| Package | hl7.fhir.us.davinci-crd |
| Resource Type | ValueSet |
| Id | informationNeeded |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-crd/https://build.fhir.org/ig/HL7/davinci-crd/ValueSet-informationNeeded.html |
| URL | http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded |
| Version | 2.2.0-ballot |
| Status | active |
| Date | 2025-08-05T21:20:40+00:00 |
| Name | CRDInformationNeeded |
| Title | CRD Information Needed Value Set |
| Realm | us |
| Authority | hl7 |
| Description | Codes defining whether information about the performer, location, and/or performance date is needed to determine coverage information |
| StructureDefinition | |
| CRDMetricData | CRD Metric Data |
| ext-coverage-information | Coverage Information |
| DTRMetricData | DTR Metric Data |
| CodeSystem | |
| v3-NullFlavor | NullFlavor |
| coverage-information-codes | Coverage Information Codes |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet informationNeeded
This value set includes codes based on the following rules:
FHIRhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes| Code | Display | Definition |
| performer | Performer Needed | Information about who (specifically, or at least performer type and affiliation) is necessary to make a determination of coverage and/or prior auth expectations |
| location | Location Needed | Information about where (specific clinic/site or organization) is necessary to make a determination of coverage and/or prior auth expectations |
| timeframe | Timeframe Needed | Information about when the service will be performed that is more granular than the order effective period is necessary to make a determination of coverage and/or prior auth expectations |
| contract-window | New Contract Window | The target performance time for the event falls outside the contract window for the patient's current coverage. Information will not be available until a contract is in place covering the service time period |
| detail-code | Detail code | The ordered code is at too high a level of granularity to make decisions about coverage/pa/etc. Can only be present if something is 'conditional' |
http://terminology.hl7.org/CodeSystem/v3-NullFlavor| 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. |
{
"resourceType": "ValueSet",
"id": "informationNeeded",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.18.48.16"
}
],
"version": "2.2.0-ballot",
"name": "CRDInformationNeeded",
"title": "CRD Information Needed Value Set",
"status": "active",
"experimental": false,
"date": "2025-08-05T21:20:40+00:00",
"publisher": "HL7 International / Financial Management",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description": "Codes defining whether information about the performer, location, and/or performance date is needed to determine coverage information",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"compose": {
"include": [
{
"system": "http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes",
"concept": [
{
"code": "performer"
},
{
"code": "location"
},
{
"code": "timeframe"
},
{
"code": "contract-window"
},
{
"code": "detail-code"
}
]
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"concept": [
{
"code": "OTH"
}
]
}
]
}
}