Generated Narrative: Claim rtpbc-claim-01

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}