haau3 FHIR Implementation Guide (HFIG)
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haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Pharmacy Benefits request without patient details: a medication's price near a ZIP code

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle-non-phi|2.0.0-ballot

Bundle pharmacy-benefits-request-non-phi of type message


Entry 1 - fullUrl = https://app.example.test/fhir/MessageHeader/non-phi-request

Resource MessageHeader:

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-messageheader-non-phi|2.0.0-ballot

event: rtpbc-event-type: rtpbc-request-non-phi (RTPBC Non-PHI Request)

Sources

-Name
*Example app

focus: Claim: identifier = price-check-0001; status = active; type = Pharmacy; use = predetermination; created = 2026-10-20 14:00:00+0000; priority = Normal

definition: http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-request-non-phi


Entry 2 - fullUrl = https://app.example.test/fhir/Claim/non-phi-claim

Resource Claim:

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-claim-non-phi|2.0.0-ballot

identifier: price-check-0001

status: Active

type: Pharmacy

use: Predetermination

created: 2026-10-20 14:00:00+0000

provider: ?rref?

priority: Normal

Insurances

-SequenceFocalCoverage
*1false?rref?

Items

-SequenceProductOrServiceQuantity
*1lisinopril 5 mg tablet30 {Each} (Details: UCUM code{Each} = '{Each}')