R6 Ballot (3rd Draft) FHIR CI-Build

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes ). The current version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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4.4.1.552 4.4.1.273 ValueSet http://hl7.org/fhir/ValueSet/coverage-class

Responsible Owner: Financial Management icon Work Group   Maturity Level : 4 Trial Use Normative Use Context : Country: World
Official URL : http://hl7.org/fhir/ValueSet/coverage-class Version : 6.0.0-ballot3
draft active as of 2025-04-01 2025-11-27 Computable Name : CoverageClassCodes
Flags : OID : 2.16.840.1.113883.4.642.3.1009

This value set is used in the following places:

This value set includes Coverage Class codes.


Generated Narrative: ValueSet coverage-class

Last updated: 2025-04-01T12:16:37.966+11:00 Profile: Shareable ValueSet 2025-11-27T16:48:47.349Z

 

This expansion generated 01 Apr 27 Nov 2025


ValueSet

Expansion performed internally based on codesystem Coverage Class Codes v1.0.1 (CodeSystem) icon

This value set contains 11 concepts

Code System System Code Display Definition
http://terminology.hl7.org/CodeSystem/coverage-class    group icon http://terminology.hl7.org/CodeSystem/coverage-class Group An employee group
http://terminology.hl7.org/CodeSystem/coverage-class    subgroup icon http://terminology.hl7.org/CodeSystem/coverage-class SubGroup A sub-group of an employee group
http://terminology.hl7.org/CodeSystem/coverage-class    plan icon http://terminology.hl7.org/CodeSystem/coverage-class Plan A specific suite of benefits.
http://terminology.hl7.org/CodeSystem/coverage-class    subplan icon http://terminology.hl7.org/CodeSystem/coverage-class SubPlan A subset of a specific suite of benefits.
http://terminology.hl7.org/CodeSystem/coverage-class    class icon http://terminology.hl7.org/CodeSystem/coverage-class Class A class of benefits.
http://terminology.hl7.org/CodeSystem/coverage-class    subclass icon http://terminology.hl7.org/CodeSystem/coverage-class SubClass A subset of a class of benefits.
http://terminology.hl7.org/CodeSystem/coverage-class    sequence icon http://terminology.hl7.org/CodeSystem/coverage-class Sequence A sequence number associated with a short-term continuance of the coverage.
http://terminology.hl7.org/CodeSystem/coverage-class    rxbin icon http://terminology.hl7.org/CodeSystem/coverage-class RX BIN Pharmacy benefit manager's Business Identification Number.
http://terminology.hl7.org/CodeSystem/coverage-class    rxpcn icon http://terminology.hl7.org/CodeSystem/coverage-class RX PCN A Pharmacy Benefit Manager specified Processor Control Number.
http://terminology.hl7.org/CodeSystem/coverage-class    rxid icon http://terminology.hl7.org/CodeSystem/coverage-class RX Id A Pharmacy Benefit Manager specified Member ID.
http://terminology.hl7.org/CodeSystem/coverage-class    rxgroup icon http://terminology.hl7.org/CodeSystem/coverage-class RX Group A Pharmacy Benefit Manager specified Group number.

 

See the full registry of value sets defined as part of FHIR.


Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source 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). If the code is in italics, this indicates that the code is not selectable ('Abstract')
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