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

: rtpbc-bundle-request-non-phi-1

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{
  "resourceType" : "Bundle",
  "id" : "rtpbc-bundle-request-non-phi-1",
  "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-1",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "rtpbc-messageheader-request-non-phi-1",
        "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-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader rtpbc-messageheader-request-non-phi-1</b></p><a name=\"rtpbc-messageheader-request-non-phi-1\"> </a><a name=\"hcrtpbc-messageheader-request-non-phi-1\"> </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-1.html#http-//example.org/my-app/Claim/rtpbc-claim-non-phi-1\">Claim: identifier = rtpbc-non-phi-1; 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-1"
          }
        ],
        "definition" : "http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request-non-phi"
      }
    },
    {
      "fullUrl" : "http://example.org/my-app/Claim/rtpbc-claim-non-phi-1",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "rtpbc-claim-non-phi-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_rtpbc-claim-non-phi-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim rtpbc-claim-non-phi-1</b></p><a name=\"rtpbc-claim-non-phi-1\"> </a><a name=\"hcrtpbc-claim-non-phi-1\"> </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-non-phi-1</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>: Pharmacies in ZIP Code 55401 (Preferred pharmacy postal code: 55401)</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-non-phi-1"
          }
        ],
        "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" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-preferredPharmacyPostalCode",
              "valueString" : "55401"
            }
          ],
          "display" : "Pharmacies in ZIP Code 55401"
        },
        "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}"
            }
          }
        ]
      }
    }
  ]
}