Da Vinci - Coverage Requirements Discovery
2.2.0-ballot - STU 2.2 Ballot United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

Binary: Example CRD Response with simple Coverage Information

    
{
  "cards": [
  ],
  "systemActions": [
    {
      "type": "update",
      "resource": {
        "resourceType": "CommunicationRequest",
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information",
            "extension": [
              {
                "url": "covered",
                "valueCode": "covered"
              },
              {
                "url": "pa-needed",
                "valueCode": "no-auth"
              },
              {
                "url": "coverage",
                "valueReference": {
                  "reference": "http://example.org/fhir/Coverage/example"
                }
              },
              {
                "url": "date",
                "valueDate": "2022-11-16"
              },
              {
                "url": "coverage-assertion-id",
                "valueString": "example-assertion-id-123"
              }
            ]
          }
        ],
        "id": "example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Request for transfer of Liver Pathology biopsy report for Amy V. Baxter from Dr. Smith to Good Health Clinic<br/>Requested by Dr. Jones, June 10, 2016</div>"
        },
        "identifier": [
          {
            "system": "http://example.org/insurer/123456",
            "value": "ABC123"
          }
        ],
        "basedOn": [
          {
            "reference": "http://example.org/fhir/EligibilityRequest/xyz"
          }
        ],
        "status": "draft",
        "subject": {
          "reference": "http://example.org/fhir/Patient/123"
        },
        "payload": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "65752-8",
                      "display": "Liver Pathology biopsy report"
                    }
                  ]
                }
              }
            ],
            "contentString": "Liver pathology biopsy report"
          }
        ],
        "occurrenceDateTime": "2016-06-10T11:01:10-08:00",
        "authoredOn": "2016-06-10T11:01:10-08:00",
        "requester": {
          "reference": "http://example.org/fhir/PractitionerRole/ABC",
          "display": "Dr. Jones"
        },
        "recipient": [
          {
            "reference": "http://example.org/Organization/clinicA",
            "display": "Good Health Clinic"
          }
        ],
        "sender": {
          "reference": "http://example.org/fhir/PractitionerRole/someOtherProvider",
          "display": "Dr. Smith"
        }
      }
    }
  ]
}