Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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: R5 R4B R4

4.4.1.571 ValueSet http://hl7.org/fhir/ValueSet/coverage-class

Financial Management Work Group Maturity Level: 2Trial Use Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/coverage-class
Version:5.0.0-ballot
Name:CoverageClassCodes
Title:Coverage Class Codes
Status:draft
Definition:

This value set includes Coverage Class codes.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.3.1009 (for OID based terminology systems)
Copyright:

HL7 Inc.

Flags:

This value set is used in the following places:

4.4.1.571.1 Content Logical Definition

 

4.4.1.571.2 Expansion

This expansion generated 07 Sep 2022

This value set contains 11 concepts

Expansion based on Coverage Class Codes v0.1.0 (CodeSystem)

CodeSystemDisplayDefinition
  group http://terminology.hl7.org/CodeSystem/coverage-classGroup

An employee group

  subgroup http://terminology.hl7.org/CodeSystem/coverage-classSubGroup

A sub-group of an employee group

  plan http://terminology.hl7.org/CodeSystem/coverage-classPlan

A specific suite of benefits.

  subplan http://terminology.hl7.org/CodeSystem/coverage-classSubPlan

A subset of a specific suite of benefits.

  class http://terminology.hl7.org/CodeSystem/coverage-classClass

A class of benefits.

  subclass http://terminology.hl7.org/CodeSystem/coverage-classSubClass

A subset of a class of benefits.

  sequence http://terminology.hl7.org/CodeSystem/coverage-classSequence

A sequence number associated with a short-term continuance of the coverage.

  rxbin http://terminology.hl7.org/CodeSystem/coverage-classRX BIN

Pharmacy benefit manager's Business Identification Number.

  rxpcn http://terminology.hl7.org/CodeSystem/coverage-classRX PCN

A Pharmacy Benefit Manager specified Processor Control Number.

  rxid http://terminology.hl7.org/CodeSystem/coverage-classRX Id

A Pharmacy Benefit Manager specified Member ID.

  rxgroup http://terminology.hl7.org/CodeSystem/coverage-classRX 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:

LvlA 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
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code