Extensions for Using Data Elements from FHIR R4B in FHIR R5 - Downloaded Version null See the Directory of published versions

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: CoverageClassCodes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "coverage-class",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system http://terminology.hl7.org/CodeSystem/coverage-class defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">group\n                  <a name=\"coverage-class-group\"> </a>\n                </td>\n                <td>Group</td>\n                <td>An employee group</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">subgroup\n                  <a name=\"coverage-class-subgroup\"> </a>\n                </td>\n                <td>SubGroup</td>\n                <td>A sub-group of an employee group</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">plan\n                  <a name=\"coverage-class-plan\"> </a>\n                </td>\n                <td>Plan</td>\n                <td>A specific suite of benefits.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">subplan\n                  <a name=\"coverage-class-subplan\"> </a>\n                </td>\n                <td>SubPlan</td>\n                <td>A subset of a specific suite of benefits.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">class\n                  <a name=\"coverage-class-class\"> </a>\n                </td>\n                <td>Class</td>\n                <td>A class of benefits.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">subclass\n                  <a name=\"coverage-class-subclass\"> </a>\n                </td>\n                <td>SubClass</td>\n                <td>A subset of a class of benefits.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">sequence\n                  <a name=\"coverage-class-sequence\"> </a>\n                </td>\n                <td>Sequence</td>\n                <td>A sequence number associated with a short-term continuance of the coverage.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">rxbin\n                  <a name=\"coverage-class-rxbin\"> </a>\n                </td>\n                <td>RX BIN</td>\n                <td>Pharmacy benefit manager's Business Identification Number.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">rxpcn\n                  <a name=\"coverage-class-rxpcn\"> </a>\n                </td>\n                <td>RX PCN</td>\n                <td>A Pharmacy Benefit Manager specified Processor Control Number.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">rxid\n                  <a name=\"coverage-class-rxid\"> </a>\n                </td>\n                <td>RX Id</td>\n                <td>A Pharmacy Benefit Manager specified Member ID.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">rxgroup\n                  <a name=\"coverage-class-rxgroup\"> </a>\n                </td>\n                <td>RX Group</td>\n                <td>A Pharmacy Benefit Manager specified Group number.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4b.r5"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-class",
  "version" : "4.3.0",
  "name" : "CoverageClassCodes",
  "title" : "Coverage Class Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-03-20T14:38:32+11:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This value set includes Coverage Class codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [
    {
      "code" : "group",
      "display" : "Group",
      "definition" : "An employee group"
    },
    {
      "code" : "subgroup",
      "display" : "SubGroup",
      "definition" : "A sub-group of an employee group"
    },
    {
      "code" : "plan",
      "display" : "Plan",
      "definition" : "A specific suite of benefits."
    },
    {
      "code" : "subplan",
      "display" : "SubPlan",
      "definition" : "A subset of a specific suite of benefits."
    },
    {
      "code" : "class",
      "display" : "Class",
      "definition" : "A class of benefits."
    },
    {
      "code" : "subclass",
      "display" : "SubClass",
      "definition" : "A subset of a class of benefits."
    },
    {
      "code" : "sequence",
      "display" : "Sequence",
      "definition" : "A sequence number associated with a short-term continuance of the coverage."
    },
    {
      "code" : "rxbin",
      "display" : "RX BIN",
      "definition" : "Pharmacy benefit manager's Business Identification Number."
    },
    {
      "code" : "rxpcn",
      "display" : "RX PCN",
      "definition" : "A Pharmacy Benefit Manager specified Processor Control Number."
    },
    {
      "code" : "rxid",
      "display" : "RX Id",
      "definition" : "A Pharmacy Benefit Manager specified Member ID."
    },
    {
      "code" : "rxgroup",
      "display" : "RX Group",
      "definition" : "A Pharmacy Benefit Manager specified Group number."
    }
  ]
}