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

ValueSet: Pharmacy Benefits Processing Code

Official URL: https://haau3.com/fhir/ValueSet/pharmacy-benefits-processing-code Version: 1.0.0
Active as of 2026-10-20 Computable Name: PharmacyBenefitsProcessingCodeVS

Every reason Pharmacy Benefits gives for a pharmacy benefit check it could not answer.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Pharmacy Benefits Processing Code v1.0.0 (CodeSystem)

This value set contains 4 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code  no-responder-for-coverageNo responder for this coverageThe 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.
https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code  no-price-sourceNo price source returned a priceThe 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.
https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code  source-not-available-to-callerSource not available to this callerA 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.
https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code  source-unavailableSource did not answerThe 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.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code