CARIN Consumer Realtime Pharmacy Benefit Check Implementation Guide CI Build

CARIN Consumer Realtime Pharmacy Benefit Check - Local Development build (v0.1.00-DRAFT). See the Directory of published versions

XML Format: ValueSet-carin-rtpbc-coverage-determination-value-set

Raw xml 


<ValueSet xmlns="http://hl7.org/fhir">
  <id value="carin-rtpbc-coverage-determination-value-set"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2019-11-01T03:24:13.000-05:00"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">This value set contains coverage levels that may apply to a prescription product.
        </div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin/ValueSet/rtpbc-coverage-determination"/>
  <version value="0.1.00-DRAFT"/>
  <name value="CarinRtbpcCoverageDeterminationValueSet"/>
  <title value="CARIN RTPBC Coverage Determination Value Set"/>
  <status value="draft"/>
  <date value="2019-10-25T00:00:00-05:00"/>
  <publisher value="CARIN Alliance"/>
  <description
               value="This value set contains coverage levels that may apply to a prescription product."/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-determination"/>
      <concept>
        <code value="covered"/>
        <display value="Covered"/>
      </concept>
      <concept>
        <code value="prior-auth"/>
        <display value="Covered with restriction: Prior authorization required"/>
      </concept>
      <concept>
        <code value="step-therapy"/>
        <display value="Covered with restriction: Step therapy applies"/>
      </concept>
      <concept>
        <code value="quantity-limit"/>
        <display value="Covered with restriction: Quantity limits apply"/>
      </concept>
      <concept>
        <code value="other-restriction"/>
        <display value="Covered with restriction: Other restriction applies"/>
      </concept>
      <concept>
        <code value="not-covered"/>
        <display value="Not covered"/>
      </concept>
    </include>
  </compose>
</ValueSet>