# RTPBC Patient Pay Type Code System (Temporary) - Consumer Real-Time Pharmacy Benefit Check FHIR IG v2.0.0-ballot

## CodeSystem: RTPBC Patient Pay Type Code System (Temporary) 

 
This code system defines components of a patient's responsibility for a prescription product's cost. (The contents of this code system are expected to be incorporated into the THO code system https://terminology.hl7.org/en/CodeSystem-adjudication.html) 

This Code system is referenced in the definition of the following value sets:

* [RtbpcPatientPayTypeValueSet](ValueSet-rtpbc-patient-pay-type.md)

-------

 [Description of the above table(s)](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#terminology). 



## Resource Content

```json
{
  "resourceType" : "CodeSystem",
  "id" : "rtpbc-patient-pay-type-temporary",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "phx"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/carin-rtpbc/ImplementationGuide/hl7.fhir.us.carin-rtpbc"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary",
  "version" : "2.0.0-ballot",
  "name" : "RtpbcPatientPayTypeCodeSystem",
  "title" : "RTPBC Patient Pay Type Code System (Temporary)",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-01T00:00:00-05:00",
  "publisher" : "HL7 International / Pharmacy",
  "contact" : [{
    "name" : "HL7 International / Pharmacy",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/medication"
    }]
  },
  {
    "name" : "Frank McKinney",
    "telecom" : [{
      "system" : "email",
      "value" : "fm@frankmckinney.com"
    }]
  }],
  "description" : "This code system defines components of a patient's responsibility for a prescription product's cost. (The contents of this code system are expected to be incorporated into the THO code system https://terminology.hl7.org/en/CodeSystem-adjudication.html)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "caseSensitive" : false,
  "content" : "complete",
  "count" : 13,
  "concept" : [{
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "Amount to be collected from a patient to be applied to a periodic deductible"
  },
  {
    "code" : "accumulated-deductible",
    "display" : "Accumulated deductible",
    "definition" : "Total deductible paid after amount associated with this request"
  },
  {
    "code" : "remaining-deductible",
    "display" : "Remaining deductible",
    "definition" : "Remaining deductible amount after payment associated with this request"
  },
  {
    "code" : "coinsurance",
    "display" : "Per prescription coinsurance",
    "definition" : "Amount to be collected from a patient to satisfy a per prescription coinsurance"
  },
  {
    "code" : "copay",
    "display" : "Copay",
    "definition" : "Amount to be collected from the patient to satisfy a per prescription copay"
  },
  {
    "code" : "tax",
    "display" : "Tax",
    "definition" : "Amount to be collected from the patient for sales tax"
  },
  {
    "code" : "cash-price",
    "display" : "Full product cash price",
    "definition" : "Full product cash price before discounts or coupons"
  },
  {
    "code" : "coupon-discount",
    "display" : "Coupon discount amount",
    "definition" : "Coupon discount reducing the amount to be collected from the patient"
  },
  {
    "code" : "member-discount",
    "display" : "Member discount amount",
    "definition" : "Member discount reducing the amount to be collected from the patient"
  },
  {
    "code" : "other-discount",
    "display" : "Other discount amount",
    "definition" : "Other discount reducing the amount to be collected from the patient"
  },
  {
    "code" : "other-cost",
    "display" : "Other cost",
    "definition" : "Other amount to be collected from the patient"
  },
  {
    "code" : "eligible",
    "display" : "Eligible amount",
    "definition" : "Amount that is considered for adjudication"
  },
  {
    "code" : "total",
    "display" : "Total patient responsibility",
    "definition" : "Amount equalling the total patient responsibility for a prescription product's cost"
  }]
}

```
