Validation Results for ConsumerRealTimePharmacyBenefitCheck

Generated Tue Mar 31 18:49:51 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.carin-rtpbc#2.0.0-ballot (canonical = http://hl7.org/fhir/us/carin-rtpbc (history)). See Errors Only & IP

Quality Checks
Publisher Version:IG Publisher Version: v2.2.4
Publication Code:carin-rtpbc . PackageId = hl7.fhir.us.carin-rtpbc, Canonical = http://hl7.org/fhir/us/carin-rtpbc
Realm Check for US:

Snomed: The IG specifies the US edition of SNOMED CT

Profiles: All OK

Language Info:Stated Languages: n/a. IG Resource Lang: en. 23 of 67 (34%) of resources have a language. Population Policy: NONE
Publication Request:
package-idhl7.fhir.us.carin-rtpbc
version2.0.0-ballot
pathhttp://hl7.org/fhir/us/carin-rtpbc/2026May
Pub-Modeworking release
statusballot
Release-LabelSTU 2 Ballot
Sequence (Group)STU 2 (current: 'STU 1', others = n/a)
descThis is the proposed STU 2 version of the Consumer Real-Time Pharmacy Benefit Check FHIR IG for ballot in May 2026. It is sponsored by the HL7 Pharmacy Work Group
changeshistory.html
RelatedIgs(None Found)
Proposed path for this publication should usually be the canonical with the version or sequence appended and then some kind of label (typically '-snapshot')
Supressed Messages:50 Suppressed Issues
Dependency Checks:
PackageVersionFHIRCanonicalWeb BaseComment
.. hl7.fhir.us.carin-rtpbc2.0.0-ballotR4http://hl7.org/fhir/us/carin-rtpbc
... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0
... hl7.fhir.us.core8.0.1 MR4http://hl7.org/fhir/us/corehttp://hl7.org/fhir/us/core/STU8.0.1
.... hl7.terminology.r47.0.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/7.0.0Latest Release is 7.1.0
..... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
.... hl7.fhir.uv.smart-app-launch2.2.0 MR4http://hl7.org/fhir/smart-app-launchhttp://hl7.org/fhir/smart-app-launch/STU2.2
..... hl7.fhir.uv.extensions5.1.0-snapshot1 OR5http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.1.0-snapshot1FHIR Version Mismatch. Latest Release is 5.2.0
...... hl7.terminology.r55.3.0 OR5http://terminology.hl7.orghttp://terminology.hl7.org/5.3.0FHIR Version Mismatch. Latest Release is 7.1.0
..... hl7.terminology5.5.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/5.5.0Latest Release is 7.1.0
...... hl7.fhir.uv.extensions.r41.0.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/1.0.0Latest Release is 5.2.0
.... us.nlm.vsac0.24.0 MR4http://fhir.org/packages/us.nlm.vsachttp://fhir.org/packages/us.nlm.vsac
.... hl7.fhir.uv.sdc3.0.0 OR4http://hl7.org/fhir/uv/sdchttp://hl7.org/fhir/uv/sdc/STU3Latest Release is 4.0.0
..... hl7.fhir.r4.examples4.0.1 OR4http://hl7.org/fhirhttp://hl7.org/fhir/R4Latest Release is 5.0.0
.... us.cdc.phinvads0.12.0 MR4http://fhir.org/packages/us.cdc.phinvadshttp://fhir.org/packages/us.cdc.phinvads
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
Templates: rtpbc.template#0.0.1 -> hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current
Related IGs:n/a
Dependent IGs:no references
Global Profiles:(none declared)
Terminology Server(s):http://tx.fhir.org/r4, https://terminologystandardsservice.ca/tx/fhir, https://tx-nordics.fhir.org/fhir/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:All OK
R5 Dependencies:(none)
Draft Dependencies:
Modifier Extensions:(none)
Previous Version Comparison: Comparison with version 1.0.0
IPA Comparison: n/a
IPS Comparison: n/a
Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary: errors = 0, warn = 0, info = 0, broken links = 0, pinned = n/a.
FilenameErrorsWarningsHints
Build Errors000
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/scratch/repo/fsh-generated/resources/ValueSet-rtpbc-prescribable-product-code000
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/scratch/repo/input/images000
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n/a Show Validation Information


