This page is part of the US Drug Formulary (v0.1.0: STU 1 Draft) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "MedicationKnowledge",
"id" : "formularydrugV1002",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>*** Formulary Drug Example #1 (MedicationKnowledge) ***</b></p><p><b>id</b>: formularydrugV2001</p><p><b>Drug Product</b>: Acetaminophen 325 MG / Oxycodone Hydrochloride 5 MG Oral Tablet [Percocet]</p><p><b>Drug Class</b>: Anilides (ATC code: N02BE); Barbiturates and derivatives (N02AA) </p><p><b>Drug Tier ID</b>: Brand </p><p><b>Prior Authorization</b>: false </p><p><b>Step Therapy Limit</b>: false</p><p><b>Quantity Limit</b>: false</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS",
"code" : "BRAND",
"display" : "Brand"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanID-extension",
"valueString" : "40308VA0240008"
}
],
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1049640",
"display" : "Percocet 5 MG / 325 MG Oral Tablet"
}
]
}
}