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 Claim: rtpbc-claim-03

Page standards status: Informative

### Example RTPBC Claim resource (the "RTPBC request")

In this example:

- the patient information is referenced to a Patient resource
- the requested medication is Prozac 10mg capsule, 60 capsules (included in the Claim.item composite and referenced to a MedicationRequest resource)
- the prescriber's identifying information is referenced to a Practitioner resource
- the requested pharmacy referenced to an Organization resource
- the patient's coverage identifiers are conveyed in a referenced Coverage resource

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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}