FHIR IG analytics| Package | hl7.terminology |
| Resource Type | CodeSystem |
| Id | CodeSystem-crd-coverage-detail.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7/UTG/CodeSystem-crd-coverage-detail.html |
| URL | http://terminology.hl7.org/CodeSystem/crd-coverage-detail |
| Version | 1.0.0 |
| Status | active |
| Date | 2025-10-16T00:00:00+00:00 |
| Name | CRDCoverageDetail |
| Title | CRD Coverage Detail Codes |
| Realm | uv |
| Authority | hl7 |
| Description | Codes that describe additional details related to a coverage information assertion. These live in THO rather than the CRD specification to support adding additional concepts without putting out a new CRD release. |
| Copyright | This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license |
| Content | complete |
| ValueSet | |
| coverageDetailNew | Official CRD Coverage Detail Codes Value Set |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: CodeSystem crd-coverage-detail
Properties
This code system defines the following properties for its concepts
| Name | Code | URI | Type |
| Not Selectable | abstract | http://hl7.org/fhir/concept-properties#notSelectable | boolean |
Concepts
This case-sensitive code system http://terminology.hl7.org/CodeSystem/crd-coverage-detail defines the following codes in a Is-A hierarchy:
FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "crd-coverage-detail",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
}
],
"url": "http://terminology.hl7.org/CodeSystem/crd-coverage-detail",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.5.177"
}
],
"version": "1.0.0",
"name": "CRDCoverageDetail",
"title": "CRD Coverage Detail Codes",
"status": "active",
"experimental": false,
"date": "2025-10-16T00:00:00+00:00",
"publisher": "Health Level Seven International",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org"
},
{
"system": "email",
"value": "hq@HL7.org"
}
]
}
],
"description": "Codes that describe additional details related to a coverage information assertion. These live in THO rather than the CRD specification to support adding additional concepts without putting out a new CRD release.",
"copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
"caseSensitive": true,
"hierarchyMeaning": "is-a",
"content": "complete",
"property": [
{
"code": "abstract",
"uri": "http://hl7.org/fhir/concept-properties#notSelectable",
"type": "boolean"
}
],
"concept": [
{
"code": "_limitation",
"display": "Limitation details",
"definition": "Identifies detail codes that define limitations of coverage. (Category should be 'cat-limitation')",
"property": [
{
"code": "abstract",
"valueBoolean": true
}
],
"concept": [
{
"code": "allowed-quantity",
"display": "Maximum quantity",
"definition": "Indicates limitations on the number of services/products allowed (possibly per time period). Value should be a Quantity"
},
{
"code": "allowed-period",
"display": "Maximum allowed period",
"definition": "Indicates the maximum period of time that can be covered in a single order. Value should be a Period"
}
]
},
{
"code": "_decisional",
"display": "Decisional details",
"definition": "Identifies detail codes that may impact patient and clinician decision making (Category should be 'cat-decisional')",
"property": [
{
"code": "abstract",
"valueBoolean": true
}
],
"concept": [
{
"code": "in-network-copay",
"display": "Copay for in-network",
"definition": "Indicates a percentage co-pay to expect if delivered in-network. Value should be a Quantity."
},
{
"code": "out-network-copay",
"display": "Copay for out-of-network",
"definition": "Indicates a percentage co-pay to expect if delivered out-of-network. Value should be a Quantity."
},
{
"code": "concurrent-review",
"display": "Concurrent review",
"definition": "Additional payer-defined documentation will be required prior to claim payment. Value should be a boolean."
},
{
"code": "appropriate-use-needed",
"display": "Appropriate use",
"definition": "Payer-defined appropriate use process must be invoked to determine coverage. Value should be a boolean."
}
]
},
{
"code": "_other",
"display": "Other details",
"definition": "Identifies detail codes that are generally not relevant to clinicians/patients (Category should be 'cat-other')",
"property": [
{
"code": "abstract",
"valueBoolean": true
}
],
"concept": [
{
"code": "policy-link",
"display": "Policy Link",
"definition": "A URL pointing to the specific portion of a payer policy, coverage agreement or similar authoritative document that provides a portion of the basis for the decision documented in the coverage-information. Value should be a url."
}
]
},
{
"code": "instructions",
"display": "Instructions",
"definition": "Information to display to the user that gives guidance about what steps to take in achieving the recommended actions identified by this coverage-information (e.g. special instructions about requesting authorization, details about information needed, details about data retention, etc.). Value should be a string. (Category may vary.)"
}
]
}