Profile Comparison between http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary vs http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/InsurancePlan
copyright
date	2021-12-03T18:37:11+00:00	2022-08-25T13:09:53+00:00	Values Differ
description	The Formulary provides general information about a formulary and acts as an organizing construct that associated FormularyItem resources point to. The Formulary combined with its associated FormularyItem and FormularyDrug resources represent a formulary list that includes the set of drugs covered and the requirements and limitations of the coverage.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	Formulary
publisher	HL7 Pharmacy Working Group
purpose
status	active
title	Formulary
type	InsurancePlan
url	http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary
version	1.2.0	2.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
InsurancePlan	I	0..*	InsurancePlan	Details of a Health Insurance product/plan provided by an organization	I	0..*	InsurancePlan	Details of a Health Insurance product/plan provided by an organization
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed	SΣ	1..1	instant	When the resource version last changed	Elements differ in definition for mustSupport: 'false' vs 'true'
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: todo (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: todo (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: todo (preferred): A human language. Additional Bindings Purpose todo Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣI	1..*	Identifier	Business Identifier for Product	SΣI	1..*	Identifier	Business Identifier for Product
status	?!SΣ	1..1	code	draft | active | retired | unknown Binding: todo (required): The lifecycle status of an artifact.	?!SΣ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
type	SΣ	1..1	CodeableConcept	Plan type Binding: todo (example): Used to categorize the product/plan. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DRUGPOL"}]}	SΣ	1..1	CodeableConcept	Plan type Binding: InsurancePlanType (example): Used to categorize the product/plan. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DRUGPOL"}]}
name	SΣI	0..1	string	Official name	SΣI	0..1	string	Official name
alias		0..*	string	Alternate names		0..*	string	Alternate names
period	S	0..1	Period	When the product is available	S	0..1	Period	When the product is available
ownedBy	Σ	0..1	Reference(Organization)	Plan issuer	Σ	0..1	Reference(Organization)	Plan issuer
administeredBy	Σ	0..1	Reference(Organization)	Product administrator	Σ	0..1	Reference(Organization)	Product administrator
coverageArea	Σ	0..*	Reference(Location)	Where product applies	Σ	0..*	Reference(Location)	Where product applies
contact		0..*	BackboneElement	Contact for the product		0..*	BackboneElement	Contact for the product
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
purpose		0..1	CodeableConcept	The type of contact Binding: todo (extensible): The purpose for which you would contact a contact party.		0..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name		0..1	HumanName	A name associated with the contact		0..1	HumanName	A name associated with the contact
telecom		0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact		0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
address		0..1	Address	Visiting or postal addresses for the contact		0..1	Address	Visiting or postal addresses for the contact
endpoint		0..*	Reference(Endpoint)	Technical endpoint		0..*	Reference(Endpoint)	Technical endpoint
network		0..*	Reference(Organization)	What networks are Included		0..*	Reference(Organization)	What networks are Included
coverage		0..*	BackboneElement	Coverage details		0..*	BackboneElement	Coverage details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of coverage		1..1	CodeableConcept	Type of coverage
network		0..*	Reference(Organization)	What networks provide coverage		0..*	Reference(Organization)	What networks provide coverage
benefit		1..*	BackboneElement	List of benefits		1..*	BackboneElement	List of benefits
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of benefit		1..1	CodeableConcept	Type of benefit
requirement		0..1	string	Referral requirements		0..1	string	Referral requirements
limit		0..*	BackboneElement	Benefit limits		0..*	BackboneElement	Benefit limits
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	Quantity	Maximum value allowed		0..1	Quantity	Maximum value allowed
code		0..1	CodeableConcept	Benefit limit details		0..1	CodeableConcept	Benefit limit details
plan		0..1	BackboneElement	Optional non-cost related plan information indicating pharmacy network types and drug tiers available in the formulary		0..1	BackboneElement	Optional non-cost related plan information indicating pharmacy benefit types and drug tiers available in the formulary	Elements differ in short: 'Optional non-cost related plan information indicating pharmacy network types and drug tiers available in the formulary' vs 'Optional non-cost related plan information indicating pharmacy benefit types and drug tiers available in the formulary'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Business Identifier for Product	Σ	0..*	Identifier	Business Identifier for Product
type		1..1	CodeableConcept	Type of plan Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PlanTypeCS","code":"drug"}]}		1..1	CodeableConcept	Type of plan Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/insurance-plan-type","code":"Drug","display":"Drug"}]}
coverageArea	Σ	0..*	Reference(Location)	Where product applies	Σ	0..*	Reference(Location)	Where product applies
network		0..*	Reference(Organization)	What networks provide coverage		0..*	Reference(Organization)	What networks provide coverage
generalCost		0..*	BackboneElement	Overall costs		0..*	BackboneElement	Overall costs
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Type of cost		0..1	CodeableConcept	Type of cost
groupSize		0..1	positiveInt	Number of enrollees		0..1	positiveInt	Number of enrollees
cost		0..1	Money	Cost value		0..1	Money	Cost value
comment		0..1	string	Additional cost information		0..1	string	Additional cost information
specificCost		0..*	BackboneElement	Pharmacy network type specific cost		0..*	BackboneElement	Pharmacy benefit type specific cost	Elements differ in short: 'Pharmacy network type specific cost' vs 'Pharmacy benefit type specific cost'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category		1..1	CodeableConcept	General category of benefit Binding: todo (extensible)		1..1	CodeableConcept	General category of benefit Binding: Pharmacy benefit types (extensible)	Unable to resolve left value set http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/PharmacyTypeVS at InsurancePlan.plan.specificCost.category
benefit		0..*	BackboneElement	Drug tier benefit		0..*	BackboneElement	Drug tier benefit
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of specific benefit Binding: todo (extensible)		1..1	CodeableConcept	Type of specific benefit Binding: Drug tier of medication in health plan (extensible)
cost		0..*	BackboneElement	List of the costs		0..*	BackboneElement	List of the costs
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of cost		1..1	CodeableConcept	Type of cost
applicability		0..1	CodeableConcept	in-network | out-of-network | other Binding: todo (required): Whether the cost applies to in-network or out-of-network providers.		0..1	CodeableConcept	in-network | out-of-network | other Binding: BenefitCostApplicability (required): Whether the cost applies to in-network or out-of-network providers.
qualifiers		0..*	CodeableConcept	Additional information about the cost		0..*	CodeableConcept	Additional information about the cost
value		0..1	Quantity	The actual cost value		0..1	Quantity	The actual cost value
Documentation for this format