Release 4 4B

This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). 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: R4B R4 R4B R4

Codesystem-coverage-class.json

Financial Management Work Group Maturity Level : N/A Standards Status : Informative

Raw JSON ( canonical form + also see JSON Format Specification )

Definition for Code System CoverageClassCodes SystemCoverageClassCodes 

{
  "resourceType" : "CodeSystem",
  "id" : "coverage-class",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00",

    "lastUpdated" : "2022-05-28T12:47:40.239+10:00",

    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2

  }],
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-class",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1147"

    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1147"

  }],
  "version" : "4.0.1",

  "version" : "4.3.0",

  "name" : "CoverageClassCodes",
  "title" : "Coverage Class Codes",
  "status" : "draft",
  "experimental" : false,
  "publisher" : "Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]

  }],
  "description" : "This value set includes Coverage Class codes.",
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-class",

  "content" : "complete",
  "concept" : [{
    "code" : "group",
    "display" : "Group",
    "definition" : "An employee group"
  },
  {
    "code" : "subgroup",
    "display" : "SubGroup",
    "definition" : "A sub-group of an employee group"
  },
  {
    "code" : "plan",
    "display" : "Plan",
    "definition" : "A specific suite of benefits."
  },
  {
    "code" : "subplan",
    "display" : "SubPlan",
    "definition" : "A subset of a specific suite of benefits."
  },
  {
    "code" : "class",
    "display" : "Class",
    "definition" : "A class of benefits."
  },
  {
    "code" : "subclass",
    "display" : "SubClass",
    "definition" : "A subset of a class of benefits."
  },
  {
    "code" : "sequence",
    "display" : "Sequence",
    "definition" : "A sequence number associated with a short-term continuance of the coverage."
  },
  {
    "code" : "rxbin",
    "display" : "RX BIN",
    "definition" : "Pharmacy benefit manager's Business Identification Number."
  },
  {
    "code" : "rxpcn",
    "display" : "RX PCN",
    "definition" : "A Pharmacy Benefit Manager specified Processor Control Number."
  },
  {
    "code" : "rxid",
    "display" : "RX Id",
    "definition" : "A Pharmacy Benefit Manager specified Member ID."
  },
  {
    "code" : "rxgroup",
    "display" : "RX Group",
    "definition" : "A Pharmacy Benefit Manager specified Group number."
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.