HL7 Terminology
1.0.0 - Publication
HL7 Terminology
1.0.0 - Publication
This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions 
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{
"resourceType" : "CodeSystem",
"id" : "coverage-class",
"meta" : {
"lastUpdated" : "2020-04-09T17:10:28.568-04:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <h2>Coverage Class Codes</h2>\n \n <div>\n \n <p>This value set includes Coverage Class codes.</p>\n\n \n </div>\n \n <p>\n \n <b>Copyright Statement:</b> HL7 Inc.\n \n </p>\n \n <p>This code system http://terminology.hl7.org/CodeSystem/coverage-class defines the following codes:</p>\n \n <table class=\"codes\">\n \n <tr>\n \n <td style=\"white-space:nowrap\">\n \n <b>Code</b>\n \n </td>\n \n <td>\n \n <b>Display</b>\n \n </td>\n \n <td>\n \n <b>Definition</b>\n \n </td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">group\n \n <a name=\"coverage-class-group\"> </a>\n \n </td>\n \n <td>Group</td>\n \n <td>An employee group</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">subgroup\n \n <a name=\"coverage-class-subgroup\"> </a>\n \n </td>\n \n <td>SubGroup</td>\n \n <td>A sub-group of an employee group</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">plan\n \n <a name=\"coverage-class-plan\"> </a>\n \n </td>\n \n <td>Plan</td>\n \n <td>A specific suite of benefits.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">subplan\n \n <a name=\"coverage-class-subplan\"> </a>\n \n </td>\n \n <td>SubPlan</td>\n \n <td>A subset of a specific suite of benefits.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">class\n \n <a name=\"coverage-class-class\"> </a>\n \n </td>\n \n <td>Class</td>\n \n <td>A class of benefits.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">subclass\n \n <a name=\"coverage-class-subclass\"> </a>\n \n </td>\n \n <td>SubClass</td>\n \n <td>A subset of a class of benefits.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">sequence\n \n <a name=\"coverage-class-sequence\"> </a>\n \n </td>\n \n <td>Sequence</td>\n \n <td>A sequence number associated with a short-term continuance of the coverage.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">rxbin\n \n <a name=\"coverage-class-rxbin\"> </a>\n \n </td>\n \n <td>RX BIN</td>\n \n <td>Pharmacy benefit manager's Business Identification Number.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">rxpcn\n \n <a name=\"coverage-class-rxpcn\"> </a>\n \n </td>\n \n <td>RX PCN</td>\n \n <td>A Pharmacy Benefit Manager specified Processor Control Number.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">rxid\n \n <a name=\"coverage-class-rxid\"> </a>\n \n </td>\n \n <td>RX Id</td>\n \n <td>A Pharmacy Benefit Manager specified Member ID.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">rxgroup\n \n <a name=\"coverage-class-rxgroup\"> </a>\n \n </td>\n \n <td>RX Group</td>\n \n <td>A Pharmacy Benefit Manager specified Group number.</td>\n \n </tr>\n \n </table>\n \n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2
}
],
"url" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1147"
}
],
"version" : "4.2.0",
"name" : "CoverageClassCodes",
"title" : "Coverage Class Codes",
"status" : "draft",
"experimental" : false,
"date" : "2020-05-09T12:49:00-04:00",
"publisher" : "Financial Management",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
},
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
}
],
"description" : "This value set includes Coverage Class codes.",
"copyright" : "HL7 Inc.",
"caseSensitive" : true,
"valueSet" : "http://terminology.hl7.org/ValueSet/coverage-class",
"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."
}
]
}
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#1.0.0 based on FHIR 4.0.1. Generated 2020-05-09
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