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: SubscriberCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType Version: 3.0.0
Responsible: Health Level Seven International Computable Name: SubscriberCoveredPartyRoleType
Other Identifiers: OID:2.16.840.1.113883.1.11.19814

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: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.

References

Logical Definition (CLD)

Language: en

 

Expansion

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

This value set contains 7 concepts

LevelSystemCodeDisplay (en)DefinitionJSONXML
1http://terminology.hl7.org/CodeSystem/v3-RoleCode  _SubscriberCoveredPartyRoleTypeSubscriberCoveredPartyRoleType

Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.

2http://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.

2http://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.

2http://terminology.hl7.org/CodeSystem/v3-RoleCode    MILmilitary

Definition: A person playing the role of program eligible under a program based on military status.

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 member of the military meets jurisdictional or program criteria

3http://terminology.hl7.org/CodeSystem/v3-RoleCode      ACTMILactive duty military

Description: A person playing the role of program eligible under a program based on active military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.

3http://terminology.hl7.org/CodeSystem/v3-RoleCode      RETMILretired military

Description: A person playing the role of program eligible under a program based on retired military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.

3http://terminology.hl7.org/CodeSystem/v3-RoleCode      VETveteran

Description: A person playing the role of program eligible under a program based on status as a military veteran.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.


Description of the above table(s).


History

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_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