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

## MessageDefinition: RTPBC Request Message Definition

Official URL: http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request | Version: 2.0.0
Standards status: Trial-use Active as of 2020-05-23 | Maturity Level: 4 | Computable Name: RtpbcRequest

Request for patient cost and coverage information for a prescribed medication

### MessageDefinition: Real-time Pharmacy Benefit Check (RTPBC) Request

This MessageDefinition describes the content of a real-time pharmacy benefit check (RTPBC) request, when using FHIR messaging.

The Claim resource is the focus in a bundle that also contains other supporting resources referenced by the Claim (Patient, MedicationRequest, Coverage, Practitioner, Organization).

Note: The guide describes two methods for submitting the RTPBC request ($submit operation and FHIR messaging using $process-message), with the intent to elicit comments from potential implementers.

StructureDefinition Work Group: phx

url: MessageDefinition RTPBC Request Message Definition

version: 2.0.0

name: RtpbcRequest

title: RTPBC Request Message Definition

status: Active

experimental: false

date: 2020-05-23 00:00:00-0500

publisher: HL7 International / Pharmacy

contact: HL7 International / Pharmacy: http://www.hl7.org/Special/committees/medication, Frank McKinney: fm@frankmckinney.com

description:

Request for patient cost and coverage information for a prescribed medication

jurisdiction: United States of America

purpose:

Requests patient cost and coverage information for a prescribed medication

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

category: Notification

### Focus

- | Code | Min | Max
* | Claim | 1 | 1

### AllowedResponses

- | Message | Situation
* | RTPBC Response Message Definition | Returned when processing completes without encountering a system error