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

Extension: Billing Options

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2025-10-30 Maturity Level: 1 Computable Name: CRDBillingOptions
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.24

Identifies billing codes that could potentially be used for this clinical code

Context of Use

Introduction

CRD clients SHALL use this element to convey likely billing codes if they are known, but are not required to know billing codes (e.g. if ordering and performing systems will differ). CRD services SHALL NOT depend on this element being present in order to provide a response. If codes are provided with this extension, CRD services SHALL consider any codes provided and MAY consider additional codes determined by their own mapping when returning coverage information responses.

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-ballot This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible CRD Billing Codes Value Set 📦2.2.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

 

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