Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot United States of America flag

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

ValueSet: RTPBC Patient Pay Type Value Set

Official URL: http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-patient-pay-type Version: 2.0.0-ballot
Standards status: Trial-use Active as of 2020-05-23 Maturity Level: 2 Computable Name: RtbpcPatientPayTypeValueSet

This value set contains components of a patient's responsibility for a prescription product's cost.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem RTPBC Patient Pay Type Code System (Temporary) v2.0.0-ballot (CodeSystem)

This value set contains 13 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  deductibleDeductibleAmount to be collected from a patient to be applied to a periodic deductible
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  accumulated-deductibleAccumulated deductibleTotal deductible paid after amount associated with this request
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  remaining-deductibleRemaining deductibleRemaining deductible amount after payment associated with this request
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  coinsurancePer prescription coinsuranceAmount to be collected from a patient to satisfy a per prescription coinsurance
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  copayCopayAmount to be collected from the patient to satisfy a per prescription copay
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  taxTaxAmount to be collected from the patient for sales tax
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  cash-priceFull product cash priceFull product cash price before discounts or coupons
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  coupon-discountCoupon discount amountCoupon discount reducing the amount to be collected from the patient
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  member-discountMember discount amountMember discount reducing the amount to be collected from the patient
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  other-discountOther discount amountOther discount reducing the amount to be collected from the patient
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  other-costOther costOther amount to be collected from the patient
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  eligibleEligible amountAmount that is considered for adjudication
http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary  totalTotal patient responsibilityAmount equalling the total patient responsibility for a prescription product's cost

Description of the above table(s).