fsh-generated/includes/fsh-link-references.md Show Validation Information (0)


fsh-generated/includes/menu.xml Show Validation Information (0)


fsh-generated/resources/Bundle-rtpbc-bundle-request-01.json Show Validation Information (23)


fsh-generated/resources/Bundle-rtpbc-bundle-request-non-phi-1.json Show Validation Information (7)


fsh-generated/resources/Bundle-rtpbc-bundle-request-non-phi-2.json Show Validation Information (10)


fsh-generated/resources/Bundle-rtpbc-bundle-response-01.json Show Validation Information (13)


fsh-generated/resources/Bundle-rtpbc-bundle-response-discount-card.json Show Validation Information (11)


fsh-generated/resources/Bundle-rtpbc-bundle-response-price-source.json Show Validation Information (7)


fsh-generated/resources/CapabilityStatement-rtpbc-requester.json Show Validation Information (1)


fsh-generated/resources/CapabilityStatement-rtpbc-responder.json Show Validation Information (1)


fsh-generated/resources/Claim-rtpbc-claim-01.json Show Validation Information (1)


fsh-generated/resources/Claim-rtpbc-claim-non-phi-1.json Show Validation Information (1)


fsh-generated/resources/Claim-rtpbc-claim-non-phi-2.json Show Validation Information (1)


fsh-generated/resources/ClaimResponse-rtpbc-claim-response-01.json Show Validation Information (1)


fsh-generated/resources/ClaimResponse-rtpbc-claim-response-discount-card.json Show Validation Information (1)


fsh-generated/resources/ClaimResponse-rtpbc-claim-response-not-covered.json Show Validation Information (1)


fsh-generated/resources/ClaimResponse-rtpbc-claim-response-price-source.json Show Validation Information (1)


fsh-generated/resources/CodeSystem-ncpdp-formulary-status-temporary.json Show Validation Information (1)


fsh-generated/resources/CodeSystem-rtpbc-benefit-restriction-temporary.json Show Validation Information (1)


fsh-generated/resources/CodeSystem-rtpbc-event-type.json Show Validation Information (1)


fsh-generated/resources/CodeSystem-rtpbc-patient-pay-type-temporary.json Show Validation Information (1)


fsh-generated/resources/Coverage-rtpbc-coverage-01.json Show Validation Information (1)


fsh-generated/resources/Coverage-rtpbc-coverage-non-phi-01.json Show Validation Information (1)


fsh-generated/resources/ImplementationGuide-hl7.fhir.us.carin-rtpbc.json Show Validation Information (1)


fsh-generated/resources/MedicationRequest-rtpbc-medicationrequest-01.json Show Validation Information (1)


fsh-generated/resources/MessageDefinition-rtpbc-request.json Show Validation Information (1)


fsh-generated/resources/MessageDefinition-rtpbc-request-non-phi.json Show Validation Information (1)


fsh-generated/resources/MessageDefinition-rtpbc-response.json Show Validation Information (1)


fsh-generated/resources/MessageDefinition-rtpbc-response-non-phi.json Show Validation Information (1)


fsh-generated/resources/Organization-rtpbc-organization-01.json Show Validation Information (1)


fsh-generated/resources/Organization-rtpbc-organization-02ps.json Show Validation Information (1)


fsh-generated/resources/Organization-rtpbc-organization-03m.json Show Validation Information (1)


fsh-generated/resources/Patient-rtpbc-patient-01.json Show Validation Information (1)


fsh-generated/resources/Patient-rtpbc-patient-03ps.json Show Validation Information (1)


fsh-generated/resources/Practitioner-rtpbc-practitioner-01.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-benefitRestriction.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-coverage.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-coverage-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-formularyStatus.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-isAlternative.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-medicationrequest.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-nextAvailableFillDate.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-patient.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-pharmacy-organization.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-preferenceLevel.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-preferredPharmacyPostalCode.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-relatedCoverage.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-bundle.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-bundle-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-claim.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-claim-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-messageheader.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-request-messageheader-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-bundle.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-bundle-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-claimresponse.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-claimresponse-non-phi.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-messageheader.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-rtpbc-response-messageheader-non-phi.json Show Validation Information (1)


