{
  "resourceType" : "ValueSet",
  "id" : "coverageInfo",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet coverageInfo</b></p><a name=\"coverageInfo\"> </a><a name=\"hccoverageInfo\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-coverage-information-codes.html\"><code>http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;2.2.1</span><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-coverage-information-codes.html#coverage-information-codes-not-covered\">not-covered</a></td><td style=\"color: #cccccc\">Not covered</td><td>No coverage or possibility of coverage for this service</td></tr><tr><td><a href=\"CodeSystem-coverage-information-codes.html#coverage-information-codes-covered\">covered</a></td><td style=\"color: #cccccc\">Covered</td><td>Regular coverage applies.  Coverage is still subject to normal plan limits, deductibles, and other considerations meaning there is no guarantee of payment.  This response does NOT replace any need for a pre-determination, if required.</td></tr><tr><td><a href=\"CodeSystem-coverage-information-codes.html#coverage-information-codes-conditional\">conditional</a></td><td style=\"color: #cccccc\">Conditional</td><td>There is the potential for information requirements from a participant type not listed.  However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)</td></tr><tr><td><a href=\"CodeSystem-coverage-information-codes.html#coverage-information-codes-indeterminate\">indeterminate</a></td><td style=\"color: #cccccc\">Indeterminate</td><td>Indicates that, due to technical issues on the part of the client and/or server, consent restrictions by the patient, or similar atypical limitations or constraints, the payer is unable to evaluate coverage requirements</td></tr></table></li></ul></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "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"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.18.48.13"
  }],
  "version" : "2.2.1",
  "name" : "CRDCoveredInfo",
  "title" : "CRD Coverage Information Covered Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-27T11:45:27+11:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    }]
  }],
  "description" : "Codes defining whether the ordered/requested service is covered under patient's plan",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/coverage-information-codes",
      "concept" : [{
        "code" : "not-covered"
      },
      {
        "code" : "covered"
      },
      {
        "code" : "conditional"
      },
      {
        "code" : "indeterminate"
      }]
    }]
  }
}