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

Resource Profile: Formulary Item

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem Version: 2.1.0
Standards status: Trial-use Computable Name: FormularyItem

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:

Formal Views of Profile Content

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

This structure is derived from Basic

NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 0..* Basic Resource for non-supported content
... meta
.... lastUpdated S 1..1 instant When the resource version last changed
... Slices for extension 4..* Extension Extension
Slice: Unordered, Open by value:url
.... usdf-FormularyReference-extension S 1..1 Reference(Formulary) Formulary Reference
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension
.... usdf-AvailabilityStatus-extension S 1..1 code Availability Status
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension
Binding: PublicationStatus (required)
.... usdf-AvailabilityPeriod-extension S 0..1 Period Availability Period
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension
.... usdf-PharmacyBenefitType-extension S 1..* CodeableConcept Pharmacy Benefit Type
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension
Binding: Pharmacy benefit types (extensible)
.... usdf-DrugTierID-extension 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)
.... usdf-PriorAuthorization-extension S 0..1 boolean Prior Authorization
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension
.... usdf-PriorAuthorizationNewStartsOnly-extension 0..1 boolean Prior Authorization New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension
.... usdf-StepTherapyLimit-extension S 0..1 boolean Step Therapy Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension
.... usdf-StepTherapyLimitNewStartsOnly-extension 0..1 boolean Step Therapy Limit New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension
.... usdf-QuantityLimit-extension S 0..1 boolean Quantity Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension
.... usdf-QuantityLimitDetail-extension 0..1 (Complex) Quantity Limit Detail
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension
.... usdf-AdditionalCoverageInformation-extension 0..1 markdown Additional Coverage Information
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension
... code 1..1 CodeableConcept Kind of Resource
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 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
... meta Σ 0..1 Meta Metadata about the resource
ele-1: All FHIR elements must have a @value or children
.... lastUpdated SΣ 1..1 instant When the resource version last changed
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!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
... Slices for extension 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
.... usdf-FormularyReference-extension 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
.... usdf-AvailabilityStatus-extension 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
.... usdf-AvailabilityPeriod-extension 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
.... usdf-PharmacyBenefitType-extension 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
.... usdf-DrugTierID-extension 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
.... usdf-PriorAuthorization-extension 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
.... usdf-PriorAuthorizationNewStartsOnly-extension 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
.... usdf-StepTherapyLimit-extension 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
.... usdf-StepTherapyLimitNewStartsOnly-extension 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
.... usdf-QuantityLimit-extension 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
.... usdf-QuantityLimitDetail-extension 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
.... usdf-AdditionalCoverageInformation-extension 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
... code ?!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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item
... subject SΣ 1..1 Reference(Formulary Drug) Identifies the focus of this resource
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Basic.codeexamplePattern: formulary-item
http://hl7.org/fhir/ValueSet/basic-resource-type
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 0..* Basic Resource for non-supported content
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security 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: 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 4..* Extension Extension
Slice: Unordered, Open by value:url
.... usdf-FormularyReference-extension S 1..1 Reference(Formulary) Formulary Reference
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension
.... usdf-AvailabilityStatus-extension S 1..1 code Availability Status
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension
Binding: PublicationStatus (required)
.... usdf-AvailabilityPeriod-extension S 0..1 Period Availability Period
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension
.... usdf-PharmacyBenefitType-extension S 1..* CodeableConcept Pharmacy Benefit Type
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension
Binding: Pharmacy benefit types (extensible)
.... usdf-DrugTierID-extension 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)
.... usdf-PriorAuthorization-extension S 0..1 boolean Prior Authorization
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension
.... usdf-PriorAuthorizationNewStartsOnly-extension 0..1 boolean Prior Authorization New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension
.... usdf-StepTherapyLimit-extension S 0..1 boolean Step Therapy Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension
.... usdf-StepTherapyLimitNewStartsOnly-extension 0..1 boolean Step Therapy Limit New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension
.... usdf-QuantityLimit-extension S 0..1 boolean Quantity Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension
.... usdf-QuantityLimitDetail-extension 0..1 (Complex) Quantity Limit Detail
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension
.... usdf-AdditionalCoverageInformation-extension 0..1 markdown Additional Coverage Information
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... code ?!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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Formulary Drug) Identifies the focus of this resource
... created Σ 0..1 date When created
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Who created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Basic.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Basic.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Basic.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Basic.codeexamplePattern: formulary-item
http://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:

