This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType | Version: 2.1.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: CRDCardType | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.6 |
List of card types defined by the CRD spec
References
Generated Narrative: ValueSet cardType
http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp
where concept descends from _cardType
Generated Narrative: ValueSet
Expansion based on codesystem CRD Temporary Codes v2.1.0 (CodeSystem)
This value set contains 15 concepts
Level | Code | System | Display | Definition |
1 | coverage-info | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Coverage Information | Information related to the patient's coverage, including whether a service is covered, requires prior authorization, is approved without seeking prior authorization, and/or requires additional documentation or data collection |
2 | unsolicited-determ | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Unsolicited Determination | An unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request |
1 | claim | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Claim | Information about what steps need to be taken to submit a claim for the service |
1 | insurance | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Insurance | Allows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions) |
1 | limits | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Limits | Messages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general |
1 | network | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Network | Providing information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network) |
1 | appropriate-use | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Appropriate Use | Guidance on whether appropriate-use documentation is needed |
1 | cost | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Cost | What is the anticipated cost to the patient based on their coverage |
1 | therapy-alternatives-opt | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Optional Therapy Alternatives | Are there alternative therapies that have better coverage and/or are lower-cost for the patient |
1 | therapy-alternatives-req | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Required Therapy Alternatives | Are there alternative therapies that must be tried first prior to coverage being available for the proposed therapy |
1 | clinical-reminder | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Clinical Reminder | Reminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention) |
1 | duplicate-therapy | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Duplicate Therapy | Notice that the proposed intervention has already recently occurred with a different provider when that information isn't already available in the provider system |
1 | contraindication | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Contraindication | Notice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider doesn't have in theirs |
1 | guideline | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Guideline | Indication that there is a guideline available for the proposed therapy (with an option to view) |
1 | off-guideline | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | Off Guideline | Notice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline |
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 |