{
"description": "Codes temporarily defined as part of the CRD implementation guide. These will eventually migrate into an officially maintained terminology (likely either SNOMED CT or HL7's UTG code systems).",
"_filename": "CodeSystem-temp.json",
"package_name": "hl7.fhir.us.davinci-crd",
"date": "2026-03-27T11:32:28+11:00",
"publisher": "HL7 International / Financial Management",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"content": "complete",
"property": [ {
"uri": "http://hl7.org/fhir/concept-properties#notSelectable",
"code": "abstract",
"type": "boolean"
} ],
"name": "CRDTempCodes",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "CRD Temporary Codes",
"package_version": "2.2.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 4,
"_valueInteger": {
"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/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"
} ]
}
} ],
"status": "active",
"hierarchyMeaning": "is-a",
"id": "0423c65d-ddae-4db4-a40a-cb8dcc0cb16e",
"kind": null,
"count": 53,
"url": "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.18.16.1",
"system": "urn:ietf:rfc:3986"
} ],
"concept": [ {
"code": "gold-card",
"display": "Gold card",
"definition": "Ordering Practitioner has been granted 'gold card' status with this payer/coverage type."
}, {
"code": "no-member-found",
"display": "Member not found",
"definition": "The server was unable to find a matching member or was unable to resolve to a single member, so no coverage information can be provided."
}, {
"code": "no-active-coverage",
"display": "Coverage not active",
"definition": "The referenced coverage for the member was found but is not in force during the relevant time period for which the coverage is being evaluated."
}, {
"code": "coverage-not-found",
"display": "Coverage not found",
"definition": "The payer is not available to resolve the provided coverage information to an existing coverage record, or it is not specific enough to resolve to a single coverage."
}, {
"code": "auth-out-network",
"display": "Authorization needed out-of-network",
"definition": "Authorization is necessary if out-of-network."
}, {
"code": "technical",
"display": "Technical issues",
"definition": "The server encountered technical issues either internally or with their interaction with the client. It is possible these issues are transient and later calls might provide more information."
}, {
"code": "_limitation",
"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"
} ],
"display": "Limitation details",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Identifies detail codes that define limitations of coverage. (Category should be 'cat-limitation')"
}, {
"code": "_decisional",
"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."
} ],
"display": "Decisional details",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Identifies detail codes that may impact patient and clinician decision making (Category should be 'cat-decisional')"
}, {
"code": "_other",
"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."
} ],
"display": "Other details",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Identifies detail codes that are generally not relevant to clinicians/patients (Category should be 'cat-other')"
}, {
"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.)"
}, {
"code": "_cardType",
"concept": [ {
"code": "coverage-info",
"concept": [ {
"code": "unsolicited-determ",
"display": "Unsolicited Determination",
"definition": "An unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request"
} ],
"display": "Coverage Information",
"definition": "Information related to the patient's coverage, including whether a service is covered, requires prior authorization, is approved without seeking prior authorization, and/or requires additional documentation or data collection"
}, {
"code": "claim",
"display": "Claim",
"definition": "Information about what steps need to be taken to submit a claim for the service"
}, {
"code": "insurance",
"display": "Insurance",
"definition": "Allows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions)"
}, {
"code": "limits",
"display": "Limits",
"definition": "Messages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general"
}, {
"code": "network",
"display": "Network",
"definition": "Providing information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network)"
}, {
"code": "appropriate-use",
"display": "Appropriate Use",
"definition": "Guidance on whether appropriate-use documentation is needed"
}, {
"code": "cost",
"display": "Cost",
"definition": "What is the anticipated cost to the patient based on their coverage"
}, {
"code": "therapy-alternatives-opt",
"display": "Optional Therapy Alternatives",
"definition": "Are there alternative therapies that have better coverage and/or are lower-cost for the patient"
}, {
"code": "therapy-alternatives-req",
"display": "Required Therapy Alternatives",
"definition": "Are there alternative therapies that must be tried first prior to coverage being available for the proposed therapy"
}, {
"code": "clinical-reminder",
"display": "Clinical Reminder",
"definition": "Reminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention)"
}, {
"code": "duplicate-therapy",
"display": "Duplicate Therapy",
"definition": "Notice that the proposed intervention has already recently occurred with a different provider when that information is not already available in the provider system"
}, {
"code": "contraindication",
"display": "Contraindication",
"definition": "Notice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider does not have in theirs"
}, {
"code": "guideline",
"display": "Guideline",
"definition": "Indication that there is a guideline available for the proposed therapy (with an option to view)"
}, {
"code": "off-guideline",
"display": "Off Guideline",
"definition": "Notice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline"
} ],
"display": "Card Type (abstract)",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "A collector for different profiles on CDS Hooks card"
}, {
"code": "_reqcat",
"concept": [ {
"code": "behavioral",
"concept": [ {
"code": "business",
"display": "Business",
"definition": "Requirements relating to the business operations of the entities responsible for a system"
}, {
"code": "functional",
"concept": [ {
"code": "exchange",
"display": "Exchange",
"definition": "Requirements relating to when, how, or what data is exchanged with other systems"
}, {
"code": "processing",
"display": "Processing",
"definition": "Requirements related to how data must be analyzed, transformed, considered, or otherwise used within a system"
}, {
"code": "storage",
"display": "Storage",
"definition": "Requirements related to if or how data is persisted in a system"
} ],
"display": "Functional",
"definition": "Requirements related to what the system does (inputs turned into outputs)"
}, {
"code": "non-functional",
"concept": [ {
"code": "availability",
"display": "Availability",
"definition": "Requirements related to how and when a system needs to be reachable and useable"
}, {
"code": "ui",
"concept": [ {
"code": "ui-accessibility",
"display": "UI Accessibility",
"definition": "Requirements around user interface that ensure a satisfactory experience for users from different backgrounds or with varying physical, cognitive, and/or sensory abilities"
}, {
"code": "ui-consistency",
"display": "UI Consistency",
"definition": "Requirements around ensuring that different implementations have sufficiently aligned appearance and mechanisms of interaction"
}, {
"code": "ui-usability",
"display": "UI Usability",
"definition": "Requirements related to the intuitiveness, simplicity, and ease-of-use of a user-interface"
} ],
"display": "User Interface",
"definition": "Requirements related to how information is collected from and exposed to humans (or animals)"
}, {
"code": "security",
"display": "Security/Privacy",
"definition": "Requirements that ensure that data is appropriately protected from threats and respects rules around what parties are permitted to access or manipulate"
}, {
"code": "safety",
"display": "Safety",
"definition": "Requirements that ensure that system operation does not negatively impact the wellbeing of people or assets"
}, {
"code": "performance",
"display": "Performance/Scalability",
"definition": "Requirements that deal with timeliness of processing and/or responsiveness under differing levels of load/volume"
} ],
"display": "Non-functional",
"definition": "Requirements related to how the system accomplishes functional requirements"
} ],
"display": "Behavioral",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Categories related to how the system behaves"
}, {
"code": "source",
"concept": [ {
"code": "user",
"display": "User Requirements",
"definition": "Requirements originating from the community of individuals expected to use the system/solution"
}, {
"code": "legal",
"display": "Legal Requirements",
"definition": "Requirements originating from regulation or law"
}, {
"code": "design",
"display": "Design Decisions",
"definition": "Requirements documenting decisions made in the design of the solution"
} ],
"display": "Source",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Categories related to where the requirement came from"
} ],
"display": "Requirements Categories",
"property": [ {
"code": "abstract",
"valueBoolean": true
} ],
"definition": "Codes that help to categorize requirements statements"
} ],
"caseSensitive": true,
"version": "2.2.1",
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ]
}