同意書實作指引(Consent Form IG)
0.1.0 - CI Build
同意書實作指引(Consent Form IG)
0.1.0 - CI Build
This page is part of the 同意書實作指引 (v0.1.0: Releases Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
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"timestamp" : "2021-08-31T14:30:00+01:00",
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{
"fullUrl" : "urn:uuid:5c16e435-6e01-48b1-8d14-22421029d70b",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>Composition</b></h3><p><b>文件識別碼</b>：urn:uuid:9bc90db9-472d-4481-822a-69e42d71e8fa (https://www.tph.mohw.gov.tw/)</p><p><b>文件狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/valueset-composition-status.html\">CompositionStatus</a>#final)</span></p><p><b>文件種類</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>文件創建日期</b>：2021-08-30 02:30:00+0800</p><p><b>文件創建單位</b>：<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a> \"衛生福利部臺北醫院\"</p><h4><b>受試者同意書(7足歲-20足歲)</b></h4><p><b>同意書識別碼</b>：urn:uuid:273648a4-c713-4e46-8097-429e36b29c30 (https://www.tph.mohw.gov.tw/)</p><p><b>同意書的狀態</b>：active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/valueset-consent-state-codes.html\">ConsentState</a>#active)</span></p><p><b>同意書的規模</b>：Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>同意書的類別</b>：受試者同意書(7足歲-20足歲) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-consent-category.html\">Consent Category</a>#CFS7-20Y)</span></p><p><b>病人</b>：<a href=\"Patient-pat-example.html\">Patient/pat-example</a> \"陳加玲\"</p><p><b>日期</b>：2021-12-01</p><p><b>同意政策和規則的機構</b>：<a href=\"Organization-hpa-example.html\">Organization/hpa-example</a> \"衛生福利部國民健康署\"</p><p><b>參照的文件</b>：<a href=\"DocumentReference-doc-example.html\">DocumentReference/doc-example</a></p><p><b>政策規則</b>：國民營養健康調查 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-policy-rule.html\">同意書政策依據</a>#NAHSIT)</span></p><h5>Provisions</h5><p><b>類型</b>：Opt In <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-consent-provision-type.html\">ConsentProvisionType</a>#permit)</span></p><p><b>Action</b>：Collect <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://terminology.hl7.org/5.0.0/CodeSystem-consentaction.html\">Consent Action Codes</a>#collect)</span></p><p><b>SecurityLabel</b>：normal (Details: http://terminology.hl7.org/CodeSystem/v3-Confidentiality code N = 'normal', stated as 'null')</p><p><b>Class</b>：ITI BPPC (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:bppc:2007 = 'urn:ihe:iti:bppc:2007', stated as 'ITI BPPC')</p><p><b>Code</b>：Consent Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#59284-0)</span></p></div>"
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"subject" : {
"reference" : "urn:uuid:6c8b26dc-e262-448f-b803-75e82f86b3e5"
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"reference" : "urn:uuid:3e4f3ed7-f57e-40c3-ab21-e9cdfec6422d"
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"title" : "受試者同意書(7足歲-20足歲)",
"section" : [
{
"title" : "受試者同意書(7足歲-20足歲)",
"code" : {
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"code" : "59284-0"
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"resource" : {
"resourceType" : "Consent",
"id" : "Inline-Consent-informed-example",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>受試者同意書(7足歲-20足歲)</b></h3><p><b>同意書識別碼</b>：urn:uuid:273648a4-c713-4e46-8097-429e36b29c30 (https://www.tph.mohw.gov.tw/)</p><p><b>同意書的狀態</b>：active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/valueset-consent-state-codes.html\">ConsentState</a>#active)</span></p><p><b>同意書的規模</b>：Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>同意書的類別</b>：受試者同意書(7足歲-20足歲) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-consent-category.html\">Consent Category</a>#CFS7-20Y)</span></p><p><b>病人</b>：<a href=\"Patient-pat-example.html\">Patient/pat-example</a> \"陳加玲\"</p><p><b>日期</b>：2021-12-01</p><p><b>同意政策和規則的機構</b>：<a href=\"Organization-hpa-example.html\">Organization/hpa-example</a> \"衛生福利部國民健康署\"</p><p><b>參照的文件</b>：<a href=\"DocumentReference-doc-example.html\">DocumentReference/doc-example</a></p><p><b>政策規則</b>：國民營養健康調查 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-policy-rule.html\">同意書政策依據</a>#NAHSIT)</span></p><h4>Provisions</h4><p><b>類型</b>：Opt In <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-consent-provision-type.html\">ConsentProvisionType</a>#permit)</span></p><p><b>Action</b>：Collect <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://terminology.hl7.org/5.0.0/CodeSystem-consentaction.html\">Consent Action Codes</a>#collect)</span></p><p><b>SecurityLabel</b>：normal (Details: http://terminology.hl7.org/CodeSystem/v3-Confidentiality code N = 'normal', stated as 'null')</p><p><b>Class</b>：ITI BPPC (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:bppc:2007 = 'urn:ihe:iti:bppc:2007', stated as 'ITI BPPC')</p><p><b>Code</b>：Consent Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#59284-0)</span></p></div>"
