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<valueString value="Organization"/> </extension> <reference> <reference value="Organization/acme-payer"/> </reference> <name value="acme-payer"/> <description value="Example Payer Organization"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-AdditionalCoverageInformation-extension"/> </reference> <name value="Additional Coverage Information"/> <description value="Additional drug coverage information that may include conditional coverage requirements such as a diagnosis pre-requisite, additional drug specific cost sharing information, or other coverage details not otherwise indicated."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-AvailabilityPeriod-extension"/> </reference> <name value="Availability Period"/> <description value="The period for which this item is available on the formulary. 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The base set are examples. Each plan may have its own controlled vocabulary."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Patient"/> </extension> <reference> <reference value="Patient/example"/> </reference> <name value="example"/> <description value="Example Patient"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-Formulary"/> </reference> <name value="Formulary"/> <description value="The Formulary provides general information about a formulary and acts as an organizing construct that associated FormularyItem resources point to. The Formulary combined with its associated FormularyItem and FormularyDrug resources represent a formulary list that includes the set of drugs covered and the requirements and limitations of the coverage."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-FormularyBulkDataGraphDefinition"/> </reference> <name value="Formulary Bulk Data Graph Definition"/> <description value="A GraphDefinition defining a graph of resources to return in a query for a Formulary related Bulk Data request."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-FormularyDrug"/> </reference> <name value="Formulary Drug"/> <description value="Drug information which may be part of a formulary including its RxNorm code and dose form."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-FormularyItem"/> </reference> <name value="Formulary Item"/> <description value="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."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-FormularyReference-extension"/> </reference> <name value="Formulary Reference"/> <description value="Reference to the formulary this item belongs to."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/FormularyD1002"/> </reference> <name value="FormularyD1002"/> <description value="Formulary D1002"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/FormularyD3001"/> </reference> <name value="FormularyD3001"/> <description value="Formulary D3001"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/FormularyD3002"/> </reference> <name value="FormularyD3002"/> <description value="Formulary D3002"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/FormularyD3004t"/> </reference> <name value="FormularyD3004t"/> <description value="Formulary D3004t"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="MedicationKnowledge"/> </extension> <reference> <reference value="MedicationKnowledge/FormularyDrug-1000091"/> </reference> <name value="FormularyDrug-1000091"/> <description value="Formulary Drug 1000091"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="MedicationKnowledge"/> </extension> <reference> <reference value="MedicationKnowledge/FormularyDrug-1049640"/> </reference> <name value="FormularyDrug-1049640"/> <description value="Formulary Drug 1049640"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="MedicationKnowledge"/> </extension> <reference> <reference value="MedicationKnowledge/FormularyDrug-1541228"/> </reference> <name value="FormularyDrug-1541228"/> <description value="Formulary Drug 1541228"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="MedicationKnowledge"/> </extension> <reference> <reference value="MedicationKnowledge/FormularyDrug-209459"/> </reference> <name value="FormularyDrug-209459"/> <description value="Formulary Drug 209459"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="MedicationKnowledge"/> </extension> <reference> <reference value="MedicationKnowledge/FormularyDrug-284520"/> </reference> <name value="FormularyDrug-284520"/> <description value="Formulary Drug 284520"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="GraphDefinition"/> </extension> <reference> <reference value="GraphDefinition/FormularyGraphDefinition"/> </reference> <name value="FormularyGraphDefinition"/> <description value="A GraphDefinition of Formulary."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyBulkDataGraphDefinition"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D1002-1000091"/> </reference> <name value="FormularyItem-D1002-1000091"/> <description value="Formulary Item for Formulary D1002 Drug 1000091"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D1002-1049640"/> </reference> <name value="FormularyItem-D1002-1049640"/> <description value="Formulary Item for Formulary D1002 Drug 1049640"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D1002-209459"/> </reference> <name value="FormularyItem-D1002-209459"/> <description value="Formulary Item for Formulary D1002 Drug 209459"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D1002-284520"/> </reference> <name value="FormularyItem-D1002-284520"/> <description value="Formulary Item for Formulary D1002 Drug 284520"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D3001-1000091"/> </reference> <name value="FormularyItem-D3001-1000091"/> <description value="Formulary Item for Insurance Formulary D3001 Drug 1000091"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D3002-1000091"/> </reference> <name value="FormularyItem-D3002-1000091"/> <description value="Formulary Item for Insurance Formulary D3002 Drug 1000091"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Basic"/> </extension> <reference> <reference value="Basic/FormularyItem-D3004t-1049640"/> </reference> <name value="FormularyItem-D3004t-1049640"/> <description value="Formulary Item for Insurance Formulary D3004t Drug 1049640"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/InsuranceItemTypeVS"/> </reference> <name value="Insurance item type"/> <description value="Types of insurance items"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/insurance-plan-coverage"/> </reference> <name value="Insurance Plan Coverage"/> <description value="Coverage for an insurance plan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-InsurancePlanLocation"/> </reference> <name value="Insurance Plan Location"/> <description value="A Location describing a geographic region or are where the insurance plan coverage is available."