fsh-generated/resources/ValueSet-ncpdp-formulary-status.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-benefit-restriction.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-billing-unit.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-country-code.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-error-code.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-event-type.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-patient-pay-type.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-pharmacy-type.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-prescribable-product-code.json Show Validation Information (1)


fsh-generated/resources/ValueSet-rtpbc-state-and-province-code.json Show Validation Information (1)


input/images Show Validation Information (0)


input/images/basic-info-flow.png Show Validation Information (0)


input/images/basic-info-flow-insurance.png Show Validation Information (0)


input/images/basic-info-flow-other.png Show Validation Information (0)


input/images/bundle-response-excerpted.png Show Validation Information (0)


input/images/coverage-summary-mapping-to-ncpdp.png Show Validation Information (0)


input/images/device-public-domain.jpg Show Validation Information (0)


input/images/high-level-content-view-table.png Show Validation Information (0)


input/images/high-level-rtpbc-fhir-resource-mapping.png Show Validation Information (0)


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Suppressed Messages (Warnings, hints, broken links)

A THO URL has been requested for this code system (https://jira.hl7.org/browse/UP-793)

Concepts from this code system are expected to be incorporated into the THO code system https://terminology.hl7.org/en/CodeSystem-adjudication.html at a future time

Examples for the MessageHeader profiles are within full request and response examples, because instances of these profiles are only valid in the context of referenced resources within the same Bundle. A link to a relevant full message example is present in the StructureDefinition page of each MessageHeader profile.

The RTPBC Non-PHI Coverage profile differs from the base RTPBC Coverage by requiring a Data Absent Reason extension in Coverage.beneficiary. A Coverage instance containing a Data Absent Reason in beneficiary is valid for both the Non-PHI profile and base profile... causing the IG Publisher to find multiple profile matches.

The SHALL, SHOULD and MAY statements flagged below are in narrative that defines what those terms mean

The pattern is set in a repeating slice. The pattern is expected to hold for all repetitions of that slice. (It's fixing the 'system' for the identifier.)

The warnings below are inherited from the US Core Organization profile on which rtpbc-pharmacy-organization is based. Below is the explanation provided in US Core v9: "US Core provides IG-specific guidance on interpreting Must Support for slices at `~/must-support.html#must-support---slices`. Where we state: "...the slicer's Must Support property only defines the element level Must Support/Additional USCDI property. In other words, the slicer's Must Support/Additional USCDI is not inherited by the slices, and each slice must be explicitly tagged with the Must Support/Additional USCDI property to define that slice's conformance strength. If no Must Support/Additional USCDI property is defined for the slice, this lengthy chat: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Slices.20not.20inheriting.20preferred.20bindings.20from.20root/with/514257770 and the resulting tracker FHIR-50391."

This IG's Non-PHI Claim and Non-PHI Coverage profiles exclude personally-identifiable information. The Claim.patient.display, Claim.insurance.coverage.display and Coverage.beneficiary.display elements are defined as 'not used' (0..0), to prevent use, making it impossible for the following examples to include display values.

This code system is specific to the message definitions defined in this guide. TSMG approved an exemption allowing the code system to remain in the IG. See TSMG minutes at https://confluence.hl7.org/spaces/TSMG/pages/441520556/2026-03-23+TSMG+Agenda+and+Minutes

This code system is temporary in this IG. Once the NCPDP Formulary Status code system is available in THO, the IG will be updated to use it instead of this temporary one. (HTA-169 Add NCPDP Formulary Status code system to HTA/THO)

This implementation guide uses external code systems which are listed in terminology.hl7.org (THO) but whose codes are not published by HL7

This warning about the deprecated maxValueSet StuctureDefinition element is inherited from the US Core Coverage profile. The US Core QA indicates the issue is recognized and may be addressed in a future update

This warning is inherited from the US Core Coverage profile. Below is the explanation provided in US Core v9: "These messages have been acknowledged for this release. After reviewing the implications for conformant systems and downstream publications, we will consider updating and/or adopting the recommended replacement in a future release."

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