Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review
Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review
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-snapshot 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/cardType | Version: 2.2.0-snapshot | |||
| Standards status: Trial-use Active as of 2025-12-12 | Maturity Level: 4 | Computable Name: CRDCardType | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.6 | ||||
List of card types defined by the CRD spec
References
http://terminology.hl7.org/CodeSystem/cdshooks-card-type version 📦1.0.0
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 |
IG © 2019+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-crd#2.2.0-snapshot based on FHIR 4.0.1.
Generated
2025-12-12
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