Da Vinci - Coverage Requirements Discovery
​2.2.0-ballot - 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 2.2.0-ballot 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

Binary: Example CRD Response with simple Coverage Information

​{
  "systemActions" : [
    {
      "type" : "update",
      "resource" : {
        "resourceType" : "CommunicationRequest",
        "id" : "example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Request for transfer of Liver Pathology biopsy report for Amy V. Baxter from Dr. Smith to Good Health Clinic<br/>Requested by Dr. Jones, June 10, 2016</div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "covered",
                "valueCode" : "covered"
              },
              {
                "url" : "pa-needed",
                "valueCode" : "no-auth"
              },
              {
                "url" : "coverage",
                "valueReference" : {
                  "reference" : "http://example.org/fhir/Coverage/example"
                }
              },
              {
                "url" : "date",
                "valueDate" : "2022-11-16"
              },
              {
                "url" : "coverage-assertion-id",
                "valueString" : "example-assertion-id-123"
              }
            ],
            "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information"
          }
        ],
        "identifier" : [
          {
            "system" : "http://example.org/insurer/123456",
            "value" : "ABC123"
          }
        ],
        "basedOn" : [
          {
            "reference" : "http://example.org/fhir/EligibilityRequest/xyz"
          }
        ],
        "status" : "draft",
        "subject" : {
          "reference" : "http://example.org/fhir/Patient/123"
        },
        "payload" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "65752-8",
                      "display" : "Liver Pathology biopsy report"
                    }
                  ]
                }
              }
            ],
            "contentString" : "Liver pathology biopsy report"
          }
        ],
        "occurrenceDateTime" : "2016-06-10T11:01:10-08:00",
        "authoredOn" : "2016-06-10T11:01:10-08:00",
        "requester" : {
          "reference" : "http://example.org/fhir/PractitionerRole/ABC",
          "display" : "Dr. Jones"
        },
        "recipient" : [
          {
            "reference" : "http://example.org/Organization/clinicA",
            "display" : "Good Health Clinic"
          }
        ],
        "sender" : {
          "reference" : "http://example.org/fhir/PractitionerRole/someOtherProvider",
          "display" : "Dr. Smith"
        }
      }
    }
  ]
}