haau3 FHIR Implementation Guide (HFIG)
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: Pharmacy Benefits answer without patient details: no price source returned a price - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "pharmacy-benefits-response-non-phi",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-bundle-non-phi|2.0.0-ballot"
    ]
  },
  "type" : "message",
  "timestamp" : "2026-10-20T14:00:01Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-messageheader-non-phi|2.0.0-ballot"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8</b></p><a name=\"cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8\"> </a><a name=\"hccfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-messageheader-non-phi|2.0.0-ballot</code></p></div><p><b>event</b>: rtpbc-event-type: rtpbc-response-non-phi (RTPBC Non-PHI Response)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>haau3 Pharmacy Benefits</td><td><a href=\"https://api.haau3.com/v1/fhir/r4\">https://api.haau3.com/v1/fhir/r4</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>non-phi-request</td><td>OK</td></tr></table><p><b>focus</b>: <a href=\"Bundle-pharmacy-benefits-response-non-phi.html#urn-uuid-a7fb50aa-3ca5-47a1-96f8-67ec1e95546e\">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.</a></p><p><b>definition</b>: <code>http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-response-non-phi</code></p></div>"
        },
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type",
          "code" : "rtpbc-response-non-phi",
          "display" : "RTPBC Non-PHI Response"
        },
        "source" : {
          "name" : "haau3 Pharmacy Benefits",
          "endpoint" : "https://api.haau3.com/v1/fhir/r4"
        },
        "response" : {
          "identifier" : "non-phi-request",
          "code" : "ok"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"
          }
        ],
        "definition" : "http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-response-non-phi"
      }
    },
    {
      "fullUrl" : "urn:uuid:a7fb50aa-3ca5-47a1-96f8-67ec1e95546e",
      "resource" : {
        "resourceType" : "ClaimResponse",
        "id" : "a7fb50aa-3ca5-47a1-96f8-67ec1e95546e",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse-non-phi|2.0.0-ballot"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_a7fb50aa-3ca5-47a1-96f8-67ec1e95546e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse a7fb50aa-3ca5-47a1-96f8-67ec1e95546e</b></p><a name=\"a7fb50aa-3ca5-47a1-96f8-67ec1e95546e\"> </a><a name=\"hca7fb50aa-3ca5-47a1-96f8-67ec1e95546e\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse-non-phi|2.0.0-ballot</code></p></div><p><b>identifier</b>: a7fb50aa-3ca5-47a1-96f8-67ec1e95546e</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: ?rref?</p><p><b>created</b>: 2026-10-20 14:00:01+0000</p><p><b>insurer</b>: ?rref?</p><p><b>request</b>: Identifier: price-check-0001</p><p><b>outcome</b>: Error</p><p><b>disposition</b>: No price source this service connects to returned a price for this request.</p><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code no-price-source}\">No price source returned a price</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "pharmacy",
              "display" : "Pharmacy"
            }
          ]
        },
        "use" : "predetermination",
        "patient" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "masked"
            }
          ]
        },
        "created" : "2026-10-20T14:00:01Z",
        "insurer" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "masked"
            }
          ]
        },
        "request" : {
          "identifier" : {
            "value" : "price-check-0001"
          }
        },
        "outcome" : "error",
        "disposition" : "No price source this service connects to returned a price for this request.",
        "error" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code",
                  "code" : "no-price-source",
                  "display" : "No price source returned a price"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}