haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="pharmacy-benefits-response-non-phi"/>
<meta>
<profile
value="http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-bundle-non-phi|2.0.0-ballot"/>
</meta>
<type value="message"/>
<timestamp value="2026-10-20T14:00:01Z"/>
<entry>
<fullUrl value="urn:uuid:cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8"/>
<resource>
<MessageHeader>
<id value="cfe4fe76-8b70-4edc-af4b-7e2f8c25b3e8"/>
<meta>
<profile
value="http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-messageheader-non-phi|2.0.0-ballot"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system
value="http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-event-type"/>
<code value="rtpbc-response-non-phi"/>
<display value="RTPBC Non-PHI Response"/>
</eventCoding>
<source>
<name value="haau3 Pharmacy Benefits"/>
<endpoint value="https://api.haau3.com/v1/fhir/r4"/>
</source>
<response>
<identifier value="non-phi-request"/>
<code value="ok"/>
</response>
<focus>
<reference value="urn:uuid:a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"/>
</focus>
<definition
value="http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-response-non-phi"/>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"/>
<resource>
<ClaimResponse>
<id value="a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"/>
<meta>
<profile
value="http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse-non-phi|2.0.0-ballot"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<value value="a7fb50aa-3ca5-47a1-96f8-67ec1e95546e"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="pharmacy"/>
<display value="Pharmacy"/>
</coding>
</type>
<use value="predetermination"/>
<patient>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="masked"/>
</extension>
</patient>
<created value="2026-10-20T14:00:01Z"/>
<insurer>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="masked"/>
</extension>
</insurer>
<request>
<identifier>
<value value="price-check-0001"/>
</identifier>
</request>
<outcome value="error"/>
<disposition
value="No price source this service connects to returned a price for this request."/>
<error>
<code>
<coding>
<system
value="https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code"/>
<code value="no-price-source"/>
<display value="No price source returned a price"/>
</coding>
</code>
</error>
</ClaimResponse>
</resource>
</entry>
</Bundle>