FHIR IG analytics| Package | hl7.fhir.us.carin-rtpbc |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-hl7.fhir.us.carin-rtpbc.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/HL7/carin-rtpbc/index.html |
| URL | http://hl7.org/fhir/us/carin-rtpbc/ImplementationGuide/hl7.fhir.us.carin-rtpbc |
| Version | 2.0.0 |
| Status | active |
| Date | 2026-02-03T01:39:05+00:00 |
| Name | ConsumerRealTimePharmacyBenefitCheck |
| Title | Consumer Real-Time Pharmacy Benefit Check FHIR IG |
| Realm | us |
| Authority | hl7 |
| Description | FHIR Implementation Guide for Consumer Real-Time Pharmacy Benefit Check |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: ImplementationGuide hl7.fhir.us.carin-rtpbc
Language: en
The official URL for this implementation guide is:
http://hl7.org/fhir/us/carin-rtpbc/ImplementationGuide/hl7.fhir.us.carin-rtpbc
FHIR Implementation Guide for Consumer Real-Time Pharmacy Benefit Check
{
"resourceType": "ImplementationGuide",
"id": "hl7.fhir.us.carin-rtpbc",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "phx"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/us/carin-rtpbc/ImplementationGuide/hl7.fhir.us.carin-rtpbc",
"version": "2.0.0",
"name": "ConsumerRealTimePharmacyBenefitCheck",
"title": "Consumer Real-Time Pharmacy Benefit Check FHIR IG",
"status": "active",
"date": "2026-02-03T01:39:05+00:00",
"publisher": "HL7 International / Pharmacy",
"contact": [
{
"name": "HL7 International / Pharmacy",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/medication"
}
]
},
{
"name": "Frank McKinney",
"telecom": [
{
"system": "email",
"value": "fm@frankmckinney.com"
}
]
}
],
"description": "FHIR Implementation Guide for Consumer Real-Time Pharmacy Benefit Check",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"packageId": "hl7.fhir.us.carin-rtpbc",
"license": "CC0-1.0",
"fhirVersion": [
"4.0.1"
],
"dependsOn": [
{
"id": "hl7tx",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
"valueMarkdown": "Automatically added as a dependency - all IGs depend on HL7 Terminology"
}
],
"uri": "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
"packageId": "hl7.terminology.r4",
"version": "7.0.1"
},
{
"id": "hl7_fhir_us_core",
"uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core",
"packageId": "hl7.fhir.us.core",
"version": "8.0.1"
},
{
"id": "ext",
"uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
"packageId": "hl7.fhir.uv.extensions.r4",
"version": "5.2.0"
}
],
"definition": {
"extension": [
{
"extension": [
{
"url": "code",
"valueString": "copyrightyear"
},
{
"url": "value",
"valueString": "2024+"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "releaselabel"
},
{
"url": "value",
"valueString": "CI Build"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "jira-code"
},
{
"url": "value",
"valueString": "carin-rtpbc"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-expansion-params"
},
{
"url": "value",
"valueString": "../../input/_resources/exp-params.json"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-history"
},
{
"url": "value",
"valueString": "http://hl7.org/fhir/us/carin-rtpbc/history.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "autoload-resources"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-liquid"
},
{
"url": "value",
"valueString": "template/liquid"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-liquid"
},
{
"url": "value",
"valueString": "input/liquid"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-qa"
},
{
"url": "value",
"valueString": "temp/qa"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-temp"
},
{
"url": "value",
"valueString": "temp/pages"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-output"
},
{
"url": "value",
"valueString": "output"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "path-suppressed-warnings"
},
{
"url": "value",
"valueString": "input/ignoreWarnings.txt"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "template-html"
},
{
"url": "value",
"valueString": "template-page.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "template-md"
},
{
"url": "value",
"valueString": "template-page-md.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-contact"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-context"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-copyright"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-jurisdiction"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-license"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-publisher"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-version"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "apply-wg"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "active-tables"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "fmm-definition"
},
{
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "propagate-status"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "excludelogbinaryformat"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "tabbed-snapshots"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueString": "i18n-default-lang"
},
{
"url": "value",
"valueString": "en"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters",
"valueReference": {
"reference": "Parameters/expansion-parameters"
}
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
"valueCode": "hl7.fhir.uv.tools.r4#0.9.0"
