FHIR IG analytics
| Package | hl7.fhir.us.davinci-crd |
| Resource Type | ValueSet |
| Id | ValueSet-coverageInfo.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/HL7/davinci-crd/ValueSet-coverageInfo.html |
| URL | http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo |
| Version | 2.2.0-snapshot |
| Status | active |
| Date | 2026-01-30T22:02:38+00:00 |
| Name | CRDCoveredInfo |
| Title | CRD Coverage Information Covered Value Set |
| Realm | us |
| Authority | hl7 |
| Description | Codes defining whether the ordered/requested service is covered under patient's plan |
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
- Include these codes as defined in
http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes version 📦2.2.0-snapshot| Code | Display | Definition |
| not-covered | Not covered | No coverage or possibility of coverage for this service |
| covered | Covered | Regular coverage applies. Coverage is still subject to normal plan limits, deductibles, and other considerations meaning there is no guarantee of payment. This response does NOT replace any need for a pre-determination, if required. |
| conditional | Conditional | There 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.) |
Source1
{
"resourceType": "ValueSet",
"id": "coverageInfo",
"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/coverageInfo",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.18.48.13"
}
],
"version": "2.2.0-snapshot",
"name": "CRDCoveredInfo",
"title": "CRD Coverage Information Covered Value Set",
"status": "active",
"experimental": false,
"date": "2026-01-30T22:02:38+00:00",
"publisher": "HL7 International / Financial Management",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description": "Codes defining whether the ordered/requested service is covered under patient's plan",
"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": "not-covered"
},
{
"code": "covered"
},
{
"code": "conditional"
}
]
}
]
}
}