Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build United States of America flag

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

Example Bundle: rtpbc-bundle-request-non-phi-1

Language: en

Profile: RTPBC Request Bundle - Non-PHI

Bundle rtpbc-bundle-request-non-phi-1 of type message

Entry 1 - fullUrl = http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-1

Resource MessageHeader:

Language: en

Profile: RTPBC Request MessageHeader

event: RTPBC Event Type Code System: rtpbc-request (RTPBC Request)

Sources

-Name
*MyPatientApp

focus: Claim: identifier = rtpbc-non-phi-1; status = active; type = Pharmacy; use = predetermination; created = 2025-11-01 11:20:54-0500; priority = Normal

definition: RTPBC Request Message Definition

Entry 2 - fullUrl = http://example.org/my-app/Claim/rtpbc-claim-non-phi-1

Resource Claim:

identifier: rtpbc-non-phi-1

status: Active

type: Pharmacy

use: Predetermination

patient: Anonymous Patient (no stated gender), DoB Unknown

created: 2025-11-01 11:20:54-0500

provider: Organization Hometown Drug

priority: Normal

prescription: MedicationRequest: status = draft; intent = proposal; reported[x] = true; medication[x] = ; authoredOn = 2025-11-01

CareTeams

-SequenceProvider
*1Masked

Insurances

-SequenceFocalCoverage
*1trueMasked

Items

-SequenceCareTeamSequenceProductOrServiceQuantity
*11Prozac 10mg Capsule60 {Each}

Entry 3 - fullUrl = http://example.org/my-app/Patient/rtpbc-patient-non-phi-1

Resource Patient:

Language: en

Profile: RTPBC Patient - Non-PHI

Anonymous Patient (no stated gender), DoB Unknown

Contact Detail53510

Entry 4 - fullUrl = http://example.org/my-app/MedicationRequest/rtpbc-medicationrequest-non-phi-1

Resource MedicationRequest:

status: Draft

intent: Proposal

subject: Anonymous Patient (no stated gender), DoB Unknown

authoredOn: 2025-11-01

DispenseRequests

-Quantity
*60 {Each}

Entry 5 - fullUrl = http://example.org/my-app/Organization/rtpbc-organization-03

Resource Organization:

Language: en

Profile: RTPBC Pharmacy Organization

identifier: United States National Provider Identifier/9876543213

active: true

type: Retail

name: Hometown Drug

Contacts

-TelecomAddress
*ph: 6081234567900 9th Street Madison WI 53535 US