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) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

ValueSet: PCT Subject-To-Medical-Management Reason Value Set

Official URL: http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTSubjectToMedicalMgmtReasonVS Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: PCTSubjectToMedicalMgmtReasonVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.48.32

Copyright/Legal: This Valueset is not copyrighted.

Codes for the classification of subject-to-medical-management reasons

References

Logical Definition (CLD)

 

Expansion

Expansion based on codesystem PCT Subject-To-Medical-Management Reason Code System v2.0.0-ballot (CodeSystem)

This value set contains 4 concepts.

CodeSystemDisplayDefinition
  concurrent-reviewhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCSConcurrent Review

Concurrent Review

  prior-authhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCSPrior Authorization

Prior Authorization

  step-therapyhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCSStep Therapy

Step Therapy

  fail-firsthttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCSFail-First

Fail-First

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code