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1.30.2.2.8 HL7 v3 Value Set ActReason

This value set (http://hl7.org/fhir/ValueSet/v3-ActReason) is defined as part of HL7 v3.

Summary

Defining URL:

http://hl7.org/fhir/ValueSet/v3-ActReason

Name:

v3 Code System ActReason

Definition:

A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".

OID:

(for OID based terminology systems)

Source Resource

XML / JSON

This value set is not currently used

1.30.2.2.8.1 Content Logical Definition

This value set includes codes from the following code systems:

Include all codes defined in http://hl7.org/fhir/v3/ActReason

1.30.2.2.8.2 Expansion

This expansion generated 31 Mar 2016

This value set contains 230 concepts

All codes from system http://hl7.org/fhir/v3/ActReason

Code	Display	Definition
ACCREQNA	Accommodation Requested Not Available	Accommodation requested is not available.
FLRCNV	Floor Convenience	Accommodation is assigned for floor convenience.
MEDNEC	Medical Necessity	Required for medical reasons(s).
PAT	Patient request	The Patient requested the action
COVSUS	coverage suspended	When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).
DECSD	deceased	Client deceased.
REGERR	registered in error	Client was registered in error.
AGE	age eligibility	A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.
CRIME	crime victim	A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program.
DIS	disability	A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.
EMPLOY	employment benefit	A person becomes eligible for insurance provided as an employment benefit based on employment status.
FINAN	financial eligibility	A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.
HEALTH	health status	A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program
MULTI	multiple criteria eligibility	A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.
PNC	property and casualty condition	A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.
STATUTORY	statutory eligibility	A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.
VEHIC	motor vehicle accident victim	A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.
WORK	work related	A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program.
OVRER	emergency treatment override	To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.
OVRPJ	professional judgment override	To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.
OVRPS	public safety override	To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.
OVRTPS	third party safety override	To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.
PurposeOfUse	purpose of use	Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
HMARKT	healthcare marketing	To perform one or more operations on information for marketing services and products related to health care.
HOPERAT	healthcare operations	To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
DONAT	donation	To perform one or more operations on information used for cadaveric organ, eye or tissue donation.
FRAUD	fraud	To perform one or more operations on information used for fraud detection and prevention processes.
GOV	government	To perform one or more operations on information used within government processes.
HACCRED	health accreditation	To perform one or more operations on information for conducting activities related to meeting accreditation criteria.
HCOMPL	health compliance	To perform one or more operations on information used for conducting activities required to meet a mandate.
HDECD	decedent	To perform one or more operations on information used for handling deceased patient matters.
HDIRECT	directory	To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory
HLEGAL	legal	To perform one or more operations on information for conducting activities required by legal proceeding.
HOUTCOMS	health outcome measure	To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
HPRGRP	health program reporting	To perform one or more operations on information used for conducting activities to meet program accounting requirements.
HQUALIMP	health quality improvement	To perform one or more operations on information used for conducting administrative activities to improve health care quality.
HSYSADMIN	health system administration	To perform one or more operations on information to administer the electronic systems used for the delivery of health care.
MEMADMIN	member administration	To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
PATADMIN	patient administration	To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
PATSFTY	patient safety	To perform one or more operations on information in processes related to ensuring the safety of health care.
PERFMSR	performance measure	To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.
RECORDMGT	records management	To perform one or more operations on information used within the health records management process.
TRAIN	training	To perform one or more operations on information used in training and education.
HPAYMT	healthcare payment	To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
CLMATTCH	claim attachment	To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
COVAUTH	coverage authorization	To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
COVERAGE	coverage under policy or program	To perform one or more operations on information for conducting activities related to coverage under a program or policy.
ELIGDTRM	eligibility determination	To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.
ELIGVER	eligibility verification	To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.
ENROLLM	enrollment	To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.
REMITADV	remittance advice	To perform one or more operations on information about the amount remitted for a health care claim.
HRESCH	healthcare research	To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.
CLINTRCH	clinical trial research	To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
PATRQT	patient requested	To perform one or more operations on information in response to a patient's request.
FAMRQT	family requested	To perform one or more operations on information in response to a request by a family member authorized by the patient.
PWATRNY	power of attorney	To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
SUPNWK	support network	To perform one or more operations on information in response to a request by a person authorized by the patient.
PUBHLTH	public health	To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
DISASTER	disaster	To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
THREAT	threat	To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.
TREAT	treatment	To perform one or more operations on information for provision of health care.
CAREMGT	Care Management	To perform one or more operations on information for provision of health care coordination.
CLINTRL	clinical trial	To perform health care as part of the clinical trial protocol.
ETREAT	Emergency Treatment	To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
POPHLTH	population health	To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.
MARKT	marketing	Description:
OPERAT	operations	Description:Administrative and contractual processes required to support an activity, product, or service
LEGAL	subpoena	Definition:To provide information as a result of a subpoena.
ACCRED	accreditation	Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service
COMPL	compliance	Description:Operational activities required to meet a mandate related to an activity, product, or service
ENADMIN	entity administration	Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service
OUTCOMS	outcome measure	Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service
PRGRPT	program reporting	Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service
QUALIMP	quality improvement	Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service
SYSADMN	system administration	Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service
PAYMT	payment	Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service
RESCH	research	Description:Investigative activities conducted for the purposes of obtaining knowledge
SRVC	service	Description:Provision of a service, product, or capability to an individual or organization
_ActInvalidReason	ActInvalidReason	Description: Types of reasons why a substance is invalid for use.
ADVSTORAGE	adverse storage condition	Description: Storage conditions caused the substance to be ineffective.
COLDCHNBRK	cold chain break	Description: Cold chain was not maintained for the substance.
EXPLOT	expired lot	Description: The lot from which the substance was drawn was expired.
OUTSIDESCHED	administered outside recommended schedule or practice	The substance was administered outside of the recommended schedule or practice.
PRODRECALL	product recall	Description: The substance was recalled by the manufacturer.
INCCOVPTY	incorrect covered party as patient	The covered party (patient) specified with the Invoice is not correct.
INCINVOICE	incorrect billing	The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.
INCPOLICY	incorrect policy	The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.
INCPROV	incorrect provider	The provider specified with the Invoice is not correct.
IMMUNE	immunity	Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
MEDPREC	medical precaution	Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
OSTOCK	product out of stock	Definition:There was no supply of the product on hand to perform the service.
PATOBJ	patient objection	Definition:The patient or their guardian objects to receiving the vaccine.
PHILISOP	philosophical objection	Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
RELIG	religious objection	Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.
VACEFF	vaccine efficacy concerns	Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure.
VACSAF	vaccine safety concerns	Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
FRR01	order stopped	Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.
FRR02	stale-dated order	Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.
FRR03	incomplete data	Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.
FRR04	product unavailable	Definition:Product not available or manufactured. Cannot supply.
FRR05	ethical/religious	Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
FRR06	unable to provide care	Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.
RET	retest	Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.
SCH	scheduled	Definition:The event occurred due to it being scheduled in the research protocol.
TRM	termination	Definition:The event occurred in order to terminate the subject's participation in the study.
UNS	unscheduled	Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.
NPT	non-protocol	Definition:The observation or test was neither defined or scheduled in the study protocol.
