FHIR R6 Pharmacy Incubator
0.1.0 - ci-build World

FHIR R6 Pharmacy Incubator, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phx-incubator/ and changes regularly. See the Directory of published versions

Resource Profile: FormularyItem - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the FormularyItem resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. FormularyItem
Definition

This resource describes a product or service that is available through a program and includes the conditions and constraints of availability. All of the information in this resource is specific to the inclusion of the item in the formulary and is not inherent to the item itself.


A resource that includes narrative, extensions, and contained resources.

ShortDefinition of a FormularyItemA resource with narrative, extensions, and contained resources
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. FormularyItem.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. FormularyItem.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. FormularyItem.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. FormularyItem.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHALL be taken from AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5
(required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. FormularyItem.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
This element is affected by the following invariants: dom-6
TypeNarrative
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. FormularyItem.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. FormularyItem.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on FormularyItem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 16. FormularyItem.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on FormularyItem.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 18. FormularyItem.identifier
      Definition

      Business identifier for this formulary item.

      ShortBusiness identifier for this formulary item
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      20. FormularyItem.status
      Definition

      The validity about the information of the formulary item and not of the underlying product or service itself.

      Shortactive | entered-in-error | inactive
      Comments

      This status is intended to identify if the formulary item in a local system is in active use within the formulary. For example, a formulary might include a medicinal product and the status relates to its inclusion. At some point in the future, if the status of the formulary item is changed to "inactive" that means that it is no longer valid in the formulary. But the product itself might still be in active use and might be included in other formularies.

      Control1..1
      BindingThe codes SHALL be taken from FormularyItemStatusCodesVShttp://hl7.org/fhir/ValueSet/formularyitem-status
      (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

      A coded concept defining if the medication is in active use.

      Typecode
      Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      22. FormularyItem.category
      Definition

      Categorization for this formulary item.

      ShortCategorization of this formulary item
      Control0..*
      TypeCodeableConcept
      24. FormularyItem.context
      Definition

      The owner of the formulary that this item was created for.

      ShortOwner of the formulary that this item was created for
      Control0..1
      TypeCodeableReference(Organization, http://hl7.org/fhir/StructureDefinition/InsurancePlan)
      Summarytrue
      26. FormularyItem.subject
      Definition

      The information that this item is about.

      ShortInformation that this item is about
      Control1..1
      TypeCodeableReference(PackagedProductDefinition, MedicinalProductDefinition, Medication, NutritionProduct, DeviceDefinition, ObservationDefinition, ActivityDefinition)
      Summarytrue
      28. FormularyItem.author
      Definition

      The creator or owner of the information about the item.

      ShortCreator or owner of the information about the item
      Control0..1
      TypeContactDetail
      30. FormularyItem.cost
      Definition

      The price of the underlying item.

      ShortThe pricing of the underlying item
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      32. FormularyItem.cost.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      This element is affected by the following invariants: ele-1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      34. FormularyItem.cost.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on FormularyItem.cost.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 36. FormularyItem.cost.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on FormularyItem.cost.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 38. FormularyItem.cost.effectiveDate
          Definition

          The date range for which the cost information of the medication is effective.

          ShortThe date range for which the cost is effective
          Control0..*
          TypePeriod
          40. FormularyItem.cost.type
          Definition

          The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.

          ShortThe category of the cost information
          Control1..1
          TypeCodeableConcept
          42. FormularyItem.cost.source
          Definition

          The source or owner that assigns the price to the medication.

          ShortThe source or owner for the price information
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          44. FormularyItem.cost.cost[x]
          Definition

          The price or representation of the cost (for example, Band A, Band B or $, $$) of the item.

          ShortThe price or category of the cost of the medication
          Control1..1
          BindingFor example codes, see MedicationCostCategoryCodes .http://hl7.org/fhir/ValueSet/medication-cost-category
          (example to http://hl7.org/fhir/ValueSet/medication-cost-category)

          A coded concept defining the category of a medication.

          TypeChoice of: Money, CodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          46. FormularyItem.specialPrecaution
          Definition

          Any precautions that affect the item.

          ShortAny precautions that affect the item
          Control0..*
          TypeCodeableConcept
          48. FormularyItem.monitoringProgram
          Definition

          The program under which the item is reviewed.

          ShortProgram under which a item is reviewed
          Control0..*
          TypeBackboneElement
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
          50. FormularyItem.monitoringProgram.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          52. FormularyItem.monitoringProgram.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on FormularyItem.monitoringProgram.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 54. FormularyItem.monitoringProgram.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on FormularyItem.monitoringProgram.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 56. FormularyItem.monitoringProgram.type
              Definition

              Type of program under which the item is monitored.

              ShortType of program under which the item is monitored
              Control0..1
              TypeCodeableConcept
              58. FormularyItem.monitoringProgram.name
              Definition

              Name of the reviewing program.

              ShortName of the reviewing program
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              60. FormularyItem.indicationGuideline
              Definition

              Guidelines or protocols that are applicable for the administration of the medication based on indication.

              ShortGuidelines or protocols for administration of the medication for an indication
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
              62. FormularyItem.indicationGuideline.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              This element is affected by the following invariants: ele-1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              64. FormularyItem.indicationGuideline.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 66. FormularyItem.indicationGuideline.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 68. FormularyItem.indicationGuideline.indication
                  Definition

                  Indication or reason for use of the medication that applies to the specific administration guideline.

