HL7 Terminology (THO)
3.0.0 - Publication

This page is part of the HL7 Terminology (v3.0.0: 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

: Coverage Class Codes - JSON Representation

Raw json | Download


{
  "resourceType" : "CodeSystem",
  "id" : "coverage-class",
  "meta" : {
    "lastUpdated" : "2020-04-09T15:10:28.568-06:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>"
  },
  "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" : "0.1.0",
  "name" : "CoverageClassCodes",
  "title" : "Coverage Class Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2021-12-02T19:54:18-07:00",
  "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."
    }
  ]
}