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-coverage-area"/> </reference> <name value="InsurancePlan-coverage-area"/> <description value="Search InsurancePlan by coverage location."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-coverage-type"/> </reference> <name value="InsurancePlan-coverage-type"/> <description value="Accesses the coverage type of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-formulary-coverage"/> </reference> <name value="InsurancePlan-formulary-coverage"/> <description value="Accesses the Coverage Formulary Reference of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-identifier"/> </reference> <name value="InsurancePlan-identifier"/> <description value="Accesses the business identifier of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-lastupdated"/> </reference> <name value="InsurancePlan-lastupdated"/> <description value="Accesses the last updated date of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-name"/> </reference> <name value="InsurancePlan-name"/> <description value="Accesses the name of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-period"/> </reference> <name value="InsurancePlan-period"/> <description value="Accesses the active period of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-status"/> </reference> <name value="InsurancePlan-status"/> <description value="Accesses the status of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/InsurancePlan-type"/> </reference> <name value="InsurancePlan-type"/> <description value="Accesses the Type of an InsurancePlan"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Coverage"/> </extension> <reference> <reference value="Coverage/InsurancePlanCoverageExample"/> </reference> <name value="InsurancePlanCoverageExample"/> <description value="Example of Insurance Plan Coverage"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/insurance-plan-coverage"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/MedicationKnowledge-code"/> </reference> <name value="MedicationKnowledge-code"/> <description value="Accesses the status of a FormularyDrug"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/MedicationKnowledge-doseform"/> </reference> <name value="MedicationKnowledge-doseform"/> <description value="Accesses the dose form of a FormularyDrug"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/MedicationKnowledge-drug-name"/> </reference> <name value="MedicationKnowledge-drug-name"/> <description value="Accesses the Drug Name of a FormularyDrug"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/MedicationKnowledge-lastupdated"/> </reference> <name value="MedicationKnowledge-lastupdated"/> <description value="Accesses the last updated date of a FormularyItem"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/MedicationKnowledge-status"/> </reference> <name value="MedicationKnowledge-status"/> <description value="Accesses the status of a FormularyDrug"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/NonPackSemanticDrugVS"/> </reference> <name value="Non-Pack Semantic Drug Codes"/> <description value="Semantic Drug codes with Term Types (TTY) of Semantic Clinical Drug (SCD)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-PayerInsurancePlan"/> </reference> <name value="Payer Insurance Plan"/> <description value="The Payer InsurancePlan that defines the health insurance product, which include coverage benefits that are offered, and additional information about the offering, such as a coverage area, contact information, brochure locations, etc. The health insurance product offers one or more types of coverage, each of which may define a plan of covered benefits with the particular cost sharing structure offered to a consumer. Health insurance plans that include drug coverage reference a formulary that provides details about drugs that are covered under the plan including requirements and limitations of the coverage specific to each drug."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/usdf-PayerInsurancePlanBulkDataGraphDefinition"/> </reference> <name value="Payer Insurance Plan Bulk Data Graph Definition"/> <description value="A GraphDefinition defining a graph of resources to return in a query for a Formulary related Payer Insurance Plan Bulk Data request."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/PayerInsurancePlanA1002"/> </reference> <name value="PayerInsurancePlanA1002"/> <description value="Payer Insurance Plan A1002"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/PayerInsurancePlanA3001"/> </reference> <name value="PayerInsurancePlanA3001"/> <description value="Payer Insurance Plan A3001"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/PayerInsurancePlanA3002"/> </reference> <name value="PayerInsurancePlanA3002"/> <description value="Payer Insurance Plan A3002"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="InsurancePlan"/> </extension> <reference> <reference value="InsurancePlan/PayerInsurancePlanA3004t"/> </reference> <name value="PayerInsurancePlanA3004t"/> <description value="Payer Insurance Plan A3004t"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="GraphDefinition"/> </extension> <reference> <reference value="GraphDefinition/PayerInsurancePlanGraphDefinition"/> </reference> <name value="PayerInsurancePlanGraphDefinition"/> <description value="A GraphDefinition of PayerInsurancePlan."