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
Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem | Version: 2.1.0 | |||
Standards status: Trial-use | Computable Name: FormularyItem | |||
Other Identifiers: OID:2.25.74595174031514506193398850787025340071.42.9 |
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.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | Basic | Resource for non-supported content dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
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Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | instant | When the resource version last changed ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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4..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 1..1 | Reference(Formulary) | Formulary Reference URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..1 | code | Availability Status URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension Binding: PublicationStatus (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | Period | Availability Period URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..* | CodeableConcept | Pharmacy Benefit Type URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension Binding: Pharmacy benefit types (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..1 | CodeableConcept | Drug Tier ID URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension Binding: Drug tier of medication in health plan (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | boolean | Prior Authorization URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | boolean | Prior Authorization New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 0..1 | boolean | Step Therapy Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | boolean | Step Therapy Limit New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 0..1 | boolean | Quantity Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | (Complex) | Quantity Limit Detail URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | markdown | Additional Coverage Information URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: formulary-item | |
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SΣ | 1..1 | Reference(Formulary Drug) | Identifies the focus of this resource ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet / Code | URI |
Basic.code | example | Pattern: formulary-itemhttp://hl7.org/fhir/ValueSet/basic-resource-type from the FHIR Standard |
This structure is derived from Basic
Path | Conformance | ValueSet / Code | URI | |||
Basic.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Basic.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Basic.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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Basic.code | example | Pattern: formulary-itemhttp://hl7.org/fhir/ValueSet/basic-resource-type from the FHIR Standard |
This structure is derived from Basic
Summary
Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | Basic | Resource for non-supported content dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
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Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | instant | When the resource version last changed ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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4..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 1..1 | Reference(Formulary) | Formulary Reference URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..1 | code | Availability Status URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension Binding: PublicationStatus (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | Period | Availability Period URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..* | CodeableConcept | Pharmacy Benefit Type URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension Binding: Pharmacy benefit types (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 1..1 | CodeableConcept | Drug Tier ID URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension Binding: Drug tier of medication in health plan (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | boolean | Prior Authorization URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | boolean | Prior Authorization New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 0..1 | boolean | Step Therapy Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | boolean | Step Therapy Limit New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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S | 0..1 | boolean | Quantity Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..1 | (Complex) | Quantity Limit Detail URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | markdown | Additional Coverage Information URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: formulary-item | |
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SΣ | 1..1 | Reference(Formulary Drug) | Identifies the focus of this resource ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet / Code | URI |
Basic.code | example | Pattern: formulary-itemhttp://hl7.org/fhir/ValueSet/basic-resource-type from the FHIR Standard |
Differential View
This structure is derived from Basic
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | Basic | Resource for non-supported content | |
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S | 1..1 | instant | When the resource version last changed |
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4..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 1..1 | Reference(Formulary) | Formulary Reference URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension |
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S | 1..1 | code | Availability Status URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension Binding: PublicationStatus (required) |
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S | 0..1 | Period | Availability Period URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension |
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S | 1..* | CodeableConcept | Pharmacy Benefit Type URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension Binding: Pharmacy benefit types (extensible) |
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S | 1..1 | CodeableConcept | Drug Tier ID URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension Binding: Drug tier of medication in health plan (extensible) |
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S | 0..1 | boolean | Prior Authorization URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension |
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0..1 | boolean | Prior Authorization New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension | |
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S | 0..1 | boolean | Step Therapy Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension |
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0..1 | boolean | Step Therapy Limit New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension | |
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S | 0..1 | boolean | Quantity Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension |
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0..1 | (Complex) | Quantity Limit Detail URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension | |
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0..1 | markdown | Additional Coverage Information URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension | |
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1..1 | CodeableConcept | Kind of Resource Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: formulary-item | |
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S | 1..1 | Reference(Formulary Drug) | Identifies the focus of this resource |
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Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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0..* | Basic | Resource for non-supported content | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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SΣ | 1..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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4..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 1..1 | Reference(Formulary) | Formulary Reference URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension | ||||
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S | 1..1 | code | Availability Status URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension Binding: PublicationStatus (required) | ||||
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S | 0..1 | Period | Availability Period URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension | ||||
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S | 1..* | CodeableConcept | Pharmacy Benefit Type URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension Binding: Pharmacy benefit types (extensible) | ||||
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S | 1..1 | CodeableConcept | Drug Tier ID URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension Binding: Drug tier of medication in health plan (extensible) | ||||
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S | 0..1 | boolean | Prior Authorization URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension | ||||
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0..1 | boolean | Prior Authorization New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension | |||||
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S | 0..1 | boolean | Step Therapy Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension | ||||
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0..1 | boolean | Step Therapy Limit New Starts Only URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension | |||||
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S | 0..1 | boolean | Quantity Limit URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension | ||||
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0..1 | (Complex) | Quantity Limit Detail URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension | |||||
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0..1 | markdown | Additional Coverage Information URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier | ||||
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?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: formulary-item | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | Reference(Formulary Drug) | Identifies the focus of this resource | ||||
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Σ | 0..1 | date | When created | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created | ||||
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Path | Conformance | ValueSet / Code | URI | |||
Basic.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Basic.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Basic.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Basic.code | example | Pattern: formulary-itemhttp://hl7.org/fhir/ValueSet/basic-resource-type from the FHIR Standard |
This structure is derived from Basic
Summary
Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron