HL7 Terminology (THO)
4.0.0 - Publication International flag

This page is part of the HL7 Terminology (v4.0.0: 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 - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "coverage-class"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://terminology.hl7.org/CodeSystem/coverage-class</code> 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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.valueCode [ fhir:value "fm" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.valueCode [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.1147" ]
  ];
  fhir:CodeSystem.version [ fhir:value "0.1.0"];
  fhir:CodeSystem.name [ fhir:value "CoverageClassCodes"];
  fhir:CodeSystem.title [ fhir:value "Coverage Class Codes"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2022-09-14T03:23:03-06:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "Financial Management"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "This value set includes Coverage Class codes."];
  fhir:CodeSystem.copyright [ fhir:value "HL7 Inc."];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [
     fhir:value "http://terminology.hl7.org/ValueSet/coverage-class";
     fhir:link <http://terminology.hl7.org/ValueSet/coverage-class>
  ];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "group" ];
     fhir:CodeSystem.concept.display [ fhir:value "Group" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An employee group" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "subgroup" ];
     fhir:CodeSystem.concept.display [ fhir:value "SubGroup" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A sub-group of an employee group" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "plan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Plan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A specific suite of benefits." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "subplan" ];
     fhir:CodeSystem.concept.display [ fhir:value "SubPlan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A subset of a specific suite of benefits." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "class" ];
     fhir:CodeSystem.concept.display [ fhir:value "Class" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A class of benefits." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "subclass" ];
     fhir:CodeSystem.concept.display [ fhir:value "SubClass" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A subset of a class of benefits." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "sequence" ];
     fhir:CodeSystem.concept.display [ fhir:value "Sequence" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A sequence number associated with a short-term continuance of the coverage." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "rxbin" ];
     fhir:CodeSystem.concept.display [ fhir:value "RX BIN" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Pharmacy benefit manager's Business Identification Number." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "rxpcn" ];
     fhir:CodeSystem.concept.display [ fhir:value "RX PCN" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A Pharmacy Benefit Manager specified Processor Control Number." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "rxid" ];
     fhir:CodeSystem.concept.display [ fhir:value "RX Id" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A Pharmacy Benefit Manager specified Member ID." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "rxgroup" ];
     fhir:CodeSystem.concept.display [ fhir:value "RX Group" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A Pharmacy Benefit Manager specified Group number." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.