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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:List;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "CoveragePlanV3004t"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "1" ];
fhir:Meta.lastUpdated [ fhir:value "2021-08-04T18:36:03.000+00:00"^^xsd:dateTime ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>BluePreferred PPO HSA Silver $3,000</h2><table class=\"clstu\"><tr><td>Date: 2015-06-12Mode: snapshotStatus: currentCode: drug policy</td></tr><tr><td></td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "drugTierID" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS" ];
fhir:Coding.code [ fhir:value "generic" ];
fhir:Coding.display [ fhir:value "Generic" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "mailOrder" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-in-retail" ];
fhir:Coding.display [ fhir:value "1 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "10"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-out-retail" ];
fhir:Coding.display [ fhir:value "1 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "10"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-in-retail" ];
fhir:Coding.display [ fhir:value "3 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "20"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-out-retail" ];
fhir:Coding.display [ fhir:value "3 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "20"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "drugTierID" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS" ];
fhir:Coding.code [ fhir:value "zero-cost-share-preventative" ];
fhir:Coding.display [ fhir:value "Zero cost-share preventative" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "mailOrder" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-in-retail" ];
fhir:Coding.display [ fhir:value "1 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-out-retail" ];
fhir:Coding.display [ fhir:value "1 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-in-retail" ];
fhir:Coding.display [ fhir:value "3 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-out-retail" ];
fhir:Coding.display [ fhir:value "3 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension" ]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "drugTierID" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS" ];
fhir:Coding.code [ fhir:value "preferred-brand" ];
fhir:Coding.display [ fhir:value "Preferred Brand" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "mailOrder" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-in-retail" ];
fhir:Coding.display [ fhir:value "1 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "50"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-out-retail" ];
fhir:Coding.display [ fhir:value "1 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "50"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-in-retail" ];
fhir:Coding.display [ fhir:value "3 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "100"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-out-retail" ];
fhir:Coding.display [ fhir:value "3 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "100"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension" ]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "drugTierID" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS" ];
fhir:Coding.code [ fhir:value "non-preferred-brand" ];
fhir:Coding.display [ fhir:value "Non-preferred Brand" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "mailOrder" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-in-retail" ];
fhir:Coding.display [ fhir:value "1 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "70"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-out-retail" ];
fhir:Coding.display [ fhir:value "1 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "70"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-in-retail" ];
fhir:Coding.display [ fhir:value "3 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "140"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-out-retail" ];
fhir:Coding.display [ fhir:value "3 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "140"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension" ]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "drugTierID" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS" ];
fhir:Coding.code [ fhir:value "specialty" ];
fhir:Coding.display [ fhir:value "Specialty" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "mailOrder" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-in-retail" ];
fhir:Coding.display [ fhir:value "1 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "100"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "1-month-out-retail" ];
fhir:Coding.display [ fhir:value "1 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "100"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-in-retail" ];
fhir:Coding.display [ fhir:value "3 month in network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "200"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "pharmacyType" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyTypeCS" ];
fhir:Coding.code [ fhir:value "3-month-out-retail" ];
fhir:Coding.display [ fhir:value "3 month out of network retail" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "copayAmount" ];
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "200"^^xsd:decimal ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "copayOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS" ];
fhir:Coding.code [ fhir:value "no-charge" ];
fhir:Coding.display [ fhir:value "No Charge" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "coinsuranceRate" ];
fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "coinsuranceOption" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS" ];
fhir:Coding.code [ fhir:value "after-deductible" ];
fhir:Coding.display [ fhir:value "After Deductible" ] ] ] ];
fhir:Extension.url [ fhir:value "costSharing" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension" ]
], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-MarketingURL-extension" ];
fhir:Extension.valueUrl [ fhir:value "https://content.carefirst.com/sbc/D,$0/%20D,$0/%20D,$0/%20D,$0/%20D,$0B+" ]
], [
fhir:index 6;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyURL-extension" ];
fhir:Extension.valueUrl [ fhir:value "http://url/to/formulary/information" ]
], [
fhir:index 7;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-SummaryURL-extension" ];
fhir:Extension.valueUrl [ fhir:value "http://url/to/formulary/information" ]
], [
fhir:index 8;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-EmailPlanContact-extension" ];
fhir:Extension.valueUrl [ fhir:value "mailto:Patrick.Breen@carefirst.com" ]
], [
fhir:index 9;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Network-extension" ];
fhir:Extension.valueString [ fhir:value "PREFERRED" ]
], [
fhir:index 10;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanIDType-extension" ];
fhir:Extension.valueString [ fhir:value "HIOS-PLAN-ID" ]
];
fhir:List.identifier [
fhir:index 0;
fhir:Identifier.value [ fhir:value "40308VA0240008" ]
];
fhir:List.status [ fhir:value "current"];
fhir:List.mode [ fhir:value "snapshot"];
fhir:List.title [ fhir:value "BluePreferred PPO HSA Silver $3,000"];
fhir:List.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "DRUGPOL" ];
fhir:Coding.display [ fhir:value "drug policy" ] ]
];
fhir:List.date [ fhir:value "2015-06-12"^^xsd:date].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.