Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot US

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

CodeSystem: PCT Subject-To-Medical-Management Reason Code System

Official URL: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCS Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: PCTSubjectToMedicalMgmtReasonCS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.16.16

Copyright/Legal: This CodeSystem is not copyrighted.

Defining codes for the classification of subject-to-medical-management reason types. This CodeSystem is currently defined by this IG, but is anticipated to be temporary. The concepts within are expected to be moved in a future version to a more central terminology specification such as THO, which will result in a code system url change and possibly modified codes and definitions.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCS defines the following codes:

CodeDisplayDefinition
concurrent-review Concurrent Review Concurrent Review
prior-auth Prior Authorization Prior Authorization
step-therapy Step Therapy Step Therapy
fail-first Fail-First Fail-First