This page is part of the FHIR Specification (v3.5.0: 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 |
Raw JSON (canonical form + also see JSON Format Specification)
Definition for Code System CoverageClassCodes
{
"resourceType" : "CodeSystem",
"id" : "coverage-class",
"meta" : {
"lastUpdated" : "2018-08-19T21:48:56.559+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",
"valueString" : "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:2.16.840.1.113883.4.642.1.1147"
}],
"version" : "3.5.0",
"name" : "CoverageClassCodes",
"title" : "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.