Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.271 4.4.1.541 Value Set ValueSet http://hl7.org/fhir/ValueSet/coverage-class

Financial Management icon Work Group   Maturity Level : 2 Trial Use Use Context : Any Country: World
This is a value set defined by the FHIR project. Summary
  • Defining URL: Narrative http://hl7.org/fhir/ValueSet/coverage-class
  • Version: XML 4.3.0
  • Name: JSON CoverageClassCodes
  • Title: TTL Coverage Class Codes
OID: HL7 Inc.
Official URL : Definition: http://hl7.org/fhir/ValueSet/coverage-class This value set includes Coverage Class codes. Committee: Financial Management Work Group Version : 5.0.0-draft-final
draft as of 2023-03-01 2.16.840.1.113883.4.642.3.1009 (for OID based terminology systems) Computable Name : CoverageClassCodes Copyright:
Source Resource Flags : XML / JSON OID : 2.16.840.1.113883.4.642.3.1009

This value set is used in the following places:

4.4.1.271.1 4.4.1.541.1 Definition

This value set includes Coverage Class codes.

4.4.1.541.2 Content Logical Definition

 

4.4.1.271.2 4.4.1.541.3 Expansion

This expansion generated 28 May 2022 01 Mar 2023

This value set contains 11 concepts

Expansion based on Coverage Class Codes v4.3.0 v0.1.0 (CodeSystem) All codes in this table are from the system http://terminology.hl7.org/CodeSystem/coverage-class icon

Code System Display Definition
   group icon http://terminology.hl7.org/CodeSystem/coverage-class Group

An employee group

   subgroup icon http://terminology.hl7.org/CodeSystem/coverage-class SubGroup

A sub-group of an employee group

   plan icon http://terminology.hl7.org/CodeSystem/coverage-class Plan

A specific suite of benefits.

   subplan icon http://terminology.hl7.org/CodeSystem/coverage-class SubPlan

A subset of a specific suite of benefits.

   class icon http://terminology.hl7.org/CodeSystem/coverage-class Class

A class of benefits.

   subclass icon http://terminology.hl7.org/CodeSystem/coverage-class SubClass

A subset of a class of benefits.

   sequence icon http://terminology.hl7.org/CodeSystem/coverage-class Sequence

A sequence number associated with a short-term continuance of the coverage.

   rxbin icon http://terminology.hl7.org/CodeSystem/coverage-class RX BIN

Pharmacy benefit manager's Business Identification Number.

   rxpcn icon http://terminology.hl7.org/CodeSystem/coverage-class RX PCN

A Pharmacy Benefit Manager specified Processor Control Number.

   rxid icon http://terminology.hl7.org/CodeSystem/coverage-class RX Id

A Pharmacy Benefit Manager specified Member ID.

   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