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

• Narrative Content
• XML
• JSON
• TTL

: RTPBC Request to a Pricing Source - TTL Representation

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@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:Claim;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "rtpbc-claim-03-price-source"];
  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-price-source</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.html\">Generated Summary: id: rtpbc-patient-03; Patient internal identifier: 30455; Jane Doe ; gender: female; birthDate: 1975-12-05</a></p><p><b>created</b>: Nov 1, 2019 4:20:54 PM</p><p><b>provider</b>: <a href=\"Organization-rtpbc-organization-03.html\">Generated Summary: id: rtpbc-organization-03; id: 0999017; active; <span title=\"Codes: {http://ncpdp.org/pharmacy-type R}\">Retail</span>; name: Hometown Drug; ph: 6081234567</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.html\">Generated Summary: id: rtpbc-medicationrequest-03; status: draft; intent: proposal; reported; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 205535}\">PROzac 10 MG Oral Capsule</span>; authoredOn: 2019-11-01</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.html\">Generated Summary: id: rtpbc-practitioner-03; id: 1234567890; Johnson </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}" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.