{
  "description": "Da Vinci Payer Data Exchange (PDex) US Drug Formulary STU 1.0.1",
  "_filename": "ig-r4.json",
  "package_name": "hl7.fhir.us.davinci-drug-formulary",
  "definition": {
    "page": {
      "page": [ {
        "title": "Home",
        "nameUrl": "index.html",
        "generation": "markdown"
      }, {
        "title": "Profiles",
        "nameUrl": "profiles.html",
        "generation": "markdown"
      }, {
        "title": "Examples",
        "nameUrl": "examples.html",
        "generation": "html"
      }, {
        "title": "Downloads",
        "nameUrl": "4_downloads.html",
        "generation": "markdown"
      }, {
        "title": "1 Implementation",
        "nameUrl": "1-implementation.html",
        "generation": "markdown"
      }, {
        "title": "Downloads",
        "nameUrl": "downloads.html",
        "generation": "markdown"
      } ],
      "title": "Table of Contents",
      "nameUrl": "toc.html",
      "generation": "html"
    },
    "resource": [ {
      "name": "Formulary Coverage Plan",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-CoveragePlan"
      },
      "description": "A health plan which contains links to administrative information, a list of formulary drugs covered under that plan, and a definition of drug tiers and their associated cost-sharing models.",
      "exampleBoolean": false
    }, {
      "name": "Formulary Drug",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-FormularyDrug"
      },
      "description": "Drug information which is part of a formulary.",
      "exampleBoolean": false
    }, {
      "name": "Drug Alternatives",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-DrugAlternatives-extension"
      },
      "description": "Generic or Branded Drugs included within the CoveragePlan's formulary that could be prescribed as alternatives to the current FormularyDrug.",
      "exampleBoolean": false
    }, {
      "name": "Drug Tier Definition",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-DrugTierDefinition-extension"
      },
      "description": "A description of the drug tiers used by the formulary and how those tiers implement copay and coinsurance amounts. Drug tiers do not have any inherent meaning that is consistent across all formularies. Rather, each tier is defined using this element.",
      "exampleBoolean": false
    }, {
      "name": "Drug Tier ID",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-DrugTierID-extension"
      },
      "description": "A code that describes the coverage status of a drug in a health plan (e.g., preferred generic, specialty, etc.)",
      "exampleBoolean": false
    }, {
      "name": "Email Plan Contact",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-EmailPlanContact-extension"
      },
      "description": "An email address for developers/public to report mistakes in the network and formulary data.",
      "exampleBoolean": false
    }, {
      "name": "Formulary URL",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-FormularyURL-extension"
      },
      "description": "The URL that goes directly to the formulary brochure for the specific standard plan or plan variation.",
      "exampleBoolean": false
    }, {
      "name": "Marketing URL",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-MarketingURL-extension"
      },
      "description": "The URL that goes directly to the plan brochure for the specific standard plan or plan variation.",
      "exampleBoolean": false
    }, {
      "name": "Network",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-Network-extension"
      },
      "description": "Array of Networks within a plan.",
      "exampleBoolean": false
    }, {
      "name": "Plan ID",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-PlanID-extension"
      },
      "description": "Unique, 14-character, HIOS-generated Plan ID number. (Plan IDs must be unique, even across different markets.)",
      "exampleBoolean": false
    }, {
      "name": "Plan ID Type",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-PlanIDType-extension"
      },
      "description": "Type of Plan ID. For all Marketplace plans this should be: HIOS-PLAN-ID",
      "exampleBoolean": false
    }, {
      "name": "Prior Authorization",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-PriorAuthorization-extension"
      },
      "description": "A Boolean indication of whether the coverage plan imposes a prior authorization requirement on this drug.",
      "exampleBoolean": false
    }, {
      "name": "Quantity Limit",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-QuantityLimit-extension"
      },
      "description": "A Boolean indication of whether the coverage plan imposes a quantity limit on this drug.",
      "exampleBoolean": false
    }, {
      "name": "Step Therapy Limit",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-StepTherapyLimit-extension"
      },
      "description": "A Boolean indication of whether the coverage plan imposes a step therapy limit on this drug.",
      "exampleBoolean": false
