CARIN Consumer Realtime Pharmacy Benefit Check
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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

JSON Format: Coverage-rtpbc-coverage-03

Raw json 

{
  "resourceType" : "Coverage",
  "id" : "rtpbc-coverage-03",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/carin/StructureDefinition/rtpbc-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: rtpbc-coverage-03</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>beneficiary</b>: <a href=\"Patient-rtpbc-patient-03.html\">Generated Summary: id: rtpbc-patient-03; Jane Doe ; gender: female; birthDate: 1975-12-05</a></p><p><b>payor</b>: </p><blockquote><p><b>class</b></p><p><b>type</b>: RX BIN <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'rxbin' = 'RX BIN)</span></p><p><b>value</b>: BIN001</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX PCN <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'rxpcn' = 'RX PCN)</span></p><p><b>value</b>: PCN002</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Group <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'rxgroup' = 'RX Group)</span></p><p><b>value</b>: GROUP0001</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Id <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'rxid' = 'RX Id)</span></p><p><b>value</b>: MEMBER000001</p></blockquote></div>"
  },
  "status" : "active",
  "beneficiary" : {
    "reference" : "Patient/rtpbc-patient-03"
  },
  "payor" : [
    {
      "identifier" : {
        "value" : "Pharmacy Plans US"
      }
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxbin"
          }
        ]
      },
      "value" : "BIN001"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxpcn"
          }
        ]
      },
      "value" : "PCN002"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxgroup"
          }
        ]
      },
      "value" : "GROUP0001"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxid"
          }
        ]
      },
      "value" : "MEMBER000001"
    }
  ]
}