HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: ActCoverageReason

Official URL: http://terminology.hl7.org/ValueSet/v3-ActCoverageReason Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: ActCoverageReason
Other Identifiers: OID:2.16.840.1.113883.1.11.19871

Copyright/Legal: 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.html

Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Language: en

 

Expansion

Expansion performed internally based on codesystem ActReason v3.1.0 (CodeSystem)

This value set contains 23 concepts

LevelSystemCodeDisplay (en) - English (English, en)InactiveJSONXML
1http://terminology.hl7.org/CodeSystem/v3-ActReason  _ActCoverageReasonActCoverageReason
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _EligibilityActReasonCodeEligibilityActReasonCode
3http://terminology.hl7.org/CodeSystem/v3-ActReason      _ActIneligibilityReasonActIneligibilityReason
4http://terminology.hl7.org/CodeSystem/v3-ActReason        COVSUScoverage suspended
4http://terminology.hl7.org/CodeSystem/v3-ActReason        DECSDdeceased
4http://terminology.hl7.org/CodeSystem/v3-ActReason        REGERRregistered in error
3http://terminology.hl7.org/CodeSystem/v3-ActReason      _CoverageEligibilityReasonCoverageEligibilityReason
4http://terminology.hl7.org/CodeSystem/v3-ActReason        AGEage eligibility
4http://terminology.hl7.org/CodeSystem/v3-ActReason        CRIMEcrime victim
4http://terminology.hl7.org/CodeSystem/v3-ActReason        DISdisability
4http://terminology.hl7.org/CodeSystem/v3-ActReason        EMPLOYemployment benefit
4http://terminology.hl7.org/CodeSystem/v3-ActReason        FINANfinancial eligibility
4http://terminology.hl7.org/CodeSystem/v3-ActReason        HEALTHhealth status
4http://terminology.hl7.org/CodeSystem/v3-ActReason        MULTImultiple criteria eligibility
4http://terminology.hl7.org/CodeSystem/v3-ActReason        PNCproperty and casualty condition
4http://terminology.hl7.org/CodeSystem/v3-ActReason        STATUTORYstatutory eligibility
4http://terminology.hl7.org/CodeSystem/v3-ActReason        VEHICmotor vehicle accident victim
4http://terminology.hl7.org/CodeSystem/v3-ActReason        WORKwork related
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _ActCoverageProviderReasonActCoverageProviderReasoninactive
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _ActCoverageServiceReasonActCoverageServiceReasoninactive
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _CoverageExclusionReasonCoverageExclusionReasoninactive
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _CoverageFinancialParticipationReasonCoverageFinancialParticipationReasoninactive
2http://terminology.hl7.org/CodeSystem/v3-ActReason    _CoverageLimitationReasonCoverageLimitationReasoninactive

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

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2022-10-18reviseMarc DuteauTSMGFixing missing metadata; up-349
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26