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  1. FHIR Specification Feedback
  2. FHIR-33181

Change CoveragePlan profile from using a List resource to InsurancePlan

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Drug Formulary (FHIR)
    • 1.0.1
    • Pharmacy
    • Formulary Coverage Plan [deprecated]
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      Change the use of CoveragePlan as a profile on List to use two profiles on InsurancePlan, one for the top level subscribable Insurance plan and one representing the formulary

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      Change the use of CoveragePlan as a profile on List to use two profiles on InsurancePlan, one for the top level subscribable Insurance plan and one representing the formulary
    • Corey Spears / Scott Robertson: 12-0-0
    • Correction
    • Non-compatible

    Description

      The use of List is not a good fit for this IG. The number of items (Formulary drugs), how often formularies change, and the fact that drugs often appear on multiple formularies does not fit well with the use of the List resource. Suggest using the InsurancePlan resource to represent the formulary with cost drugTier/costSharing information.

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            corey_spears Corey Spears
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              Updated:
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