HL7 Terminology (THO)
5.3.0 - Publication International flag

This page is part of the HL7 Terminology (v5.3.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Coverage Class Codes - XML Representation

Draft as of 2023-09-08 Maturity Level: 2

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coverage-class"/>
  <meta>
    <lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1147"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="CoverageClassCodes"/>
  <title value="Coverage Class Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-09-08T17:52:31-06:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes Coverage Class codes."/>
  <copyright value="HL7 Inc."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/coverage-class"/>
  <content value="complete"/>
  <concept>
    <code value="group"/>
    <display value="Group"/>
    <definition value="An employee group"/>
  </concept>
  <concept>
    <code value="subgroup"/>
    <display value="SubGroup"/>
    <definition value="A sub-group of an employee group"/>
  </concept>
  <concept>
    <code value="plan"/>
    <display value="Plan"/>
    <definition value="A specific suite of benefits."/>
  </concept>
  <concept>
    <code value="subplan"/>
    <display value="SubPlan"/>
    <definition value="A subset of a specific suite of benefits."/>
  </concept>
  <concept>
    <code value="class"/>
    <display value="Class"/>
    <definition value="A class of benefits."/>
  </concept>
  <concept>
    <code value="subclass"/>
    <display value="SubClass"/>
    <definition value="A subset of a class of benefits."/>
  </concept>
  <concept>
    <code value="sequence"/>
    <display value="Sequence"/>
    <definition
                value="A sequence number associated with a short-term continuance of the coverage."/>
  </concept>
  <concept>
    <code value="rxbin"/>
    <display value="RX BIN"/>
    <definition
                value="Pharmacy benefit manager's Business Identification Number."/>
  </concept>
  <concept>
    <code value="rxpcn"/>
    <display value="RX PCN"/>
    <definition
                value="A Pharmacy Benefit Manager specified Processor Control Number."/>
  </concept>
  <concept>
    <code value="rxid"/>
    <display value="RX Id"/>
    <definition value="A Pharmacy Benefit Manager specified Member ID."/>
  </concept>
  <concept>
    <code value="rxgroup"/>
    <display value="RX Group"/>
    <definition value="A Pharmacy Benefit Manager specified Group number."/>
  </concept>
</CodeSystem>