The CARIN Blue Button Framework
summary
Defines a payer-centric FHIR implementation guide that maps a Common Payer Consumer Data Set (CPCDS) to FHIR profiles to expose EOBs and claim header/line financials, adds terminology bindings, and plans X12→FHIR mappings; also maps NCPDP real‑time benefit fields into a real-time pharmacy benefit check API and adds cash price (citing GoodRx: ~10M monthly users, 70% insured, cash cheaper 50% of lookups). Over 50 orgs joined, reference implementations sought, project started Q4/Q1 and targets HL7 ballot around February.
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chapters (10)
- 0:00Introduction
- 1:37What is CARIN
- 3:08CARIN Code of Conduct
- 8:40Standards Accelerator Program
- 12:05CMS Proposed Rule
- 15:46Consumer Facing RealTime Pharmacy Benefit Check
- 19:49Da Vinci and Karen
- 21:34Implementation Guide
- 32:21Terminology
- 37:18Questions
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