StructureDefinition-ext-coverage-information

Name	Flags	Card.	Type	Description & Constraints
Extension	C		Extension	CoverageInfo crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
extension		4..
extension:coverage		1..1		Reference to Coverage
extension		.. 0
url				"coverage"
value[x]		1..	Reference (CRD Coverage)
extension:covered	S	1..1		covered | not-covered | conditional
extension		.. 0
url				"covered"
value[x]		1..	code	Binding: CRD Coverage Information Covered Value Set ( required )
extension:pa-needed	S	0..1		no-auth | auth-needed | satisfied | performpa | conditional
extension		.. 0
url				"pa-needed"
value[x]		1..	code	Binding: CRD Coverage Information Prior Authorization Value Set ( required )
extension:doc-needed	S	0..1		no-doc | clinical | admin | both | conditional
extension		.. 0
url				"doc-needed"
value[x]		1..	code	Binding: CRD Coverage Information Additional Documentation Value Set ( required )
extension:doc-purpose	S	0..*		Documentation purpose
extension		.. 0
url				"doc-purpose"
value[x]		1..	code	Binding: CRD Coverage Information Documentation Reason Value Set ( required )
extension:info-needed	S	0..*		performer | location | timeframe
extension		.. 0
url				"info-needed"
value[x]		1..	code	Binding: CRD Information Needed Value Set ( required )
extension:billingCode		0..*		Billing code
extension		.. 0
url				"billingCode"
value[x]		1..	Coding	Binding: USCLS Codes ( example )
extension:reason		0..*		Reason for assertion
extension		.. 0
url				"reason"
value[x]		1..	CodeableConcept	Binding: CRD Coverage Assertion Reasons ( extensible )
extension:detail		0..*		detail for assertion
extension		2..
extension:code		1..1		Name of name-value pair
extension		.. 0
url				"code"
value[x]			CodeableConcept	Binding: CRD Coverage Detail Codes Value Set ( extensible )
extension:value		1..1		Value of name-value pair
extension		.. 0
url				"value"
value[x]
valueBoolean			boolean
valueString			string
valuePeriod			Period
valueQuantity			Quantity( SimpleQuantity )
extension:qualification		0..1		Additional info about detail
extension		.. 0
url				"qualification"
value[x]			string
url				"detail"
value[x]		.. 0
extension:dependency		0..*		Resources that impact this assertion
extension		.. 0
url				"dependency"
value[x]			Reference (CRD Appointment | CRD Communication Request | CRD Device Request | CRD Medication Request | CRD Nutrition Order | CRD Service Request)
extension:questionnaire	C	0..*		Questionnaire
extension		.. 0
url				"questionnaire"
value[x]			canonical ( Questionnaire )
extension:response	C	0..*		Questionnaire Response
extension		.. 0
url				"response"
value[x]			Reference ( QuestionnaireResponse )
extension:date		1..1		Assertion date
extension		.. 0
url				"date"
value[x]		1..	date
extension:coverage-assertion-id		1..1		coverage-assertion-id
extension		.. 0
url				"coverage-assertion-id"
value[x]			string
extension:satisfied-pa-id		0..1		satisfied-pa-id
extension		.. 0
url				"satisfied-pa-id"
value[x]			string
extension:contact		0..*		Contact
extension		.. 0
url				"contact"
value[x]			ContactPoint
url				"http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information"
value[x]		.. 0
Documentation for this format

Produced 08 Sep 2023