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 Covered Value Set

Official URL: http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2025-10-30 Maturity Level: 1 Computable Name: CRDCoveredInfo
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.48.13

Codes defining whether the ordered/requested service is covered under patient's plan

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
    not-coveredNot coveredNo coverage or possibility of coverage for this service
    coveredCoveredRegular coverage applies
    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 3 concepts

SystemCodeDisplay (en)JSONXML
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  not-coveredNot covered
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  coveredCovered
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes  conditionalConditional

Description of the above table(s).