Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-snapshot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

Extension: Billing Options

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Version:
Standards status: Trial-use Active as of 2026-01-30 Maturity Level: 1 Computable Name: CRDBillingOptions
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.24

Identifies billing codes that could potentially be used for this clinical code

Context of Use

Introduction

CRD clients SHALL use the billing-options extension to convey likely billing codes if they are known, but are not required to know billing codes (e.g. if ordering and performing systems will differ). §billopt-1 CRD servers SHALL NOT depend on the billing-options extension being present in order to provide a response. §billopt-2 If codes are provided with the billing-options extension, CRD servers SHALL consider any codes provided and MAY consider additional codes determined by their own mapping when returning coverage information responses. §billopt-3

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-snapshot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-snapshot This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-snapshot This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-snapshot This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

 

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