Da Vinci - Coverage Requirements Discovery
1.1.0-ballot - STU 1.1 US

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.1.0-ballot: STU 1.1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: CRD Coverage Classes - JSON Representation

Draft as of 2022-02-17

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{
  "resourceType" : "ValueSet",
  "id" : "coverageClass",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html\"><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-group\">group</a></td><td>Group</td><td>An employee group</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-subgroup\">subgroup</a></td><td>SubGroup</td><td>A sub-group of an employee group</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-plan\">plan</a></td><td>Plan</td><td>A specific suite of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-subplan\">subplan</a></td><td>SubPlan</td><td>A subset of a specific suite of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-class\">class</a></td><td>Class</td><td>A class of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-subclass\">subclass</a></td><td>SubClass</td><td>A subset of a class of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-coverage-class.html#coverage-class-sequence\">sequence</a></td><td>Sequence</td><td>A sequence number associated with a short-term continuance of the coverage.</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageClass",
  "version" : "1.1.0-ballot",
  "name" : "CRDCoverageClasses",
  "title" : "CRD Coverage Classes",
  "status" : "draft",
  "date" : "2022-02-17T08:05:13+00:00",
  "publisher" : "HL7 International - Financial Management Work Group",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Restriction of coverage classes for CRD purposes",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
        "concept" : [
          {
            "code" : "group"
          },
          {
            "code" : "subgroup"
          },
          {
            "code" : "plan"
          },
          {
            "code" : "subplan"
          },
          {
            "code" : "class"
          },
          {
            "code" : "subclass"
          },
          {
            "code" : "sequence"
          }
        ]
      }
    ]
  }
}