Da Vinci - Coverage Requirements Discovery
2.2.0-ballot -
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
| Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/DocReason | Version: 2.2.0-ballot | |||
| Standards status: Trial-use Active as of 2025-10-30 | Maturity Level: 1 | Computable Name: CRDDocReason | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.3 | ||||
List of reasons for additional documentation
References
This value set includes codes based on the following rules:
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes version 📦2.2.0-ballot| Code | Display | Definition |
| withpa | Include in prior authorization | The information in this QuestionnaireResponse should be packaged into a Bundle and submitted as part of (or in association with) a prior authorization for the associated request resource(s). |
| withclaim | Include with claim | The information in this QuestionnaireResponse should be packaged into a Bundle and submitted as part of (or in association with) the insurance claim for the services ordered by the associated request resource(s). |
| withorder | Include with order | The information in this QuestionnaireResponse should be packaged into a Bundle and submitted along with (or referenced as supporting information to) the associated request resource(s) when transmitting the order to the fulfilling system. |
| retain-doc | Medical necessity | The information in this QuestionnaireResponse should be retained within the EHR as supporting evidence of the medical necessity of the associated request resource(s). |
http://terminology.hl7.org/CodeSystem/v3-NullFlavor version 📦3.0.0
| Code | Display | Definition |
| OTH | other | **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). **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. 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. |
Expansion performed internally based on:
This value set contains 5 concepts
| System | Code | Display (en) | JSON | XML |
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes | withpa | Include in prior authorization | ||
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes | withclaim | Include with claim | ||
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes | withorder | Include with order | ||
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes | retain-doc | Medical necessity | ||
http://terminology.hl7.org/CodeSystem/v3-NullFlavor | OTH | other |