ValueSet: CRDCoveredInfo
Id: coverageInfo
Title: "CRD Coverage Information Covered Value Set"
Description: "Codes defining whether the ordered/requested service is covered under patient's plan"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CoverageInformationCodes#not-covered
* CoverageInformationCodes#covered
* CoverageInformationCodes#conditional

ValueSet: CRDCoveragePaDetail
Id: coveragePaDetail
Title: "CRD Coverage Information Prior Authorization Value Set"
Description: "Codes defining whether prior auth will be needed for coverage to be provided"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CoverageInformationCodes#no-auth
* CoverageInformationCodes#auth-needed
* CoverageInformationCodes#satisfied
* CoverageInformationCodes#performpa
* CoverageInformationCodes#conditional

ValueSet: CRDAdditionalDoc
Id: AdditionalDocumentation
Title: "CRD Coverage Information Additional Documentation Value Set"
Description: "Codes defining whether additional documentation needs to be captured"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CoverageInformationCodes#clinical
* CoverageInformationCodes#admin
* CoverageInformationCodes#patient
* CoverageInformationCodes#conditional

ValueSet: CRDDocReason
Id: DocReason
Title: "CRD Coverage Information Documentation Reason Value Set"
Description: "List of reasons for additional documentation"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
//* include codes from system CRDTempCodes where concept descendent-of #_docReason
* CoverageInformationCodes#withpa
* CoverageInformationCodes#withclaim
* CoverageInformationCodes#withorder
* CoverageInformationCodes#retain-doc
* $v3-NullFlavor#OTH

ValueSet: CRDInformationNeeded
Id: informationNeeded
Title: "CRD Information Needed Value Set"
Description: "Codes defining whether information about the performer, location, and/or performance date is needed to determine coverage information"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CoverageInformationCodes#performer
* CoverageInformationCodes#location
* CoverageInformationCodes#timeframe
* CoverageInformationCodes#contract-window
* CoverageInformationCodes#detail-code
* $v3-NullFlavor#OTH

ValueSet: CRDCoverageAssertionReasons
Id: coverageAssertionReasons
Title: "CRD Coverage Assertion Reasons Value Set"
Description: "Reasons for a coverage assertion in the coverage-information extension"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CRDTempCodes#gold-card
* CRDTempCodes#no-member-found
* CRDTempCodes#no-active-coverage
* CRDTempCodes#auth-out-network

ValueSet: CRDCoverageDetailCategories
Id: coverageDetailCategories
Title: "CRD Coverage Detail Categories Value Set"
Description: "Codes that define the type of coverage information detail being provided"
* ^status = #active
* ^experimental = false
* ^extension[$fmm].valueInteger = 1
* CoverageInformationCodes#cat-limitation
* CoverageInformationCodes#cat-decisional
* CoverageInformationCodes#cat-other