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
<Bundle xmlns="http://hl7.org/fhir">
<id value="73d19620-8168-4d4c-ad4b-9fb8f29419fg"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-PCF-enrollment-bundle"/>
</meta>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="RI"/>
<display value="Resource identifier"/>
</coding>
</type>
<system value="http://vendor.com/ab"/>
<value value="73d19620-8168-4d4c-ad4b-9fb8f29419fg"/>
<assigner>
<display value="Alpha Beta"/>
</assigner>
</identifier>
<type value="message"/>
<timestamp value="2020-03-11T08:10:13-05:00"/>
<entry>
<fullUrl value="50ddc1a3-1fec-4467-b380-5ac0333a8fbf"/>
<resource>
<MessageHeader>
<id value="eb5eb40b-78e8-4a52-903a-0348c1eac387"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-messageheader"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system
value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type"/>
<code value="consent-only"/>
</eventCoding>
<destination>
<name value="UAPI-ENR-V2.0"/>
<endpoint
value="https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/enrollment"/>
</destination>
<sender>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
<type value="Organization"/>
</sender>
<source>
<name value="Vendor_AB"/>
<endpoint value="http://vendor.com/fhir/enrollmentID/ENR-00001"/>
</source>
<focus>
<reference value="urn:uuid:08352e51-aec9-4773-a077-89226f99fc99"/>
<type value="List"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:08352e51-aec9-4773-a077-89226f99fc99"/>
<resource>
<List>
<id value="584681db-df12-4038-bc82-7c438b06e63b"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="current"/>
<mode value="changes"/>
<title value="messageContext"/>
<entry>
<item>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7"/>
<type value="QuestionnaireResponse"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b"/>
<type value="Consent"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<type value="RelatedPerson"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<resource>
<Patient>
<id value="fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-patient"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
</type>
<system value="http://vendor.com/ab"/>
<value value="6bcd8467-0473-4836-9128-2e7972f23177"/>
<assigner>
<display value="AB Vendor"/>
</assigner>
</identifier>
<name>
<use value="official"/>
<family value="Michaelson"/>
<given value="Ryan"/>
</name>
<telecom>
<system value="phone"/>
<value value="1231231234"/>
<use value="home"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="1234561234"/>
<use value="mobile"/>
<rank value="2"/>
</telecom>
<telecom>
<system value="email"/>
<value value="bobster83@example.com"/>
<use value="home"/>
<rank value="3"/>
</telecom>
<gender value="male"/>
<birthDate value="1972-10-29"/>
<address>
<line value="1234 Main St"/>
<city value="San Francisco"/>
<state value="CA"/>
<postalCode value="94105"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
<preferred value="true"/>
</communication>
<generalPractitioner>
<reference value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
</generalPractitioner>
<managingOrganization>
<reference value="urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<resource>
<RelatedPerson>
<id value="4db51d32-65c3-4f8c-959e-0155c6d14545"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<patient>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="SIGOTHR"/>
<display value="significant other"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Smith"/>
<given value="Bob Paul"/>
</name>
<telecom>
<system value="phone"/>
<value value="+33 (237) 998327"/>
<use value="mobile"/>
</telecom>
<birthDate value="1972-10-29"/>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5342779a-184f-42ba-ab44-3a8e023979f7"/>
<resource>
<QuestionnaireResponse>
<id value="5342779a-184f-42ba-ab44-3a8e023979f7"/>
<text>
<status value="generated"/>
<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>
</text>
<questionnaire
value="https://dev.gene.com/fhir/uapi/fhirapi/Questionnaire/1234"/>
<status value="completed"/>
<subject>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</subject>
<item>
<linkId value="do-not-contact-patient"/>
<text value="Do not contact patient"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="has-patient-started-therapy"/>
<text value="Has Patient Started Therapy"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="ok-to-send-text-message"/>
<text value="Ok to send text messag"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="anticipated-date-of-treatment"/>
<text value="Anticipated Date of Treatment"/>
<answer>
<valueDate value="2021-01-03"/>
</answer>
</item>
<item>
<linkId value="ok-to-leave-detailed-message"/>
<text value="Ok to leave detailed message"/>
<answer>
<valueString value="Yes"/>
</answer>
</item>
<item>
<linkId value="pa-in-place"/>
<text value="Is prior authorization in place?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="re-verify-benefits-at-pa-expiration"/>
<text value="Re-verify benefits at PA expiration"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="specialty-pharmacy"/>
<text value="Specialty Pharmacy?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="onsite-pharmacy"/>
<text value="Onsite Pharmacy?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="authorization"/>
<text value="Authorization #"/>
<answer>
<valueString value="#3456789"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b"/>
<resource>
<Consent>
<id value="1b53bfb2-1361-4906-acd8-35294d30273b"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-consent"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="patient-privacy"/>
<display value="Privacy Consent"/>
</coding>
</scope>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
<display value="Patient Authorization Signature"/>
</coding>
</category>
<patient>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</patient>
<policyRule>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
<code value="hipaa-auth"/>
<display value="HIPAA Authorization"/>
</coding>
</policyRule>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cb626b8a-4e0e-484b-b4fb-1f48fd318418"/>
<resource>
<Provenance>
<id value="cb626b8a-4e0e-484b-b4fb-1f48fd318418"/>
<meta>
<profile
value="https://fhir.developer.gene.com/StructureDefinition/uapi-provenance"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<target>
<reference value="urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b"/>
<type value="Consent"/>
</target>
<recorded value="2021-01-07T06:49:41.382941+00:00"/>
<agent>
<who>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</who>
</agent>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.7"/>
<display value="Consent Signature"/>
</type>
<when value="2021-01-07T06:49:41.382897+00:00"/>
<who>
<reference value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
<type value="Patient"/>
</who>
<sigFormat value="image/*"/>
<data value="bQ=="/>
</signature>
</Provenance>
</resource>
</entry>
</Bundle>
IG © 2021+ . Package gene.com.fhir.uapi#1.1.19 based on FHIR 4.3.0. Generated 2024-02-19
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