Bundle digital-consent-only of type message

Entry 1 - Full URL = urn:uuid:eb5eb40b-78e8-4a52-903a-0348c1eac387

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "fe0cc042-1a9a-4bfc-9989-aba6152336dco"

Profile: UAPI MessageHeader

Texts

-	Div
*	<div></div>

event: consent-only (Details: http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-event-type code consent-only = 'consent-only', stated as 'null')

Destinations

-	Name	Endpoint
*	UAPI-ENR-V2.1	https://test-us-e1.apis.roche.com/pharma-cmg-ehr-fhir-exp-test/v2/patient_consent

sender: See above (urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088)

Sources

-	Name	Endpoint
*	Vendor_AB	http://vendor.com/fhir/enrollmentID/ENR-00001

focus: See above (urn:uuid:b0a24993-d80b-4c68-8239-fcefd05883b9)

Entry 2 - Full URL = urn:uuid:b0a24993-d80b-4c68-8239-fcefd05883b9

Resource List:

messageContext

Mode: Change List	Status: Current

Items

urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c

urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088

urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1

urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545

urn:uuid:df922ef2-f4b8-4088-8276-f5ae1b019374

urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b

Entry 3 - Full URL = urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c

Resource Patient:

Ryan Michaelson (OFFICIAL) Male, DoB: 1972-10-29 ( Patient internal identifier: 6bcd8467-0473-4836-9128-2e7972f23177(use: USUAL))

Entry 4 - Full URL = urn:uuid:01c31a2f-321d-4c6e-8349-206af8a88088

Resource Organization:

Generated Narrative: Organization

Resource Organization "01c31a2f-321d-4c6e-8349-206af8a88088"

Profile: UAPI Organization

Texts

-	Div
*	<div></div>

identifier: id: HOSP-12345(use: USUAL)

type: Healthcare Provider (OrganizationType#prov)

name: Mid Atlantic Retina

contact

telecom: mar@example.com

address: 8 Ranoldo Terrace Cherry Hill NJ 08034 US

contact

name: Venus Yardav (OFFICIAL)

telecom: ph: 8882704882(WORK), fax: 8179974042(WORK)

Entry 5 - Full URL = urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "695d0991-5e03-46df-934a-85a28acd95c1"

Profile: UAPI Practitioner

Texts

-	Div
*	<div></div>

identifier: Provider identifier: 1922071448(use: OFFICIAL), Tax ID number: 00000000(use: OFFICIAL), National provider identifier: 1639285034(use: OFFICIAL)

name: MARISSA CRUZ (OFFICIAL)

Entry 6 - Full URL = urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545

Resource RelatedPerson:

Generated Narrative: RelatedPerson

Resource RelatedPerson "4db51d32-65c3-4f8c-959e-0155c6d14545"

Profile: UAPI RelatedPerson

Texts

-	Div
*	<div></div>

patient: See above (urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c)

relationship: significant other (RoleCode#SIGOTHR)

name: Bob Paul Smith (OFFICIAL)

telecom: +33 (237) 998327

birthDate: 1972-10-29

Entry 7 - Full URL = urn:uuid:df922ef2-f4b8-4088-8276-f5ae1b019374

Resource QuestionnaireResponse:

LinkId	Text	Definition	Answer
df922ef2-f4b8-4088-8276-f5ae1b019374		QuestionnaireResponse
detailed-message	Ok to leave a detailed message?
household-size	Household size (including you)
household-income-amount	Annual household income amount
tcpa-consent	TCPA Consent Provided?
Documentation for this format

Entry 8 - Full URL = urn:uuid:1b53bfb2-1361-4906-acd8-35294d30273b

Resource Consent:

Generated Narrative: Consent

Resource Consent "1b53bfb2-1361-4906-acd8-35294d30273b"

Profile: UAPI Consent

Texts

-	Div
*	<div></div>

status: ACTIVE

category: Patient Authorization Signature (LOINC#59284-0)

dateTime: 2016-06-16 04:24:45+0000

Provisions

-	Type
*	PERMIT