HL7 FHIR Implementation Guide - New Zealand Formulary/NZULM IG, published by New Zealand Medicines Formulary LP. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/nzf/ and changes regularly. See the Directory of published versions
Extension: Funding
| Official URL: http://hl7.org.nz/fhir/StructureDefinition/nzf-funding | Version: 1.0.0 | |||
| Draft as of 2024-10-23 | Computable Name: Funding | |||
Core funding information specific to NZ. The extension can be added multiple times to a product for each PHARMAC schedule. These can be differentiated via the scheduleDate field.
Context of Use
This extension may be used on the following element(s):
- Element ID Medication
Funding information is added to Containered Trade Product Packs where applicable. The funding information is derived from both the PHARMAC schedule.
There are two extensions added that store this information. The first is nzf-funding. This stores the general information around funding for a specific product such as price and subsidy. This also includes a 'type' field which indicates whether it applies to community, hml or both. To cater for the existence of multiple schedules this extension can be added to a product multiple times, once per schedule. This allows vendors to see both the current schedule information as well as an upcoming schedule. To determine which set of information to use the 'scheduleDate' field can be used.
To determine what schedules are available at any given time there is a 'Basic' resource that provides metadata (id and code =metadata). This metadata object contains a list of pharmacSchedule details, including the schedule dates.
To determine the appropriate pharmac subsidy code:
- Community – the pharmacode associated with the given CTPP should always be used. This is in the code field for the CTPP Medication resource.
- HML – some items are HML due to generic level funding (e.g. at the MPUU level). If this is the case then the genericLevelFundingCode will be populated for the core funding extension and should be used. This should only be used for HML. If no genericLevelFundingCode exists then the pharmacode associated with the given CTPP should be used.
Usage info
Usage:
- Use this Extension: Medication resource for NZ Formulary
- Examples for this Extension: Medication/ctpp-with-funding
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
Complex Extension: Core funding information specific to NZ. The extension can be added multiple times to a product for each PHARMAC schedule. These can be differentiated via the scheduleDate field.
- scheduleDate: date: The date this item was placed on the schedule
- status: CodeableConcept: status of community funding - no subsidy, partial subsidy, full subsidy
- subsidy: Money: The subsided price
- higherSubsidy: Money: The higher subsided price
- price: Money: The manufacturer price.
- claimUnit: CodeableConcept: Pharmac claim unit
- type: CodeableConcept: A list of funding types, currently either community or hml
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
0..* | Extension | Extension | |
  extension |
2..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:scheduleDate |
1..1 | Extension | The date this item was placed on the schedule | |
  extension |
0..0 | |||
| url |
1..1 | uri | "scheduleDate" | |
  value[x] |
0..1 | date | Value of extension | |
| extension:status |
0..1 | Extension | status of community funding - no subsidy, partial subsidy, full subsidy | |
| extension |
0..0 | |||
| url |
1..1 | uri | "status" | |
 value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-code (required) | |
| extension:subsidy |
0..1 | Extension | The subsided price | |
| extension |
0..0 | |||
| url |
1..1 | uri | "subsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:higherSubsidy |
0..1 | Extension | The higher subsided price | |
| extension |
0..0 | |||
| url |
1..1 | uri | "higherSubsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:price |
0..1 | Extension | The manufacturer price. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "price" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:claimUnit |
0..1 | Extension | Pharmac claim unit | |
| extension |
0..0 | |||
| url |
1..1 | uri | "claimUnit" | |
| value[x] |
0..1 | CodeableConcept | Value of extension | |
 extension:type |
1..* | Extension | A list of funding types, currently either community or hml | |
 extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PHARMAC funding type (required) | |
| url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/nzf-funding" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:scheduleDate |
1..1 | Extension | The date this item was placed on the schedule | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "scheduleDate" | |
| value[x] |
0..1 | date | Value of extension | |
| extension:status |
0..1 | Extension | status of community funding - no subsidy, partial subsidy, full subsidy | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "status" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-code (required) | |
| extension:subsidy |
0..1 | Extension | The subsided price | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "subsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:higherSubsidy |
0..1 | Extension | The higher subsided price | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "higherSubsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:price |
0..1 | Extension | The manufacturer price. | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "price" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:claimUnit |
0..1 | Extension | Pharmac claim unit | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "claimUnit" | |
| value[x] |
0..1 | CodeableConcept | Value of extension | |
| extension:type |
1..* | Extension | A list of funding types, currently either community or hml | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PHARMAC funding type (required) | |
| url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/nzf-funding" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Core funding information specific to NZ. The extension can be added multiple times to a product for each PHARMAC schedule. These can be differentiated via the scheduleDate field.
- scheduleDate: date: The date this item was placed on the schedule
- status: CodeableConcept: status of community funding - no subsidy, partial subsidy, full subsidy
- subsidy: Money: The subsided price
- higherSubsidy: Money: The higher subsided price
- price: Money: The manufacturer price.
- claimUnit: CodeableConcept: Pharmac claim unit
- type: CodeableConcept: A list of funding types, currently either community or hml
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| extension |
2..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:scheduleDate |
1..1 | Extension | The date this item was placed on the schedule | |
| extension |
0..0 | |||
| url |
1..1 | uri | "scheduleDate" | |
| value[x] |
0..1 | date | Value of extension | |
| extension:status |
0..1 | Extension | status of community funding - no subsidy, partial subsidy, full subsidy | |
| extension |
0..0 | |||
| url |
1..1 | uri | "status" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-code (required) | |
| extension:subsidy |
0..1 | Extension | The subsided price | |
| extension |
0..0 | |||
| url |
1..1 | uri | "subsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:higherSubsidy |
0..1 | Extension | The higher subsided price | |
| extension |
0..0 | |||
| url |
1..1 | uri | "higherSubsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:price |
0..1 | Extension | The manufacturer price. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "price" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:claimUnit |
0..1 | Extension | Pharmac claim unit | |
| extension |
0..0 | |||
| url |
1..1 | uri | "claimUnit" | |
| value[x] |
0..1 | CodeableConcept | Value of extension | |
| extension:type |
1..* | Extension | A list of funding types, currently either community or hml | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PHARMAC funding type (required) | |
| url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/nzf-funding" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:scheduleDate |
1..1 | Extension | The date this item was placed on the schedule | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "scheduleDate" | |
| value[x] |
0..1 | date | Value of extension | |
| extension:status |
0..1 | Extension | status of community funding - no subsidy, partial subsidy, full subsidy | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "status" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-code (required) | |
| extension:subsidy |
0..1 | Extension | The subsided price | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "subsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:higherSubsidy |
0..1 | Extension | The higher subsided price | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "higherSubsidy" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:price |
0..1 | Extension | The manufacturer price. | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "price" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:claimUnit |
0..1 | Extension | Pharmac claim unit | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "claimUnit" | |
| value[x] |
0..1 | CodeableConcept | Value of extension | |
| extension:type |
1..* | Extension | A list of funding types, currently either community or hml | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PHARMAC funding type (required) | |
| url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/nzf-funding" | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Extension.extension:status.value[x] | required | https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-codehttps://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-code | |
| Extension.extension:type.value[x] | required | PharmacFundingTypeHB (a valid code from Possible values for PHARMAC funding type)https://nzhts.digital.health.nz/fhir/ValueSet/nzf-funding-typefrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children unless an empty Parameters resource : hasValue() or (children().count() > id.count()) or $this is Parameters | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |