Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build
Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build
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
| Official URL: http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-patient-pay-type | Version: 2.0.0 | |||
| Standards status: Trial-use Active as of 2020-05-23 | Maturity Level: 4 | Computable Name: RtbpcPatientPayTypeValueSet | ||
This value set contains components of a patient's responsibility for a prescription product's cost.
References
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type version 📦2.0.0
Expansion performed internally based on codesystem RTPBC Patient Pay Type Code System v2.0.0 (CodeSystem)
This value set contains 13 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | deductible | Deductible | Amount to be collected from a patient to be applied to a periodic deductible | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | accumulated-deductible | Accumulated deductible | Total deductible paid after amount associated with this request | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | remaining-deductible | Remaining deductible | Remaining deductible amount after payment associated with this request | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | coinsurance | Per prescription coinsurance | Amount to be collected from a patient to satisfy a per prescription coinsurance | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | copay | Copay | Amount to be collected from the patient to satisfy a per prescription copay | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | tax | Tax | Amount to be collected from the patient for sales tax | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | cash-price | Full product cash price | Full product cash price before discounts or coupons | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | coupon-discount | Coupon discount amount | Coupon discount reducing the amount to be collected from the patient | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | member-discount | Member discount amount | Member discount reducing the amount to be collected from the patient | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | other-discount | Other discount amount | Other discount reducing the amount to be collected from the patient | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | other-cost | Other cost | Other amount to be collected from the patient | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | eligible | Eligible amount | Amount that is considered for adjudication | ||
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | total | Total patient responsibility | Amount equalling the total patient responsibility for a prescription product's cost |
IG © 2024+ HL7 International / Pharmacy.
Package hl7.fhir.us.carin-rtpbc#2.0.0 based on FHIR 4.0.1.
Generated
2025-12-16
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