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

: FormularyD1002 - XML Representation

Page standards status: Informative

Raw xml | Download


<InsurancePlan xmlns="http://hl7.org/fhir">
  <id value="FormularyD1002"/>
  <meta>
    <lastUpdated value="2021-08-22T18:36:03.000+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: InsurancePlan FormularyD1002</b></p><a name="FormularyD1002"> </a><a name="hcFormularyD1002"> </a><a name="FormularyD1002-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2021-08-22 18:36:03+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-usdf-Formulary.html">Formulary</a></p></div><p><b>identifier</b>: D1002</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DRUGPOL}">drug policy</span></p><p><b>name</b>: Sample Medicare Advantage Part D Formulary D1002</p><p><b>period</b>: 2021-01-01 --&gt; 2021-12-31</p></div>
  </text>
  <identifier>
    <value value="D1002"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="DRUGPOL"/>
    </coding>
  </type>
  <name value="Sample Medicare Advantage Part D Formulary D1002"/>
  <period>
    <start value="2021-01-01"/>
    <end value="2021-12-31"/>
  </period>
</InsurancePlan>