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"status" : "active",
"scope" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "patient-privacy"
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"coding" : [
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"system" : "http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/consent-category",
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"patient" : {
"reference" : "urn:uuid:6c8b26dc-e262-448f-b803-75e82f86b3e5"
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"sourceReference" : {
"reference" : "urn:uuid:4bd5db70-757e-4752-8caa-5773a4229281"
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"coding" : [
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"system" : "http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/policy-rule",
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"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/consentaction",
"code" : "collect"
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"securityLabel" : [
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"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N"
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"code" : [
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"coding" : [
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"system" : "http://loinc.org",
"code" : "59284-0"
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"fullUrl" : "urn:uuid:6c8b26dc-e262-448f-b803-75e82f86b3e5",
"resource" : {
"resourceType" : "Patient",
"id" : "Inline-Patient-informed-example",
"meta" : {
"profile" : [
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病人基本資料</b></h3><blockquote><p><b>識別碼型別</b>：全國的個人識別碼 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/tsfhir/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNTWN）</span><br/><b>身分證字號（official）</b>：A123456789 （http://www.moi.gov.tw/）</p></blockquote><blockquote><p><b>識別碼型別</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：8862168 （https://www.tph.mohw.gov.tw/）</p></blockquote><p><b>病人的紀錄（active）</b>：使用中</p><p><b>姓名（official）</b>：陳加玲 Chan, Chia Lin</p><p><b>性別</b>：女性</p><p><b>出生日期</b>：1990-01-01</p><p><b>年齡[extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-person-age.html\">person-age</a>]</b>：32</p><p><b>聯絡方式</b>：Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone）</span><br/><b>聯絡電話</b>：（Mobile）0911327999 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#mobile）</span><br/><b>聯絡電話使用效期</b>：2022-07-31至2024-07-31</p><p><b>聯絡地址</b>：(103)臺北市大同區大有里19鄰承德路三段52巷6弄210號2樓B室</p><p><b>婚姻狀態</b>：unmarried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v3-MaritalStatus\">臺灣婚姻狀態值集</a>#U）</span></p><p><b>聯絡人（official）</b>：李立偉 Li, Li Wei<br/><b>\u3000關係</b>：father <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v3-RoleCode\">PatientRelationshipType</a>#FTH）</span><br/><b>\u3000聯絡方式</b>：Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone）</span><br/><b>\u3000聯絡電話</b>：（Mobile）0917159753 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#mobile）</span><br/><b>\u3000聯絡電話使用效期</b>：2022-07-31至2024-07-31</p><p><b>向病人說明健康狀態時所使用的語言</b>：中文</p><p><b>紀錄的保管機構</b>： <a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a> \"衛生福利部臺北醫院\"</p></div>"
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"extension" : [
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"url" : "https://twcore.mohw.gov.tw/fhir/StructureDefinition/person-age",
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"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/tsfhir/CodeSystem/v2-0203",
"code" : "NNTWN"
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]
},
"system" : "http://www.moi.gov.tw/",
"value" : "A123456789"
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{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
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]
},
"system" : "https://www.tph.mohw.gov.tw/",
"value" : "8862168"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"text" : "陳加玲",
"family" : "Chan",
"given" : [
"Chia Lin"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0911327999",
"use" : "mobile",
"period" : {
"start" : "2022-07-31",
"end" : "2024-07-31"
}
}
],
"gender" : "female",
"birthDate" : "1990-01-01",
