Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 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 2.1.0 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

ValueSet: CRD Coverage Information Covered Value Set

Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo Version: 2.1.0
Standards status: Trial-use Maturity Level: 1 Computable Name: CRDCoveredInfo

Codes defining whether the ordered/requested service is covered under patient's plan

References

Logical Definition (CLD)

Generated Narrative: ValueSet coverageInfo

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp
    CodeDisplayDefinition
    not-coveredNot coveredNo coverage or possibility of coverage for this service)
    coveredCoveredRegular coverage applies
    conditionalConditionalThere is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem CRD Temporary Codes v2.1.0 (CodeSystem)

This value set contains 3 concepts

CodeSystemDisplayDefinition
  not-coveredhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/tempNot covered

No coverage or possibility of coverage for this service)

  coveredhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/tempCovered

Regular coverage applies

  conditionalhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/tempConditional

There is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code