LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Official URL: http://linuxforhealth.org/fhir/cdm/ValueSet/payer-coverage-class | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: PayerCoverageClassValueSet | |||
LinuxForHealth standard value set for the coverage class
References
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/coverage-classhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class
This value set contains 13 concepts
Expansion based on:
| Code | System | Display | Definition |
| group | http://terminology.hl7.org/CodeSystem/coverage-class | Group | An employee group |
| subgroup | http://terminology.hl7.org/CodeSystem/coverage-class | SubGroup | A sub-group of an employee group |
| plan | http://terminology.hl7.org/CodeSystem/coverage-class | Plan | A specific suite of benefits. |
| subplan | http://terminology.hl7.org/CodeSystem/coverage-class | SubPlan | A subset of a specific suite of benefits. |
| class | http://terminology.hl7.org/CodeSystem/coverage-class | Class | A class of benefits. |
| subclass | http://terminology.hl7.org/CodeSystem/coverage-class | SubClass | A subset of a class of benefits. |
| sequence | http://terminology.hl7.org/CodeSystem/coverage-class | Sequence | A sequence number associated with a short-term continuance of the coverage. |
| rxbin | http://terminology.hl7.org/CodeSystem/coverage-class | RX BIN | Pharmacy benefit manager's Business Identification Number. |
| rxpcn | http://terminology.hl7.org/CodeSystem/coverage-class | RX PCN | A Pharmacy Benefit Manager specified Processor Control Number. |
| rxid | http://terminology.hl7.org/CodeSystem/coverage-class | RX Id | A Pharmacy Benefit Manager specified Member ID. |
| rxgroup | http://terminology.hl7.org/CodeSystem/coverage-class | RX Group | A Pharmacy Benefit Manager specified Group number. |
| election-tier | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class | Election Tier | Elected tier for coverage |
| group-type | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class | Group Type | Type of group for coverage |
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 |
| System | 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 |