DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU2.1 United States of America flag

This page is part of the US Drug Formulary (v2.1.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: FormularyDrug-1541228 - XML Representation

Page standards status: Informative

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<MedicationKnowledge xmlns="http://hl7.org/fhir">
  <id value="FormularyDrug-1541228"/>
  <meta>
    <lastUpdated value="2021-08-22T18:36:03.000+00:00"/>
    <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 class="res-header-id"><b>Generated Narrative: MedicationKnowledge FormularyDrug-1541228</b></p><a name="FormularyDrug-1541228"> </a><a name="hcFormularyDrug-1541228"> </a><a name="FormularyDrug-1541228-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2021-08-22 18:36:03+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-usdf-FormularyDrug.html">Formulary Drug</a></p></div><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 753532}, {http://www.nlm.nih.gov/research/umls/rxnorm 1157348}">{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levlen 28 Day]</span></p><p><b>status</b>: Active</p></div>
  </text>
  <code>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="753532"/>
      <display
               value="{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levlen 28 Day]"/>
    </coding>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="1157348"/>
      <display value="ethinyl estradiol / levonorgestrel Oral Product"/>
    </coding>
  </code>
  <status value="active"/>
</MedicationKnowledge>