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-preview 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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="informationNeeded"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
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/informationNeeded"/>
<version value="2.1.0-preview"/>
<name value="CRDInformationNeeded"/>
<title value="CRD Information Needed Value Set"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-09-12T03:57:38+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 information about the perfomer, location, and/or performance date is needed to determine coverage information"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp"/>
<concept>
<code value="performer"/>
</concept>
<concept>
<code value="location"/>
</concept>
<concept>
<code value="timeframe"/>
</concept>
<concept>
<code value="contract-window"/>
</concept>
</include>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<concept>
<code value="OTH"/>
</concept>
</include>
</compose>
</ValueSet>