "linkId" : "pa-in-place",
            "text" : "Is prior authorization in place?",
            "answer" : [
              {
                "valueString" : "No"
              }
            ]
          },
          {
            "linkId" : "re-verify-benefits-at-pa-expiration",
            "text" : "Re-verify benefits at PA expiration",
            "answer" : [
              {
                "valueString" : "No"
              }
            ]
          },
          {
            "linkId" : "specialty-pharmacy",
            "text" : "Specialty Pharmacy?",
            "answer" : [
              {
                "valueString" : "No"
              }
            ]
          },
          {
            "linkId" : "onsite-pharmacy",
            "text" : "Onsite Pharmacy?",
            "answer" : [
              {
                "valueString" : "No"
              }
            ]
          },
          {
            "linkId" : "authorization",
            "text" : "Authorization #",
            "answer" : [
              {
                "valueString" : "#3456789"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b",
      "resource" : {
        "resourceType" : "Consent",
        "id" : "1b53bfb2-1361-4906-acd8-35294d30273b",
        "meta" : {
          "profile" : [
            "https://fhir.developer.gene.com/StructureDefinition/uapi-consent"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Consent</b><a name=\"1b53bfb2-1361-4906-acd8-35294d30273b\"> </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 Consent \"1b53bfb2-1361-4906-acd8-35294d30273b\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-consent.html\">UAPI Consent</a></p></div><p><b>status</b>: active</p><p><b>scope</b>: Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4B/codesystem-consent-scope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: Patient Authorization Signature <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_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></p><p><b>policyRule</b>: HIPAA Authorization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4B/codesystem-consent-policy.html\">Policy Codes</a>#hipaa-auth)</span></p></div>"
        },
        "status" : "active",
        "scope" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
              "code" : "patient-privacy",
              "display" : "Privacy Consent"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "59284-0",
                "display" : "Patient Authorization Signature"
              }
            ]
          }
        ],
        "patient" : {
          "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
          "type" : "Patient"
        },
        "policyRule" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
              "code" : "hipaa-auth",
              "display" : "HIPAA Authorization"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:cb626b8a-4e0e-484b-b4fb-1f48fd318418",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "cb626b8a-4e0e-484b-b4fb-1f48fd318418",
        "meta" : {
          "profile" : [
            "https://fhir.developer.gene.com/StructureDefinition/uapi-provenance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"cb626b8a-4e0e-484b-b4fb-1f48fd318418\"> </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 Provenance \"cb626b8a-4e0e-484b-b4fb-1f48fd318418\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uapi-provenance.html\">UAPI Provenance</a></p></div><p><b>target</b>: <a href=\"#Consent_1b53bfb2-1361-4906-acd8-35294d30273b\">See above (urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b)</a></p><p><b>recorded</b>: Jan 6, 2021, 10:49:41 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Who</b></td></tr><tr><td>*</td><td><a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Consent Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.7 = 'Consent Signature', stated as 'Consent Signature')</td><td>Jan 6, 2021, 10:49:41 PM</td><td><a href=\"#Patient_fc2e5a72-c363-4616-ae00-4ad25cbcb45c\">See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)</a></td><td>image/*</td><td>bQ==</td></tr></table></div>"
        },
        "target" : [
          {
            "reference" : "urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b",
            "type" : "Consent"
          }
        ],
        "recorded" : "2021-01-07T06:49:41.382941+00:00",
        "agent" : [
          {
            "who" : {
              "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
              "type" : "Patient"
            }
          }
        ],
        "signature" : [
          {
            "type" : [
              {
                "system" : "urn:iso-astm:E1762-95:2013",
                "code" : "1.2.840.10065.1.12.1.7",
                "display" : "Consent Signature"
              }
            ],
            "when" : "2021-01-07T06:49:41.382897+00:00",
            "who" : {
              "reference" : "urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c",
              "type" : "Patient"
            },
            "sigFormat" : "image/*",
            "data" : "bQ=="
          }
        ]
      }
    }
  ]
}