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
| Official URL: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-relatedCoverage | Version: 2.0.0-ballot | ||||
| Standards status: Trial-use Active as of 2026-02-17 | Maturity Level: 1 | Computable Name: RtpbcExtensionRelatedCoverage | |||
This extension conveys the coverage associated with an RTPBC Response item or addItem
Context of Use
This extension may be used on the following element(s)
ClaimResponse.item
ClaimResponse.addItem
This extension provides coverage information related to an RTPBC response entry conveyed in a Claim.item or Claim.addItem element. It's content is a reference to a Coverage resource which might, for example, contain identifiers needed to adjudicate a discount card.
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Related Coverage. | |
![]() ![]() |
0..0 | Extension | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-relatedCoverage" | |
![]() ![]() |
1..1 | Reference(RTPBC Coverage | RTPBC Coverage - Non-PHI) | Value of extension | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Related Coverage. | |
![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-relatedCoverage" | |
![]() ![]() |
1..1 | Reference(RTPBC Coverage | RTPBC Coverage - Non-PHI) | Value of extension | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Simple Extension with the type Reference: This extension conveys the coverage associated with an RTPBC Response item or addItem
Maturity: 1
Differential ViewDifferential View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Related Coverage. | |
![]() ![]() |
0..0 | Extension | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-relatedCoverage" | |
![]() ![]() |
1..1 | Reference(RTPBC Coverage | RTPBC Coverage - Non-PHI) | Value of extension | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Related Coverage. | |
![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-relatedCoverage" | |
![]() ![]() |
1..1 | Reference(RTPBC Coverage | RTPBC Coverage - Non-PHI) | Value of extension | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Simple Extension with the type Reference: This extension conveys the coverage associated with an RTPBC Response item or addItem
Maturity: 1
Other representations of profile: CSV, Excel, Schematron