Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build
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
| Official URL: http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-patient-pay-type | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: RtbpcPatientPayTypeValueSet | ||
This value set contains components of a patient's responsibility for a prescription product's cost.
References
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type
Expansion performed internally based on codesystem RTPBC Patient Pay Type Code System v2.0.0 (CodeSystem)
This value set contains 11 concepts
| Code | System | Display | Definition |
| deductible | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Deductible | Amount to be collected from a patient to be applied to a periodic deductible |
| coinsurance | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Per prescription coinsurance | Amount to be collected from a patient to satisfy a per prescription coinsurance |
| copay | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Copay | Amount to be collected from the patient to satisfy a per prescription copay |
| tax | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Tax | Amount to be collected from the patient for sales tax |
| cash-price | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Full product cash price | Full product cash price before discounts or coupons |
| coupon-discount | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Coupon discount amount | Coupon discount reducing the amount to be collected from the patient |
| member-discount | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Member discount amount | Member discount reducing the amount to be collected from the patient |
| other-discount | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Other discount amount | Other discount reducing the amount to be collected from the patient |
| other-cost | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Other cost | Other amount to be collected from the patient |
| eligible | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Eligible amount | Amount that is considered for adjudication |
| total | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type | Total patient responsibility | Amount equalling the total patient responsibility for a prescription product's cost |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
IG © 2024+ HL7 International / Pharmacy. Package hl7.fhir.us.carin-rtpbc#2.0.0 based on FHIR 4.0.1. Generated 2025-08-07
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