This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) 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 - TTL Representation
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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:id [ fhir:v "coverage-class"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive 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:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:integer ]
] ) ; #
fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.1147" ]
] ) ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "CoverageClassCodes"] ; #
fhir:title [ fhir:v "Coverage Class Codes"] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v "false"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-03-09T11:11:30-07:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "Health Level Seven International"] ; #
fhir:contact ( [
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "hq@HL7.org" ] ] )
] ) ; #
fhir:description [ fhir:v "This value set includes Coverage Class codes."] ; #
fhir:copyright [ fhir:v "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"] ; #
fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; #
fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/coverage-class"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/coverage-class>
] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:concept ( [
fhir:code [ fhir:v "group" ] ;
fhir:display [ fhir:v "Group" ] ;
fhir:definition [ fhir:v "An employee group" ]
] [
fhir:code [ fhir:v "subgroup" ] ;
fhir:display [ fhir:v "SubGroup" ] ;
fhir:definition [ fhir:v "A sub-group of an employee group" ]
] [
fhir:code [ fhir:v "plan" ] ;
fhir:display [ fhir:v "Plan" ] ;
fhir:definition [ fhir:v "A specific suite of benefits." ]
] [
fhir:code [ fhir:v "subplan" ] ;
fhir:display [ fhir:v "SubPlan" ] ;
fhir:definition [ fhir:v "A subset of a specific suite of benefits." ]
] [
fhir:code [ fhir:v "class" ] ;
fhir:display [ fhir:v "Class" ] ;
fhir:definition [ fhir:v "A class of benefits." ]
] [
fhir:code [ fhir:v "subclass" ] ;
fhir:display [ fhir:v "SubClass" ] ;
fhir:definition [ fhir:v "A subset of a class of benefits." ]
] [
fhir:code [ fhir:v "sequence" ] ;
fhir:display [ fhir:v "Sequence" ] ;
fhir:definition [ fhir:v "A sequence number associated with a short-term continuance of the coverage." ]
] [
fhir:code [ fhir:v "rxbin" ] ;
fhir:display [ fhir:v "RX BIN" ] ;
fhir:definition [ fhir:v "Pharmacy benefit manager's Business Identification Number." ]
] [
fhir:code [ fhir:v "rxpcn" ] ;
fhir:display [ fhir:v "RX PCN" ] ;
fhir:definition [ fhir:v "A Pharmacy Benefit Manager specified Processor Control Number." ]
] [
fhir:code [ fhir:v "rxid" ] ;
fhir:display [ fhir:v "RX Id" ] ;
fhir:definition [ fhir:v "A Pharmacy Benefit Manager specified Member ID." ]
] [
fhir:code [ fhir:v "rxgroup" ] ;
fhir:display [ fhir:v "RX Group" ] ;
fhir:definition [ fhir:v "A Pharmacy Benefit Manager specified Group number." ]
] ) . #
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