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: IndividualInsuredCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType Version: 3.0.0
Responsible: Health Level Seven International Computable Name: IndividualInsuredCoveredPartyRoleType
Other Identifiers: OID:2.16.840.1.113883.1.11.19813

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 to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.

References

Logical Definition (CLD)

Language: en

This value set includes codes based on the following rules:

 

Expansion

This value set contains 6 concepts

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

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  COCBENcontinuity of coverage beneficiary

Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.

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

Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.

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

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

Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.

http://terminology.hl7.org/CodeSystem/v3-RoleCode  FSTUDfull-time student

Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.

http://terminology.hl7.org/CodeSystem/v3-RoleCode  PSTUDpart-time student

Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.


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