},
{
"extension": [
{
"url": "code",
"valueCode": "copyrightyear"
},
{
"url": "value",
"valueString": "2024+"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "releaselabel"
},
{
"url": "value",
"valueString": "CI Build"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "jira-code"
},
{
"url": "value",
"valueString": "carin-rtpbc"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-expansion-params"
},
{
"url": "value",
"valueString": "../../input/_resources/exp-params.json"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-history"
},
{
"url": "value",
"valueString": "http://hl7.org/fhir/us/carin-rtpbc/history.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "autoload-resources"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-liquid"
},
{
"url": "value",
"valueString": "template/liquid"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-liquid"
},
{
"url": "value",
"valueString": "input/liquid"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-qa"
},
{
"url": "value",
"valueString": "temp/qa"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-temp"
},
{
"url": "value",
"valueString": "temp/pages"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-output"
},
{
"url": "value",
"valueString": "output"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "path-suppressed-warnings"
},
{
"url": "value",
"valueString": "input/ignoreWarnings.txt"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "template-html"
},
{
"url": "value",
"valueString": "template-page.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "template-md"
},
{
"url": "value",
"valueString": "template-page-md.html"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-contact"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-context"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-copyright"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-jurisdiction"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-license"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-publisher"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-version"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "apply-wg"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "active-tables"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "fmm-definition"
},
{
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "propagate-status"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "excludelogbinaryformat"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "tabbed-snapshots"
},
{
"url": "value",
"valueString": "true"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension": [
{
"url": "code",
"valueCode": "i18n-default-lang"
},
{
"url": "value",
"valueString": "en"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
}
],
"resource": [
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/rtpbc-benefit-restriction"
},
"name": "RTPBC Benefit Restriction Code System",
"description": "This code system defines a set of benefit restrictions that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-benefit-restriction"
},
"name": "RTPBC Benefit Restriction Value Set",
"description": "This value set contains a set of benefit restrictions that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-benefitRestriction"
},
"name": "RTPBC benefitRestriction Extension",
"description": "This extension conveys benefit restrictions that may apply to a prescription product and pharmacy combination.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-billing-unit"
},
"name": "RTPBC Billing Unit Value Set",
"description": "This value set contains the quantity unit of measure to be used when requesting predetermination of benefits for prescription-related products",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-country-code"
},
"name": "RTPBC Country Code Value Set",
"description": "This value set contains a subset of two-letter ISO 3166-1-2 country codes for the countries in which this profile is intended to be used (US and CA).",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-coverage"
},
"name": "RTPBC Coverage",
"description": "This profile constrains the Coverage resource for carrying the pharmacy benefit information required in the consumer real-time pharmacy benefit check process",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-error-code"
},
"name": "RTPBC Error Code Value Set",
"description": "This value set contains the error codes to be used by real-time pharmacy benefit check servers when encountering a data or business condition that prevents processing from completing. Values are defined in the NCPDP-maintained Reject Code (511-FB) code set.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/rtpbc-event-type"
},
"name": "RTPBC Event Type Code System",
"description": "This code system defines event types used in RTPBC message headers",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-event-type"
},
"name": "RTPBC Event Type Value Set",
"description": "This value set contains event types used in RTPBC message headers.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/rtpbc-formulary-status"
},
"name": "RTPBC Formulary Status Code System",
"description": "This code system defines formulary statuses that may apply to a prescription product evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-formulary-status"
