{ "description": "This value set contains a set of coverage outcomes that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.", "compose": { "include": [ { "system": "http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-summary", "concept": [ { "code": "covered", "display": "Covered" }, { "code": "prior-auth", "display": "Prior authorization required" }, { "code": "step-therapy", "display": "Step therapy applies" }, { "code": "quantity-limit", "display": "Quantity limits apply" }, { "code": "other-restriction", "display": "Other restriction applies" }, { "code": "not-covered", "display": "Not covered" } ] } ] }, "_filename": "ValueSet-carin-rtpbc-coverage-summary-value-set.json", "package_name": "hl7.fhir.us.carin-rtpbc", "date": "2019-12-08T05:00:00+00:00", "meta": { "lastUpdated": "2019-12-08T05:00:00.000+00:00" }, "publisher": null, "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166", "display": "United States of America" } ] } ], "name": "CarinRtbpcCoverageSummaryValueSet", "type": null, "experimental": "false", "resourceType": "ValueSet", "title": "CARIN RTPBC Coverage Summary Value Set", "package_version": "0.1.0", "status": "active", "id": "b875f017-ce93-4092-8cf9-c886c4ba351a", "kind": null, "url": "http://hl7.org/fhir/us/carin/ValueSet/rtpbc-coverage-summary", "version": "0.1.0" }