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

• Narrative Content
• XML
• JSON
• TTL

: CRD Information Needed Value Set - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "informationNeeded",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet informationNeeded</b></p><a name=\"informationNeeded\"> </a><a name=\"hcinformationNeeded\"> </a><a name=\"informationNeeded-en-US\"> </a><p>This value set includes codes based on the following rules:</p><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-performer\">performer</a></td><td style=\"color: #cccccc\">Performer Needed</td><td>Information about who (specifically, or at least performer type and affiliation) is necessary to make a determination of coverage and/or prior auth expectations</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-location\">location</a></td><td style=\"color: #cccccc\">Location Needed</td><td>Information about where (specific clinic/site or organization) is necessary to make a determination of coverage and/or prior auth expectations</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-timeframe\">timeframe</a></td><td style=\"color: #cccccc\">Timeframe Needed</td><td>Information about when the service will be performed that is more granular than the order effective period is necessary to make a determination of coverage and/or prior auth expectations</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-contract-window\">contract-window</a></td><td style=\"color: #cccccc\">New Contract Window</td><td>The target performance time for the event falls outside the contract window for the patient's current coverage.  Information will not be available until a contract is in place covering the service time period</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-NullFlavor.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</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=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-OTH\">OTH</a></td><td style=\"color: #cccccc\">other</td><td>**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).<br/><br/>**Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \\*any\\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.<br/><br/>With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded",
  "version" : "2.1.0",
  "name" : "CRDInformationNeeded",
  "title" : "CRD Information Needed Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-11-13T17:51:25+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Codes defining whether information about the perfomer, location, and/or performance date is needed to determine coverage information",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
        "concept" : [
          {
            "code" : "performer"
          },
          {
            "code" : "location"
          },
          {
            "code" : "timeframe"
          },
          {
            "code" : "contract-window"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "concept" : [
          {
            "code" : "OTH"
          }
        ]
      }
    ]
  }
}