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## : C4DIC Coverage Identifier Type - JSON Representation

Page standards status: Trial-use | Maturity Level: 2

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    {
      "resourceType" : "ValueSet",
      "id" : "C4DICCoverageIdentifierType",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet C4DICCoverageIdentifierType</b></p><a name=\"C4DICCoverageIdentifierType\"> </a><a name=\"hcC4DICCoverageIdentifierType\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-C4DICIdentifierType.html\"><code>http://terminology.hl7.org/CodeSystem/C4DICIdentifierType</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;2.0.0-ballot</span><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=\"CodeSystem-C4DICIdentifierType.html#C4DICIdentifierType-um\">um</a></td><td style=\"color: #cccccc\">Unique Member ID</td><td>Indicates that the patient identifier is a unique member identifier assigned by a payer across all lines of business</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v2-0203.html\"><code>http://terminology.hl7.org/CodeSystem/v2-0203</code></a><span title=\"Version is explicitly stated to be 5.0.0\"> version &#x1F4CD;5.0.0</span><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/7.3.0/CodeSystem-v2-0203.html#v2-0203-MB\">MB</a></td><td style=\"color: #cccccc\">Member Number</td><td>An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v2-0203.html#v2-0203-MR\">MR</a></td><td style=\"color: #cccccc\">Medical record number</td><td>An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.</td></tr></table></li></ul></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "claims"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 2,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCoverageIdentifierType",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.16.840.1.113883.4.642.40.9.48.4"
        }
      ],
      "version" : "2.0.0-ballot",
      "name" : "C4DICCoverageIdentifierType",
      "title" : "C4DIC Coverage Identifier Type",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-08-13T02:29:19+10:00",
      "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
      "contact" : [
        {
          "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/claims"
            },
            {
              "system" : "email",
              "value" : "pie@lists.HL7.org"
            }
          ]
        }
      ],
      "description" : "Identifies the type of identifier for payer coverage",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "copyright" : "This Valueset is not copyrighted.",
      "compose" : {
        "include" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/C4DICIdentifierType",
            "concept" : [
              {
                "code" : "um"
              }
            ]
          },
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "version" : "5.0.0",
            "concept" : [
              {
                "code" : "MB"
              },
              {
                "code" : "MR"
              }
            ]
          }
        ]
      }
    }