Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot

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-ballot 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-bundle-request-non-phi-1

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "rtpbc-bundle-request-non-phi-1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle-non-phi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle-non-phi>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:type [ fhir:v "message"] ; #
      fhir:timestamp [ fhir:v "2025-11-15T13:10:13-05:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-1"^^xsd:anyURI ;
    fhir:l <http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-1>     ] ;
        ( fhir:resource <http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-1> )
      ] [
    fhir:fullUrl [
    fhir:v "http://example.org/my-app/Claim/rtpbc-claim-non-phi-1"^^xsd:anyURI ;
    fhir:l <http://example.org/my-app/Claim/rtpbc-claim-non-phi-1>     ] ;
        ( fhir:resource <http://example.org/my-app/Claim/rtpbc-claim-non-phi-1> )
      ] ) . #

    <http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-1> a fhir:MessageHeader ;
      fhir:id [ fhir:v "rtpbc-messageheader-request-non-phi-1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader-non-phi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader-non-phi>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_rtpbc-messageheader-request-non-phi-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader rtpbc-messageheader-request-non-phi-1</b></p><a name=\"rtpbc-messageheader-request-non-phi-1\"> </a><a name=\"hcrtpbc-messageheader-request-non-phi-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-rtpbc-request-messageheader-non-phi.html\">RTPBC Non-PHI Request MessageHeader</a></p></div><p><b>event</b>: <a href=\"CodeSystem-rtpbc-event-type.html#rtpbc-event-type-rtpbc-request-non-phi\">RTPBC Event Type Code System: rtpbc-request-non-phi</a> (RTPBC Non-PHI Request)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MyPatientApp</td><td><a href=\"http://example.org/MyPatientApp\">http://example.org/MyPatientApp</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-rtpbc-bundle-request-non-phi-1.html#http-//example.org/my-app/Claim/rtpbc-claim-non-phi-1\">Claim: identifier = rtpbc-non-phi-1; status = active; type = Pharmacy; use = predetermination; created = 2025-11-01 11:20:54-0500; priority = Normal</a></p><p><b>definition</b>: <a href=\"MessageDefinition-rtpbc-request-non-phi.html\">RTPBC Non-PHI Request Message Definition</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:event [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type>     ] ;
    fhir:code [ fhir:v "rtpbc-request-non-phi" ] ;
    fhir:display [ fhir:v "RTPBC Non-PHI Request" ]
      ] ; #
      fhir:source [
    fhir:name [ fhir:v "MyPatientApp" ] ;
    fhir:endpoint [
    fhir:v "http://example.org/MyPatientApp"^^xsd:anyURI ;
    fhir:l <http://example.org/MyPatientApp>     ]
      ] ; #
      fhir:focus ( [
    fhir:l <http://example.org/my-app/Claim/rtpbc-claim-non-phi-1> ;
    fhir:reference [ fhir:v "http://example.org/my-app/Claim/rtpbc-claim-non-phi-1" ]
      ] ) ; #
      fhir:definition [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request-non-phi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request-non-phi>
      ] . #

    <http://example.org/my-app/Claim/rtpbc-claim-non-phi-1> a fhir:Claim ;
      fhir:id [ fhir:v "rtpbc-claim-non-phi-1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_rtpbc-claim-non-phi-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim rtpbc-claim-non-phi-1</b></p><a name=\"rtpbc-claim-non-phi-1\"> </a><a name=\"hcrtpbc-claim-non-phi-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-rtpbc-request-claim-non-phi.html\">RTPBC Request Using Claim - Non-PHI</a></p></div><p><b>identifier</b>: rtpbc-non-phi-1</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: ?rref?</p><p><b>created</b>: 2025-11-01 11:20:54-0500</p><p><b>provider</b>: Pharmacies in ZIP Code 55401 (Preferred pharmacy postal code: 55401)</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>false</td><td>?rref?</td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 205535}\">Prozac 10mg Capsule</span></td><td>60 {Each}</td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:value [ fhir:v "rtpbc-non-phi-1" ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>       ] ;
    fhir:code [ fhir:v "pharmacy" ] ;
    fhir:display [ fhir:v "Pharmacy" ]     ] )
      ] ; #
      fhir:use [ fhir:v "predetermination"] ; #
      fhir:patient [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/data-absent-reason"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/data-absent-reason>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "masked"       ]     ] )
      ] ; #
      fhir:created [ fhir:v "2025-11-01T11:20:54-05:00"^^xsd:dateTime] ; #
      fhir:provider [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-preferredPharmacyPostalCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-preferredPharmacyPostalCode>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "55401"       ]     ] ) ;
    fhir:display [ fhir:v "Pharmacies in ZIP Code 55401" ]
      ] ; #
      fhir:priority [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/processpriority>       ] ;
    fhir:code [ fhir:v "normal" ] ;
    fhir:display [ fhir:v "Normal" ]     ] )
      ] ; #
      fhir:insurance ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:focal [ fhir:v false ] ;
    fhir:coverage [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/data-absent-reason"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/data-absent-reason>         ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "masked"         ]       ] )     ]
      ] ) ; #
      fhir:item ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:productOrService [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ;
    fhir:l <http://www.nlm.nih.gov/research/umls/rxnorm>         ] ;
    fhir:code [ fhir:v "205535" ] ;
    fhir:display [ fhir:v "fluoxetine 10 MG Oral Capsule [Prozac]" ]       ] ) ;
    fhir:text [ fhir:v "Prozac 10mg Capsule" ]     ] ;
    fhir:quantity [
    fhir:value [ fhir:v "60"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "{Each}" ]     ]
      ] ) . #