| Package | hl7.fhir.us.davinci-crd |
| Resource Type | ValueSet |
| Id | DocReason |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-crd/https://build.fhir.org/ig/HL7/davinci-crd/ValueSet-DocReason.html |
| URL | http://hl7.org/fhir/us/davinci-crd/ValueSet/DocReason |
| Version | 2.2.0-ballot |
| Status | active |
| Date | 2025-08-05T21:20:40+00:00 |
| Name | CRDDocReason |
| Title | CRD Coverage Information Documentation Reason Value Set |
| Realm | us |
| Authority | hl7 |
| Description | List of reasons for additional documentation |
| StructureDefinition | |
| ext-coverage-information | Coverage Information |
| DTRMetricData | DTR Metric Data |
| intendedUse | Intended Use |
| CodeSystem | |
| v3-NullFlavor | NullFlavor |
| coverage-information-codes | Coverage Information Codes |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet DocReason
This value set includes codes based on the following rules:
FHIRhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes| 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| 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": "DocReason",
"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/DocReason",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.18.48.3"
}
],
"version": "2.2.0-ballot",
"name": "CRDDocReason",
"title": "CRD Coverage Information Documentation Reason 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": "List of reasons for additional documentation",
"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": "withpa"
},
{
"code": "withclaim"
},
{
"code": "withorder"
},
{
"code": "retain-doc"
}
]
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"concept": [
{
"code": "OTH"
}
]
}
]
}
}