Extensions for Using Data Elements from FHIR R4B in FHIR STU3
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Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

: CoverageClassCodes - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coverage-class"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <p>This code system http://terminology.hl7.org/CodeSystem/coverage-class defines the following codes:</p>
            <table class="codes">
              <tr>
                <td style="white-space:nowrap">
                  <b>Code</b>
                </td>
                <td>
                  <b>Display</b>
                </td>
                <td>
                  <b>Definition</b>
                </td>
              </tr>
              <tr>
                <td style="white-space:nowrap">group
                  <a name="coverage-class-group"> </a>
                </td>
                <td>Group</td>
                <td>An employee group</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">subgroup
                  <a name="coverage-class-subgroup"> </a>
                </td>
                <td>SubGroup</td>
                <td>A sub-group of an employee group</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">plan
                  <a name="coverage-class-plan"> </a>
                </td>
                <td>Plan</td>
                <td>A specific suite of benefits.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">subplan
                  <a name="coverage-class-subplan"> </a>
                </td>
                <td>SubPlan</td>
                <td>A subset of a specific suite of benefits.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">class
                  <a name="coverage-class-class"> </a>
                </td>
                <td>Class</td>
                <td>A class of benefits.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">subclass
                  <a name="coverage-class-subclass"> </a>
                </td>
                <td>SubClass</td>
                <td>A subset of a class of benefits.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">sequence
                  <a name="coverage-class-sequence"> </a>
                </td>
                <td>Sequence</td>
                <td>A sequence number associated with a short-term continuance of the coverage.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">rxbin
                  <a name="coverage-class-rxbin"> </a>
                </td>
                <td>RX BIN</td>
                <td>Pharmacy benefit manager's Business Identification Number.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">rxpcn
                  <a name="coverage-class-rxpcn"> </a>
                </td>
                <td>RX PCN</td>
                <td>A Pharmacy Benefit Manager specified Processor Control Number.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">rxid
                  <a name="coverage-class-rxid"> </a>
                </td>
                <td>RX Id</td>
                <td>A Pharmacy Benefit Manager specified Member ID.</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">rxgroup
                  <a name="coverage-class-rxgroup"> </a>
                </td>
                <td>RX Group</td>
                <td>A Pharmacy Benefit Manager specified Group number.</td>
              </tr>
            </table>
          </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4b.r3"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
  <version value="4.3.0"/>
  <name value="CoverageClassCodes"/>
  <title value="Coverage Class Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-20T13:55:37+11:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description value="This value set includes Coverage Class codes."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <copyright value="HL7 Inc."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <concept>
    <code value="group"/>
    <display value="Group"/>
    <definition value="An employee group"/>
  </concept>
  <concept>
    <code value="subgroup"/>
    <display value="SubGroup"/>
    <definition value="A sub-group of an employee group"/>
  </concept>
  <concept>
    <code value="plan"/>
    <display value="Plan"/>
    <definition value="A specific suite of benefits."/>
  </concept>
  <concept>
    <code value="subplan"/>
    <display value="SubPlan"/>
    <definition value="A subset of a specific suite of benefits."/>
  </concept>
  <concept>
    <code value="class"/>
    <display value="Class"/>
    <definition value="A class of benefits."/>
  </concept>
  <concept>
    <code value="subclass"/>
    <display value="SubClass"/>
    <definition value="A subset of a class of benefits."/>
  </concept>
  <concept>
    <code value="sequence"/>
    <display value="Sequence"/>
    <definition
                value="A sequence number associated with a short-term continuance of the coverage."/>
  </concept>
  <concept>
    <code value="rxbin"/>
    <display value="RX BIN"/>
    <definition
                value="Pharmacy benefit manager's Business Identification Number."/>
  </concept>
  <concept>
    <code value="rxpcn"/>
    <display value="RX PCN"/>
    <definition
                value="A Pharmacy Benefit Manager specified Processor Control Number."/>
  </concept>
  <concept>
    <code value="rxid"/>
    <display value="RX Id"/>
    <definition value="A Pharmacy Benefit Manager specified Member ID."/>
  </concept>
  <concept>
    <code value="rxgroup"/>
    <display value="RX Group"/>
    <definition value="A Pharmacy Benefit Manager specified Group number."/>
  </concept>
</CodeSystem>