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FHIR IG Statistics: ValueSet/coverageDetailCategories

Packagehl7.fhir.us.davinci-crd
TypeValueSet
IdcoverageDetailCategories
FHIR VersionR4
Sourcehttp://hl7.org/fhir/us/davinci-crd/https://build.fhir.org/ig/HL7/davinci-crd/ValueSet-coverageDetailCategories.html
URLhttp://hl7.org/fhir/us/davinci-crd/ValueSet/coverageDetailCategories
Version2.2.0-ballot
Statusactive
Date2025-07-22T17:00:27+00:00
NameCRDCoverageDetailCategories
TitleCRD Coverage Detail Categories
Realmus
Authorityhl7
DescriptionCodes that define the type of coverage information detail being provided

Resources that use this resource

StructureDefinition
ext-coverage-informationCoverage Information

Resources that this resource uses

CodeSystem
coverage-information-codesCoverage Information Codes

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet coverageDetailCategories

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes
    CodeDisplayDefinition
    cat-limitationCoverage LimitationThe statement being made about coverage or authorization that are being constrained in scope in some way. I.e. It is not safe to interpret the statements of 'this is covered' or 'this does not require prior auth' without looking at this detail.
    cat-decisionalDecision ConsiderationsThe statement does not qualify the coverage statement, however it does provide information that may be relevant to the patient & caregiver decision of whether a therapy is appropriate/reasonable.
    cat-otherOther DetailsThe statement does not limit the coverage statement being made and is unlikely to influence a decision to proceed with care. For example, instructions on how to submit a claim, reference to to policy, etc.

Source

{
  "resourceType": "ValueSet",
  "id": "coverageDetailCategories",
  "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/coverageDetailCategories",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.18.48.23"
    }
  ],
  "version": "2.2.0-ballot",
  "name": "CRDCoverageDetailCategories",
  "title": "CRD Coverage Detail Categories",
  "status": "active",
  "experimental": false,
  "date": "2025-07-22T17:00:27+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "Codes that define the type of coverage information detail being provided",
  "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": "cat-limitation"
          },
          {
            "code": "cat-decisional"
          },
          {
            "code": "cat-other"
          }
        ]
      }
    ]
  }
}