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

Extension: Prior Authorization

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension Version: 2.1.0
Standards status: Trial-use Computable Name: PriorAuthorization
Other Identifiers: OID:2.25.74595174031514506193398850787025340071.42.15

A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug.

Context of Use

This extension may be used on the following element(s):

This extension may be used on the following element(s):

    This extension may be used on the following element(s):

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Prior Authorization
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"
... value[x] 1..1 boolean Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Prior Authorization
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type boolean: A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Prior Authorization
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"
... value[x] 1..1 boolean Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Prior Authorization
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type boolean: A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug.

 

Other representations of profile: CSV, Excel, Schematron