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 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

RtpbcRequestMessageDefinition

Format(s):

MessageDefinition: Real-time Pharmacy Benefit Check (RTPBC) Request

This MessageDefinition describes the content of a real-time pharmacy benefit check (RTPBC) request, when using FHIR messaging.

The Claim resource is the focus in a bundle that also contains other supporting resources referenced by the Claim (Patient, MedicationRequest, Coverage, Practitioner, Organization).

Note: The guide describes two methods for submitting the RTPBC request ($submit operation and FHIR messaging using $process-message), with the intent to elicit comments from potential implementers.


request MessageDefinition

Narrative view

Generated Narrative

id: rtpbc-request

url: http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request

version: 1.0.0

name: RtpbcRequest

title: RTPBC Request Message Definition

status: active

experimental: false

date: May 23, 2020 5:00:00 AM

publisher: HL7 International - Pharmacy

contact: HL7 International - Pharmacy: http://www.hl7.org/Special/committees/medication, Frank McKinney: frank.mckinney@pocp.com

description: Request for patient cost and coverage information for a prescribed medication

jurisdiction: United States of America

purpose: Requests patient cost and coverage information for a prescribed medication

event: RTPBC Request

category: notification

Focus

-CodeProfileMinMax
*Claimhttp://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim11

AllowedResponses

-MessageSituation
*http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-responseReturned when processing completes without encountering a system error