{
  "description": "Coverage guidance",
  "_filename": "CodeSystem-coverageGuidance.json",
  "package_name": "hl7.fhir.us.davinci-crd",
  "date": "2022-02-17T08:05:13+00:00",
  "publisher": "HL7 International - Financial Management Work Group",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "content": "complete",
  "name": "CoverageGuidance",
  "type": null,
  "experimental": null,
  "resourceType": "CodeSystem",
  "title": "Coverage Guidance Code System",
  "package_version": "1.1.0-ballot",
  "status": "draft",
  "id": "39964913-476e-436a-92d0-feedbca1aad1",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverageGuidance",
  "concept": [ {
    "code": "not-covered",
    "display": "Not covered",
    "definition": "no coverage or possibility of coverage for this service)"
  }, {
    "code": "covered",
    "display": "Covered",
    "definition": "regular coverage applies"
  }, {
    "code": "prior-auth",
    "display": "Prior authorization",
    "definition": "coverage is possible with prior authorization"
  }, {
    "code": "clinical",
    "display": "Clinical",
    "definition": "clinical details are required to determine coverage/prior auth applicability - e.g. via DTR by clinician"
  }, {
    "code": "admin",
    "display": "Admin",
    "definition": "administrative details are required to determine coverage/prior auth applicability - e.g. via DTR by clinician"
  } ],
  "caseSensitive": true,
  "version": "1.1.0-ballot",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    } ]
  } ]
}