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  1. FHIR Specification Feedback
  2. FHIR-35197

Add Indication-Based Formulary Design

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    • Change Request
    • Status: Published (View Workflow)
    • Highest
    • Resolution: Persuasive with Modification
    • US Da Vinci Drug Formulary (FHIR)
    • 1.2.0
    • Pharmacy
    • STU
    • Artifacts Summary
    • 6.0.4
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      Create an extension called AdditionalCoverageInformation, which will be included in the FormularyItem profile with cardinality of 0..1
      Extension: AdditionalCoverageInformation
      Id: usdf-AdditionalCoverageInformation-extension
      Title: "Additional Coverage Information"
      Description: "Additional drug coverage information that may include conditional coverage requirements such as a diagnosis pre-requisite, additional drug specific cost sharing information, or other coverage details not otherwise indicated."
      This will be a simple extension with a single valueMarkdown with cardinality of 1..1
       

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      Create an extension called AdditionalCoverageInformation, which will be included in the FormularyItem profile with cardinality of 0..1 Extension : AdditionalCoverageInformation Id : usdf-AdditionalCoverageInformation-extension Title : "Additional Coverage Information" Description : "Additional drug coverage information that may include conditional coverage requirements such as a diagnosis pre-requisite, additional drug specific cost sharing information, or other coverage details not otherwise indicated." This will be a simple extension with a single valueMarkdown with cardinality of 1..1  
    • Scott Robertson / Corey Spears : 14-0-1
    • Enhancement
    • Compatible, substantive

    Description

      In section 6.0.4: Add Indication-Based Formulary Design, which will show the patient if a plan only covers a drug for a particular diagnosis. Recent versions of NCPDP's F&B standard provides this capability, and it would be worth including the indication info here.

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              Unassigned Unassigned
              celine_lefebvre Celine Lefebvre
              Celine Lefebvre, Tyler Scheid
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