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 7.1.0 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: ClaimantCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType Version: 3.0.0
Responsible: Health Level Seven International Computable Name: ClaimantCoveredPartyRoleType
Other Identifiers: OID:2.16.840.1.113883.1.11.19810

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

DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.

References

Logical Definition (CLD)

Language: en

This value set includes codes based on the following rules:

 

Expansion

Expansion performed internally based on codesystem RoleCode v4.0.0 (CodeSystem)

This value set contains 4 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-RoleCode  INJinjured plaintiff

Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy.

http://terminology.hl7.org/CodeSystem/v3-RoleCode  _ClaimantCoveredPartyRoleTypeClaimantCoveredPartyRoleType

DescriptionA 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  CRIMEVICcrime victim

Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode  INJWKRinjured worker

Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.

Discussion: This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.


Description of the above table(s).


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