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

Extension: Step Therapy Limit New Starts Only

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

A boolean indicating whether the coverage plan imposes a step therapy requirement on this drug meaning another drug may need to be tried beforehand for new starts only (Not required if patient has previously met step therapy requirements). (Only include if StepTherapyLimit = 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 indicating whether the coverage plan imposes a step therapy requirement on this drug meaning another drug may need to be tried beforehand for new starts only (Not required if patient has previously met step therapy requirements). (Only include if StepTherapyLimit = true)

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Step Therapy Limit New Starts Only
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension"
... value[x] 1..1 boolean Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Step Therapy Limit New Starts Only
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type boolean: A boolean indicating whether the coverage plan imposes a step therapy requirement on this drug meaning another drug may need to be tried beforehand for new starts only (Not required if patient has previously met step therapy requirements). (Only include if StepTherapyLimit = true)

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Step Therapy Limit New Starts Only
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension"
... value[x] 1..1 boolean Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Step Therapy Limit New Starts Only
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron