abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary) |
| Right: | Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary) |
| Error | StructureDefinition.version | Values for version differ: '2.0.1' vs '2.1.0' |
| Information | StructureDefinition.date | Values for date differ: '2023-12-01T22:20:12+00:00' vs '2024-12-16T22:00:26+00:00' |
| Information | StructureDefinition.definition | Values for definition differ: 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.' vs 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.' |
| Information | StructureDefinition.definition | Values for definition differ: 'A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).' vs 'A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/InsurancePlan | ||
| copyright | |||
| date | 2023-12-01T22:20:12+00:00 | 2024-12-16T22:00:26+00:00 |
|
| 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 International / Pharmacy | ||
| purpose | |||
| status | active | ||
| title | Formulary | ||
| type | InsurancePlan | ||
| url | http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary | ||
| version | 2.0.1 | 2.1.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 InsurancePlan | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | 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 | SΣ | 1..1 | instant | When the resource version last changed | SΣ | 1..1 | instant | When the resource version last changed | |||||||||
| 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: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (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: ?? (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: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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 | SΣC | 1..* | Identifier | Business Identifier for Product | SΣC | 1..* | Identifier | Business Identifier for Product | |||||||||
| status | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | |||||||||
| type | SΣ | 1..1 | CodeableConcept | Plan type Binding: ?? (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: ?? (example): Used to categorize the product/plan. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DRUGPOL"}]} | |||||||||
| name | SΣC | 0..1 | string | Official name | SΣC | 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: ?? (extensible): The purpose for which you would contact a contact party. | 0..1 | CodeableConcept | The type of contact Binding: ?? (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 benefit 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 | |||||||||||
| 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://terminology.hl7.org/CodeSystem/insurance-plan-type","code":"drug","display":"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 benefit type specific cost | 0..* | BackboneElement | 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: ?? (extensible) | 1..1 | CodeableConcept | General category of benefit Binding: ?? (extensible) | |||||||||||
| 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: ?? (extensible) | 1..1 | CodeableConcept | Type of specific benefit Binding: ?? (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: ?? (required): Whether the cost applies to in-network or out-of-network providers. | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: ?? (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 | |||||||||||||||||