                  ShortIndication for use that applies to the specific administration guideline
                  Control0..*
                  TypeCodeableReference(ClinicalUseDefinition)
                  70. FormularyItem.indicationGuideline.dosingGuideline
                  Definition

                  The guidelines for the dosage of the medication for the indication.

                  ShortGuidelines for dosage of the medication
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                  72. FormularyItem.indicationGuideline.dosingGuideline.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  74. FormularyItem.indicationGuideline.dosingGuideline.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 76. FormularyItem.indicationGuideline.dosingGuideline.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 78. FormularyItem.indicationGuideline.dosingGuideline.treatmentIntent
                      Definition

                      The overall intention of the treatment, for example, prophylactic, supporative, curative, etc.

                      ShortIntention of the treatment
                      Control0..1
                      TypeCodeableConcept
                      80. FormularyItem.indicationGuideline.dosingGuideline.dosage
                      Definition

                      Dosage for the medication for the specific guidelines.

                      ShortDosage for the medication for the specific guidelines
                      Control0..*
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                      82. FormularyItem.indicationGuideline.dosingGuideline.dosage.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      84. FormularyItem.indicationGuideline.dosingGuideline.dosage.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.dosage.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 86. FormularyItem.indicationGuideline.dosingGuideline.dosage.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.dosage.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 88. FormularyItem.indicationGuideline.dosingGuideline.dosage.type
                          Definition

                          The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.).

                          ShortCategory of dosage for a medication
                          Control1..1
                          TypeCodeableConcept
                          90. FormularyItem.indicationGuideline.dosingGuideline.dosage.dosage
                          Definition

                          Dosage for the medication for the specific guidelines.

                          ShortDosage for the medication for the specific guidelines
                          Control1..*
                          TypeDosage
                          92. FormularyItem.indicationGuideline.dosingGuideline.administrationTreatment
                          Definition

                          The type of the treatment that the guideline applies to, for example, long term therapy, first line treatment, etc.

                          ShortType of treatment the guideline applies to
                          Control0..1
                          TypeCodeableConcept
                          94. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic
                          Definition

                          Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).

                          ShortCharacteristics of the patient that are relevant to the administration guidelines
                          Control0..*
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                          96. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          98. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 100. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 102. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.type
                              Definition

                              The categorization of the specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).

                              ShortCategorization of specific characteristic that is relevant to the administration guideline
                              Control1..1
                              TypeCodeableConcept
                              104. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
                              Definition

                              The specific characteristic (e.g. height, weight, gender, etc.).

                              ShortThe specific characteristic
                              Control0..1
                              TypeChoice of: CodeableConcept, Quantity, Range
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              106. FormularyItem.associatedDocuments
                              Definition

                              Documents that provide more information about the item.

                              ShortDocuments that provide more information about the item
                              Control0..*
                              TypeReference(DocumentReference)
                              108. FormularyItem.characteristic
                              Definition

                              Specifies descriptive properties of the item, such as color, shape, imprints, etc.

                              ShortSpecifies descriptive properties of the item
                              Control0..*
                              TypeBackboneElement
                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                              110. FormularyItem.characteristic.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              112. FormularyItem.characteristic.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on FormularyItem.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 114. FormularyItem.characteristic.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on FormularyItem.characteristic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 116. FormularyItem.characteristic.type
                                  Definition

                                  A code specifying which characteristic of the item is being described (for example, colour, shape, imprint).

                                  ShortCode specifying the type of characteristic of item
                                  Control1..1
                                  TypeCodeableConcept
                                  118. FormularyItem.characteristic.value[x]
                                  Definition

                                  Description of the characteristic.

                                  ShortDescription of the characteristic
                                  Comments

                                  The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.

                                  Control1..1
                                  TypeChoice of: CodeableConcept, string, Quantity(SimpleQuantity), base64Binary, Attachment
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  120. FormularyItem.availabilityStatus
                                  Definition

                                  Status of the availability of the item.

                                  Shortactive | entered-in-error | inactive
                                  Control0..1
                                  BindingThe codes SHALL be taken from FormularyItemStatusCodesVShttp://hl7.org/fhir/ValueSet/formularyitem-status
                                  (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

                                  A coded concept defining if the medication is in active use.

                                  Typecode
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  122. FormularyItem.availabilityPeriod
                                  Definition

                                  Time period of the availability of the item.

                                  ShortTime period of the availability of the item
                                  Control0..1
                                  TypePeriod
                                  124. FormularyItem.coverageInformation
                                  Definition

                                  Specific coverage information about the item.

                                  ShortSpecific coverage information about the item
                                  Control0..*
                                  TypeBackboneElement
                                  Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                  126. FormularyItem.coverageInformation.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  This element is affected by the following invariants: ele-1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  128. FormularyItem.coverageInformation.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on FormularyItem.coverageInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 130. FormularyItem.coverageInformation.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on FormularyItem.coverageInformation.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 132. FormularyItem.coverageInformation.type
                                      Definition

                                      A code specifying the type of coverage information.

                                      ShortCode specifying the type of coverage information
                                      Control1..1
                                      TypeCodeableConcept
                                      134. FormularyItem.coverageInformation.coverage
                                      Definition

                                      Description of the coverage.

                                      ShortDescription of the coverage
                                      Control1..1
                                      TypeReference(Coverage)
                                      136. FormularyItem.substitution
                                      Definition

                                      Specifies if changes are allowed when dispensing a medication from a regulatory perspective.

                                      ShortSpecifies if changes are allowed when dispensing a medication from a regulatory perspective
                                      Control0..*
                                      TypeBackboneElement
                                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                      138. FormularyItem.substitution.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      This element is affected by the following invariants: ele-1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      140. FormularyItem.substitution.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on FormularyItem.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 142. FormularyItem.substitution.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on FormularyItem.substitution.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 144. FormularyItem.substitution.type
                                          Definition

                                          Specifies the type of substitution allowed.

                                          ShortSpecifies the type of substitution allowed
                                          Control1..1
                                          TypeCodeableConcept
                                          146. FormularyItem.substitution.allowed
                                          Definition

                                          Specifies if regulation allows for changes in the medication when dispensing.

                                          ShortSpecifies if regulation allows for changes in the medication when dispensing
                                          Control1..1
                                          Typeboolean
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          148. FormularyItem.schedule
                                          Definition

                                          Specifies the schedule of a medication in jurisdiction.

                                          ShortSpecifies the schedule of a medication in jurisdiction
                                          Control0..*
                                          TypeCodeableConcept
                                          150. FormularyItem.maxDispense
                                          Definition

                                          The maximum number of units of the medication that can be dispensed in a period.

                                          ShortThe maximum number of units of the medication that can be dispensed in a period
                                          Control0..1
                                          TypeBackboneElement
                                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                          152. FormularyItem.maxDispense.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          This element is affected by the following invariants: ele-1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          154. FormularyItem.maxDispense.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on FormularyItem.maxDispense.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 156. FormularyItem.maxDispense.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on FormularyItem.maxDispense.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 158. FormularyItem.maxDispense.quantity
                                              Definition

                                              The maximum number of units of the medication that can be dispensed.

                                              ShortThe maximum number of units of the medication that can be dispensed
                                              Control1..1
                                              TypeQuantity(SimpleQuantity)
                                              160. FormularyItem.maxDispense.period
                                              Definition

                                              The period that applies to the maximum number of units.

                                              ShortThe period that applies to the maximum number of units
                                              Control0..1
                                              TypeDuration
                                              162. FormularyItem.associatedItems
                                              Definition

                                              Associated or related items. For example, if the item is about a branded product (e.g. Crestor), this could link to the generic medication (e.g. Rosuvastatin).

                                              ShortAssociated or related formulary items
                                              Control0..*
                                              TypeBackboneElement
                                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                              164. FormularyItem.associatedItems.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              166. FormularyItem.associatedItems.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on FormularyItem.associatedItems.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 168. FormularyItem.associatedItems.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                SlicingThis element introduces a set of slices on FormularyItem.associatedItems.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 170. FormularyItem.associatedItems.type
                                                  Definition

                                                  The category of the associated formulary item reference.

                                                  ShortCategory of formulary item
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  172. FormularyItem.associatedItems.reference
                                                  Definition

                                                  Associated items about the formulary item.

                                                  ShortAssociated items about the formulary item
                                                  Control1..1
                                                  TypeReference(Formulary Item)

                                                  Guidance on how to interpret the contents of this table can be foundhere

                                                  0. FormularyItem
                                                  Definition

                                                  This resource describes a product or service that is available through a program and includes the conditions and constraints of availability. All of the information in this resource is specific to the inclusion of the item in the formulary and is not inherent to the item itself.

                                                  ShortDefinition of a FormularyItem
                                                  Control0..*
                                                  2. FormularyItem.identifier
                                                  Definition

                                                  Business identifier for this formulary item.

                                                  ShortBusiness identifier for this formulary item
                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..*
                                                  TypeIdentifier
                                                  4. FormularyItem.status
                                                  Definition

                                                  The validity about the information of the formulary item and not of the underlying product or service itself.

                                                  Shortactive | entered-in-error | inactive
                                                  Comments

                                                  This status is intended to identify if the formulary item in a local system is in active use within the formulary. For example, a formulary might include a medicinal product and the status relates to its inclusion. At some point in the future, if the status of the formulary item is changed to "inactive" that means that it is no longer valid in the formulary. But the product itself might still be in active use and might be included in other formularies.

                                                  Control1..1
                                                  BindingThe codes SHALL be taken from FormularyItemStatusCodesVS
                                                  (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

                                                  A coded concept defining if the medication is in active use.

                                                  Typecode
                                                  Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  6. FormularyItem.category
                                                  Definition

                                                  Categorization for this formulary item.

                                                  ShortCategorization of this formulary item
                                                  Control0..*
                                                  TypeCodeableConcept
                                                  8. FormularyItem.context
                                                  Definition

                                                  The owner of the formulary that this item was created for.

                                                  ShortOwner of the formulary that this item was created for
                                                  Control0..1
                                                  TypeCodeableReference(Organization, http://hl7.org/fhir/StructureDefinition/InsurancePlan)
                                                  10. FormularyItem.subject
                                                  Definition

                                                  The information that this item is about.

                                                  ShortInformation that this item is about
                                                  Control1..1
                                                  TypeCodeableReference(PackagedProductDefinition, MedicinalProductDefinition, Medication, NutritionProduct, DeviceDefinition, ObservationDefinition, ActivityDefinition)
                                                  12. FormularyItem.author
                                                  Definition

                                                  The creator or owner of the information about the item.

                                                  ShortCreator or owner of the information about the item
                                                  Control0..1
                                                  TypeContactDetail
                                                  14. FormularyItem.cost
                                                  Definition

                                                  The price of the underlying item.

                                                  ShortThe pricing of the underlying item
                                                  Control0..*
                                                  TypeBackboneElement
                                                  16. FormularyItem.cost.effectiveDate
                                                  Definition

                                                  The date range for which the cost information of the medication is effective.

