DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU2.1 US

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

Resource Profile: Payer Insurance Plan - Mappings

Page standards status: Trial-use

Mappings for the usdf-PayerInsurancePlan resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameFiveWs Pattern MappingRIM Mappingdoco
.. InsurancePlan
  • Entity. Role
  • or Act
... id
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
FiveWs.identifier
.scopes[Role](classCode=IDENT)
... status
FiveWs.status
.status
... type
FiveWs.class
.code
... name
.name
... alias
.name
... period
... ownedBy
... administeredBy
... coverageArea
... contact
.contactParty
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... purpose
./type
.... name
./name
..... id
n/a
..... extension
n/a
..... use
unique(./use)
..... text
./formatted
..... family
./part[partType = FAM]
..... given
./part[partType = GIV]
..... prefix
./part[partType = PFX]
..... suffix
./part[partType = SFX]
..... period
./usablePeriod[type="IVL<TS>"]
.... telecom
./telecom
..... id
n/a
..... extension
n/a
..... system
./scheme
..... value
./url
..... use
unique(./use)
..... rank
n/a
..... period
./usablePeriod[type="IVL<TS>"]
.... address
./addr
... endpoint
n/a
... network
... Slices for coverage
.... coverage:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... type
..... network
..... benefit
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... type
...... requirement
...... limit
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... value
....... code
.... coverage:drug-coverage
..... id
n/a
..... Slices for extension
...... extension:usdf-FormularyReference-extension
..... modifierExtension
N/A
..... type
..... network
..... Slices for benefit
...... benefit:All Slices
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... type
....... requirement
....... limit
........ id
n/a
........ extension
n/a
........ modifierExtension
N/A
........ value
........ code
...... benefit:drug-plan
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... type
....... requirement
....... limit
........ id
n/a
........ extension
n/a
........ modifierExtension
N/A
........ value
........ code
... Slices for plan
.... plan:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... identifier
FiveWs.identifier
.scopes[Role](classCode=IDENT)
..... type
..... coverageArea
..... network
..... generalCost
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... type
...... groupSize
...... cost
...... comment
..... specificCost
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... category
...... benefit
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... type
....... cost
........ id
n/a
........ extension
n/a
........ modifierExtension
N/A
........ type
........ applicability
........ qualifiers
........ value
.... plan:drug-plan
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... identifier
FiveWs.identifier
.scopes[Role](classCode=IDENT)
..... type
..... coverageArea
..... network
..... generalCost
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... type
...... groupSize
...... cost
...... comment
..... specificCost
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... category
...... benefit
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... type
....... Slices for cost
........ cost:All Slices
......... id
n/a
......... extension
n/a
......... modifierExtension
N/A
......... type
......... applicability
......... qualifiers
......... value
........ cost:copay
......... id
n/a
......... extension
n/a
......... modifierExtension
N/A
......... type
......... applicability
......... qualifiers
......... value
.......... id
n/a
.......... extension
n/a
.......... value
  • PQ.value
  • CO.value
  • MO.value
  • IVL.high or IVL.low depending on the value
.......... comparator
IVL properties
.......... unit
PQ.unit
.......... system
  • CO.codeSystem
  • PQ.translation.codeSystem
.......... code
  • PQ.code
  • MO.currency
  • PQ.translation.code
........ cost:coinsurance
......... id
n/a
......... extension
n/a
......... modifierExtension
N/A
......... type
......... applicability
......... qualifiers
......... value
.......... id
n/a
.......... extension
n/a
.......... value
  • PQ.value
  • CO.value
  • MO.value
  • IVL.high or IVL.low depending on the value
.......... comparator
IVL properties
.......... unit
PQ.unit
.......... system
  • CO.codeSystem
  • PQ.translation.codeSystem
.......... code
  • PQ.code
  • MO.currency
  • PQ.translation.code

doco Documentation for this format