description: A resource that describes a drug's relationship to a drug plan, including drug tier, prior authorization requirements, and more. The set of FormularyItem resources associated with a particular drug plan represents the drug plans formulary.
package_name: hl7.fhir.us.davinci-drug-formulary
derivation: constraint
name: FormularyItem
type: Basic
elements:
  meta:
    elements:
      lastUpdated: {index: 0}
    required: [lastUpdated]
  extension:
    array: true
    min: 3
    index: 1
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 3
      slices:
        usdf-AvailabilityStatus-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension', index: 3}
          min: 1
          max: 1
        usdf-PriorAuthorization-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension', index: 7}
          min: 0
          max: 1
        usdf-StepTherapyLimitNewStartsOnly-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension', index: 10}
          min: 0
          max: 1
        usdf-QuantityLimit-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension', index: 11}
          min: 0
          max: 1
        usdf-StepTherapyLimit-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension', index: 9}
          min: 0
          max: 1
        usdf-PharmacyType-extension:
          match: {url: null}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyType-extension', index: 5}
          min: 0
        usdf-AvailabilityPeriod-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension', index: 4}
          min: 0
          max: 1
        usdf-PriorAuthorizationNewStartsOnly-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension', index: 8}
          min: 0
          max: 1
        usdf-DrugTierID-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension', index: 6}
          min: 1
          max: 1
        usdf-FormularyReference-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension', index: 2}
          min: 1
          max: 1
        usdf-QuantityLimitDetail-extension:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension', index: 12}
          min: 0
          max: 1
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: formulary-item, system: 'http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS'}
    index: 13
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug']
    index: 14
package_version: 1.2.0
extensions:
  usdf-AvailabilityStatus-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityStatus-extension', min: 1, max: 1, type: Extension, mustSupport: true, index: 3}
  usdf-PriorAuthorization-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 7}
  usdf-StepTherapyLimitNewStartsOnly-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimitNewStartsOnly-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 10}
  usdf-QuantityLimit-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 11}
  usdf-StepTherapyLimit-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 9}
  usdf-PharmacyType-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PharmacyType-extension', min: 0, type: Extension, index: 5}
  usdf-AvailabilityPeriod-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-AvailabilityPeriod-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 4}
  usdf-PriorAuthorizationNewStartsOnly-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorizationNewStartsOnly-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 8}
  usdf-DrugTierID-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension', min: 1, max: 1, type: Extension, mustSupport: true, index: 6}
  usdf-FormularyReference-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension', min: 1, max: 1, type: Extension, mustSupport: true, index: 2}
  usdf-QuantityLimitDetail-extension: {url: 'http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimitDetail-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 12}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyItem
base: http://hl7.org/fhir/StructureDefinition/Basic
version: 1.2.0
required: [subject]