"address" : [
{
"text" : "臺北市大同區大有里19鄰承德路三段52巷6弄210號2樓B室"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "U"
}
]
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH"
}
]
}
],
"name" : {
"use" : "official",
"text" : "李立偉",
"family" : "Li",
"given" : [
"Li Wei"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "0917159753",
"use" : "mobile",
"period" : {
"start" : "2022-07-31",
"end" : "2024-07-31"
}
}
]
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "zh-TW"
}
]
}
}
],
"managingOrganization" : {
"reference" : "urn:uuid:3e4f3ed7-f57e-40c3-ab21-e9cdfec6422d"
}
}
},
{
"fullUrl" : "urn:uuid:4bd5db70-757e-4752-8caa-5773a4229281",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "Inline-DocumentReference-informed-example",
"meta" : {
"profile" : [
"http://hitstdio.ntunhs.edu.tw/consentForm/StructureDefinition/DocumentReference-cf"
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},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>參照的文件</b></h3><p><b>狀態</b>：current</p><p><b>文件分類</b>：受試者同意書(7足歲-20足歲) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"CodeSystem-consent-category.html\">同意書類別</a>#CFS7-20Y）</span></p><p><b>認證者</b>：<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a> \"衛生福利部臺北醫院\"</p><blockquote><p><b>內容規格</b>：application/pdf <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://hl7.org/fhir/R4/valueset-mimetypes.html\">MimeType</a>#application/pdf）</span></p><p><b>url</b>：<a href=\"https://drive.google.com/file/d/1SNwBk1E6NYHVnongTKgxDHJCv7a_JY5i/view?usp=sharing\">https://drive.google.com/file/d/1SNwBk1E6NYHVnongTKgxDHJCv7a_JY5i/view?usp=sharing</a></p></blockquote></div>"
},
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/consent-category",
"code" : "CFS7-20Y"
}
]
}
],
"authenticator" : {
"reference" : "urn:uuid:3e4f3ed7-f57e-40c3-ab21-e9cdfec6422d"
},
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "https://drive.google.com/file/d/1SNwBk1E6NYHVnongTKgxDHJCv7a_JY5i/view?usp=sharing"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:3e4f3ed7-f57e-40c3-ab21-e9cdfec6422d",
"resource" : {
"resourceType" : "Organization",
"id" : "Inline-Organization-hos-informed-example",
"meta" : {
"profile" : [
"https://twcore.mohw.gov.tw/fhir/StructureDefinition/Organization-hosp-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>：衛生福利部臺北醫院</p><p><b>識別碼型別</b>：Healthcare Organization Identifier<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem-v2-0203.html\">臺灣識別碼類型值集</a>#HOI）</span><br/><b>機構代碼（official）</b>：0622020017 (https://twcore.mohw.gov.tw/tsfhir/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p><p><b>聯絡方式</b>：Phone<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> （ <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone）</span><br/><b>聯絡電話</b>：0222765566</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/tsfhir/CodeSystem/v2-0203",
"code" : "HOI"
}
]
},
"system" : "https://twcore.mohw.gov.tw/tsfhir/CodeSystem/organization-identifier-tw",
"value" : "0131060029"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "衛生福利部臺北醫院",
"telecom" : [
{
"system" : "phone",
"value" : "0222765566"
}
]
}
},
{
"fullUrl" : "urn:uuid:266a6876-e6b1-45b5-9468-94eb7583566c",
"resource" : {
"resourceType" : "Organization",
"id" : "Inline-Organization-gov-informed-example",
"meta" : {
"profile" : [
"https://twcore.mohw.gov.tw/fhir/StructureDefinition/Organization-govt-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>政府機構基本資料</b></h3><p><b>機構名稱</b>：衛生福利部國民健康署</p><p><b>識別碼型別</b>：Government Organization Identifier<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem-v2-0203.html\">臺灣識別碼類型值集</a>#GOI）</span><br/><b>機關代號（official）</b>：A21040000I (https://oid.nat.gov.tw/)</p><p><b>機構種類</b>：Government <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#govt)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/tsfhir/CodeSystem/v2-0203",
"code" : "GOI"
}
]
},
"system" : "https://oid.nat.gov.tw/",
"value" : "A21040000I"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "govt"
}
]
}
],
"name" : "衛生福利部國民健康署"
}
}
],
"signature" : {
"type" : [
{
"system" : "urn:iso-astm:E1762-95:2013",
"code" : "1.2.840.10065.1.12.1.11",
"display" : "Consent Witness Signature"
}
],
"when" : "2021-08-31T14:30:00+01:00",
"who" : {
"reference" : "urn:uuid:3e4f3ed7-f57e-40c3-ab21-e9cdfec6422d"
},
"data" : "JbuZIFILUSYF+aYl8kjqjbsk/cZg6rTDexO+RtamBIOUG+742R1LXTraOB63/mb2EzixN1+MyodFp1hLYzOgsg=="
}
}
IG © 2022+ ABC科技股份有限公司. Package tw.abc.consentForm#0.1.0 based on FHIR 4.0.1. Generated 2023-05-16
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