},
"name": "RTPBC Formulary Status Value Set",
"description": "This value set contains formulary statuses that may apply to a prescription product evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-formularyStatus"
},
"name": "RTPBC formularyStatus Extension",
"description": "This extension conveys the formulary status of a prescription product.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-isAlternative"
},
"name": "RTPBC isAlternative Extension",
"description": "This extension indicates that this added line item is to be interpreted as one of possibly multiple alternatives to the requested product or service. When isAlternative is true, the added line item is to be considered independently from any other added line items associated with the requested product or service.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-medicationrequest"
},
"name": "RTPBC Medication Request",
"description": "This profile constrains the MedicationRequest resource to convey a subset of prescription information required in the consumer real-time pharmacy benefit check (RTPBC) process. The content specifies the prescribed product and quantity, and references the prescribing practitioner and the patient's preferred pharmacy. \n\nThis profile differs from the US Core MedicationRequest in that it doesn't set the encounter or dosageInstruction elements as Must Support, because clients in the exchange will typically be mobile consumer applications that do not posess this information, and because that information is not pertinent to this use case.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-medicationrequest-non-phi"
},
"name": "RTPBC Medication Request - Non-PHI",
"description": "This profile provides minimal prescription characteristics for submission in an RTPBC request to data sources that can provide benefit or price information without receiving patient details.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-nextAvailableFillDate"
},
"name": "RTPBC nextAvailableFillDate Extension",
"description": "This extension conveys the date on which a patient prescription will have passed the insurer's minimum consumption requirements and may be considered for dispensing.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-patient"
},
"name": "RTPBC Patient",
"description": "This profile constrains the Patient resource for carrying the limited patient information required in the consumer real-time pharmacy benefit check (RTPBC) process. \n\nThe RTPBC profile further constrains certain US Core and base elements in a manner that is compatible with the the US Core profile (e.g., tightening element cardinality and further limiting allowed terminology).",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/rtpbc-patient-pay-type"
},
"name": "RTPBC Patient Pay Type Code System",
"description": "This code system defines components of a patient's responsibility for a prescription product's cost.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-patient-pay-type"
},
"name": "RTPBC Patient Pay Type Value Set",
"description": "This value set contains components of a patient's responsibility for a prescription product's cost.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-pharmacy-organization"
},
"name": "RTPBC Pharmacy Organization",
"description": "This profile builds on the US Core Organization to represent a pharmacy as used in the real-time pharmacy benefit check (RTPBC) process.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-pharmacy-type"
},
"name": "RTPBC Pharmacy Type Value Set",
"description": "This value set contains pharmacy type categories defined in the NCPDP Pharmacy Type (955-HR) code system.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-preferenceLevel"
},
"name": "RTPBC preferenceLevel Extension",
"description": "This extension conveys the preference level of a prescription product.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-prescribable-product-code"
},
"name": "RTPBC Prescribable Product Code Value Set",
"description": "This value set includes codes used to specify prescribed medications in the US: RxNorm codes that specify drug name, strength and dose form (SBD, SCD, BPCK and GPCK term types) and NDC-11 codes (which represent specific packaged products).",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-request-bundle"
},
"name": "RTPBC Request Bundle",
"description": "This profile constrains a Bundle resource for use as the request in a Real-time Pharmacy Benefit Check (RTPBC) process",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-request-bundle-non-phi"
},
"name": "RTPBC Request Bundle - Non-PHI",
"description": "This profile provides minimal, non-persoanlly-identifiable content for submission in an RTPBC request to data sources that can provide benefit or price information without receiving patient details.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageDefinition"
}
],
"reference": {
"reference": "MessageDefinition/rtpbc-request"
},
"name": "RTPBC Request Message Definition",
"description": "Request for patient cost and coverage information for a prescribed medication",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-request-messageheader"
},
"name": "RTPBC Request MessageHeader",
