DaVinci Payer Data Exchange (PDex) US Drug Formulary
1.1.0 - STU 1.1

This page is part of the US Drug Formulary (v1.1.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Extension: Prior Authorization

A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug.

The official URL for this extension is: 

http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension

Status: active
Extension maintained by: HL7 Pharmacy Working Group

Context of Use

This extension may be used on the following element(s):

  • Element

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Mandatory: 1 element
Fixed Value: 1 element
Prohibited: 1 element

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"
... value[x] 1..1booleanValue of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"

doco Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 1 element
Fixed Value: 1 element
Prohibited: 1 element

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"
... value[x] 1..1booleanValue of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron