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-CoveredPartyRoleType | Version: 3.0.0 | |||
| Active as of 2014-03-26 | Responsible: Health Level Seven International | Computable Name: CoveredPartyRoleType | ||
| Other Identifiers: OID:2.16.840.1.113883.1.11.19805 | ||||
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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A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.
Example:An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.
Discussion: The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.
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
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0 where concept is-a _CoveredPartyRoleTypeThis value set excludes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0| Code | Display | Definition |
| _ClaimantCoveredPartyRoleType | ClaimantCoveredPartyRoleType | **Description**A role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy. |
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0
| Code | Display | Definition |
| _ProgramEligiblePartyRoleType | ProgramEligiblePartyRoleType | **Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program. |
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0
| Code | Display | Definition |
| _IndividualInsuredPartyRoleType | IndividualInsuredPartyRoleType | A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder. |
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0
| Code | Display | Definition |
| _SubscriberCoveredPartyRoleType | SubscriberCoveredPartyRoleType | **Description:** A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy. |
http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0
| Code | Display | Definition |
| _DependentCoveredPartyRoleType | DependentCoveredPartyRoleType | **Description:** A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter. |
Expansion performed internally based on:
This value set contains 16 concepts
| System | Code | Display (en) - English (English, en) | JSON | XML |
http://terminology.hl7.org/CodeSystem/v3-RoleCode | _CoveredPartyRoleType | covered party role type | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | CRIMEVIC | crime victim | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | INJWKR | injured worker | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | COCBEN | continuity of coverage beneficiary | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | DIFFABL | differently abled | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | WARD | ward | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | RETIREE | retiree | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | INDIG | member of an indigenous people | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | MIL | military | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | ACTMIL | active duty military | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | RETMIL | retired military | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | VET | veteran | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | INJ | injured plaintiff | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | STUD | student | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | FSTUD | full-time student | ||
http://terminology.hl7.org/CodeSystem/v3-RoleCode | PSTUD | part-time student |
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 | Author | Custodian | Comment |
| 2023-11-14 | revise | Marc Duteau | TSMG | Add standard copyright and contact to internal content; up-476 |
| 2022-10-18 | revise | Marc Duteau | TSMG | Fixing missing metadata; up-349 |
| 2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |
| 2014-03-26 | revise | Vocabulary (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 |