"description": "This profile constrains a MessageHeader resource for use in a Real-time Pharmacy Benefit Check (RTPBC) request bundle",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-request-claim"
},
"name": "RTPBC Request Using Claim",
"description": "This profile constrains the Claim resource so that it can serve as the RTPBC Request in the consumer real-time pharmacy benefit check process",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-request-claim-non-phi"
},
"name": "RTPBC Request Using Claim - Non-PHI",
"description": "This profile provides minimal, non-persoanlly-identifiable content for submission in an RTPBC request to data sources that can provide benefit or price information without receiving patient details.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
}
],
"reference": {
"reference": "CapabilityStatement/rtpbc-requester"
},
"name": "RTPBC Requester Capability Statement",
"description": "This CapabilityStatement describes the expected capabilities of a client system submitting a Real-time Pharmacy Benefit Check (RTPBC) request using the `$process-message` operation.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
}
],
"reference": {
"reference": "CapabilityStatement/rtpbc-responder"
},
"name": "RTPBC Responder Capability Statement",
"description": "This CapabilityStatement describes the expected capabilities of a server that is capable of responding to a Real-time Pharmacy Benefit Check (RTPBC) request transacted with the `$process-message` operation.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-response-bundle"
},
"name": "RTPBC Response Bundle",
"description": "This profile constrains a Bundle resource for use as the response in a Real-time Pharmacy Benefit Check (RTPBC) process",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageDefinition"
}
],
"reference": {
"reference": "MessageDefinition/rtpbc-response"
},
"name": "RTPBC Response Message Definition",
"description": "Response to a request for patient cost and coverage information for a prescribed medication",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-response-messageheader"
},
"name": "RTPBC Response MessageHeader",
"description": "This profile constrains a MessageHeader resource for use in a Real-time Pharmacy Benefit Check (RTPBC) response bundle",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/rtpbc-response-claimresponse"
},
"name": "RTPBC Response Using ClaimResponse",
"description": "This profile constrains the ClaimResponse resource to serve as the RTPBC Response in the consumer real-time pharmacy benefit check process. It uses the ClaimResponse's \"predetermination\" processing mode",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/rtpbc-state-and-province-code"
},
"name": "RTPBC Two Letter State and Province Code Value Set",
"description": "This value set contains two letter USPS state codes and Canada Post province codes.",
"exampleBoolean": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/rtpbc-bundle-request-03"
},
"name": "rtpbc-bundle-request-03",
"description": "An example RTPBC Request",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/rtpbc-bundle-request-non-phi-1"
},
"name": "rtpbc-bundle-request-non-phi-1",
"description": "An example non-PHI RTPBC Request",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle-non-phi"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/rtpbc-bundle-response-03"
},
"name": "rtpbc-bundle-response-03",
"description": "An example RTPBC response bundle produced by the patient's insurer",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-bundle"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
}
],
"reference": {
"reference": "Bundle/rtpbc-bundle-response-price-source"
},
"name": "rtpbc-bundle-response-price-source",
"description": "An example RTPBC response bundle produced by cash pricing source",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-bundle"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Claim"
}
],
"reference": {
"reference": "Claim/rtpbc-claim-non-phi-1"
},
"name": "rtpbc-claim-non-phi-1",
"description": "An example of the non-PHI RTPBC request resource (Claim)",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ClaimResponse"
}
],
"reference": {
"reference": "ClaimResponse/rtpbc-claim-response-03"
},
"name": "rtpbc-claim-response-03",
"description": "An example RTPBC response indicating PA is required and providing patient out-of-pocket costs",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ClaimResponse"
}
],
"reference": {
"reference": "ClaimResponse/rtpbc-claim-response-03-price-source"
},
"name": "rtpbc-claim-response-03-price-source",
"description": "An example response from a cash pricing source",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ClaimResponse"
}
],
"reference": {
"reference": "ClaimResponse/rtpbc-claim-response-discount-card"
},
"name": "rtpbc-claim-response-discount-card",
"description": "An example response containing a discount card (with Coverage resource)",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ClaimResponse"
}
],
"reference": {
"reference": "ClaimResponse/rtpbc-claim-response-not-covered"
},
"name": "rtpbc-claim-response-not-covered",
"description": "This is an example of response stating that the requested drug is not covered",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Coverage"
