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-2

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    {
      "resourceType" : "Bundle",
      "id" : "rtpbc-bundle-request-non-phi-2",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle-non-phi"
        ]
      },
      "language" : "en",
      "type" : "message",
      "timestamp" : "2025-11-15T13:10:13-05:00",
      "entry" : [
        {
          "fullUrl" : "http://example.org/my-app/MessageHeader/rtpbc-messageheader-request-non-phi-2",
          "resource" : {
            "resourceType" : "MessageHeader",
            "id" : "rtpbc-messageheader-request-non-phi-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader-non-phi"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_rtpbc-messageheader-request-non-phi-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader rtpbc-messageheader-request-non-phi-2</b></p><a name=\"rtpbc-messageheader-request-non-phi-2\"> </a><a name=\"hcrtpbc-messageheader-request-non-phi-2\"> </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-2.html#http-//example.org/my-app/Claim/rtpbc-claim-non-phi-2\">Claim: identifier = rtpbc-claim-non-phi-2; 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>"
            },
            "eventCoding" : {
              "system" : "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type",
              "code" : "rtpbc-request-non-phi",
              "display" : "RTPBC Non-PHI Request"
            },
            "source" : {
              "name" : "MyPatientApp",
              "endpoint" : "http://example.org/MyPatientApp"
            },
            "focus" : [
              {
                "reference" : "http://example.org/my-app/Claim/rtpbc-claim-non-phi-2"
              }
            ],
            "definition" : "http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request-non-phi"
          }
        },
        {
          "fullUrl" : "http://example.org/my-app/Claim/rtpbc-claim-non-phi-2",
          "resource" : {
            "resourceType" : "Claim",
            "id" : "rtpbc-claim-non-phi-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_rtpbc-claim-non-phi-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim rtpbc-claim-non-phi-2</b></p><a name=\"rtpbc-claim-non-phi-2\"> </a><a name=\"hcrtpbc-claim-non-phi-2\"> </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-claim-non-phi-2</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>: <a href=\"Organization-rtpbc-organization-01.html\">Organization Hometown Drug</a></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>"
            },
            "identifier" : [
              {
                "value" : "rtpbc-claim-non-phi-2"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                  "code" : "pharmacy",
                  "display" : "Pharmacy"
                }
              ]
            },
            "use" : "predetermination",
            "patient" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ]
            },
            "created" : "2025-11-01T11:20:54-05:00",
            "provider" : {
              🔗 "reference" : "Organization/rtpbc-organization-01"
            },
            "priority" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
                  "code" : "normal",
                  "display" : "Normal"
                }
              ]
            },
            "insurance" : [
              {
                "sequence" : 1,
                "focal" : false,
                "coverage" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                }
              }
            ],
            "item" : [
              {
                "sequence" : 1,
                "productOrService" : {
                  "coding" : [
                    {
                      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                      "code" : "205535",
                      "display" : "fluoxetine 10 MG Oral Capsule [Prozac]"
                    }
                  ],
                  "text" : "Prozac 10mg Capsule"
                },
                "quantity" : {
                  "value" : 60,
                  "unit" : "{Each}"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/my-app/Organization/rtpbc-organization-01",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "rtpbc-organization-01",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_rtpbc-organization-01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization rtpbc-organization-01</b></p><a name=\"rtpbc-organization-01\"> </a><a name=\"hcrtpbc-organization-01\"> </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-pharmacy-organization.html\">RTPBC Pharmacy Organization</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9876543213</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/NCPDPPharmacyType R}\">Retail</span></p><p><b>name</b>: Hometown Drug</p><p><b>telecom</b>: ph: 6081234567</p><p><b>address</b>: 900 9th Street Madison WI 53535 US </p></div>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9876543213"
              }
            ],
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/NCPDPPharmacyType",
                    "code" : "R",
                    "display" : "Retail"
                  }
                ]
              }
            ],
            "name" : "Hometown Drug",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "6081234567"
              }
            ],
            "address" : [
              {
                "line" : [
                  "900 9th Street"
                ],
                "city" : "Madison",
                "state" : "WI",
                "postalCode" : "53535",
                "country" : "US"
              }
            ]
          }
        }
      ]
    }