Differential View

This structure is derived from Basic

NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 0..* Basic Resource for non-supported content
... meta
.... lastUpdated S 1..1 instant When the resource version last changed
... Slices for extension 4..* Extension Extension
Slice: Unordered, Open by value:url
.... usdf-FormularyReference-extension S 1..1 Reference(Formulary) Formulary Reference
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension
.... usdf-AvailabilityStatus-extension S 1..1 code Availability Status
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension
Binding: PublicationStatus (required)
.... usdf-AvailabilityPeriod-extension S 0..1 Period Availability Period
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension
.... usdf-PharmacyBenefitType-extension S 1..* CodeableConcept Pharmacy Benefit Type
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension
Binding: Pharmacy benefit types (extensible)
.... usdf-DrugTierID-extension 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)
.... usdf-PriorAuthorization-extension S 0..1 boolean Prior Authorization
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension
.... usdf-PriorAuthorizationNewStartsOnly-extension 0..1 boolean Prior Authorization New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension
.... usdf-StepTherapyLimit-extension S 0..1 boolean Step Therapy Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension
.... usdf-StepTherapyLimitNewStartsOnly-extension 0..1 boolean Step Therapy Limit New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension
.... usdf-QuantityLimit-extension S 0..1 boolean Quantity Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension
.... usdf-QuantityLimitDetail-extension 0..1 (Complex) Quantity Limit Detail
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension
.... usdf-AdditionalCoverageInformation-extension 0..1 markdown Additional Coverage Information
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension
... code 1..1 CodeableConcept Kind of Resource
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 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
... meta Σ 0..1 Meta Metadata about the resource
ele-1: All FHIR elements must have a @value or children
.... lastUpdated SΣ 1..1 instant When the resource version last changed
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!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
... Slices for extension 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
.... usdf-FormularyReference-extension 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
.... usdf-AvailabilityStatus-extension 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
.... usdf-AvailabilityPeriod-extension 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
.... usdf-PharmacyBenefitType-extension 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
.... usdf-DrugTierID-extension 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
.... usdf-PriorAuthorization-extension 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
.... usdf-PriorAuthorizationNewStartsOnly-extension 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
.... usdf-StepTherapyLimit-extension 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
.... usdf-StepTherapyLimitNewStartsOnly-extension 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
.... usdf-QuantityLimit-extension 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
.... usdf-QuantityLimitDetail-extension 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
.... usdf-AdditionalCoverageInformation-extension 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
... code ?!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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item
... subject SΣ 1..1 Reference(Formulary Drug) Identifies the focus of this resource
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Basic.codeexamplePattern: formulary-item
http://hl7.org/fhir/ValueSet/basic-resource-type
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Basic 0..* Basic Resource for non-supported content
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security 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: 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 4..* Extension Extension
Slice: Unordered, Open by value:url
.... usdf-FormularyReference-extension S 1..1 Reference(Formulary) Formulary Reference
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension
.... usdf-AvailabilityStatus-extension S 1..1 code Availability Status
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension
Binding: PublicationStatus (required)
.... usdf-AvailabilityPeriod-extension S 0..1 Period Availability Period
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension
.... usdf-PharmacyBenefitType-extension S 1..* CodeableConcept Pharmacy Benefit Type
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyBenefitType-extension
Binding: Pharmacy benefit types (extensible)
.... usdf-DrugTierID-extension 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)
.... usdf-PriorAuthorization-extension S 0..1 boolean Prior Authorization
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension
.... usdf-PriorAuthorizationNewStartsOnly-extension 0..1 boolean Prior Authorization New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension
.... usdf-StepTherapyLimit-extension S 0..1 boolean Step Therapy Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension
.... usdf-StepTherapyLimitNewStartsOnly-extension 0..1 boolean Step Therapy Limit New Starts Only
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension
.... usdf-QuantityLimit-extension S 0..1 boolean Quantity Limit
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension
.... usdf-QuantityLimitDetail-extension 0..1 (Complex) Quantity Limit Detail
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension
.... usdf-AdditionalCoverageInformation-extension 0..1 markdown Additional Coverage Information
URL: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AdditionalCoverageInformation-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... code ?!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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: formulary-item
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Formulary Drug) Identifies the focus of this resource
... created Σ 0..1 date When created
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Who created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Basic.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Basic.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Basic.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Basic.codeexamplePattern: formulary-item
http://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