US Drug Formulary STU Ballot

This page is part of the US Drug Formulary (v0.1.0: STU 1 Draft) 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

Example: formularydrugV1002


<MedicationKnowledge xmlns="http://hl7.org/fhir">
  <id value="formularydrugV1002"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS"/>
        <code value="BRAND"/>
        <display value="Brand"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension">
    <valueBoolean value="false"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension">
    <valueBoolean value="false"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension">
    <valueBoolean value="false"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanID-extension">
    <valueString value="40308VA0240008"/>
  </extension>
  <code>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="1049640"/>
      <display value="Percocet 5 MG / 325 MG Oral Tablet"/>
    </coding>
  </code>
</MedicationKnowledge>