This page is part of the Consumer Real-time Pharmacy Benefit Check (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
Turtle Format: CodeSystem-carin-rtpbc-coverage-summary-code-system
Raw ttl
@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:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "carin-rtpbc-coverage-summary-code-system"]; fhir:Resource.meta [ fhir:Meta.lastUpdated [ fhir:value "2019-12-08T05:00:00.000+00:00"^^xsd:dateTime ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>CARIN RTPBC Coverage Summary Code System</h2><div><p>This code system defines a set of coverage outcomes that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.</p>\n</div><p>This code system http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-summary defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">covered<a name=\"carin-rtpbc-coverage-summary-code-system-covered\"> </a></td><td>Covered</td><td>Covered</td></tr><tr><td style=\"white-space:nowrap\">prior-auth<a name=\"carin-rtpbc-coverage-summary-code-system-prior-auth\"> </a></td><td>Prior authorization required</td><td>Covered with restriction: Prior authorization required</td></tr><tr><td style=\"white-space:nowrap\">step-therapy<a name=\"carin-rtpbc-coverage-summary-code-system-step-therapy\"> </a></td><td>Step therapy applies</td><td>Covered with restriction: Step therapy applies</td></tr><tr><td style=\"white-space:nowrap\">quantity-limit<a name=\"carin-rtpbc-coverage-summary-code-system-quantity-limit\"> </a></td><td>Quantity limits apply</td><td>Covered with restriction: Quantity limits apply</td></tr><tr><td style=\"white-space:nowrap\">pharmacy-restriction<a name=\"carin-rtpbc-coverage-summary-code-system-pharmacy-restriction\"> </a></td><td>Pharmacy restriction applies</td><td>Pharmacy restriction applies</td></tr><tr><td style=\"white-space:nowrap\">other-restriction<a name=\"carin-rtpbc-coverage-summary-code-system-other-restriction\"> </a></td><td>Other restriction applies</td><td>Covered with restriction: Other restriction applies</td></tr><tr><td style=\"white-space:nowrap\">not-covered<a name=\"carin-rtpbc-coverage-summary-code-system-not-covered\"> </a></td><td>Not covered</td><td>Not covered</td></tr></table></div>" ]; fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-summary"]; fhir:CodeSystem.version [ fhir:value "0.1.0"]; fhir:CodeSystem.name [ fhir:value "CarinRtpbcCoverageSummaryCodeSystem"]; fhir:CodeSystem.title [ fhir:value "CARIN RTPBC Coverage Summary Code System"]; fhir:CodeSystem.status [ fhir:value "active"]; fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean]; fhir:CodeSystem.date [ fhir:value "2019-12-08T05:00:00+00:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "CARIN Alliance"]; fhir:CodeSystem.description [ fhir:value "This code system defines a set of coverage outcomes that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process."]; fhir:CodeSystem.jurisdiction [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ]; fhir:Coding.code [ fhir:value "US" ]; fhir:Coding.display [ fhir:value "United States of America" ] ] ]; fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "covered" ]; fhir:CodeSystem.concept.display [ fhir:value "Covered" ]; fhir:CodeSystem.concept.definition [ fhir:value "Covered" ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "prior-auth" ]; fhir:CodeSystem.concept.display [ fhir:value "Prior authorization required" ]; fhir:CodeSystem.concept.definition [ fhir:value "Covered with restriction: Prior authorization required" ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "step-therapy" ]; fhir:CodeSystem.concept.display [ fhir:value "Step therapy applies" ]; fhir:CodeSystem.concept.definition [ fhir:value "Covered with restriction: Step therapy applies" ] ], [ fhir:index 3; fhir:CodeSystem.concept.code [ fhir:value "quantity-limit" ]; fhir:CodeSystem.concept.display [ fhir:value "Quantity limits apply" ]; fhir:CodeSystem.concept.definition [ fhir:value "Covered with restriction: Quantity limits apply" ] ], [ fhir:index 4; fhir:CodeSystem.concept.code [ fhir:value "pharmacy-restriction" ]; fhir:CodeSystem.concept.display [ fhir:value "Pharmacy restriction applies" ]; fhir:CodeSystem.concept.definition [ fhir:value "Pharmacy restriction applies" ] ], [ fhir:index 5; fhir:CodeSystem.concept.code [ fhir:value "other-restriction" ]; fhir:CodeSystem.concept.display [ fhir:value "Other restriction applies" ]; fhir:CodeSystem.concept.definition [ fhir:value "Covered with restriction: Other restriction applies" ] ], [ fhir:index 6; fhir:CodeSystem.concept.code [ fhir:value "not-covered" ]; fhir:CodeSystem.concept.display [ fhir:value "Not covered" ]; fhir:CodeSystem.concept.definition [ fhir:value "Not covered" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
