FHIR IG Statistics: CodeSystem/medical-management-type

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Source

{
  "resourceType": "CodeSystem",
  "id": "medical-management-type",
  "meta": {
    "lastUpdated": "2025-05-26T00:00:00+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/medical-management-type",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.5.175"
  },
  "version": "1.0.0",
  "name": "MedicalManagementType",
  "title": "Medical Management Type",
  "status": "active",
  "experimental": false,
  "date": "2025-07-07T07:35:25-06:00",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Types of medical management requirements or processes used by health insurers (payers) that may impact whether a service or item is covered or reimbursement rates.",
  "copyright": "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",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/medical-management-type",
  "content": "complete",
  "concept": [
    {
      "code": "concurrent-review",
      "display": "Concurrent Review",
      "definition": "Review of medical necessity while the patient is actively receiving treatment."
    },
    {
      "code": "prior-auth",
      "display": "Prior Authorization",
      "definition": "Review of medical necessity prior to receiving treatment."
    },
    {
      "code": "step-therapy",
      "display": "Step Therapy (Fail First)",
      "definition": "Requirement that lower cost or preferred treatments be tried, or perhaps contra-indicated, before alternatives are utilized. This policy is sometimes referred to as 'fail first'."
    }
  ]
}