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

: R4BCoverageClassForR3 - XML Representation

Page standards status: Trial-use Maturity Level: 2

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R4B-coverage-class-for-R3"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4B-coverage-class-for-R3</b></p><a name="R4B-coverage-class-for-R3"> </a><a name="hcR4B-coverage-class-for-R3"> </a><p>This value set expansion contains 11 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-class"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-class">class</a></td><td>Class</td><td>A class of benefits.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-group"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-group">group</a></td><td>Group</td><td>An employee group</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-plan"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-plan">plan</a></td><td>Plan</td><td>A specific suite of benefits.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-rxbin"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-rxbin">rxbin</a></td><td>RX BIN</td><td>Pharmacy benefit manager's Business Identification Number.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-rxgroup"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-rxgroup">rxgroup</a></td><td>RX Group</td><td>A Pharmacy Benefit Manager specified Group number.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-rxid"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-rxid">rxid</a></td><td>RX Id</td><td>A Pharmacy Benefit Manager specified Member ID.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-rxpcn"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-rxpcn">rxpcn</a></td><td>RX PCN</td><td>A Pharmacy Benefit Manager specified Processor Control Number.</td></tr><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-sequence"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="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><tr><td><a name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-subclass"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="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 name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-subgroup"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="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 name="R4B-coverage-class-for-R3-http://terminology.hl7.org/CodeSystem/coverage-class-subplan"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-class.html#coverage-class-subplan">subplan</a></td><td>SubPlan</td><td>A subset of a specific suite of benefits.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <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-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R4B-coverage-class-for-R3"/>
  <version value="0.1.0"/>
  <name value="R4BCoverageClassForR3"/>
  <title
         value="Cross-version ValueSet R4B.CoverageClassCodes for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <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 cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/coverage-class|4.3.0` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/coverage-class|4.3.0` as defined in FHIR R4B
in FHIR STU3.

The source value set is bound to the following FHIR R4B elements:
* `Coverage.class.type` as Extensible

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/coverage-class|4.3.0`
* `http://hl7.org/fhir/ValueSet/coverage-class|4.0.1`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (11).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/coverage-class|4.3.0`, defined in FHIR R4B does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <concept>
        <code value="class"/>
        <display value="Class"/>
      </concept>
      <concept>
        <code value="group"/>
        <display value="Group"/>
      </concept>
      <concept>
        <code value="plan"/>
        <display value="Plan"/>
      </concept>
      <concept>
        <code value="rxbin"/>
        <display value="RX BIN"/>
      </concept>
      <concept>
        <code value="rxgroup"/>
        <display value="RX Group"/>
      </concept>
      <concept>
        <code value="rxid"/>
        <display value="RX Id"/>
      </concept>
      <concept>
        <code value="rxpcn"/>
        <display value="RX PCN"/>
      </concept>
      <concept>
        <code value="sequence"/>
        <display value="Sequence"/>
      </concept>
      <concept>
        <code value="subclass"/>
        <display value="SubClass"/>
      </concept>
      <concept>
        <code value="subgroup"/>
        <display value="SubGroup"/>
      </concept>
      <concept>
        <code value="subplan"/>
        <display value="SubPlan"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="class"/>
      <display value="Class"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="group"/>
      <display value="Group"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="plan"/>
      <display value="Plan"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="rxbin"/>
      <display value="RX BIN"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="rxgroup"/>
      <display value="RX Group"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="rxid"/>
      <display value="RX Id"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="rxpcn"/>
      <display value="RX PCN"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="sequence"/>
      <display value="Sequence"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="subclass"/>
      <display value="SubClass"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="subgroup"/>
      <display value="SubGroup"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
      <version value="4.3.0"/>
      <code value="subplan"/>
      <display value="SubPlan"/>
    </contains>
  </expansion>
</ValueSet>