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 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 
Mappings for the rtpbc-request-claim resource profile.
| RtpbcRequestClaim | ||
| Claim | Request | |
| identifier | Request.identifier | |
| status | Request.status | |
| patient | Request.subject | |
| created | Request.authoredOn | |
| insurer | Request.performer | |
| provider | Request.requester | |
| priority | Request.priority | |
| related | ||
| claim | Request.replaces | |
| supportingInfo | Request.supportingInfo | |
| diagnosis | Request.reasonReference | |
| insurance | ||
| identifier | Request.identifier | |
| item | ||
| encounter | Request.context | |
| RtpbcRequestClaim | ||
| Claim | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| billablePeriod | FiveWs.done[x] | |
| created | FiveWs.recorded | |
| enterer | FiveWs.author | |
| provider | FiveWs.source | |
| referral | FiveWs.cause | |
| facility | FiveWs.where[x] | |
| careTeam | ||
| provider | FiveWs.actor | |
| insurance | ||
| identifier | FiveWs.identifier | |
| item | ||
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| RtpbcRequestClaim | ||
| Claim | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | ||
| id | n/a | |
| extension | n/a | |
| use | Role.code or implied by context | |
| type | Role.code or implied by context | |
| system | II.root or Role.id.root | |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) | |
| period | Role.effectiveTime or implied by context | |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper | |
| type | ||
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| patient | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| provider | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| priority | ||
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| related | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| prescription | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| payee | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| provider | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| supportingInfo | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| procedure | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| coverage | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| accident | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| item | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| productOrService | ||
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| quantity | ||
| id | n/a | |
| extension | n/a | |
| value | PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value | |
| unit | PQ.unit | |
| system | CO.codeSystem, PQ.translation.codeSystem | |
| code | PQ.code, MO.currency, PQ.translation.code | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
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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