HL7 Terminology
2.0.0 - Publication

This page is part of the HL7 Terminology (v2.0.0: 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

ValueSet: Coverage Class Codes


Defining URL:http://terminology.hl7.org/ValueSet/coverage-class
Title:Coverage Class Codes
Status:Draft as of 2020-02-24T12:41:39+11:00 (Standards Status: Trial Use)

This value set includes Coverage Class codes.

Publisher:Financial Management
Committee:Financial Management

HL7 Inc.

OID:2.16.840.1.113883.4.642.3.1009 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)



This value set contains 11 concepts

Expansion based on Coverage Class Codes v0.1.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/coverage-class

groupGroupAn employee group
subgroupSubGroupA sub-group of an employee group
planPlanA specific suite of benefits.
subplanSubPlanA subset of a specific suite of benefits.
classClassA class of benefits.
subclassSubClassA subset of a class of benefits.
sequenceSequenceA sequence number associated with a short-term continuance of the coverage.
rxbinRX BINPharmacy benefit manager's Business Identification Number.
rxpcnRX PCNA Pharmacy Benefit Manager specified Processor Control Number.
rxidRX IdA Pharmacy Benefit Manager specified Member ID.
rxgroupRX GroupA Pharmacy Benefit Manager specified Group number.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2020-10-14reviseVocabulary WGGrahame GrieveReset Version after migration to UTG
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.