}
],
"reference": {
"reference": "Coverage/rtpbc-coverage-01"
},
"name": "rtpbc-coverage-01",
"description": "An example RTPBC Coverage",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-coverage"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/rtpbc-medicationrequest-03"
},
"name": "rtpbc-medicationrequest-03",
"description": "An example RTPBC MedicationRequest",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/rtpbc-medicationrequest-non-phi-1"
},
"name": "rtpbc-medicationrequest-non-phi-1",
"description": "An example non-PHI RTPBC MedicationRequest",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest-non-phi"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
}
],
"reference": {
"reference": "MedicationRequest/rtpbc-medicationrequest-non-phi-2"
},
"name": "rtpbc-medicationrequest-non-phi-2",
"description": "An example non-PHI RTPBC MedicationRequest",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest-non-phi"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
}
],
"reference": {
"reference": "Organization/rtpbc-organization-03"
},
"name": "rtpbc-organization-03",
"description": "An example RTPBC pharmacy (Organization), representing a retail pharmacy",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
}
],
"reference": {
"reference": "Organization/rtpbc-organization-03m"
},
"name": "rtpbc-organization-03m",
"description": "An example RTPBC pharmacy (FHIR Organization) representing a mail order pharmacy",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
}
],
"reference": {
"reference": "Organization/rtpbc-organization-03ps"
},
"name": "rtpbc-organization-03ps",
"description": "An example retail pharmacy identified using an NCPDP Provider ID",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-pharmacy-organization"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
}
],
"reference": {
"reference": "Patient/rtpbc-patient-03"
},
"name": "rtpbc-patient-03",
"description": "An example RTPBC patient",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
}
],
"reference": {
"reference": "Patient/rtpbc-patient-03ps"
},
"name": "rtpbc-patient-03ps",
"description": "An example RTPBC patient with minimal content",
"exampleCanonical": "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
}
],
"reference": {
"reference": "Practitioner/rtpbc-practitioner-03"
},
"name": "rtpbc-practitioner-03",
"description": "An example, minimally-populated US Core Practitioner included in RTPBC examples",
"exampleBoolean": true
}
],
"page": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "toc.html"
}
],
"nameUrl": "toc.html",
"title": "Table of Contents",
"generation": "html",
"page": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "index.html"
}
],
"nameUrl": "index.html",
"title": "Home",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "business_rules.html"
}
],
"nameUrl": "business_rules.html",
"title": "Business Rules",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "capstatements.html"
}
],
"nameUrl": "capstatements.html",
"title": "Capstatements",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "consumer_vs_provider_rtpbc.html"
}
],
"nameUrl": "consumer_vs_provider_rtpbc.html",
"title": "Consumer vs Provider Rtpbc",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "downloads.html"
}
],
"nameUrl": "downloads.html",
"title": "Downloads",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "error_handling.html"
}
],
"nameUrl": "error_handling.html",
"title": "Error Handling",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "information_content_and_fhir_resources.html"
}
],
"nameUrl": "information_content_and_fhir_resources.html",
"title": "Information Content and Fhir Resources",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "profiles.html"
}
],
"nameUrl": "profiles.html",
"title": "Profiles",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "security.html"
}
],
"nameUrl": "security.html",
"title": "Security",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "submission_method.html"
}
],
"nameUrl": "submission_method.html",
"title": "Submission Method",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "terminology.html"
}
],
"nameUrl": "terminology.html",
"title": "Terminology",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "use_cases.html"
}
],
"nameUrl": "use_cases.html",
"title": "Use Cases",
"generation": "markdown"
}
]
},
"parameter": [
{
"code": "path-resource",
"value": "input/capabilities"
},
{
"code": "path-resource",
"value": "input/examples"
},
{
"code": "path-resource",
"value": "input/extensions"
},
{
"code": "path-resource",
"value": "input/models"
},
{
"code": "path-resource",
"value": "input/operations"
},
{
"code": "path-resource",
"value": "input/profiles"
},
{
"code": "path-resource",
"value": "input/resources"
},
{
"code": "path-resource",
"value": "input/vocabulary"
},
{
"code": "path-resource",
"value": "input/maps"
},
{
"code": "path-resource",
"value": "input/testing"
},
{
"code": "path-resource",
"value": "input/history"
},
{
"code": "path-resource",
"value": "fsh-generated/resources"
},
{
"code": "path-pages",
"value": "template/config"
},
{
"code": "path-pages",
"value": "input/assets"
},
{
"code": "path-pages",
"value": "input/images"
},
{
"code": "path-tx-cache",
"value": "input-cache/txcache"
}
]
}
}