This is the set of resources that conform to either of the profiles Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary) and Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary). E.g. what you have to deal with if you get resources conforming to one of them
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
InsurancePlan | C | 0..* | Details of a Health Insurance product/plan provided by an organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one | |
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
versionId | Σ | 0..1 | id | Version specific identifier ele-1: All FHIR elements must have a @value or children |
lastUpdated | SΣ | 1..1 | instant | When the resource version last changed ele-1: All FHIR elements must have a @value or children |
source | Σ | 0..1 | uri | Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children |
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children |
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". ele-1: All FHIR elements must have a @value or children |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
identifier | SΣ | 1..* | Identifier | Business Identifier for Product ele-1: All FHIR elements must have a @value or children |
status | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. ele-1: All FHIR elements must have a @value or children |
type | SΣ | 1..1 | CodeableConcept | Plan type Binding: ?? (example): Used to categorize the product/plan. ele-1: All FHIR elements must have a @value or children |
name | SΣ | 0..1 | string | Official name ele-1: All FHIR elements must have a @value or children |
alias | 0..* | string | Alternate names ele-1: All FHIR elements must have a @value or children | |
period | S | 0..1 | Period | When the product is available ele-1: All FHIR elements must have a @value or children |
ownedBy | Σ | 0..1 | Reference(Organization) | Plan issuer ele-1: All FHIR elements must have a @value or children |
administeredBy | Σ | 0..1 | Reference(Organization) | Product administrator ele-1: All FHIR elements must have a @value or children |
coverageArea | Σ | 0..* | Reference(Location) | Where product applies ele-1: All FHIR elements must have a @value or children |
contact | 0..* | BackboneElement | Contact for the product ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
purpose | 0..1 | CodeableConcept | The type of contact Binding: ?? (extensible): The purpose for which you would contact a contact party. ele-1: All FHIR elements must have a @value or children | |
name | 0..1 | HumanName | A name associated with the contact ele-1: All FHIR elements must have a @value or children | |
telecom | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children | |
address | 0..1 | Address | Visiting or postal addresses for the contact ele-1: All FHIR elements must have a @value or children | |
endpoint | 0..* | Reference(Endpoint) | Technical endpoint ele-1: All FHIR elements must have a @value or children | |
network | 0..* | Reference(Organization) | What networks are Included ele-1: All FHIR elements must have a @value or children | |
coverage | 0..* | BackboneElement | Coverage details ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | 1..1 | CodeableConcept | Type of coverage ele-1: All FHIR elements must have a @value or children | |
network | 0..* | Reference(Organization) | What networks provide coverage ele-1: All FHIR elements must have a @value or children | |
benefit | 1..* | BackboneElement | List of benefits ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | 1..1 | CodeableConcept | Type of benefit ele-1: All FHIR elements must have a @value or children | |
requirement | 0..1 | string | Referral requirements ele-1: All FHIR elements must have a @value or children | |
limit | 0..* | BackboneElement | Benefit limits ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
value | 0..1 | Quantity | Maximum value allowed ele-1: All FHIR elements must have a @value or children | |
code | 0..1 | CodeableConcept | Benefit limit details ele-1: All FHIR elements must have a @value or children | |
plan | 0..1 | BackboneElement | Optional non-cost related plan information indicating pharmacy benefit types and drug tiers available in the formulary ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
identifier | Σ | 0..* | Identifier | Business Identifier for Product ele-1: All FHIR elements must have a @value or children |
type | 1..1 | CodeableConcept | Type of plan ele-1: All FHIR elements must have a @value or children | |
coverageArea | Σ | 0..* | Reference(Location) | Where product applies ele-1: All FHIR elements must have a @value or children |
network | 0..* | Reference(Organization) | What networks provide coverage ele-1: All FHIR elements must have a @value or children | |
generalCost | 0..* | BackboneElement | Overall costs ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | 0..1 | CodeableConcept | Type of cost ele-1: All FHIR elements must have a @value or children | |
groupSize | 0..1 | positiveInt | Number of enrollees ele-1: All FHIR elements must have a @value or children | |
cost | 0..1 | Money | Cost value ele-1: All FHIR elements must have a @value or children | |
comment | 0..1 | string | Additional cost information ele-1: All FHIR elements must have a @value or children | |
specificCost | 0..* | BackboneElement | Pharmacy benefit type specific cost ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
category | 1..1 | CodeableConcept | General category of benefit Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |
benefit | 0..* | BackboneElement | Drug tier benefit ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | 1..1 | CodeableConcept | Type of specific benefit Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |
cost | 0..* | BackboneElement | List of the costs ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | 1..1 | CodeableConcept | Type of cost ele-1: All FHIR elements must have a @value or children | |
applicability | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers. ele-1: All FHIR elements must have a @value or children | |
qualifiers | 0..* | CodeableConcept | Additional information about the cost ele-1: All FHIR elements must have a @value or children | |
value | 0..1 | Quantity | The actual cost value ele-1: All FHIR elements must have a @value or children | |
Documentation for this format |