{ "description": "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.", "_filename": "CodeSystem-PCTSubjectToMedicalMgmtReasonCS.json", "package_name": "hl7.fhir.us.davinci-pct", "date": "2024-04-08T16:53:34+00:00", "publisher": "HL7 International / Financial Management", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "content": "complete", "name": "PCTSubjectToMedicalMgmtReasonCS", "copyright": "This CodeSystem is not copyrighted.", "type": null, "experimental": "false", "resourceType": "CodeSystem", "title": "PCT Subject-To-Medical-Management Reason Code System", "package_version": "2.0.0-ballot", "extension": [ { "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-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" } ] } } ], "status": "active", "id": "0d6027f0-9efd-47d6-a4e5-859d482889c9", "kind": null, "count": 4, "url": "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSubjectToMedicalMgmtReasonCS", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.4.642.40.4.16.16", "system": "urn:ietf:rfc:3986" } ], "concept": [ { "code": "concurrent-review", "display": "Concurrent Review", "definition": "Concurrent Review" }, { "code": "prior-auth", "display": "Prior Authorization", "definition": "Prior Authorization" }, { "code": "step-therapy", "display": "Step Therapy", "definition": "Step Therapy" }, { "code": "fail-first", "display": "Fail-First", "definition": "Fail-First" } ], "caseSensitive": true, "version": "2.0.0-ballot", "contact": [ { "name": "HL7 International / Financial Management", "telecom": [ { "value": "http://www.hl7.org/Special/committees/fm", "system": "url" }, { "value": "fmlists@lists.hl7.org", "system": "email" } ] } ] }