DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2 United States of America flag

This page is part of the US Drug Formulary (v2.0.1: STU 2) 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 New Starts Only

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension Version: 2.0.1
Standards status: Trial-use Computable Name: PriorAuthorizationNewStartsOnly

A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug for new starts only. (Only include if PriorAuthorization = true)

Context of Use

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

  • Element ID Basic

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

Summary

Simple Extension of type boolean: A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug for new starts only. (Only include if PriorAuthorization = true)

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization New Starts Only
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension"
... value[x] 1..1booleanValue of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization New Starts Only
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-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 for new starts only. (Only include if PriorAuthorization = true)

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization New Starts Only
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension"
... value[x] 1..1booleanValue of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionPrior Authorization New Starts Only
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron