R4 Ballot #1 (Mixed Normative/Trial use)

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

Codesystem-coverage-class.json

Financial Management Work GroupMaturity Level: N/ABallot Status: Informative

Raw JSON (canonical form)

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.