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

XML Format: Coverage-rtpbc-coverage-03

Raw xml 


<Coverage xmlns="http://hl7.org/fhir">
  <id value="rtpbc-coverage-03"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/carin/StructureDefinition/rtpbc-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <beneficiary>
    <reference value="Patient/rtpbc-patient-03"/>
  </beneficiary>
  <payor>
    <identifier>
      <value value="Pharmacy Plans US"/>
    </identifier>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="rxbin"/>
      </coding>
    </type>
    <value value="BIN001"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="rxpcn"/>
      </coding>
    </type>
    <value value="PCN002"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="rxgroup"/>
      </coding>
    </type>
    <value value="GROUP0001"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="rxid"/>
      </coding>
    </type>
    <value value="MEMBER000001"/>
  </class>
</Coverage>