Specialty Medication Enrollment
2.0.0-ballot - STU 2 Ballot US

This page is part of the Specialty Medication Enrollment (v2.0.0-ballot: STU2 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example Coverage: Specialty Rx Coverage 1

This example contains information about a patient’s pharmacy benefit.

Example data content

Coverage
id@value:  specialty-rx-coverage-1
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-coverage
status@value:  active
beneficiaryreference@value:  Patient/specialty-rx-patient-1
payoridentifiervalue@value:  Pharmacy Plans USclass[1]typecodingsystem@value:  http://terminology.hl7.org/CodeSystem/coverage-classcode@value:  rxbin
value@value:  BIN001
class[2]typecodingsystem@value:  http://terminology.hl7.org/CodeSystem/coverage-classcode@value:  rxpcn
value@value:  PCN002
class[3]typecodingsystem@value:  http://terminology.hl7.org/CodeSystem/coverage-classcode@value:  rxgroup
value@value:  GROUP0001
class[4]typecodingsystem@value:  http://terminology.hl7.org/CodeSystem/coverage-classcode@value:  rxid
value@value:  MEMBER000001

Generated Narrative: Coverage

Resource Coverage "specialty-rx-coverage-1"

Profile: Specialty Rx Coverage

status: active

beneficiary: Patient/specialty-rx-patient-1 " DOE"

payor:

class

type: RX BIN (Coverage Class Codes#rxbin)

value: BIN001

class

type: RX PCN (Coverage Class Codes#rxpcn)

value: PCN002

class

type: RX Group (Coverage Class Codes#rxgroup)

value: GROUP0001

class

type: RX Id (Coverage Class Codes#rxid)

value: MEMBER000001