Consumer Real-Time Pharmacy Benefit Check FHIR IG
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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

-SequenceProvider
*1Practitioner Johnson

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; subscriberId = 121212; relationship = Self

Items

-SequenceCareTeamSequenceProductOrServiceQuantity
*11fluoxetine 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 Detail100 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

-ValueUnitSystemCode
*30dayshttp://unitsofmeasure.orgd

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

-TelecomAddress
*ph: 6081234567900 9th Street Madison WI 53535 US