list

Formulary Coverage Plan Profile Mapping

Supported Implementation Guides for FHIR-R4

HL7.FHIR.US.DAVINCI-DRUG-FORMULARY\Formulary Coverage Plan - FHIR v4.0.1

FHIR Elements to BSC Data Mapping

FHIR Mapping

list.identifier[0].value

list. identifier[1].value

list.subject

list.extension(network).valueString

list.extension(Marketing Url).valueString

list.extension(Formulary Url).valueString

list.extension(PlanID).id

list.extension(PlanId).valueString

list.extension(drug_tier).extension(Drug_Tier_id)

list.extension(drug_tier).extension(Mail Order)

list.extension(drug_tier).extension(cost_sharing).extension(pharmacy_type)

list.extension(drug_tier).extension(cost_sharing).extension(copay_amount)

list.extension(drug_tier).extension(cost_sharing).extension(coinsurance_rate)

list.extension(drug_tier).extension(cost_sharing).extension(copay_option)

list.extension(drug_tier).extension(cost_sharing).extension(coinsurance_option)

Codesets Mapping

FHIR Data Element

ValueSet

Bindings

list.usdf-DrugTierDefinition-extension.extension:drgTierId.value

http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet-DrugTierVS.html

extensible

list.usdf-DrugTierDefinition-extension.extension:CostSharing.extension:PharmacyType.value[x]

http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet-PharmacyTypeVS.html

extensible

list.usdf-DrugTierDefinition-extension.extension:copayOption.value

http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet-CopayOptionVS.html

required

list.usdf-DrugTierDefinition-extension.extension:coinsuranceOption.value

http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet-CoinsuranceOptionVS.html

required