DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU 3 (ci-build) United States of America flag

DaVinci Payer Data Exchange (PDex) US Drug Formulary, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pdex-formulary/ and changes regularly. See the Directory of published versions

: Codes for benefit type of cost - TTL Representation

Page standards status: Trial-use

Raw ttl | Download


@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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE</b></p><a name=\"usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE\"> </a><a name=\"hcusdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE\"> </a><a name=\"usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE-copay\"> </a></td><td>Copay</td><td>A flat fee the member pays to fill the prescription.</td></tr><tr><td style=\"white-space:nowrap\">coinsurance<a name=\"usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE-coinsurance\"> </a></td><td>Coinsurance</td><td>A percentage of the cost to fill the prescription, usually after the deductible has been met.</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "phx" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2.1.0"] ; # 
  fhir:name [ fhir:v "BenefitCostTypeCS"] ; # 
  fhir:title [ fhir:v "Codes for benefit type of cost"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-12-16T22:00:26+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Pharmacy"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Pharmacy" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/medication" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "pharmacy@lists.HL7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Types of out of pockets costs associated with the benefit"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "2"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "Copay" ] ;
fhir:definition [ fhir:v "A flat fee the member pays to fill the prescription." ]
  ] [
fhir:code [ fhir:v "coinsurance" ] ;
fhir:display [ fhir:v "Coinsurance" ] ;
fhir:definition [ fhir:v "A percentage of the cost to fill the prescription, usually after the deductible has been met." ]
  ] ) . #