HL7 Terminology (THO)
7.0.0 - Continuous Process Integration (ci build)
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
| Official URL: http://terminology.hl7.org/ValueSet/v3-CoverageEligibilityReason | Version: 3.0.0 | |||
| Active as of 2014-03-26 | Responsible: Health Level Seven International | Computable Name: CoverageEligibilityReason | ||
| Other Identifiers: OID:2.16.840.1.113883.1.11.19735 | ||||
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 |
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Description:Identifies the reason or rational for why a person is eligible for benefits under an insurance policy or program.
Examples: A new employee is eligible for health insurance as an employment benefit. A person meets eligibility criteria for government program coverage based on financial, age or health status.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Language: en
http://terminology.hl7.org/CodeSystem/v3-ActReason version 📦3.1.0 where concept is-a _CoverageEligibilityReason
Expansion performed internally based on codesystem ActReason v3.1.0 (CodeSystem)
This value set contains 12 concepts
| Level | System | Code | Display (en) - English (English, en) | JSON | XML |
| 1 | http://terminology.hl7.org/CodeSystem/v3-ActReason | _CoverageEligibilityReason | CoverageEligibilityReason | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | AGE | age eligibility | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | CRIME | crime victim | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | DIS | disability | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | EMPLOY | employment benefit | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | FINAN | financial eligibility | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | HEALTH | health status | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | MULTI | multiple criteria eligibility | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | PNC | property and casualty condition | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | STATUTORY | statutory eligibility | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | VEHIC | motor vehicle accident victim | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActReason | WORK | work related |
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
| Date | Action | Custodian | Author | Comment |
| 2023-11-14 | revise | TSMG | Marc Duteau | Add standard copyright and contact to internal content; up-476 |
| 2022-10-18 | revise | TSMG | Marc Duteau | Fixing missing metadata; up-349 |
| 2020-05-06 | revise | Vocabulary WG | Ted Klein | Migrated to the UTG maintenance environment and publishing tooling. |
| 2014-03-26 | revise | 2014T1_2014-03-26_001283 (RIM release ID) | Vocabulary (Woody Beeler) (no record of original request) | Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26 |