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

Terminology

Value Sets

• CARIN RTPBC Billing Unit Value Set
• CARIN RTPBC Country Code Value Set
• CARIN RTPBC Coverage Summary Value Set
• CARIN RTPBC Error Code Value Set
• CARIN RTPBC Event Type Value Set
• CARIN RTPBC Patient Pay Type Value Set
• CARIN RTPBC Pharmacy Type Value Set
• CARIN RTPBC Prescribable Product Code Value Set
• CARIN RTPBC State and Province Code Value Set

Code Systems

Code systems defined for use in the consumer Real-time Prescription Benefit Check (RTPBC) process

The following code systems define consumer-friendly insurance coverage concepts for use in RTPBC responses:

• CARIN RTPBC Coverage Summary Code System
• CARIN RTPBC Event Type Code System
• CARIN RTPBC Patient Pay Type Code System

Placeholder code systems

The CodeSystem resources below are intended to serve as temporary placeholders in this guide for proposed HL7/FHIR code system URLs.

• Placeholder NDC-11 Code System HL7/FHIR URL is in process of being established. Preliminary: http://terminology.hl7.org/CodeSystem/ndc-11
• Placeholder Canadian Province Code System proposed

Naming Systems

Licensed code and identifier systems maintained by the National Council for Prescription Drug Programs (NCPDP)

• NCPDP Provider ID
• NCPDP Reject Code (511-FB)
• NCPDP Unit of Measure (600-28)
• NCPDP Pharmacy Type (955-HR)