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: Insurance Plan Location

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

A Location describing a geographic region or are where the insurance plan coverage is available.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreLocation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... meta
.... lastUpdated 1..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... address 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... name SΣ 1..1 string Name of the location as used by humans
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... 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 Σ 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique code or number identifying the location to its users
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ 1..1 string Name of the location as used by humans
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type Σ 0..* CodeableConcept Type of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Location.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()

This structure is derived from USCoreLocation

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreLocation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... meta
.... lastUpdated 1..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... address 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... name SΣ 1..1 string Name of the location as used by humans
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location C 0..* USCoreLocation Details and position information for a physical place
Location-address-or-geolocation: Location contains an address, geolocation, or both
... 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 Σ 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... region S 0..1 Attachment Associated Region (GeoJSON) [MustSupport for this element is optional if there is support for address]
URL: http://hl7.org/fhir/StructureDefinition/location-boundary-geojson
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique code or number identifying the location to its users
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ 1..1 string Name of the location as used by humans
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type Σ 0..* CodeableConcept Type of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location [MustSupport for this element is optional if there is support for Extension:location-boundary-geojson]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Location.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
Location-address-or-geolocationerrorLocationLocation contains an address, geolocation, or both
: address.exists() or extension.where(url='http://hl7.org/fhir/StructureDefinition/location-boundary-geojson').exists()

This structure is derived from USCoreLocation

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron