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 answer without patient details: no price source returned a price

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

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

Entry 1 - fullUrl = urn:uuid:cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8

Resource MessageHeader:

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

event: rtpbc-event-type: rtpbc-response-non-phi (RTPBC Non-PHI Response)

Sources

-Name
*haau3 Pharmacy Benefits

Responses

-IdentifierCode
*non-phi-requestOK

focus: ClaimResponse: identifier = a7fb50aa-3ca5-47a1-96f8-67ec1e95546e; status = active; type = Pharmacy; use = predetermination; created = 2026-10-20 14:00:01+0000; outcome = error; disposition = No price source this service connects to returned a price for this request.

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

Entry 2 - fullUrl = urn:uuid:a7fb50aa-3ca5-47a1-96f8-67ec1e95546e

Resource ClaimResponse:

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

identifier: a7fb50aa-3ca5-47a1-96f8-67ec1e95546e

status: Active

type: Pharmacy

use: Predetermination

created: 2026-10-20 14:00:01+0000

insurer: ?rref?

request: Identifier: price-check-0001

outcome: Error

disposition: No price source this service connects to returned a price for this request.

Errors

-Code
*No price source returned a price