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

: Pharmacy Benefits Processing Code - TTL Representation

Active as of 2026-10-20

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/pharmacy-benefits-processing-code> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "pharmacy-benefits-processing-code"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem pharmacy-benefits-processing-code</b></p><a name=\"pharmacy-benefits-processing-code\"> </a><a name=\"hcpharmacy-benefits-processing-code\"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">no-responder-for-coverage<a name=\"pharmacy-benefits-processing-code-no-responder-for-coverage\"> </a></td><td>No responder for this coverage</td><td>The request carried the member's coverage, and no insurer or pharmacy benefit manager this service connects to answers for that coverage's payer. Nothing is said about whether the medication is covered. Carried in ClaimResponse.error.code.</td></tr><tr><td style=\"white-space:nowrap\">no-price-source<a name=\"pharmacy-benefits-processing-code-no-price-source\"> </a></td><td>No price source returned a price</td><td>The request carried no patient details, and no price source this service connects to returned a price for the product, quantity and place asked about. No price is estimated in its place. Carried in ClaimResponse.error.code.</td></tr><tr><td style=\"white-space:nowrap\">source-not-available-to-caller<a name=\"pharmacy-benefits-processing-code-source-not-available-to-caller\"> </a></td><td>Source not available to this caller</td><td>A source that could answer the request is connected, but its terms do not make it available to the organization that sent the request, so nothing from it is returned. Carried in ClaimResponse.error.code.</td></tr><tr><td style=\"white-space:nowrap\">source-unavailable<a name=\"pharmacy-benefits-processing-code-source-unavailable\"> </a></td><td>Source did not answer</td><td>The sources asked did not answer in time, or answered with an error, so no answer could be given. Carried in OperationOutcome.issue.details on a 503; the request may be sent again later.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code"] ;
  fhir:CodeSystem.version [ fhir:value "1.0.0"] ;
  fhir:CodeSystem.name [ fhir:value "PharmacyBenefitsProcessingCodeCS"] ;
  fhir:CodeSystem.title [ fhir:value "Pharmacy Benefits Processing Code"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-20T13:40:33+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "haau3"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "haau3" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://haau3.com" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "hello@haau3.com" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Why a pharmacy benefit check could not be answered. Carried in ClaimResponse.error.code when a request was read and no connected source could answer it, and in OperationOutcome.issue.details when the sources asked did not answer."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-responder-for-coverage" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "No responder for this coverage" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The request carried the member's coverage, and no insurer or pharmacy benefit manager this service connects to answers for that coverage's payer. Nothing is said about whether the medication is covered. Carried in ClaimResponse.error.code." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-price-source" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "No price source returned a price" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The request carried no patient details, and no price source this service connects to returned a price for the product, quantity and place asked about. No price is estimated in its place. Carried in ClaimResponse.error.code." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "source-not-available-to-caller" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Source not available to this caller" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A source that could answer the request is connected, but its terms do not make it available to the organization that sent the request, so nothing from it is returned. Carried in ClaimResponse.error.code." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "source-unavailable" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Source did not answer" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The sources asked did not answer in time, or answered with an error, so no answer could be given. Carried in OperationOutcome.issue.details on a 503; the request may be sent again later." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/pharmacy-benefits-processing-code.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/pharmacy-benefits-processing-code.ttl> .