FHIR R6 Pharmacy Incubator
0.1.0 - ci-build International flag

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 resouce 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.

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-ballot3
(required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3)

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 FormularyItemStatusCodeshttp://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, 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
      Typeidstring
      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()))
        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 MedicationCostCategoryCodeshttp://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
        Typeidstring
        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()))
          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
          Typeidstring
          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()))
            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
            Typeidstring
            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()))
              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
              Typeidstring
              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()))
                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
                Typeidstring
                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()))
                  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
                  Typeidstring
                  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()))
                    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 FormularyItemStatusCodeshttp://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
                    Typeidstring
                    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()))
                      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
                      Typeidstring
                      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()))
                        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
                        Typeidstring
                        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()))
                          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
                          Typeidstring
                          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()))
                            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 FormularyItemStatusCodes
                            (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, 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 FormularyItemStatusCodes
                            (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 resouce 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.

                            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-ballot3)

                            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 FormularyItemStatusCodes
                                (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, 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
                                Typeid
                                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()))
                                  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
                                  Typeid
                                  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()))
                                    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
                                    Typeid
                                    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()))
                                      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
                                      Typeid
                                      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()))
                                        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
                                        Typeid
                                        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()))
                                          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
                                          Typeid
                                          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()))
                                            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
                                            Typeid
                                            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()))
                                              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 FormularyItemStatusCodes
                                              (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
                                              Typeid
                                              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()))
                                                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
                                                Typeid
                                                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()))
                                                  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
                                                  Typeid
                                                  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()))
                                                    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
                                                    Typeid
                                                    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()))
                                                      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)