    }, {
      "name": "Summary URL",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "reference": "StructureDefinition/usdf-SummaryURL-extension"
      },
      "description": "The URL that goes directly to the formulary brochure for the specific standard plan or plan variation.",
      "exampleBoolean": false
    }, {
      "name": "Qualifier for coinsurance rate",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "reference": "ValueSet/CoinsuranceOptionVS"
      },
      "description": "Qualifier for coinsurance rate",
      "exampleBoolean": false
    }, {
      "name": "Qualifier of copay amount",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "reference": "ValueSet/CopayOptionVS"
      },
      "description": "Qualifier of copay amount",
      "exampleBoolean": false
    }, {
      "name": "Drug tier of medication in health plan",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "reference": "ValueSet/DrugTierVS"
      },
      "description": "The drug tier of a particular medication in a health plan. The base set are examples. Each plan may have its own controlled vocabulary.",
      "exampleBoolean": false
    }, {
      "name": "Type of pharmacies",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "reference": "ValueSet/PharmacyTypeVS"
      },
      "description": "Types of pharmacies. Each payer will have its own controlled vocabulary.",
      "exampleBoolean": false
    }, {
      "name": "Code for qualifier for coinsurance rate",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "reference": "CodeSystem/usdf-CoinsuranceOptionCS"
      },
      "description": "Code for qualifier for coinsurance rate",
      "exampleBoolean": false
    }, {
      "name": "Codes for qualifier of copay amount",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "reference": "CodeSystem/usdf-CopayOptionCS"
      },
      "description": "Codes for qualifier of copay amount",
      "exampleBoolean": false
    }, {
      "name": "Codes for medication drug tiers in health plans",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "reference": "CodeSystem/usdf-DrugTierCS"
      },
      "description": "Codes to represent the drug tier of a particular medication in a health plan.  Base set are examples.  Each plan may have its own controlled vocabulary.",
      "exampleBoolean": false
    }, {
      "name": "Codes for types of pharmacies",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "reference": "CodeSystem/usdf-PharmacyTypeCS"
      },
      "description": "Codes for types of Pharmacies. Each payer will have its own controlled vocabulary.",
      "exampleBoolean": false
    }, {
      "name": "usdf-server CapabilityStatement",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CapabilityStatement"
      } ],
      "reference": {
        "reference": "CapabilityStatement/usdf-server"
      },
      "description": "This Section describes the expected capabilities of the US Drug Formulary Server actor which is responsible for providing responses to the queries submitted by the US Drug Formulary Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Drug Formulary Server are defined.",
      "exampleBoolean": false
    }, {
      "name": "DrugName",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "SearchParameter"
      } ],
      "reference": {
        "reference": "SearchParameter/DrugName"
      },
      "description": "Accesses the Descriptive Name of a FormularyDrug",
      "exampleBoolean": false
    }, {
      "name": "DrugPlan",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "SearchParameter"
      } ],
      "reference": {
        "reference": "SearchParameter/DrugPlan"
      },
      "description": "Accesses the DrugPlan ID of a FormularyDrug",
      "exampleBoolean": false
    }, {
      "name": "DrugTier",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "SearchParameter"
      } ],
      "reference": {
        "reference": "SearchParameter/DrugTier"
      },
      "description": "Accesses the DrugTier ID of a FormularyDrug",
      "exampleBoolean": false
    }, {
      "name": "Coverage Plan V1002",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "List"
      } ],
      "reference": {
        "reference": "List/covplanV1002"
      },
      "description": "Sample Gold Health Plan",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan"
    }, {
      "name": "Coverage Plan V3001",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "List"
      } ],
      "reference": {
        "reference": "List/CoveragePlanV3001"
      },
      "description": "Sample Gold Health Plan",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan"
    }, {
      "name": "Coverage Plan V3002",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "List"
      } ],
      "reference": {
        "reference": "List/CoveragePlanV3002"
      },
      "description": "Sample Gold Health Plan",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan"
    }, {
      "name": "Coverage Plan V3004t",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "List"
      } ],
      "reference": {
        "reference": "List/CoveragePlanV3004t"
      },
      "description": "BluePreferred PPO HSA Silver $3,000",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan"
    }, {
      "name": "Formulary Drug cmsip9",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationKnowledge"
      } ],
      "reference": {
        "reference": "MedicationKnowledge/cmsip9"
      },
      "description": "Doxepin HCl 5 % Topical Cream",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
    }, {
      "name": "Formulary Drug V1002",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationKnowledge"
      } ],
      "reference": {
        "reference": "MedicationKnowledge/formularydrugV1002"
      },
      "description": "Percocet 5 MG / 325 MG Oral Tablet",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
    }, {
      "name": "Formulary Drug V3001",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationKnowledge"
      } ],
      "reference": {
        "reference": "MedicationKnowledge/FormularyDrugV3001"
      },
      "description": "Percocet 5 MG / 325 MG Oral Tablet",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
    }, {
      "name": "Formulary Drug V3002",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationKnowledge"
      } ],
      "reference": {
        "reference": "MedicationKnowledge/FormularyDrugV3002"
      },
      "description": "Tylenol Extra Strength 500 MG Oral Tablet",
      "exampleCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
    } ],
    "parameter": [ {
      "code": "copyrightyear",
      "value": "2020+"
    }, {
      "code": "releaselabel",
      "value": "STU 1.0.1"
    }, {
      "code": "show-inherited-invariants",
      "value": "false"
    }, {
      "code": "apply-jurisdiction",
      "value": "true"
    }, {
      "code": "apply-publisher",
      "value": "true"
    }, {
      "code": "jira-code",
      "value": "davinci-df"
    }, {
      "code": "path-history",
      "value": "http://hl7.org/fhir/us/davinci-drug-formulary/history.html"
    }, {
      "code": "autoload-resources",
      "value": "true"
    }, {
      "code": "path-resource",
      "value": "input/capabilities"
    }, {
      "code": "path-resource",
      "value": "input/examples"
    }, {
      "code": "path-resource",
      "value": "input/extensions"
    }, {
      "code": "path-resource",
      "value": "input/models"
    }, {
      "code": "path-resource",
      "value": "input/operations"
    }, {
      "code": "path-resource",
      "value": "input/profiles"
    }, {
      "code": "path-resource",
      "value": "input/resources"
    }, {
      "code": "path-resource",
      "value": "input/vocabulary"
    }, {
      "code": "path-resource",
      "value": "input/maps"
    }, {
      "code": "path-resource",
      "value": "input/testing"
    }, {
      "code": "path-resource",
      "value": "input/history"
    }, {
      "code": "path-resource",
      "value": "fsh-generated/resources"
    }, {
      "code": "path-pages",
      "value": "template/config"
    }, {
      "code": "path-pages",
      "value": "input/images"
    }, {
      "code": "path-liquid",
      "value": "template/liquid"
    }, {
      "code": "path-liquid",
      "value": "input/liquid"
    }, {
      "code": "path-qa",
      "value": "temp/qa"
    }, {
      "code": "path-temp",
      "value": "temp/pages"
    }, {
      "code": "path-output",
      "value": "output"
    }, {
      "code": "path-tx-cache",
      "value": "input-cache/txcache"
    }, {
      "code": "path-suppressed-warnings",
      "value": "input/ignoreWarnings.txt"
    }, {
      "code": "template-html",
      "value": "template-page.html"
    }, {
      "code": "template-md",
      "value": "template-page-md.html"
    }, {
      "code": "apply-contact",
      "value": "true"
    }, {
      "code": "apply-context",
      "value": "true"
    }, {
      "code": "apply-copyright",
      "value": "true"
    }, {
      "code": "apply-license",
      "value": "true"
    }, {
      "code": "apply-version",
      "value": "true"
    }, {
      "code": "active-tables",
      "value": "true"
    } ]
  },
  "date": "2020-12-21T16:49:28+00:00",
  "publisher": "HL7 Pharmacy Working Group",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "dependsOn": [ {
    "id": "hl7_fhir_us_core",
    "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core",
    "version": "3.1.1",
    "packageId": "hl7.fhir.us.core"
  } ],
  "name": "Formulary",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "DaVinci Payer Data Exchange (PDex) US Drug Formulary",
  "package_version": "1.0.1",
  "status": "draft",
  "id": "ec3d4d57-71b6-4033-8db2-a99d47024fa4",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary",
  "version": "1.0.1",
  "packageId": "hl7.fhir.us.davinci-drug-formulary",
  "contact": [ {
    "name": "HL7 Pharmacy Working Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/medication/",
      "system": "url"
    }, {
      "value": "pharmacy@lists.HL7.org",
      "system": "email"
    } ]
  } ]
}