Source | hl7.fhir.us.Davinci-drug-formulary#2.0.0:DaVinci Payer Data Exchange (PDex) US Drug Formulary (v4.0.1) |
resourceType | StructureDefinition |
id | usdf-FormularyItem |
canonical | http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem |
version | 2.0.0 |
status | active |
publisher | HL7 Pharmacy Working Group |
name | FormularyItem |
title | Formulary Item |
date | 2022-08-25T13:09:53+00:00 |
description | A resource that describes a drug's relationship to a drug plan, including drug tier, prior authorization requirements, and more. The set of FormularyItem resources associated with a particular drug plan represents the drug plans formulary. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Basic |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/Basic |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Basic | Basic | |||
meta | ||||
lastUpdated | S | 1.. | ||
Slices for extension | 4.. | Slice: Unordered, Open by value:url | ||
usdf-FormularyReference-extension | S | 1..1 | Reference (Formulary) |
Formulary Reference
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension |
usdf-AvailabilityStatus-extension | S | 1..1 | code |
Availability Status
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension Binding: PublicationStatus ( required ) |
usdf-AvailabilityPeriod-extension | S | 0..1 | Period |
Availability Period
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension |
usdf-PharmacyBenefitType-extension | S | 1..* | CodeableConcept |
Pharmacy Benefit Type
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension Binding: Pharmacy benefit types ( extensible ) |
usdf-DrugTierID-extension | S | 1..1 | CodeableConcept |
Drug Tier ID
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension Binding: Drug tier of medication in health plan ( extensible ) |
usdf-PriorAuthorization-extension | S | 0..1 | boolean |
Prior Authorization
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension |
usdf-PriorAuthorizationNewStartsOnly-extension | 0..1 | boolean |
Prior Authorization New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension |
|
usdf-StepTherapyLimit-extension | S | 0..1 | boolean |
Step Therapy Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension |
usdf-StepTherapyLimitNewStartsOnly-extension | 0..1 | boolean |
Step Therapy Limit New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension |
|
usdf-QuantityLimit-extension | S | 0..1 | boolean |
Quantity Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension |
usdf-QuantityLimitDetail-extension | 0..1 | (Complex) |
Quantity Limit Detail
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension |
|
usdf-AdditionalCoverageInformation-extension | 0..1 | markdown |
Additional Coverage Information
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension |
|
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: formulary-item |
|
subject | S | 1.. | Reference (Formulary Drug) | |
Documentation for this format |
Produced 06 Apr 2023