Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1
Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1
This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "rtpbc-bundle-request-03-price-source"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle> ] ]; fhir:Bundle.type [ fhir:value "message"]; fhir:Bundle.timestamp [ fhir:value "2019-11-15T13:10:13-05:00"^^xsd:dateTime]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0b" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0b> ], [ fhir:index 2; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0c" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0c> ], [ fhir:index 3; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0e" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0e> ], [ fhir:index 4; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0f" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0f> ], [ fhir:index 5; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0g" ]; fhir:Bundle.entry.resource <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0g> ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a> a fhir:MessageHeader; fhir:Resource.id [ fhir:value "rtpbc-messageheader-request-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-messageheader-request-03</p><p><b>meta</b>: </p><p><b>event</b>: <span title=\"{http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type rtpbc-request}\">RTPBC Request</span></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>MyPatientApp</td><td><a href=\"http://example.org/MyPatientApp\">http://example.org/MyPatientApp</a></td></tr></table><p><b>focus</b>: <a href=\"#Claim_rtpbc-claim-03\">See above (Claim/rtpbc-claim-03)</a></p><p><b>definition</b>: <a href=\"http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request\">http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request</a></p></div>" ]; fhir:MessageHeader.eventCoding [ fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type" ]; fhir:Coding.code [ fhir:value "rtpbc-request" ]; fhir:Coding.display [ fhir:value "RTPBC Request" ] ]; fhir:MessageHeader.source [ fhir:MessageHeader.source.name [ fhir:value "MyPatientApp" ]; fhir:MessageHeader.source.endpoint [ fhir:value "http://example.org/MyPatientApp" ] ]; fhir:MessageHeader.focus [ fhir:index 0; fhir:Reference.reference [ fhir:value "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0b" ] ]; fhir:MessageHeader.definition [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request"; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request> ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0b> a fhir:Claim; fhir:Resource.id [ fhir:value "rtpbc-claim-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-claim-03</p><p><b>meta</b>: </p><p><b>identifier</b>: id: rtpbc-03</p><p><b>status</b>: active</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>use</b>: predetermination</p><p><b>patient</b>: <a href=\"#Patient_rtpbc-patient-03\">See above (Patient/rtpbc-patient-03)</a></p><p><b>created</b>: Nov 1, 2019 4:20:54 PM</p><p><b>provider</b>: <a href=\"#Organization_rtpbc-organization-03\">See above (Organization/rtpbc-organization-03)</a></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><p><b>prescription</b>: <a href=\"#MedicationRequest_rtpbc-medicationrequest-03\">See above (MedicationRequest/rtpbc-medicationrequest-03)</a></p><h3>CareTeams</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td>*</td><td>1</td><td><a href=\"#Practitioner_rtpbc-practitioner-03\">See above (Practitioner/rtpbc-practitioner-03)</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><span></span></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>ProductOrService</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>1</td><td>1</td><td><span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 205535}\">PROzac 10 MG Oral Capsule</span></td><td>60 {Each}</td></tr></table></div>" ]; fhir:Claim.identifier [ fhir:index 0; fhir:Identifier.value [ fhir:value "rtpbc-03" ] ]; fhir:Claim.status [ fhir:value "active"]; fhir:Claim.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ]; fhir:Coding.code [ fhir:value "pharmacy" ]; fhir:Coding.display [ fhir:value "Pharmacy" ] ] ]; fhir:Claim.use [ fhir:value "predetermination"]; fhir:Claim.patient [ fhir:Reference.reference [ fhir:value "Patient/rtpbc-patient-03" ] ]; fhir:Claim.created [ fhir:value "2019-11-01T11:20:54-05:00"^^xsd:dateTime]; fhir:Claim.provider [ fhir:Reference.reference [ fhir:value "Organization/rtpbc-organization-03" ] ]; fhir:Claim.priority [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ]; fhir:Coding.code [ fhir:value "normal" ]; fhir:Coding.display [ fhir:value "Normal" ] ] ]; fhir:Claim.prescription [ fhir:Reference.reference [ fhir:value "MedicationRequest/rtpbc-medicationrequest-03" ] ]; fhir:Claim.careTeam [ fhir:index 0; fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Claim.careTeam.provider [ fhir:Reference.reference [ fhir:value "Practitioner/rtpbc-practitioner-03" ] ] ]; fhir:Claim.insurance [ fhir:index 0; fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ]; fhir:Claim.insurance.coverage [ fhir:Reference.identifier [ fhir:Identifier.value [ fhir:value "GOODPRICING" ] ] ] ]; fhir:Claim.item [ fhir:index 0; fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger; fhir:index 0 ]; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "205535" ]; fhir:Coding.display [ fhir:value "PROzac 10 MG Oral Capsule" ] ] ]; fhir:Claim.item.quantity [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "{Each}" ] ] ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0c> a fhir:Patient; fhir:Resource.id [ fhir:value "rtpbc-patient-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-patient-03</p><p><b>meta</b>: </p><p><b>identifier</b>: Patient internal identifier: 30455</p><p><b>name</b>: Jane Doe </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1975-12-05</p><p><b>address</b>: 100 Oak Court Madison WI 53510 US </p></div>" ]; fhir:Patient.identifier [ fhir:index 0; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ]; fhir:Coding.code [ fhir:value "PI" ]; fhir:Coding.display [ fhir:value "Patient internal identifier" ] ]; fhir:CodeableConcept.text [ fhir:value "Patient internal identifier" ] ]; fhir:Identifier.system [ fhir:value "http://example.org/MyPatientApp" ]; fhir:Identifier.value [ fhir:value "30455" ] ]; fhir:Patient.name [ fhir:index 0; fhir:HumanName.family [ fhir:value "Doe" ]; fhir:HumanName.given [ fhir:value "Jane"; fhir:index 0 ] ]; fhir:Patient.gender [ fhir:value "female"]; fhir:Patient.birthDate [ fhir:value "1975-12-05"^^xsd:date]; fhir:Patient.address [ fhir:index 0; fhir:Address.line [ fhir:value "100 Oak Court"; fhir:index 0 ]; fhir:Address.city [ fhir:value "Madison" ]; fhir:Address.state [ fhir:value "WI" ]; fhir:Address.postalCode [ fhir:value "53510" ]; fhir:Address.country [ fhir:value "US" ] ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0e> a fhir:MedicationRequest; fhir:Resource.id [ fhir:value "rtpbc-medicationrequest-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-medicationrequest-03</p><p><b>meta</b>: </p><p><b>status</b>: draft</p><p><b>intent</b>: proposal</p><p><b>reported</b>: true</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 205535}\">PROzac 10 MG Oral Capsule</span></p><p><b>subject</b>: <a href=\"#Patient_rtpbc-patient-03\">See above (Patient/rtpbc-patient-03)</a></p><p><b>authoredOn</b>: 2019-11-01</p><p><b>requester</b>: <a href=\"#Practitioner_rtpbc-practitioner-03\">See above (Practitioner/rtpbc-practitioner-03)</a></p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>60 {Each}</td><td>30 days</td><td><a href=\"#Organization_rtpbc-organization-03\">See above (Organization/rtpbc-organization-03)</a></td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>false</td></tr></table></div>" ]; fhir:MedicationRequest.status [ fhir:value "draft"]; fhir:MedicationRequest.intent [ fhir:value "proposal"]; fhir:MedicationRequest.reportedBoolean [ fhir:value "true"^^xsd:boolean]; fhir:MedicationRequest.medicationCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "205535" ]; fhir:Coding.display [ fhir:value "PROzac 10 MG Oral Capsule" ] ] ]; fhir:MedicationRequest.subject [ fhir:Reference.reference [ fhir:value "Patient/rtpbc-patient-03" ] ]; fhir:MedicationRequest.authoredOn [ fhir:value "2019-11-01"^^xsd:date]; fhir:MedicationRequest.requester [ fhir:Reference.reference [ fhir:value "Practitioner/rtpbc-practitioner-03" ] ]; fhir:MedicationRequest.dosageInstruction [ fhir:index 0; fhir:Dosage.text [ fhir:value "Take 2 capsules once a day" ] ]; fhir:MedicationRequest.dispenseRequest [ fhir:MedicationRequest.dispenseRequest.quantity [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "{Each}" ] ]; fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "days" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "d" ] ]; fhir:MedicationRequest.dispenseRequest.performer [ fhir:Reference.reference [ fhir:value "Organization/rtpbc-organization-03" ] ] ]; fhir:MedicationRequest.substitution [ fhir:MedicationRequest.substitution.allowedBoolean [ fhir:value "false"^^xsd:boolean ] ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0f> a fhir:Practitioner; fhir:Resource.id [ fhir:value "rtpbc-practitioner-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-practitioner-03</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 1234567890</p><p><b>name</b>: Johnson </p></div>" ]; fhir:Practitioner.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ]; fhir:Identifier.value [ fhir:value "1234567890" ] ]; fhir:Practitioner.name [ fhir:index 0; fhir:HumanName.family [ fhir:value "Johnson" ] ]. <urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0g> a fhir:Organization; fhir:Resource.id [ fhir:value "rtpbc-organization-03"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: rtpbc-organization-03</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 9876543210</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://ncpdp.org/pharmacy-type R}\">Retail</span></p><p><b>name</b>: Hometown Drug</p><p><b>telecom</b>: ph: 6081234567</p><p><b>address</b>: 900 9th Street Madison WI 53535 US </p></div>" ]; fhir:Organization.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ]; fhir:Identifier.value [ fhir:value "9876543210" ] ]; fhir:Organization.active [ fhir:value "true"^^xsd:boolean]; fhir:Organization.type [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncpdp.org/pharmacy-type" ]; fhir:Coding.code [ fhir:value "R" ]; fhir:Coding.display [ fhir:value "Retail" ] ] ]; fhir:Organization.name [ fhir:value "Hometown Drug"]; fhir:Organization.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "phone" ]; fhir:ContactPoint.value [ fhir:value "6081234567" ] ]; fhir:Organization.address [ fhir:index 0; fhir:Address.line [ fhir:value "900 9th Street"; fhir:index 0 ]; fhir:Address.city [ fhir:value "Madison" ]; fhir:Address.state [ fhir:value "WI" ]; fhir:Address.postalCode [ fhir:value "53535" ]; fhir:Address.country [ fhir:value "US" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
IG © 2020+ HL7 International - Pharmacy. Package hl7.fhir.us.carin-rtpbc#1.0.0 based on FHIR 4.0.1. Generated 2020-08-25
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