                                                  ShortThe date range for which the cost is effective
                                                  Control0..*
                                                  TypePeriod
                                                  18. FormularyItem.cost.type
                                                  Definition

                                                  The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.

                                                  ShortThe category of the cost information
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  20. FormularyItem.cost.source
                                                  Definition

                                                  The source or owner that assigns the price to the medication.

                                                  ShortThe source or owner for the price information
                                                  Control0..1
                                                  Typestring
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  22. FormularyItem.cost.cost[x]
                                                  Definition

                                                  The price or representation of the cost (for example, Band A, Band B or $, $$) of the item.

                                                  ShortThe price or category of the cost of the medication
                                                  Control1..1
                                                  BindingFor example codes, see MedicationCostCategoryCodes .
                                                  (example to http://hl7.org/fhir/ValueSet/medication-cost-category)

                                                  A coded concept defining the category of a medication.

                                                  TypeChoice of: Money, CodeableConcept
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  24. FormularyItem.specialPrecaution
                                                  Definition

                                                  Any precautions that affect the item.

                                                  ShortAny precautions that affect the item
                                                  Control0..*
                                                  TypeCodeableConcept
                                                  26. FormularyItem.monitoringProgram
                                                  Definition

                                                  The program under which the item is reviewed.

                                                  ShortProgram under which a item is reviewed
                                                  Control0..*
                                                  TypeBackboneElement
                                                  28. FormularyItem.monitoringProgram.type
                                                  Definition

                                                  Type of program under which the item is monitored.

                                                  ShortType of program under which the item is monitored
                                                  Control0..1
                                                  TypeCodeableConcept
                                                  30. FormularyItem.monitoringProgram.name
                                                  Definition

                                                  Name of the reviewing program.

                                                  ShortName of the reviewing program
                                                  Control0..1
                                                  Typestring
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  32. FormularyItem.indicationGuideline
                                                  Definition

                                                  Guidelines or protocols that are applicable for the administration of the medication based on indication.

                                                  ShortGuidelines or protocols for administration of the medication for an indication
                                                  Control0..*
                                                  TypeBackboneElement
                                                  34. FormularyItem.indicationGuideline.indication
                                                  Definition

                                                  Indication or reason for use of the medication that applies to the specific administration guideline.

                                                  ShortIndication for use that applies to the specific administration guideline
                                                  Control0..*
                                                  TypeCodeableReference(ClinicalUseDefinition)
                                                  36. FormularyItem.indicationGuideline.dosingGuideline
                                                  Definition

                                                  The guidelines for the dosage of the medication for the indication.

                                                  ShortGuidelines for dosage of the medication
                                                  Control0..*
                                                  TypeBackboneElement
                                                  38. FormularyItem.indicationGuideline.dosingGuideline.treatmentIntent
                                                  Definition

                                                  The overall intention of the treatment, for example, prophylactic, supporative, curative, etc.

                                                  ShortIntention of the treatment
                                                  Control0..1
                                                  TypeCodeableConcept
                                                  40. FormularyItem.indicationGuideline.dosingGuideline.dosage
                                                  Definition

                                                  Dosage for the medication for the specific guidelines.

                                                  ShortDosage for the medication for the specific guidelines
                                                  Control0..*
                                                  TypeBackboneElement
                                                  42. FormularyItem.indicationGuideline.dosingGuideline.dosage.type
                                                  Definition

                                                  The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.).

                                                  ShortCategory of dosage for a medication
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  44. FormularyItem.indicationGuideline.dosingGuideline.dosage.dosage
                                                  Definition

                                                  Dosage for the medication for the specific guidelines.

                                                  ShortDosage for the medication for the specific guidelines
                                                  Control1..*
                                                  TypeDosage
                                                  46. FormularyItem.indicationGuideline.dosingGuideline.administrationTreatment
                                                  Definition

                                                  The type of the treatment that the guideline applies to, for example, long term therapy, first line treatment, etc.

                                                  ShortType of treatment the guideline applies to
                                                  Control0..1
                                                  TypeCodeableConcept
                                                  48. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic
                                                  Definition

                                                  Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).

                                                  ShortCharacteristics of the patient that are relevant to the administration guidelines
                                                  Control0..*
                                                  TypeBackboneElement
                                                  50. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.type
                                                  Definition

                                                  The categorization of the specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).

                                                  ShortCategorization of specific characteristic that is relevant to the administration guideline
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  52. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
                                                  Definition

                                                  The specific characteristic (e.g. height, weight, gender, etc.).

                                                  ShortThe specific characteristic
                                                  Control0..1
                                                  TypeChoice of: CodeableConcept, Quantity, Range
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  54. FormularyItem.associatedDocuments
                                                  Definition

                                                  Documents that provide more information about the item.

                                                  ShortDocuments that provide more information about the item
                                                  Control0..*
                                                  TypeReference(DocumentReference)
                                                  56. FormularyItem.characteristic
                                                  Definition

                                                  Specifies descriptive properties of the item, such as color, shape, imprints, etc.

                                                  ShortSpecifies descriptive properties of the item
                                                  Control0..*
                                                  TypeBackboneElement
                                                  58. FormularyItem.characteristic.type
                                                  Definition

                                                  A code specifying which characteristic of the item is being described (for example, colour, shape, imprint).

                                                  ShortCode specifying the type of characteristic of item
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  60. FormularyItem.characteristic.value[x]
                                                  Definition

                                                  Description of the characteristic.

                                                  ShortDescription of the characteristic
                                                  Comments

                                                  The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.