PPT	per protocol	Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.
UPT	per definition	:The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.
ALTCHOICE	try another treatment first	Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
CLARIF	prescription requires clarification	Description:Clarification is required before the order can be acted upon.
DRUGHIGH	drug level too high	Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
HOSPADM	admission to hospital	Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
LABINT	lab interference issues	Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
NON-AVAIL	patient not-available	Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
PREG	parent is pregnant/breast feeding	Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
SALG	allergy	Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
SDDI	drug interacts with another drug	Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
SDUPTHER	duplicate therapy	Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
SINTOL	suspected intolerance	Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
SURG	patient scheduled for surgery	Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
WASHOUT	waiting for old drug to wash out	Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.
_ControlActNullificationReasonCode	ControlActNullificationReasonCode	Description:Identifies reasons for nullifying (retracting) a particular control act.
ALTD	altered decision	Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect.
EIE	entered in error	Description:The information was recorded incorrectly or was recorded in the wrong record.
NORECMTCH	no record match	Description: There is no match for the record in the database.
INRQSTATE	in requested state	The record is already in the requested state.
NOMATCH	no match	Description: There is no match.
NOPRODMTCH	no product match	Description: There is no match for the product in the master file repository.
NOSERMTCH	no service match	Description: There is no match for the service in the master file repository.
NOVERMTCH	no version match	Description: There is no match for the record and version.
NOPERM	no permission	Description: There is no permission.
NOUSERPERM	no user permission	Definition:The user does not have permission
NOAGNTPERM	no agent permission	Description: The agent does not have permission.
NOUSRPERM	no user permission	Description: The user does not have permission.
WRNGVER	wrong version	Description: The record and version requested to update is not the current version.
DISCONT	product discontinued	Description:The medication is no longer being manufactured or is otherwise no longer available.
INEFFECT	ineffective	Description:The therapy has been found to not have the desired therapeutic benefit on the patient.
MONIT	response to monitoring	Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.
NOREQ	no longer required for treatment	Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.
NOTCOVER	not covered	Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.
PREFUS	patient refuse	Description:The patient refused to take the product.
RECALL	product recalled	Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.
REPLACE	change in order	Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.
DOSECHG	change in medication/dose	Description:The medication is being re-prescribed at a different dosage.
REPLACEFIX	error in order	Description:Current order was issued with incorrect data and a new order has/will be created to replace it.
UNABLE	unable to use	Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow.
HOLDDONE	suspend reason no longer applies	Definition:The original reason for suspending the medication has ended.
HOLDINAP	suspend reason inappropriate	Definition:
ADMINERROR	administrative error in order	Order was created with incorrect data and is changed to reflect the intended accuracy of the order.
CLINMOD	clinical modification	Order is changed based on a clinical reason.
_PharmacySupplyEventAbortReason	PharmacySupplyEventAbortReason	Definition:Identifies why the dispense event was not completed.
CONTRA	contraindication	Definition:Contraindication identified
FOABORT	order aborted	Definition:Order to be fulfilled was aborted
FOSUSP	order suspended	Definition:Order to be fulfilled was suspended
NOPICK	not picked up	Definition:Patient did not come to get medication
PATDEC	patient changed mind	Definition:Patient changed their mind regarding obtaining medication
QUANTCHG	change supply quantity	Definition:Patient requested a revised quantity of medication
FLRSTCK	floor stock	Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)
LTC	long term care use	Definition:The bulk supply will be administered within a long term care facility.
OFFICE	office use	Definition:The bulk supply is intended for general clinician office use.
PHARM	pharmacy transfer	Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage.
PROG	program use	Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization.
ALREADYRX	new prescription exists	Definition:Patient has already been given a new (renewal) prescription.
FAMPHYS	family physician must authorize further fills	Definition:Request for further authorization must be done through patient's family physician.
MODIFY	modified prescription exists	Definition:Therapy has been changed and new prescription issued
NEEDAPMT	patient must make appointment	Definition:Patient must see prescriber prior to further fills.
