Da Vinci - Coverage Requirements Discovery
2.2.1 - STU 2.2

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 2.2.1 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 Response Types Value Set

Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType | Version: 2.2.1 | Highlight text changes?
Standards status: Trial-use Active as of 2026-03-26 | Maturity Level: 4 | Computable Name: CRDCardType
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.6

List of CDS Hook response types defined by the CRD spec

References

- CDS Hooks Service Request Configuration Extension
- CDS Hooks Service Request Configuration Extension
- CDS Hooks Services Configuration Extension
- CDS Hooks Services Configuration Extension
- CRD CDSHooks Base for Response (Logical Definition)
- CRD CDSHooks Base for Response (Logical Definition)
- CRD Metric Data
- CRD Metric Data

### Logical Definition (CLD)

- Include all codes defined in `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` version 📦1.0.0

### Expansion

Expansion performed internally based on codesystem CDS Hooks Card Types v1.0.0 (CodeSystem)

This value set contains 15 concepts

Level | System | Code | Display (en) | Definition | JSON | XML
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | coverage-info | Coverage Information | Information related to the patient's coverage, including whether a service is covered, requires prior authorization, is approved without seeking prior authorization, and/or requires additional documentation or data collection |  |
2 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | unsolicited-determ | Unsolicited Determination | An unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | claim | Claim | Information about what steps need to be taken to submit a claim for the service |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | insurance | Insurance | Allows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions) |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | limits | Limits | Messages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | network | Network | Providing information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network) |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | appropriate-use | Appropriate Use | Guidance on whether appropriate-use documentation is needed |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | cost | Cost | What is the anticipated cost to the patient based on their coverage |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | therapy-alternatives-opt | Optional Therapy Alternatives | Are there alternative therapies that have better coverage and/or are lower-cost for the patient |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | therapy-alternatives-req | Required Therapy Alternatives | Are there alternative therapies that must be tried first prior to coverage being available for the proposed therapy |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | clinical-reminder | Clinical Reminder | Reminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention) |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | duplicate-therapy | Duplicate Therapy | Notice that the proposed intervention has already recently occurred with a different provider when that information isn't already available in the provider system |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | contraindication | Contraindication | Notice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider doesn't have in theirs |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | guideline | Guideline | Indication that there is a guideline available for the proposed therapy (with an option to view) |  |
1 | `http://terminology.hl7.org/CodeSystem/cdshooks-card-type` | off-guideline | Off Guideline | Notice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline |  |

Description of the above table(s).