                                                  Control1..1
                                                  TypeChoice of: CodeableConcept, string, Quantity(SimpleQuantity), base64Binary, Attachment
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  62. FormularyItem.availabilityStatus
                                                  Definition

                                                  Status of the availability of the item.

                                                  Shortactive | entered-in-error | inactive
                                                  Control0..1
                                                  BindingThe codes SHALL be taken from FormularyItemStatusCodesVS
                                                  (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

                                                  A coded concept defining if the medication is in active use.

                                                  Typecode
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  64. FormularyItem.availabilityPeriod
                                                  Definition

                                                  Time period of the availability of the item.

                                                  ShortTime period of the availability of the item
                                                  Control0..1
                                                  TypePeriod
                                                  66. FormularyItem.coverageInformation
                                                  Definition

                                                  Specific coverage information about the item.

                                                  ShortSpecific coverage information about the item
                                                  Control0..*
                                                  TypeBackboneElement
                                                  68. FormularyItem.coverageInformation.type
                                                  Definition

                                                  A code specifying the type of coverage information.

                                                  ShortCode specifying the type of coverage information
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  70. FormularyItem.coverageInformation.coverage
                                                  Definition

                                                  Description of the coverage.

                                                  ShortDescription of the coverage
                                                  Control1..1
                                                  TypeReference(Coverage)
                                                  72. FormularyItem.substitution
                                                  Definition

                                                  Specifies if changes are allowed when dispensing a medication from a regulatory perspective.

                                                  ShortSpecifies if changes are allowed when dispensing a medication from a regulatory perspective
                                                  Control0..*
                                                  TypeBackboneElement
                                                  74. FormularyItem.substitution.type
                                                  Definition

                                                  Specifies the type of substitution allowed.

                                                  ShortSpecifies the type of substitution allowed
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  76. FormularyItem.substitution.allowed
                                                  Definition

                                                  Specifies if regulation allows for changes in the medication when dispensing.

                                                  ShortSpecifies if regulation allows for changes in the medication when dispensing
                                                  Control1..1
                                                  Typeboolean
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  78. FormularyItem.schedule
                                                  Definition

                                                  Specifies the schedule of a medication in jurisdiction.

                                                  ShortSpecifies the schedule of a medication in jurisdiction
                                                  Control0..*
                                                  TypeCodeableConcept
                                                  80. FormularyItem.maxDispense
                                                  Definition

                                                  The maximum number of units of the medication that can be dispensed in a period.

                                                  ShortThe maximum number of units of the medication that can be dispensed in a period
                                                  Control0..1
                                                  TypeBackboneElement
                                                  82. FormularyItem.maxDispense.quantity
                                                  Definition

                                                  The maximum number of units of the medication that can be dispensed.

                                                  ShortThe maximum number of units of the medication that can be dispensed
                                                  Control1..1
                                                  TypeQuantity(SimpleQuantity)
                                                  84. FormularyItem.maxDispense.period
                                                  Definition

                                                  The period that applies to the maximum number of units.

                                                  ShortThe period that applies to the maximum number of units
                                                  Control0..1
                                                  TypeDuration
                                                  86. FormularyItem.associatedItems
                                                  Definition

                                                  Associated or related items. For example, if the item is about a branded product (e.g. Crestor), this could link to the generic medication (e.g. Rosuvastatin).

                                                  ShortAssociated or related formulary items
                                                  Control0..*
                                                  TypeBackboneElement
                                                  88. FormularyItem.associatedItems.type
                                                  Definition

                                                  The category of the associated formulary item reference.

                                                  ShortCategory of formulary item
                                                  Control1..1
                                                  TypeCodeableConcept
                                                  90. FormularyItem.associatedItems.reference
                                                  Definition

                                                  Associated items about the formulary item.

                                                  ShortAssociated items about the formulary item
                                                  Control1..1
                                                  TypeReference(Formulary Item)

                                                  Guidance on how to interpret the contents of this table can be foundhere

                                                  0. FormularyItem
                                                  Definition

                                                  This resource describes a product or service that is available through a program and includes the conditions and constraints of availability. All of the information in this resource is specific to the inclusion of the item in the formulary and is not inherent to the item itself.

                                                  ShortDefinition of a FormularyItem
                                                  Control0..*
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                  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 (contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
                                                  dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                  2. FormularyItem.id
                                                  Definition

                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                  ShortLogical id of this artifact
                                                  Comments

                                                  Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.

                                                  Control0..1
                                                  Typeid
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summarytrue
                                                  4. FormularyItem.meta
                                                  Definition

                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                  ShortMetadata about the resource
                                                  Control0..1
                                                  TypeMeta
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  6. FormularyItem.implicitRules
                                                  Definition

                                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

                                                  ShortA set of rules under which this content was created
                                                  Comments

                                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                                                  Control0..1
                                                  Typeuri
                                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supportfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  8. FormularyItem.language
                                                  Definition

                                                  The base language in which the resource is written.

                                                  ShortLanguage of the resource content
                                                  Comments

                                                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                  Control0..1
                                                  BindingThe codes SHALL be taken from AllLanguages
                                                  (required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5)

                                                  IETF language tag for a human language

                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  10. FormularyItem.text
                                                  Definition

                                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                  ShortText summary of the resource, for human interpretation
                                                  Comments

                                                  Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                  Control0..1
                                                  This element is affected by the following invariants: dom-6
                                                  TypeNarrative
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Alternate Namesnarrative, html, xhtml, display
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  12. FormularyItem.contained
                                                  Definition

                                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                                                  ShortContained, inline Resources
                                                  Comments

                                                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

                                                  Control0..*
                                                  This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                                                  TypeResource
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Alternate Namesinline resources, anonymous resources, contained resources
                                                  14. FormularyItem.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  SlicingThis element introduces a set of slices on FormularyItem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 16. FormularyItem.modifierExtension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                    ShortExtensions that cannot be ignored
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                    Must Supportfalse
                                                    Summarytrue
                                                    Requirements

                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    SlicingThis element introduces a set of slices on FormularyItem.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 18. FormularyItem.identifier
                                                      Definition

                                                      Business identifier for this formulary item.

