FHIR IG Statistics: ValueSet/coverageAssertionReasons
Resources that use this resource
Resources that this resource uses
| CodeSystem |
| temp | CRD Temporary Codes |
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/temp| Code | Display | Definition |
| gold-card | Gold card | Ordering Practitioner has been granted 'gold card' status with this payer/coverage type. |
| no-member-found | Member not found | The CRD service was unable to find a matching member, so no coverage information can be provided |
| no-active-coverage | Coverage not active | The referenced insurance coverage for the member is not active, so no coverage information can be provided |
| auth-out-network | Authorization needed out-of-network | Authorization is necessary if out-of-network. |
Source
{
"resourceType": "ValueSet",
"id": "coverageAssertionReasons",
"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/coverageAssertionReasons",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.18.48.10"
}
],
"version": "2.2.0-cibuild",
"name": "CRDCoverageAssertionReasons",
"title": "CRD Coverage Assertion Reasons",
"status": "active",
"experimental": false,
"date": "2025-07-20T15:31:59+00:00",
"publisher": "HL7 International / Financial Management",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description": "Reasons for a coverage assertion in the coverage-information extension",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"compose": {
"include": [
{
"system": "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"concept": [
{
"code": "gold-card"
},
{
"code": "no-member-found"
},
{
"code": "no-active-coverage"
},
{
"code": "auth-out-network"
}
]
}
]
}
}
FHIR