R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

11.11 Resource FormularyItem - Content

Pharmacy

Work Group

Maturity Level: 0

Trial Use

Security Category: Business

Compartments: No defined compartments

This resource describes a product or service that is available through a program and includes the conditions and constraints of availability. All of the information in this resource is specific to the inclusion of the item in the formulary and is not inherent to the item itself.

11.11.1 Scope and Usage

A FormularyItem is a product or service that is available through a program and includes the conditions and constraints of availability, e.g. amount limits, categorization, cost limits, and other requirements for use. This resource describes the program-specific information for a product or service. This information is specific to the inclusion of the item in the formulary and is not inherent to the item itself.

This diagram was created for the PDEX US Drug Formulary Implementation Guide but it shows where FormularyItem would fit in a drug context. If you abstract that to generic Insurance Plans to the left and to a set of resources that can be referenced to the right, that is the concept behind the FormularyItem resource.

11.11.2 References to this Resource

No references for this Resource.

Structure

Name	Flags	Card.	Type	Description & Constraints
FormularyItem	TU		DomainResource	Definition of a FormularyItem Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business identifier for this formulary item
code	Σ	0..1	CodeableConcept	Codes that identify this formulary item Binding: SNOMED CT Medication Codes (Example)
status	?!Σ	0..1	code	active \| entered-in-error \| inactive Binding: FormularyItem Status Codes (Required)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<FormularyItem xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business identifier for this formulary item --></identifier>
 <code><!-- 0..1 CodeableConcept Codes that identify this formulary item --></code>
 <status value="[code]"/><!-- 0..1 active | entered-in-error | inactive -->
</FormularyItem>

JSON Template

{
  "resourceType" : "FormularyItem",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business identifier for this formulary item
  "code" : { CodeableConcept }, // Codes that identify this formulary item
  "status" : "<code>" // active | entered-in-error | inactive
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:FormularyItem;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business identifier for this formulary item
  fhir:code [ CodeableConcept ] ; # 0..1 Codes that identify this formulary item
  fhir:status [ code ] ; # 0..1 active | entered-in-error | inactive
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

Name	Flags	Card.	Type	Description & Constraints
FormularyItem	TU		DomainResource	Definition of a FormularyItem Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business identifier for this formulary item
code	Σ	0..1	CodeableConcept	Codes that identify this formulary item Binding: SNOMED CT Medication Codes (Example)
status	?!Σ	0..1	code	active \| entered-in-error \| inactive Binding: FormularyItem Status Codes (Required)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<FormularyItem xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business identifier for this formulary item --></identifier>
 <code><!-- 0..1 CodeableConcept Codes that identify this formulary item --></code>
 <status value="[code]"/><!-- 0..1 active | entered-in-error | inactive -->
</FormularyItem>

JSON Template

{
  "resourceType" : "FormularyItem",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business identifier for this formulary item
  "code" : { CodeableConcept }, // Codes that identify this formulary item
  "status" : "<code>" // active | entered-in-error | inactive
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:FormularyItem;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business identifier for this formulary item
  fhir:code [ CodeableConcept ] ; # 0..1 Codes that identify this formulary item
  fhir:status [ code ] ; # 0..1 active | entered-in-error | inactive
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

11.11.3.1 Terminology Bindings

Path	ValueSet	Type	Documentation
FormularyItem.code	SNOMEDCTMedicationCodes	Example	This value set includes all drug or medicament substance codes and all pharmaceutical/biologic products from SNOMED CT - provided as an exemplar value set.
FormularyItem.status	FormularyItemStatusCodes	Required	FormularyItem Status Codes

Path

ValueSet

Type

Documentation

FormularyItem.code

SNOMEDCTMedicationCodes

Example

This value set includes all drug or medicament substance codes and all pharmaceutical/biologic products from SNOMED CT - provided as an exemplar value set.

FormularyItem.status

FormularyItemStatusCodes

Required

FormularyItem Status Codes

11.11.4 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
code	token	Returns formulary items for a specific code	FormularyItem.code
identifier	token	Returns formulary items with this external identifier	FormularyItem.identifier