                                                      ShortBusiness identifier for this formulary item
                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control0..*
                                                      TypeIdentifier
                                                      Summarytrue
                                                      20. FormularyItem.status
                                                      Definition

                                                      The validity about the information of the formulary item and not of the underlying product or service itself.

                                                      Shortactive | entered-in-error | inactive
                                                      Comments

                                                      This status is intended to identify if the formulary item in a local system is in active use within the formulary. For example, a formulary might include a medicinal product and the status relates to its inclusion. At some point in the future, if the status of the formulary item is changed to "inactive" that means that it is no longer valid in the formulary. But the product itself might still be in active use and might be included in other formularies.

                                                      Control1..1
                                                      BindingThe codes SHALL be taken from FormularyItemStatusCodesVS
                                                      (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

                                                      A coded concept defining if the medication is in active use.

                                                      Typecode
                                                      Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      22. FormularyItem.category
                                                      Definition

                                                      Categorization for this formulary item.

                                                      ShortCategorization of this formulary item
                                                      Control0..*
                                                      TypeCodeableConcept
                                                      24. FormularyItem.context
                                                      Definition

                                                      The owner of the formulary that this item was created for.

                                                      ShortOwner of the formulary that this item was created for
                                                      Control0..1
                                                      TypeCodeableReference(Organization, http://hl7.org/fhir/StructureDefinition/InsurancePlan)
                                                      Summarytrue
                                                      26. FormularyItem.subject
                                                      Definition

                                                      The information that this item is about.

                                                      ShortInformation that this item is about
                                                      Control1..1
                                                      TypeCodeableReference(PackagedProductDefinition, MedicinalProductDefinition, Medication, NutritionProduct, DeviceDefinition, ObservationDefinition, ActivityDefinition)
                                                      Summarytrue
                                                      28. FormularyItem.author
                                                      Definition

                                                      The creator or owner of the information about the item.

                                                      ShortCreator or owner of the information about the item
                                                      Control0..1
                                                      TypeContactDetail
                                                      30. FormularyItem.cost
                                                      Definition

                                                      The price of the underlying item.

                                                      ShortThe pricing of the underlying item
                                                      Control0..*
                                                      TypeBackboneElement
                                                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                      32. FormularyItem.cost.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      34. FormularyItem.cost.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on FormularyItem.cost.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 36. FormularyItem.cost.modifierExtension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                        Summarytrue
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content, modifiers
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        SlicingThis element introduces a set of slices on FormularyItem.cost.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 38. FormularyItem.cost.effectiveDate
                                                          Definition

                                                          The date range for which the cost information of the medication is effective.

                                                          ShortThe date range for which the cost is effective
                                                          Control0..*
                                                          TypePeriod
                                                          40. FormularyItem.cost.type
                                                          Definition

                                                          The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.

                                                          ShortThe category of the cost information
                                                          Control1..1
                                                          TypeCodeableConcept
                                                          42. FormularyItem.cost.source
                                                          Definition

                                                          The source or owner that assigns the price to the medication.

                                                          ShortThe source or owner for the price information
                                                          Control0..1
                                                          Typestring
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          44. FormularyItem.cost.cost[x]
                                                          Definition

                                                          The price or representation of the cost (for example, Band A, Band B or $, $$) of the item.

                                                          ShortThe price or category of the cost of the medication
                                                          Control1..1
                                                          BindingFor example codes, see MedicationCostCategoryCodes .
                                                          (example to http://hl7.org/fhir/ValueSet/medication-cost-category)

                                                          A coded concept defining the category of a medication.

                                                          TypeChoice of: Money, CodeableConcept
                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                          46. FormularyItem.specialPrecaution
                                                          Definition

                                                          Any precautions that affect the item.

                                                          ShortAny precautions that affect the item
                                                          Control0..*
                                                          TypeCodeableConcept
                                                          48. FormularyItem.monitoringProgram
                                                          Definition

                                                          The program under which the item is reviewed.

                                                          ShortProgram under which a item is reviewed
                                                          Control0..*
                                                          TypeBackboneElement
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                          50. FormularyItem.monitoringProgram.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          52. FormularyItem.monitoringProgram.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          SlicingThis element introduces a set of slices on FormularyItem.monitoringProgram.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 54. FormularyItem.monitoringProgram.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on FormularyItem.monitoringProgram.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 56. FormularyItem.monitoringProgram.type
                                                              Definition

                                                              Type of program under which the item is monitored.

                                                              ShortType of program under which the item is monitored
                                                              Control0..1
                                                              TypeCodeableConcept
                                                              58. FormularyItem.monitoringProgram.name
                                                              Definition

                                                              Name of the reviewing program.

                                                              ShortName of the reviewing program
                                                              Control0..1
                                                              Typestring
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              60. FormularyItem.indicationGuideline
                                                              Definition

                                                              Guidelines or protocols that are applicable for the administration of the medication based on indication.

