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
Page standards status: Trial-use | Maturity Level: 1 |
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<id value="coverageInfo"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet coverageInfo</b></p><a name="coverageInfo"> </a><a name="hccoverageInfo"> </a><a name="coverageInfo-en-US"> </a><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>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.)</td></tr></table></li></ul></div>
</text>
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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="2.1.0"/>
<name value="CRDCoveredInfo"/>
<title value="CRD Coverage Information Covered Value Set"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-11-13T17:51:25+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>
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<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>