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

## Example Bundle: rtpbc-bundle-request-01

Language: en

Profile: RTPBC Request Bundle

Bundle rtpbc-bundle-request-01 of type message

Entry 1 - fullUrl = http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-01

Resource MessageHeader:

> Language: en

> Profile: RTPBC Request MessageHeader

> event: RTPBC Event Type Code System: rtpbc-request (RTPBC Request)

> ### Sources

> - | Name
> * | MyPatientApp

> focus: Claim: identifier = rtpbc-01; status = active; type = Pharmacy; use = predetermination; created = 2019-11-01 11:20:54-0500; priority = Normal

> definition: RTPBC Request Message Definition

Entry 2 - fullUrl = http://example.org/my-app/Claim/rtpbc-claim-01

Resource Claim:

> Language: en

> Profile: RTPBC Request Using Claim

> identifier: rtpbc-01

> 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] = fluoxetine 10 MG Oral Capsule [Prozac]; authoredOn = 2019-11-01

> ### CareTeams

> - | Sequence | Provider
> * | 1 | Practitioner Johnson

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Coverage: status = active; subscriberId = 121212; relationship = Self

> ### Items

> - | Sequence | CareTeamSequence | ProductOrService | Quantity
> * | 1 | 1 | fluoxetine 10 MG Oral Capsule [Prozac] | 60 {Each}

Entry 3 - fullUrl = http://example.org/my-app/Patient/rtpbc-patient-01

Resource Patient:

> Language: en

> Profile: RTPBC Patient

> Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> Contact Detail | 100 Oak Court Madison WI 53510 US

Entry 4 - fullUrl = http://example.org/my-app/Coverage/rtpbc-coverage-01

Resource Coverage:

> Language: en

> Profile: RTPBC Coverage

> status: Active

> subscriberId: 121212

> beneficiary: Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> relationship: Self

> > class

> > type: RX BIN

> > value: BIN001

> > class

> > type: RX PCN

> > value: PCN002

> > class

> > type: RX Group

> > value: GROUP0001

> > class

> > type: RX Id

> > value: MEMBER000001

Entry 5 - fullUrl = http://example.org/my-app/MedicationRequest/rtpbc-medicationrequest-01

Resource MedicationRequest:

> Language: en

> Profile: RTPBC Medication Request

> status: Draft

> intent: Proposal

> subject: Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

> authoredOn: 2019-11-01

> requester: Practitioner Johnson

> ### DosageInstructions

> - | Text
> * | Take 2 capsules once a day

> > dispenseRequest

> > quantity: 60 each (Details: UCUM code1 = '1')

> > ### ExpectedSupplyDurations

> > - | Value | Unit | System | Code
> > * | 30 | days | http://unitsofmeasure.org | d

> ### Substitutions

> - | Allowed[x]
> * | false

Entry 6 - fullUrl = http://example.org/my-app/Practitioner/rtpbc-practitioner-01

Resource Practitioner:

> Language: en

> Profile: US Core Practitioner Profile

> identifier: United States National Provider Identifier/1234567893

> name: Johnson

Entry 7 - fullUrl = http://example.org/my-app/Organization/rtpbc-organization-01

Resource Organization:

> Language: en

> Profile: RTPBC Pharmacy Organization

> identifier: United States National Provider Identifier/9876543213

> active: true

> type: Retail

> name: Hometown Drug

> ### Contacts

> - | Telecom | Address
> * | ph: 6081234567 | 900 9th Street Madison WI 53535 US