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

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 Home
... 2 Business Rules
... 3 Capstatements
... 4 Consumer vs Provider Rtpbc
... 5 Downloads
... 6 Error Handling
... 7 Information Content and Fhir Resources
... 8 Profiles
... 9 Security
... 10 Submission Method
... 11 Terminology
... 12 Use Cases
... 13 Artifacts Summary
.... 13.1 RTPBC Requester Capability Statement
.... 13.2 RTPBC Responder Capability Statement
.... 13.3 RTPBC Request Message Definition
.... 13.4 RTPBC Response Message Definition
.... 13.5 RTPBC Coverage
.... 13.6 RTPBC Medication Request
.... 13.7 RTPBC Medication Request - Non-PHI
.... 13.8 RTPBC Patient
.... 13.9 RTPBC Patient - Non-PHI
.... 13.10 RTPBC Pharmacy Organization
.... 13.11 RTPBC Request Bundle
.... 13.12 RTPBC Request Bundle - Non-PHI
.... 13.13 RTPBC Request MessageHeader
.... 13.14 RTPBC Request Using Claim
.... 13.15 RTPBC Request Using Claim - Non-PHI
.... 13.16 RTPBC Response Bundle
.... 13.17 RTPBC Response MessageHeader
.... 13.18 RTPBC Response Using ClaimResponse
.... 13.19 RTPBC benefitRestriction Extension
.... 13.20 RTPBC formularyStatus Extension
.... 13.21 RTPBC isAlternative Extension
.... 13.22 RTPBC nextAvailableFillDate Extension
.... 13.23 RTPBC preferenceLevel Extension
.... 13.24 RTPBC Benefit Restriction Value Set
.... 13.25 RTPBC Billing Unit Value Set
.... 13.26 RTPBC Country Code Value Set
.... 13.27 RTPBC Error Code Value Set
.... 13.28 RTPBC Event Type Value Set
.... 13.29 RTPBC Formulary Status Value Set
.... 13.30 RTPBC Patient Pay Type Value Set
.... 13.31 RTPBC Pharmacy Type Value Set
.... 13.32 RTPBC Prescribable Product Code Value Set
.... 13.33 RTPBC Two Letter State and Province Code Value Set
.... 13.34 RTPBC Benefit Restriction Code System
.... 13.35 RTPBC Event Type Code System
.... 13.36 RTPBC Formulary Status Code System
.... 13.37 RTPBC Patient Pay Type Code System
.... 13.38 rtpbc-bundle-request-03
.... 13.39 rtpbc-bundle-request-non-phi-1
.... 13.40 rtpbc-bundle-request-non-phi-2
.... 13.41 rtpbc-bundle-request-price-source
.... 13.42 rtpbc-bundle-response-03
.... 13.43 rtpbc-bundle-response-price-source
.... 13.44 rtpbc-claim-03
.... 13.45 rtpbc-claim-non-phi-1
.... 13.46 rtpbc-claim-non-phi-2
.... 13.47 rtpbc-claim-response-03
.... 13.48 rtpbc-claim-response-03-price-source
.... 13.49 rtpbc-claim-response-not-covered
.... 13.50 rtpbc-coverage-01
.... 13.51 rtpbc-medicationrequest-03
.... 13.52 rtpbc-medicationrequest-non-phi-1
.... 13.53 rtpbc-medicationrequest-non-phi-2
.... 13.54 rtpbc-organization-03
.... 13.55 rtpbc-organization-03m
.... 13.56 rtpbc-organization-03ps
.... 13.57 rtpbc-patient-03
.... 13.58 rtpbc-patient-03ps
.... 13.59 rtpbc-patient-non-phi-1
.... 13.60 rtpbc-practitioner-03