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

• Content
• XML
• JSON

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

Raw json

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