Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: CRD Coverage Classes Value Set - XML Representation

Page standards status: Trial-use Maturity Level: 3

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="coverageClass"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet coverageClass</b></p><a name="coverageClass"> </a><a name="hccoverageClass"> </a><a name="coverageClass-en-US"> </a><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.5.0/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/5.5.0/CodeSystem-coverage-class.html#coverage-class-group">group</a></td><td style="color: #cccccc">Group</td><td>An employee group</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-subgroup">subgroup</a></td><td style="color: #cccccc">SubGroup</td><td>A sub-group of an employee group</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-plan">plan</a></td><td style="color: #cccccc">Plan</td><td>A specific suite of benefits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-subplan">subplan</a></td><td style="color: #cccccc">SubPlan</td><td>A subset of a specific suite of benefits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-class">class</a></td><td style="color: #cccccc">Class</td><td>A class of benefits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-subclass">subclass</a></td><td style="color: #cccccc">SubClass</td><td>A subset of a class of benefits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-coverage-class.html#coverage-class-sequence">sequence</a></td><td style="color: #cccccc">Sequence</td><td>A sequence number associated with a short-term continuance of the coverage.</td></tr></table></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageClass"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.18.48.11"/>
  </identifier>
  <version value="2.1.0"/>
  <name value="CRDCoverageClasses"/>
  <title value="CRD Coverage Classes Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-12-11T19:24:00+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description value="Restriction of coverage classes for CRD purposes"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <concept>
        <code value="group"/>
      </concept>
      <concept>
        <code value="subgroup"/>
      </concept>
      <concept>
        <code value="plan"/>
      </concept>
      <concept>
        <code value="subplan"/>
      </concept>
      <concept>
        <code value="class"/>
      </concept>
      <concept>
        <code value="subclass"/>
      </concept>
      <concept>
        <code value="sequence"/>
      </concept>
    </include>
  </compose>
</ValueSet>