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
Official URL: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-benefitRestriction | Version: 2.0.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: RtpbcExtensionBenefitRestriction |
This extension conveys benefit restrictions that may apply to a prescription product and pharmacy combination.
Context of Use
This extension may be used on the following element(s)
ClaimResponse.item
ClaimResponse.addItem
This extension enables a real-time pharmacy benefit check responder to indicate one or more benefit restrictions that apply to:
Values conveyed in this extension are defined in the RTPBC Benefit Restriction value set.
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | Extension | Benefit restriction. | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-benefitRestriction" | |
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1..1 | Coding | Value of extension Binding: RTPBC Benefit Restriction Value Set (extensible) | |
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Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Benefit restriction. | |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-benefitRestriction" | |
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1..1 | Coding | Value of extension Binding: RTPBC Benefit Restriction Value Set (extensible) | |
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Differential View
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Benefit restriction. | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-benefitRestriction" | |
![]() ![]() ![]() |
1..1 | Coding | Value of extension Binding: RTPBC Benefit Restriction Value Set (extensible) | |
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Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Benefit restriction. | |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-benefitRestriction" | |
![]() ![]() ![]() |
1..1 | Coding | Value of extension Binding: RTPBC Benefit Restriction Value Set (extensible) | |
![]() |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet | URI |
Extension.value[x] | extensible | RtbpcBenefitRestrictionValueSet(a valid code from RTPBC Benefit Restriction Code System)http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-benefit-restriction From this IG |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |