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

ValueSet: CRD Coverage Information Covered Value Set

Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo Version: 2.2.0-ballot
Standards status: Trial-use Maturity Level: 1 Computable Name: CRDCoveredInfo
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.13

Codes defining whether the ordered/requested service is covered under patient's plan

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes
    CodeDisplayDefinition
    not-coveredNot coveredNo coverage or possibility of coverage for this service)
    coveredCoveredRegular coverage applies
    conditionalConditionalThere is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)

 

Expansion

Expansion performed internally based on codesystem Coverage Information Codes v2.2.0-ballot (CodeSystem)

This value set contains 3 concepts

CodeSystemDisplay (en-US)Definition
  not-coveredhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codesNot coveredNo coverage or possibility of coverage for this service)
  coveredhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codesCoveredRegular coverage applies
  conditionalhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codesConditionalThere is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code