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  1. FHIR Specification Feedback
  2. FHIR-31672

CoveragePlan (List) Network Extension is required, but not always available

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    • Change Request
    • Status: Published (View Workflow)
    • Medium
    • Resolution: Persuasive
    • US Da Vinci Drug Formulary (FHIR)
    • 1.0.1
    • Pharmacy
    • Network [deprecated]
    • Profiles [deprecated]
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      Add the following guidance:  If the network for a plan is not applicable, "Not applicable" should be entered in the Network Extension value string.

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      Add the following guidance:  If the network for a plan is not applicable, "Not applicable" should be entered in the Network Extension value string.
    • Dave Hill / John Hatem: 12-0-1
    • Correction
    • Compatible, substantive

    Description

      Ref:  https://chat.fhir.org/#narrow/stream/197730-Da-Vinci.20PDex.20Drug.20Formulary/topic/usdf-Network-extension.20value

      The CoveragePlan network extension is 1..* String value. (as per QHP Formulary)
      The definition is "an array of networks within a plan". This is not applicable in the Maryland FFS Medicaid world. 

      How should this be addressed?   NullFlavor value?   Sentinel string value (like "N/A")?

      In addition, unclear how the member would use the Network name.   Should this field be deleted or made optional (0..*)  in future versions, or linked to a provider directory Network entry?

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              Unassigned Unassigned
              saul_kravitz Saul Kravitz
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                Updated:
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