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  1. FHIR Specification Feedback
  2. FHIR-33183

Create search parameters and suggested search workflow for InsurancePlan and formulary-drug linking profile

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Drug Formulary (FHIR)
    • current
    • Pharmacy
    • Formulary Coverage Plan [deprecated]
      Formulary Drug
    • Hide

      Search parameters will be updated in support to the changes in the underlying structure of the IG.

      https://build.fhir.org/ig/HL7/davinci-pdex-formulary/search_parameters.html 

      PayerInsurancePlan & Formulary (InsurancePlan)

      Parameter Type Conf. Description Example
      _id token SHALL FHIR resource id of an InsurancePlan GET [base]/InsurancePlan?_id=[id]
      _lastUpdated date SHALL Accesses the last updated date of an InsurancePlan GET [base]/InsurancePlan?_lastUpdated=[date]
      identifier token SHALL Accesses the business identifier of an InsurancePlan GET [base]/InsurancePlan?identifier=[system]|[code]
      status token SHALL Accesses the status of an InsurancePlan GET [base]/InsurancePlan?status=[code]
      period date SHALL Accesses the active period of an InsurancePlan GET [base]/InsurancePlan?period=[date]
      type token SHALL Accesses the Type of an InsurancePlan GET [base]/InsurancePlan?type=[system]|[code]
      name string SHALL Accesses the name of an InsurancePlan GET [base]/InsurancePlan?name=[string]
      coverage-type token SHALL Accesses the coverage type of an InsurancePlan GET [base]/InsurancePlan?coverage-type=[system]|[code]
      formulary-coverage reference SHALL Accesses the Coverage Formulary Reference of an InsurancePlan GET [base]/InsurancePlan?formulary-coverage=[reference]
      coverage-area reference SHALL Search InsurancePlan by coverage location. GET [base]/InsurancePlan?coverage-area=[reference]

       

      InsurancePlanLocation (Location)

      Parameter Type Conf. Description Example
      _id token SHALL FHIR resource id of a Location GET [base]/Location?_id=[id]
      _lastUpdated date SHOULD Access the last updated date of a Location GET [base]/Location?_lastUpdated=[date]
      address string SHOULD Access the address of a Location GET [base]/Location?address=[string]
      address-city string SHOULD Access the city of a Location GET [base]/Location?address-city=[string]
      address-state string SHOULD Access the state of a Location GET [base]/Location?address-state=[string]
      address-postalcode string SHOULD Access the postal code of a Location GET [base]/Location?address-postalcode=[string]

       

      FormularyItem (Basic)

      Parameter Type Conf. Description Example
      _id token SHALL FHIR resource id of a FormularyItem GET [base]/Basic?_id=[id]
      _lastUpdated date SHALL Accesses the last updated date of a FormularyItem GET [base]/Basic?_lastUpdated=[date]
      code token SHALL Accesses the Code of a Basis resource to find a FormularyItem GET [base]/Basic?code=formulary-item
      subject reference SHALL Accesses the subject FormularyDrug (MedicationKnowledge) reference of a FormularyItem GET [base]/Basic?subject=[reference]
      status token SHALL Accesses the status of a FormularyItem GET [base]/Basic?status=[code]
      period date SHALL Accesses the active period of a FormularyItem GET [base]/Basic?period=[date]
      formulary reference SHALL Accesses the formulary reference of a FormularyItem GET [base]/Basic?formulary=[reference]
      pharmacy-type token SHALL Accesses the Pharmacy Network Type of a FormularyItem GET [base]/Basic?pharmacy-type=[system]|[code]
      drug-tier token SHALL Accesses the Drug Tier of a FormularyItem GET [base]/Basic?drug-tier=[system]|[code]

       

      FormularyDrug (MedicationKnowledge)

      Parameter Type Conf. Description Example
      _id token SHALL FHIR resource id of a FormularyDrug GET [base]/MedicationKnowledge?_id=[id]
      _lastUpdated date SHALL Accesses the last updated date of a FormularyItem GET [base]/MedicationKnowledge?_lastUpdated=[date]
      status token SHALL Accesses the status of a FormularyDrug GET [base]/MedicationKnowledge?status=[code]
      code token SHALL Accesses the status of a FormularyDrug GET [base]/MedicationKnowledge?code=[system]|[code]
      drug-name string SHALL Accesses the Drug Name of a FormularyDrug GET [base]/MedicationKnowledge?drug-name=[string]
      doseform token SHOULD Accesses the dose form of a FormularyDrug GET [base]/MedicationKnowledge?doseform=[system\|code]

       

      Show
      Search parameters will be updated in support to the changes in the underlying structure of the IG. https://build.fhir.org/ig/HL7/davinci-pdex-formulary/search_parameters.html   PayerInsurancePlan & Formulary (InsurancePlan) Parameter Type Conf. Description Example _id token SHALL FHIR resource id of an InsurancePlan GET [base] /InsurancePlan?_id= [id] _lastUpdated date SHALL Accesses the last updated date of an InsurancePlan GET [base] /InsurancePlan?_lastUpdated= [date] identifier token SHALL Accesses the business identifier of an InsurancePlan GET [base] /InsurancePlan?identifier= [system] | [code] status token SHALL Accesses the status of an InsurancePlan GET [base] /InsurancePlan?status= [code] period date SHALL Accesses the active period of an InsurancePlan GET [base] /InsurancePlan?period= [date] type token SHALL Accesses the Type of an InsurancePlan GET [base] /InsurancePlan?type= [system] | [code] name string SHALL Accesses the name of an InsurancePlan GET [base] /InsurancePlan?name= [string] coverage-type token SHALL Accesses the coverage type of an InsurancePlan GET [base] /InsurancePlan?coverage-type= [system] | [code] formulary-coverage reference SHALL Accesses the Coverage Formulary Reference of an InsurancePlan GET [base] /InsurancePlan?formulary-coverage= [reference] coverage-area reference SHALL Search InsurancePlan by coverage location. GET [base] /InsurancePlan?coverage-area= [reference]   InsurancePlanLocation (Location) Parameter Type Conf. Description Example _id token SHALL FHIR resource id of a Location GET [base] /Location?_id= [id] _lastUpdated date SHOULD Access the last updated date of a Location GET [base] /Location?_lastUpdated= [date] address string SHOULD Access the address of a Location GET [base] /Location?address= [string] address-city string SHOULD Access the city of a Location GET [base] /Location?address-city= [string] address-state string SHOULD Access the state of a Location GET [base] /Location?address-state= [string] address-postalcode string SHOULD Access the postal code of a Location GET [base] /Location?address-postalcode= [string]   FormularyItem (Basic) Parameter Type Conf. Description Example _id token SHALL FHIR resource id of a FormularyItem GET [base] /Basic?_id= [id] _lastUpdated date SHALL Accesses the last updated date of a FormularyItem GET [base] /Basic?_lastUpdated= [date] code token SHALL Accesses the Code of a Basis resource to find a FormularyItem GET [base] /Basic?code=formulary-item subject reference SHALL Accesses the subject FormularyDrug (MedicationKnowledge) reference of a FormularyItem GET [base] /Basic?subject= [reference] status token SHALL Accesses the status of a FormularyItem GET [base] /Basic?status= [code] period date SHALL Accesses the active period of a FormularyItem GET [base] /Basic?period= [date] formulary reference SHALL Accesses the formulary reference of a FormularyItem GET [base] /Basic?formulary= [reference] pharmacy-type token SHALL Accesses the Pharmacy Network Type of a FormularyItem GET [base] /Basic?pharmacy-type= [system] | [code] drug-tier token SHALL Accesses the Drug Tier of a FormularyItem GET [base] /Basic?drug-tier= [system] | [code]   FormularyDrug (MedicationKnowledge) Parameter Type Conf. Description Example _id token SHALL FHIR resource id of a FormularyDrug GET [base] /MedicationKnowledge?_id= [id] _lastUpdated date SHALL Accesses the last updated date of a FormularyItem GET [base] /MedicationKnowledge?_lastUpdated= [date] status token SHALL Accesses the status of a FormularyDrug GET [base] /MedicationKnowledge?status= [code] code token SHALL Accesses the status of a FormularyDrug GET [base] /MedicationKnowledge?code= [system] | [code] drug-name string SHALL Accesses the Drug Name of a FormularyDrug GET [base] /MedicationKnowledge?drug-name= [string] doseform token SHOULD Accesses the dose form of a FormularyDrug GET [base] /MedicationKnowledge?doseform= [system\|code]  
    • Corey Spears / Jean Duteau: 12-0-0
    • Enhancement
    • Non-compatible

    Description

      Assuming the Da Vinci formulary IG changes to use Insurance Plan (FHIR-33181), and a link between that and the formulary drug (FHIR-33182), A new set of elements and search parameters will be required, along with suggestions on how they might be used for the most anticipated scenarios.

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            corey_spears Corey Spears
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              Updated:
              Resolved: