FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-SubsidizedHealthProgram-for-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-SubsidizedHealthProgram-for-R4</b></p><a name="R5-v3-SubsidizedHealthProgram-for-R4"> </a><a name="hcR5-v3-SubsidizedHealthProgram-for-R4"> </a><p>This value set expansion contains 3 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-SubsidizedHealthProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSIDIZ"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSIDIZ">SUBSIDIZ</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized health program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-SubsidizedHealthProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSIDMC"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSIDMC">SUBSIDMC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized managed care program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
<p><em>Discussion:</em> The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-SubsidizedHealthProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSUPP"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSUPP">SUBSUPP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized supplemental health program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
<p><strong>Example:</strong> Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy.</p>
<p><em>Discussion:</em> The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.</p>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r4"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
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</valueCode>
</extension>
<url
value="http://hl7.org/fhir/5.0/ValueSet/R5-v3-SubsidizedHealthProgram-for-R4"/>
<version value="0.0.1-snapshot-2"/>
<name value="R5_v3_SubsidizedHealthProgram_for_R4"/>
<title
value="Cross-version VS for R5.SubsidizedHealthProgram for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:37:05.453347+10:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-SubsidizedHealthProgram|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<concept>
<code value="SUBSIDIZ"/>
<display value="subsidized health program"/>
</concept>
<concept>
<code value="SUBSIDMC"/>
<display value="subsidized managed care program"/>
</concept>
<concept>
<code value="SUBSUPP"/>
<display value="subsidized supplemental health program"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:37:05.453345+10:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="SUBSIDIZ"/>
<display value="subsidized health program"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="SUBSIDMC"/>
<display value="subsidized managed care program"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="SUBSUPP"/>
<display value="subsidized supplemental health program"/>
</contains>
</expansion>
</ValueSet>