StructureDefinition-usdf-FormularyItem

Sourcehl7.fhir.us.Davinci-drug-formulary#2.0.0:DaVinci Payer Data Exchange (PDex) US Drug Formulary (v4.0.1)
resourceTypeStructureDefinition
idusdf-FormularyItem
canonicalhttp://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem
version2.0.0
statusactive
publisherHL7 Pharmacy Working Group
nameFormularyItem
titleFormulary Item
date2022-08-25T13:09:53+00:00
descriptionA 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.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeBasic
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/Basic
Usages
Name Flags Card. Type Description & Constraints doco
. . 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)

doco Documentation for this format

Produced 06 Apr 2023