NOTAVAIL	prescriber not available	Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.
NOTPAT	patient no longer in this practice	Definition:Patient no longer or has never been under this prescribers care.
ONHOLD	medication on hold	Definition:This medication is on hold.
PRNA	product not available	Description:This product is not available or manufactured.
STOPMED	prescriber stopped medication for patient	Renewing or original prescriber informed patient to stop using the medication.
TOOEARLY	too early	Definition:The patient should have medication remaining.
IMPROV	condition improved	Definition:The patient's medical condition has nearly abated.
INTOL	intolerance	Description:The patient has an intolerance to the medication.
NEWSTR	new strength	Definition:The current medication will be replaced by a new strength of the same medication.
NEWTHER	new therapy	Definition:A new therapy will be commenced when current supply exhausted.
CHGDATA	information change	Description:Information has changed since the record was created.
FIXDATA	error correction	Description:Previously recorded information was erroneous and is being corrected.
MDATA	merge data	Information is combined into the record.
NEWDATA	new information	Description:New information has become available to supplement the record.
UMDATA	unmerge data	Information is separated from the record.
ADMREV	administrative review	Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.
PATCAR	patient care	Definition:To obtain records as part of patient care.
PATREQ	patient request query	Definition:Patient requests information from their profile.
PRCREV	practice review	Definition:To evaluate the provider's current practice for professional-improvement reasons.
REGUL	regulatory review	Description:Review for the purpose of regulatory compliance.
RSRCH	research	Definition:To provide research data, as authorized by the patient.
VALIDATION	validation review	Description:To validate the patient's record. Example:Merging or unmerging records.
_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode	PharmacySupplyRequestFulfillerRevisionRefusalReasonCode	Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
LOCKED	locked	Definition:The prescription may not be reassigned from the original pharmacy.
UNKWNTARGET	unknown target	Definition:The target facility does not recognize the dispensing facility.
BLK	Unexpected Block (of Schedule)	The time slots previously allocated are now blocked and no longer available for booking Appointments
DEC	Patient Deceased	The Patient is deceased
FIN	No Financial Backing	Patient unable to pay and not covered by insurance
MED	Medical Status Altered	The medical condition of the Patient has changed
MTG	In an outside meeting	The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment
PHY	Physician request	The Physician requested the action
_StatusRevisionRefusalReasonCode	StatusRevisionRefusalReasonCode	Indicates why the act revision (status update) is being refused.
FILLED	fully filled	Ordered quantity has already been completely fulfilled.
_SubstanceAdministrationPermissionRefusalReasonCode	SubstanceAdministrationPermissionRefusalReasonCode	Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.
PATINELIG	patient not eligible	Definition:Patient not eligible for drug
PROTUNMET	protocol not met	Definition:Patient does not meet required protocol
PROVUNAUTH	provider not authorized	Definition:Provider is not authorized to prescribe or dispense
ALGINT	allergy intolerance	Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.
COMPCON	compliance concern	Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.
THERCHAR	therapeutic characteristics	The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.
TRIAL	clinical trial drug	Definition: The specific manufactured drug is part of a clinical trial.
CT	continuing therapy	Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.
FP	formulary policy	Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.
OS	out of stock	In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.
RR	regulatory requirement	Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.
ER	Error	Moved to an error in placing the patient in the original location.
RQ	Request	Moved at the request of the patient.
BONUS	BONUS
CHD	Children only	Description:The level of coverage under the policy or program is available only to children
DEP	Dependents only	Description:The level of coverage under the policy or program is available only to a subscriber's dependents.
ECH	Employee and children	Description:The level of coverage under the policy or program is available to an employee and his or her children.
EDU	EDU
EMP	Employee only	Description:The level of coverage under the policy or program is available only to an employee.
ESP	Employee and spouse	Description:The level of coverage under the policy or program is available to an employee and his or her spouse.
FAM	Family	Description:The level of coverage under the policy or program is available to a subscriber's family.
IND	Individual	Description:The level of coverage under the policy or program is available to an individual.
INVOICE	INVOICE
PROA	PROA
RECOV	RECOV
RETRO	RETRO
SPC	Spouse and children	Description:The level of coverage under the policy or program is available to a subscriber's spouse and children
SPO	Spouse only	Description:The level of coverage under the policy or program is available only to a subscribers spouse
TRAN	TRAN

This value set includes codes from the following code systems: