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

ValueSet: CRD Coverage Information Additional Documentation Value Set

Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2025-10-30 Maturity Level: 1 Computable Name: CRDAdditionalDoc
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.1

Codes defining whether additional documentation needs to be captured

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes version 📦2.2.0-ballot
    CodeDisplayDefinition
    clinicalClinical DocumentationDetails most likely to originate from a clinician are required to satisfy additional documentation requirements, determine coverage and/or prior auth applicability - e.g. via DTR by clinician. Indicates that the CRD client should expose the need to launch DTR to clinical users.
    adminAdministrative DocumentationAdministrative details not likely to require clinical expertise are needed to satisfy additional documentation requirements, determine coverage and/or prior auth applicability - e.g. via DTR by back-end staff. Indicates that while the CRD client might expose the ability to launch DTR as an option for clinical users, it should be clear that clinical input is not necessary and deferring the use of DTR to back-end staff is perfectly appropriate. Some CRD clients might be configured (based on provider preference) to not even show clinicians the option to launch.
    patientAdministrative & clinical docDetails most likely to originate from the patient or their personal representative (e.g. parent, spouse, etc.) are required to satisfy additional documentation requirements, determine coverage and/or prior auth applicability. For example, information about household composition, accessibility considerations, etc. This should be used when the data needs to come from the patient themselves, rather than a clinician's assessment of the patient
    conditionalConditionalThere is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)

 

Expansion

Expansion performed internally based on codesystem Coverage Information Codes v2.2.0-ballot (CodeSystem)

This value set contains 4 concepts

SystemCodeDisplay (en)JSONXML
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  clinicalClinical Documentation
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  adminAdministrative Documentation
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  patientAdministrative & clinical doc
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  conditionalConditional

Description of the above table(s).