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

JSON Format: CodeSystem-carin-rtpbc-coverage-determination-code-system

Raw json 

{
  "resourceType" : "CodeSystem",
  "id" : "carin-rtpbc-coverage-determination-code-system",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-11-01T03:27:49.000-05:00"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This code system defines coverage levels that may apply to a prescription product.   \n        </div>"
  },
  "url" : "http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-determination",
  "version" : "0.1.00-DRAFT",
  "name" : "CarinRtpbcCoverageDeterminationCodeSystem",
  "title" : "CARIN RTPBC Coverage Determination Code System",
  "status" : "draft",
  "date" : "2019-10-31T00:00:00-05:00",
  "publisher" : "CARIN Alliance",
  "description" : "This code system defines coverage levels that may apply to a prescription product.",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [
    {
      "code" : "covered",
      "display" : "Covered"
    },
    {
      "code" : "prior-auth",
      "display" : "Covered with restriction: Prior authorization required",
      "definition" : "Covered with restriction: Prior authorization required"
    },
    {
      "code" : "step-therapy",
      "display" : "Covered with restriction: Step therapy applies",
      "definition" : "Covered with restriction: Step therapy applies"
    },
    {
      "code" : "quantity-limit",
      "display" : "Covered with restriction: Quantity limits apply",
      "definition" : "Covered with restriction: Quantity limits apply"
    },
    {
      "code" : "other-restriction",
      "display" : "Covered with restriction: Other restriction applies",
      "definition" : "Covered with restriction: Other restriction applies"
    },
    {
      "code" : "not-covered",
      "display" : "Not covered",
      "definition" : "Not covered"
    }
  ]
}