cdshooks-card-type
type: CodeSystem
node role: treeRoot
id:
  v: cdshooks-card-type
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem cdshooks-card-type This case-sensitive code system http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp defines the following codes in a Is-A hierarchy: Lvl Code Display Definition 1 coverage-info Coverage Information 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 2 unsolicited-determ Unsolicited Determination An unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request 1 claim Claim Information about what steps need to be taken to submit a claim for the service 1 insurance Insurance Allows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions) 1 limits Limits Messages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general 1 network Network Providing information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network) 1 appropriate-use Appropriate Use Guidance on whether appropriate-use documentation is needed 1 cost Cost What is the anticipated cost to the patient based on their coverage 1 therapy-alternatives-opt Optional Therapy Alternatives Are there alternative therapies that have better coverage and/or are lower-cost for the patient 1 therapy-alternatives-req Required Therapy Alternatives Are there alternative therapies that must be tried first prior to coverage being available for the proposed therapy 1 clinical-reminder Clinical Reminder Reminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention) 1 duplicate-therapy Duplicate Therapy Notice that the proposed intervention has already r…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: fm
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 1
url:
  v: http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.5.176
version:
  v: 1.0.0
name:
  v: CDSHooksCardType
title:
  v: CDS Hooks Card Types
status:
  v: active
experimental:
  v: false
date:
  v: 2025-10-16T00:00:00+00:00
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: Codes defining types of cards that can potentially be returned by a decision support service. The initial set of codes is biased towards those related to insurance coverage, but all types of response types are acceptable in the code system.
copyright:
  v: This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
case sensitive:
  v: true
hierarchy meaning:
  v: is-a
content:
  v: complete
concept:
  code:
    v: coverage-info
  display:
    v: Coverage Information
  definition:
    v: 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
  concept:
    code:
      v: unsolicited-determ
    display:
      v: Unsolicited Determination
    definition:
      v: An unsolicited approval of the service as having prior authorization requirements met without a formal submission of a prior authorization request
concept:
  code:
    v: claim
  display:
    v: Claim
  definition:
    v: Information about what steps need to be taken to submit a claim for the service
concept:
  code:
    v: insurance
  display:
    v: Insurance
  definition:
    v: Allows a provider to update the patient's coverage information with additional details from the payer (e.g. expiry date, coverage extensions)
concept:
  code:
    v: limits
  display:
    v: Limits
  definition:
    v: Messages warning about the patient approaching or exceeding their limits for a particular type of coverage or expiry date for coverage in general
concept:
  code:
    v: network
  display:
    v: Network
  definition:
    v: Providing information about in-network providers that could deliver the order (or in-network alternatives for an order directed out-of-network)
concept:
  code:
    v: appropriate-use
  display:
    v: Appropriate Use
  definition:
    v: Guidance on whether appropriate-use documentation is needed
concept:
  code:
    v: cost
  display:
    v: Cost
  definition:
    v: What is the anticipated cost to the patient based on their coverage
concept:
  code:
    v: therapy-alternatives-opt
  display:
    v: Optional Therapy Alternatives
  definition:
    v: Are there alternative therapies that have better coverage and/or are lower-cost for the patient
concept:
  code:
    v: therapy-alternatives-req
  display:
    v: Required Therapy Alternatives
  definition:
    v: Are there alternative therapies that must be tried first prior to coverage being available for the proposed therapy
concept:
  code:
    v: clinical-reminder
  display:
    v: Clinical Reminder
  definition:
    v: Reminders that a patient is due for certain screening or other therapy (based on payer recorded date of last intervention)
concept:
  code:
    v: duplicate-therapy
  display:
    v: Duplicate Therapy
  definition:
    v: Notice that the proposed intervention has already recently occurred with a different provider when that information isn't already available in the provider system
concept:
  code:
    v: contraindication
  display:
    v: Contraindication
  definition:
    v: Notice that the proposed intervention may be contraindicated based on information the payer has in their record that the provider doesn't have in theirs
concept:
  code:
    v: guideline
  display:
    v: Guideline
  definition:
    v: Indication that there is a guideline available for the proposed therapy (with an option to view)
concept:
  code:
    v: off-guideline
  display:
    v: Off Guideline
  definition:
    v: Notice that the proposed therapy may be contrary to best-practice guidelines, typically with an option to view the relevant guideline