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

## Example Bundle: rtpbc-bundle-request-price-source

### Example RTPBC request bundle submitted to a pricing source

In this example:

- the client is a patient application
- the server is a medication pricing source vendor
- the request is submitted as a Bundle containing a Claim and supporting resources, as the single parameter to the processor's $process-message operation

Content:

- the patient's name is Jane Doe, date of birth is 1975-12-05, and address is 100 Oak Court, Madison, WI 53510
- the requested medication is Prozac 10mg capsule, 60 capsules, for a 30 day supply (reflected in the Claim and MedicationRequest resources)
- the prescriber's identifying information is captured in the Practitioner resource
- the requested pharmacy is Hometown Drug (reflected in the Organization resource)
- a Coverage resource is not sent in the bundle, as it is not needed by the pricing source

<!–

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–>

Language: en

Profile: RTPBC Request Bundle

Bundle rtpbc-bundle-request-price-source of type message

Entry 1 - fullUrl = http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-03

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-03; status = active; type = Pharmacy; use = predetermination; created = 2019-11-01 11:20:54-0500; priority = Normal

> definition: RTPBC Request Message Definition

Entry 2 - fullUrl = http://example.org/my-app/Claim/rtpbc-claim-03

Resource Claim:

> Language: en

> Profile: RTPBC Request Using Claim

> identifier: rtpbc-03

> status: Active

> type: Pharmacy

> use: Predetermination

> patient: Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> created: 2019-11-01 11:20:54-0500

> provider: Organization Hometown Drug

> priority: Normal

> prescription: MedicationRequest: status = draft; intent = proposal; reported[x] = true; medication[x] = fluoxetine 10 MG Oral Capsule [Prozac]; authoredOn = 2019-11-01

> ### CareTeams

> - | Sequence | Provider
> * | 1 | Practitioner Johnson

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Identifier: GOODPRICING

> ### Items

> - | Sequence | CareTeamSequence | ProductOrService | Quantity
> * | 1 | 1 | fluoxetine 10 MG Oral Capsule [Prozac] | 60 {Each}

Entry 3 - fullUrl = http://example.org/my-app/Patient/rtpbc-patient-03

Resource Patient:

> Language: en

> Profile: RTPBC Patient

> Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> Contact Detail | 100 Oak Court Madison WI 53510 US

Entry 4 - fullUrl = http://example.org/my-app/MedicationRequest/rtpbc-medicationrequest-03

Resource MedicationRequest:

> Language: en

> Profile: RTPBC Medication Request

> status: Draft

> intent: Proposal

> subject: Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> authoredOn: 2019-11-01

> requester: Practitioner Johnson

> ### DosageInstructions

> - | Text
> * | Take 2 capsules once a day

> > dispenseRequest

> > quantity: 60 {Each}

> > ### ExpectedSupplyDurations

> > - | Value | Unit | System | Code
> > * | 30 | days | http://unitsofmeasure.org | d

> ### Substitutions

> - | Allowed[x]
> * | false

Entry 5 - fullUrl = http://example.org/my-app/Practitioner/rtpbc-practitioner-03

Resource Practitioner:

> Language: en

> Profile: US Core Practitioner Profile

> identifier: United States National Provider Identifier/1234567893

> name: Johnson

Entry 6 - 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

> - | Telecom | Address
> * | ph: 6081234567 | 900 9th Street Madison WI 53535 US