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 Claim: rtpbc-claim-01

Page standards status: Informative

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}