CRD Coverage Information Documentation Reason Value Set
activeURL
http://hl7.org/fhir/us/davinci-crd/ValueSet/DocReasonCopied!
Version2.0.0Copied!
PublisherHL7 International / Financial ManagementDate2023-10-20T14:20:30+00:00DescriptionList of reasons for additional documentation
Expansion
| Code | Display | System |
|---|---|---|
| withpa | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | |
| withclaim | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | |
| withorder | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | |
| retain-doc | http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp | |
| OTH | http://terminology.hl7.org/CodeSystem/v3-NullFlavor |
systemhttp://hl7.org/fhir/us/davinci-crd/CodeSystem/temp
systemhttp://terminology.hl7.org/CodeSystem/v3-NullFlavor
This value set includes codes based on the following rules:
- Include these codes as defined in
http://hl7.org/fhir/us/davinci-crd/CodeSystem/tempCode 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). - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavorCode 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.
{
"description" : "List of reasons for additional documentation",
"compose" : {
"exclude" : [ ],
"include" : [ {
"system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"extension" : [ {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 4
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
} ]
}, {
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"extension" : [ {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 1
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
} ]
} ]
},
"date" : "2023-10-20T14:20:30+00:00",
"publisher" : "HL7 International / Financial Management",
"jurisdiction" : [ {
"coding" : [ {
"system" : "urn:iso:std:iso:3166",
"code" : "US"
} ]
} ],
"name" : "CRDDocReason",
"experimental" : false,
"resourceType" : "ValueSet",
"title" : "CRD Coverage Information Documentation Reason Value Set",
"extension" : [ {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
}, {
"valueCode" : "fm",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"valueCode" : "trial-use",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"_valueCode" : {
"extension" : [ {
"valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"
} ]
}
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"status" : "active",
"id" : "b5ce737d-052e-4324-9ed6-394485b46f4e",
"url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/DocReason",
"version" : "2.0.0",
"contact" : [ {
"telecom" : [ {
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
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} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-temp.html\"><code>http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-withpa\">withpa</a></td><td style=\"color: #cccccc\">Include in prior authorization</td><td>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).</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-withclaim\">withclaim</a></td><td style=\"color: #cccccc\">Include with claim</td><td>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).</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-withorder\">withorder</a></td><td style=\"color: #cccccc\">Include with order</td><td>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.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-retain-doc\">retain-doc</a></td><td style=\"color: #cccccc\">Medical necessity</td><td>The information in this QuestionnaireResponse should be retained within the EHR as supporting evidence of the medical necessity of the associated request resource(s).</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-NullFlavor.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-OTH\">OTH</a></td><td style=\"color: #cccccc\">other</td><td>**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).<br/><br/>**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.<br/><br/>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.</td></tr></table></li></ul></div>",
"status" : "extensions"
}
}| Title | Version | Status | Publisher | Date |
|---|---|---|---|---|
| CRD Coverage Information Documentation Reason Value Set | 2.1.0 | active | HL7 International / Financial Management | - |