                                                              ShortGuidelines or protocols for administration of the medication for an indication
                                                              Control0..*
                                                              TypeBackboneElement
                                                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                              62. FormularyItem.indicationGuideline.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              64. FormularyItem.indicationGuideline.extension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 66. FormularyItem.indicationGuideline.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 68. FormularyItem.indicationGuideline.indication
                                                                  Definition

                                                                  Indication or reason for use of the medication that applies to the specific administration guideline.

                                                                  ShortIndication for use that applies to the specific administration guideline
                                                                  Control0..*
                                                                  TypeCodeableReference(ClinicalUseDefinition)
                                                                  70. FormularyItem.indicationGuideline.dosingGuideline
                                                                  Definition

                                                                  The guidelines for the dosage of the medication for the indication.

                                                                  ShortGuidelines for dosage of the medication
                                                                  Control0..*
                                                                  TypeBackboneElement
                                                                  Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                  72. FormularyItem.indicationGuideline.dosingGuideline.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  74. FormularyItem.indicationGuideline.dosingGuideline.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 76. FormularyItem.indicationGuideline.dosingGuideline.modifierExtension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                    Summarytrue
                                                                    Requirements

                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                    Alternate Namesextensions, user content, modifiers
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 78. FormularyItem.indicationGuideline.dosingGuideline.treatmentIntent
                                                                      Definition

                                                                      The overall intention of the treatment, for example, prophylactic, supporative, curative, etc.

                                                                      ShortIntention of the treatment
                                                                      Control0..1
                                                                      TypeCodeableConcept
                                                                      80. FormularyItem.indicationGuideline.dosingGuideline.dosage
                                                                      Definition

                                                                      Dosage for the medication for the specific guidelines.

                                                                      ShortDosage for the medication for the specific guidelines
                                                                      Control0..*
                                                                      TypeBackboneElement
                                                                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                      82. FormularyItem.indicationGuideline.dosingGuideline.dosage.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      84. FormularyItem.indicationGuideline.dosingGuideline.dosage.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.dosage.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 86. FormularyItem.indicationGuideline.dosingGuideline.dosage.modifierExtension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                        Summarytrue
                                                                        Requirements

                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                        Alternate Namesextensions, user content, modifiers
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.dosage.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 88. FormularyItem.indicationGuideline.dosingGuideline.dosage.type
                                                                          Definition

                                                                          The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.).

                                                                          ShortCategory of dosage for a medication
                                                                          Control1..1
                                                                          TypeCodeableConcept
                                                                          90. FormularyItem.indicationGuideline.dosingGuideline.dosage.dosage
                                                                          Definition

                                                                          Dosage for the medication for the specific guidelines.

                                                                          ShortDosage for the medication for the specific guidelines
                                                                          Control1..*
                                                                          TypeDosage
                                                                          92. FormularyItem.indicationGuideline.dosingGuideline.administrationTreatment
                                                                          Definition

                                                                          The type of the treatment that the guideline applies to, for example, long term therapy, first line treatment, etc.

                                                                          ShortType of treatment the guideline applies to
                                                                          Control0..1
                                                                          TypeCodeableConcept
                                                                          94. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic
                                                                          Definition

                                                                          Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).

                                                                          ShortCharacteristics of the patient that are relevant to the administration guidelines
                                                                          Control0..*
                                                                          TypeBackboneElement
                                                                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                          96. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          98. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 100. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            SlicingThis element introduces a set of slices on FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 102. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.type
                                                                              Definition

                                                                              The categorization of the specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).

                                                                              ShortCategorization of specific characteristic that is relevant to the administration guideline
                                                                              Control1..1
                                                                              TypeCodeableConcept
                                                                              104. FormularyItem.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
                                                                              Definition

                                                                              The specific characteristic (e.g. height, weight, gender, etc.).

                                                                              ShortThe specific characteristic
                                                                              Control0..1
                                                                              TypeChoice of: CodeableConcept, Quantity, Range
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              106. FormularyItem.associatedDocuments
                                                                              Definition

                                                                              Documents that provide more information about the item.

                                                                              ShortDocuments that provide more information about the item
                                                                              Control0..*
                                                                              TypeReference(DocumentReference)
                                                                              108. FormularyItem.characteristic
                                                                              Definition

                                                                              Specifies descriptive properties of the item, such as color, shape, imprints, etc.

                                                                              ShortSpecifies descriptive properties of the item
                                                                              Control0..*
                                                                              TypeBackboneElement
                                                                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                              110. FormularyItem.characteristic.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              112. FormularyItem.characteristic.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              SlicingThis element introduces a set of slices on FormularyItem.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 114. FormularyItem.characteristic.modifierExtension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                Summarytrue
                                                                                Requirements

                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                Alternate Namesextensions, user content, modifiers
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                SlicingThis element introduces a set of slices on FormularyItem.characteristic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 116. FormularyItem.characteristic.type
                                                                                  Definition

                                                                                  A code specifying which characteristic of the item is being described (for example, colour, shape, imprint).

                                                                                  ShortCode specifying the type of characteristic of item
                                                                                  Control1..1
                                                                                  TypeCodeableConcept
                                                                                  118. FormularyItem.characteristic.value[x]
                                                                                  Definition

                                                                                  Description of the characteristic.

                                                                                  ShortDescription of the characteristic
                                                                                  Comments

                                                                                  The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.

                                                                                  Control1..1
                                                                                  TypeChoice of: CodeableConcept, string, Quantity(SimpleQuantity), base64Binary, Attachment
                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  120. FormularyItem.availabilityStatus
                                                                                  Definition

                                                                                  Status of the availability of the item.

