HL7.FHIR.US.CARIN-RTPBC\RTPBC Request Bundle submitted to a pricing source - TTL Representation

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 in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: RTPBC Request Bundle submitted 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: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.