This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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
| Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative |
Definition for Code System Coverage Class Codes
{
"resourceType": "CodeSystem",
"id": "coverage-class",
"meta": {
"lastUpdated": "2018-04-03T12:05:46.262+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-ballot-status",
"valueString": "Trial Use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/coverage-class",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.1.1010"
},
"version": "3.3.0",
"name": "Coverage Class Codes",
"status": "draft",
"experimental": true,
"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.