Da Vinci - Coverage Requirements Discovery
2.0.1 - STU 2 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.0.1: STU 2.0) 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

: CRD Coverage Information Covered Value Set - JSON Representation

Page standards status: Trial-use Maturity Level: 1

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{
  "resourceType" : "ValueSet",
  "id" : "coverageInfo",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"CodeSystem-temp.html\"><code>http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-not-covered\">not-covered</a></td><td style=\"color: #cccccc\">Not covered</td><td>No coverage or possibility of coverage for this service)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-covered\">covered</a></td><td style=\"color: #cccccc\">Covered</td><td>Regular coverage applies</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-conditional\">conditional</a></td><td style=\"color: #cccccc\">Conditional</td><td>Decision cannot be made without more information (more detailed code, service rendering information, etc.)</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo",
  "version" : "2.0.1",
  "name" : "CRDCoveredInfo",
  "title" : "CRD Coverage Information Covered Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-01-08T19:15:34+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Codes defining whether the ordered/requested service is covered under patient's plan",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
        "concept" : [
          {
            "code" : "not-covered"
          },
          {
            "code" : "covered"
          },
          {
            "code" : "conditional"
          }
        ]
      }
    ]
  }
}