Patient Cost Transparency Implementation Guide
2.0.0-draft - STU 2 - Draft United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. 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-draft
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:

Changes since version 1.1.0:

  • The resource metadata has changed (description)

    • 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