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

ValueSet: RtpbcErrorCodeValueSet

Summary

Defining URL:http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-error-code
Version:1.0.0
Name:RtbpcErrorCodeValueSet
Status:Active
Title:RTPBC Error Code Value Set
Definition:

This value set contains the error codes to be used by real-time pharmacy benefit check servers when encountering a data or business condition that prevents processing from completing. Values are defined in the NCPDP-maintained Reject Code (511-FB) code set.

Publisher:HL7 International - Pharmacy
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

  • Include all codes defined in http://ncpdp.org/reject-code

 

Expansion

No Expansion for this valueset (Unknown Code System)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

Notes:

All codes are from the licensed NCPDP Reject Code (511-FB) code set, maintained by the National Council for Prescription Drug Programs. See NCPDP Reject Code (511-FB) (NamingSystem)

Concept examples

The full, up-to-date content of the NCPDP Reject Code (511-FB) code set is only available to NCPDP members.

However, a past version of the code set is publicly available in the AHRQ United States Health Information Knowledgebase (USHIK). Below is a subset of concepts from that public source, for illustration purposes.

CodeDisplay
PJM/I Request Insurance Segment
1M/I Bin Number
4M/I Processor Control Number
6M/I Group ID
7M/I Cardholder ID
8M/I Person Code
600Coverage Outside Submitted Date Of Transaction
N1No Patient Match Found
99Host Processing Error
92System Unavailable/Host Unavailable
R8Syntax Error
21M/I Product/Service ID
77Discontinued Product/Service ID Number
ETM/I Quantity Prescribed
26M/I Unit Of Measure
PZNon-Matched Unit Of Measure To Product/Service ID
19M/I Days Supply
22M/I Dispense As Written (DAW)/Product Selection Code
PNM/I Request Prescriber Segment
DRM/I Prescriber Last Name
25M/I Prescriber ID
56Non-Matched Prescriber ID
71Prescriber ID Is Not Covered
Z5M/I Service Provider Segment
5M/I Service Provider Number
YKM/I Service Provider Name
PKM/I Request Patient Segment
CAM/I Patient First Name
CBM/I Patient Last Name
9M/I Date Of Birth
10M/I Patient Gender Code