Intersection of http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp and http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp

This is the CodeSystem that contains codes in both CRD Temporary Codes (http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp) and CRD Temporary Codes (http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp).

Structure

Generated Narrative: CodeSystem daf20a4b-6f58-442d-930f-a7194af67625-3

Properties

This code system defines the following properties for its concepts

NameCodeURIType
Not Selectableabstracthttp://hl7.org/fhir/concept-properties#notSelectableboolean
Not Selectableabstracthttp://hl7.org/fhir/concept-properties#notSelectableboolean

Concepts

This code system http://hl7.org/fhir/comparison/CodeSystem/daf20a4b-6f58-442d-930f-a7194af67625-3 defines codes in an undefined hierarchy, but no codes are represented here

LvlCodeDisplayDefinitionNot SelectableNot Selectable
1gold-card Gold cardOrdering Practitioner has been granted 'gold card' status with this payer/coverage type.
1instructions InstructionsInformation to display to the user that gives guidance about what steps to take in achieving the recommended actions identified by this coverage-information (e.g. special instructions about requesting authorization, details about information needed, details about data retention, etc.). Value should be a string.
2  instructions-clinical Clinical instructionsInstructions specifically intended for the use of clinical (rather than administrative staff)
2  instructions-admin Administrative InstructionsInstructions specifically intended for the use of administrative (rather than clinical staff)
1_cardType Card Type (abstract)A collector for different profiles on CDS Hooks cardtrue, truetrue, true
2  coverage-info Coverage InformationInformation 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
3    unsolicited-determ Unsolicited DeterminationAn unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request
2  claim ClaimInformation about what steps need to be taken to submit a claim for the service
2  insurance InsuranceAllows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions)
2  limits LimitsMessages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general
2  network NetworkProviding information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network)
2  appropriate-use Appropriate UseGuidance on whether appropriate-use documentation is needed
2  cost CostWhat is the anticipated cost to the patient based on their coverage
2  therapy-alternatives-opt Optional Therapy AlternativesAre there alternative therapies that have better coverage and/or are lower-cost for the patient
2  therapy-alternatives-req Required Therapy AlternativesAre there alternative therapies that must be tried first prior to coverage being available for the proposed therapy
2  clinical-reminder Clinical ReminderReminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention)
2  duplicate-therapy Duplicate TherapyNotice that the proposed intervention has already recently occurred with a different provider when that information isn't already available in the provider system
2  contraindication ContraindicationNotice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider doesn't have in theirs
2  guideline GuidelineIndication that there is a guideline available for the proposed therapy (with an option to view)
2  off-guideline Off GuidelineNotice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline
2  coverage-info Coverage InformationInformation 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
3    unsolicited-determ Unsolicited DeterminationAn unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request
3    unsolicited-determ Unsolicited DeterminationAn unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request
2  claim ClaimInformation about what steps need to be taken to submit a claim for the service
2  insurance InsuranceAllows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions)
2  limits LimitsMessages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general
2  network NetworkProviding information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network)
2  appropriate-use Appropriate UseGuidance on whether appropriate-use documentation is needed
2  cost CostWhat is the anticipated cost to the patient based on their coverage
2  therapy-alternatives-opt Optional Therapy AlternativesAre there alternative therapies that have better coverage and/or are lower-cost for the patient
2  therapy-alternatives-req Required Therapy AlternativesAre there alternative therapies that must be tried first prior to coverage being available for the proposed therapy
2  clinical-reminder Clinical ReminderReminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention)
2  duplicate-therapy Duplicate TherapyNotice that the proposed intervention has already recently occurred with a different provider when that information isn't already available in the provider system
2  contraindication ContraindicationNotice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider doesn't have in theirs
2  guideline GuidelineIndication that there is a guideline available for the proposed therapy (with an option to view)
2  off-guideline Off GuidelineNotice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline