Consumer Real-Time Pharmacy Benefit Check FHIR IG
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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

rtpbc-claim-03

Format(s):

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


Narrative view

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] = PROzac 10 MG Oral Capsule; authoredOn = 2019-11-01

CareTeams

-SequenceProvider
*1Practitioner Johnson

Insurances

-SequenceFocalCoverage
*1trueIdentifier: GOODPRICING

Items

-SequenceCareTeamSequenceProductOrServiceQuantity
*11PROzac 10 MG Oral Capsule60 {Each}