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlanBulkDataGraphDefinition"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-PharmacyBenefitType-extension"/> </reference> <name value="Pharmacy Benefit Type"/> <description value="A CodeableConcept indicating the pharmacy benefit type the formulary drug is available through the associated plan. This pharmacy benefit type is specific to the FormularyDrug and indicates which of the pharmacy benefit type from the plan applies to the particular formulary drug."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/PharmacyBenefitTypeVS"/> </reference> <name value="Pharmacy benefit types"/> <description value="Pharmacy benefit types. Each payer will have its own controlled vocabulary."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-PriorAuthorization-extension"/> </reference> <name value="Prior Authorization"/> <description value="A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension"/> </reference> <name value="Prior Authorization New Starts Only"/> <description value="A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug for new starts only. (Only include if PriorAuthorization = true)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/CoinsuranceOptionVS"/> </reference> <name value="Qualifier for coinsurance rate"/> <description value="Qualifier for coinsurance rate"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/CopayOptionVS"/> </reference> <name value="Qualifier of copay amount"/> <description value="Qualifier of copay amount"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-QuantityLimit-extension"/> </reference> <name value="Quantity Limit"/> <description value="A Boolean indication of whether the coverage plan imposes a quantity limit on this drug."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-QuantityLimitDetail-extension"/> </reference> <name value="Quantity Limit Detail"/> <description value="A detailed definition of the quantity limits the coverage plan imposes on this drug. These limit details may include (potentially including a rolling dispense limit, maximum daily, or therapy days for a period of time. (Only include if QuantityLimit = true)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/SemanticDrugVS"/> </reference> <name value="Semantic Drug Codes"/> <description value="Semantic Drug codes with Term Types (TTY) of Semantic Clinical Drug (SCD), Semantic Branded Drug (SBD), Generic Pack (GPCK), or Branded Pack (BPCK)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/SemanticDrugFormGroupVS"/> </reference> <name value="Semantic Drug Form Group Codes"/> <description value="Semantic Drug Form Group codes with Term Types (TTY) of Semantic Clinical Drug Form (SCDG) and Semantic Branded Drug Form Group (SBDG)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Location"/> </extension> <reference> <reference value="Location/StateOfCTLocation"/> </reference> <name value="StateOfCTLocation"/> <description value="State of CT Area"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-InsurancePlanLocation"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-StepTherapyLimit-extension"/> </reference> <name value="Step Therapy Limit"/> <description value="A boolean indicating whether the coverage plan imposes a step therapy requirement on this drug meaning another drug may need to be tried beforehand."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension"/> </reference> <name value="Step Therapy Limit New Starts Only"/> <description value="A boolean indicating whether the coverage plan imposes a step therapy requirement on this drug meaning another drug may need to be tried beforehand for new starts only (Not required if patient has previously met step therapy requirements). (Only include if StepTherapyLimit = true)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/PlanContactTypeVS"/> </reference> <name value="Type of plan contact"/> <description value="Type of plan contact"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Location"/> </extension> <reference> <reference value="Location/UnitedStatesLocation"/> </reference> <name value="UnitedStatesLocation"/> <description value="United States Area"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-InsurancePlanLocation"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/usdf-server"/> </reference> <name value="US Drug Formulary Server Capability Statement"/> <description value="This Section describes the expected capabilities of the US Drug Formulary Server actor which is responsible for providing responses to the queries submitted by the US Drug Formulary Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Drug Formulary Server are defined."/> <exampleBoolean value="false"/> </resource> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="toc.html"/> </extension> <nameUrl value="toc.html"/> <title value="Table of Contents"/> <generation value="html"/> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="index.html"/> </extension> <nameUrl value="index.html"/> <title value="Home"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="reading.html"/> </extension> <nameUrl value="reading.html"/> <title value="Reading this IG"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="confexpectations.html"/> </extension> <nameUrl value="confexpectations.html"/> <title value="Conformance Expectations"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="project.html"/> </extension> <nameUrl value="project.html"/> <title value="Project 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</ImplementationGuide>

Generated Narrative: ImplementationGuide hl7.fhir.us.davinci-drug-formulary

Formulary

The official URL for this implementation guide is:

http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary

DaVinci Payer Data Exchange (PDex) US Drug Formulary"