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.