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 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
In the event that the RTPBC source system (payer/PBM, discount pricing source) is unable to fully process a request because of data or business rule issue, that system SHALL respond by populating the .error composite in the ClaimResponse resource. Values SHOULD be taken from the set of RTPBC error codes as defined in the RTPBC Error Code Value Set.
In the event of a system or communication error, RTPBC source systems (payer/PBM, discount pricing source) SHALL respond by providing an OperationOutcome resource.
The OperationOutcome:
SHALL contain details of the error in the OperationOutcome.issue.details.coding.code and OperationOutcome.issue.details.coding.display fields.