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 - XML Representation

Page standards status: Trial-use Maturity Level: 1

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="coverageInfo"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo"/>
  <version value="2.0.1"/>
  <name value="CRDCoveredInfo"/>
  <title value="CRD Coverage Information Covered Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-01-08T19:15:34+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="Codes defining whether the ordered/requested service is covered under patient's plan"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"/>
      <concept>
        <code value="not-covered"/>
      </concept>
      <concept>
        <code value="covered"/>
      </concept>
      <concept>
        <code value="conditional"/>
      </concept>
    </include>
  </compose>
</ValueSet>