                                                                                  Shortactive | entered-in-error | inactive
                                                                                  Control0..1
                                                                                  BindingThe codes SHALL be taken from FormularyItemStatusCodesVS
                                                                                  (required to http://hl7.org/fhir/ValueSet/formularyitem-status)

                                                                                  A coded concept defining if the medication is in active use.

                                                                                  Typecode
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  122. FormularyItem.availabilityPeriod
                                                                                  Definition

                                                                                  Time period of the availability of the item.

                                                                                  ShortTime period of the availability of the item
                                                                                  Control0..1
                                                                                  TypePeriod
                                                                                  124. FormularyItem.coverageInformation
                                                                                  Definition

                                                                                  Specific coverage information about the item.

                                                                                  ShortSpecific coverage information about the item
                                                                                  Control0..*
                                                                                  TypeBackboneElement
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                                  126. FormularyItem.coverageInformation.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  128. FormularyItem.coverageInformation.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  SlicingThis element introduces a set of slices on FormularyItem.coverageInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 130. FormularyItem.coverageInformation.modifierExtension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    SlicingThis element introduces a set of slices on FormularyItem.coverageInformation.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 132. FormularyItem.coverageInformation.type
                                                                                      Definition

                                                                                      A code specifying the type of coverage information.

                                                                                      ShortCode specifying the type of coverage information
                                                                                      Control1..1
                                                                                      TypeCodeableConcept
                                                                                      134. FormularyItem.coverageInformation.coverage
                                                                                      Definition

                                                                                      Description of the coverage.

                                                                                      ShortDescription of the coverage
                                                                                      Control1..1
                                                                                      TypeReference(Coverage)
                                                                                      136. FormularyItem.substitution
                                                                                      Definition

                                                                                      Specifies if changes are allowed when dispensing a medication from a regulatory perspective.

                                                                                      ShortSpecifies if changes are allowed when dispensing a medication from a regulatory perspective
                                                                                      Control0..*
                                                                                      TypeBackboneElement
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                                      138. FormularyItem.substitution.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      140. FormularyItem.substitution.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      SlicingThis element introduces a set of slices on FormularyItem.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 142. FormularyItem.substitution.modifierExtension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        SlicingThis element introduces a set of slices on FormularyItem.substitution.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 144. FormularyItem.substitution.type
                                                                                          Definition

                                                                                          Specifies the type of substitution allowed.

                                                                                          ShortSpecifies the type of substitution allowed
                                                                                          Control1..1
                                                                                          TypeCodeableConcept
                                                                                          146. FormularyItem.substitution.allowed
                                                                                          Definition

                                                                                          Specifies if regulation allows for changes in the medication when dispensing.

                                                                                          ShortSpecifies if regulation allows for changes in the medication when dispensing
                                                                                          Control1..1
                                                                                          Typeboolean
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          148. FormularyItem.schedule
                                                                                          Definition

                                                                                          Specifies the schedule of a medication in jurisdiction.

                                                                                          ShortSpecifies the schedule of a medication in jurisdiction
                                                                                          Control0..*
                                                                                          TypeCodeableConcept
                                                                                          150. FormularyItem.maxDispense
                                                                                          Definition

                                                                                          The maximum number of units of the medication that can be dispensed in a period.

                                                                                          ShortThe maximum number of units of the medication that can be dispensed in a period
                                                                                          Control0..1
                                                                                          TypeBackboneElement
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                                          152. FormularyItem.maxDispense.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          154. FormularyItem.maxDispense.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          SlicingThis element introduces a set of slices on FormularyItem.maxDispense.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 156. FormularyItem.maxDispense.modifierExtension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            SlicingThis element introduces a set of slices on FormularyItem.maxDispense.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 158. FormularyItem.maxDispense.quantity
                                                                                              Definition

                                                                                              The maximum number of units of the medication that can be dispensed.

                                                                                              ShortThe maximum number of units of the medication that can be dispensed
                                                                                              Control1..1
                                                                                              TypeQuantity(SimpleQuantity)
                                                                                              160. FormularyItem.maxDispense.period
                                                                                              Definition

                                                                                              The period that applies to the maximum number of units.

                                                                                              ShortThe period that applies to the maximum number of units
                                                                                              Control0..1
                                                                                              TypeDuration
                                                                                              162. FormularyItem.associatedItems
                                                                                              Definition

                                                                                              Associated or related items. For example, if the item is about a branded product (e.g. Crestor), this could link to the generic medication (e.g. Rosuvastatin).

                                                                                              ShortAssociated or related formulary items
                                                                                              Control0..*
                                                                                              TypeBackboneElement
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                                                                              164. FormularyItem.associatedItems.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              166. FormularyItem.associatedItems.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              SlicingThis element introduces a set of slices on FormularyItem.associatedItems.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 168. FormularyItem.associatedItems.modifierExtension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                SlicingThis element introduces a set of slices on FormularyItem.associatedItems.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ url
                                                                                                • 170. FormularyItem.associatedItems.type
                                                                                                  Definition

                                                                                                  The category of the associated formulary item reference.

                                                                                                  ShortCategory of formulary item
                                                                                                  Control1..1
                                                                                                  TypeCodeableConcept
                                                                                                  172. FormularyItem.associatedItems.reference
                                                                                                  Definition

                                                                                                  Associated items about the formulary item.

                                                                                                  ShortAssociated items about the formulary item
                                                                                                  Control1..1
                                                                                                  TypeReference(Formulary Item)