Release 5 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
See the Directory of published versions icon . Page versions: R5 R4B R4

4.4.1.523 4.4.1.274 ValueSet http://hl7.org/fhir/ValueSet/coverage-class

  Maturity Level : 4
Responsible Owner: Financial Management icon Work Group Trial Use Normative Use Context : Country: World
Official URL : http://hl7.org/fhir/ValueSet/coverage-class Version : 5.0.0 6.0.0-ballot3
draft active as of 2023-03-26 2025-12-17 Computable Name : CoverageClassCodes
Flags : OID : 2.16.840.1.113883.4.642.3.1009

This value set is used in the following places:

4.4.1.523.1 4.4.1.274.1 Definition

This value set includes Coverage Class codes.

4.4.1.523.2 4.4.1.274.2 Content Logical Definition

Generated Narrative: ValueSet coverage-class

Last updated: 2025-12-17T09:50:17.012Z

 

4.4.1.523.3 4.4.1.274.3 Expansion

This expansion generated 26 Mar 2023 17 Dec 2025

This value set contains 11 concepts

ValueSet

Expansion performed internally based on codesystem Coverage Class Codes v0.1.0 v1.0.1 (CodeSystem) icon

This value set contains 11 concepts

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