Extensions for Using Data Elements from FHIR R5 in FHIR R4
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: R5V3ActCoverageAssessmentObservationValueForR4 - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-ActCoverageAssessmentObservationValue-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActCoverageAssessmentObservationValue-for-R4</b></p><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4\"> </a><a name=\"hcR5-v3-ActCoverageAssessmentObservationValue-for-R4\"> </a><p>This value set expansion contains 64 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ABUSE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ABUSE\">ABUSE</a></td><td>abuse victim</td><td><div><p>Indication of abuse victim.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ADOPT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ADOPT\">ADOPT</a></td><td>adoption document</td><td><div><p>Indicator of adoption.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ALONE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ALONE\">ALONE</a></td><td>alone</td><td><div><p>Living alone. Maps to PD1-2 Living arrangement (IS) 00742 [A]</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ANNUITY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ANNUITY\">ANNUITY</a></td><td>annuity</td><td><div><p>Indicator of annuity ownership or status as beneficiary.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ASSET\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ASSET\">ASSET</a></td><td>asset</td><td><div><p>Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-BTHCERT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-BTHCERT\">BTHCERT</a></td><td>birth certificate</td><td><div><p>Indicator of birth.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-CCOC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-CCOC\">CCOC</a></td><td>creditable coverage document</td><td><div><p>Indicator of creditable coverage.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-CHILD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-CHILD\">CHILD</a></td><td>child support</td><td><div><p>Indicator of child support payments received or provided.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-CLOTH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-CLOTH\">CLOTH</a></td><td>clothing expense</td><td><div><p>Indicator of clothing expenses.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DEPCHD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DEPCHD\">DEPCHD</a></td><td>dependent children</td><td><div><p>Living with one or more dependent children requiring moderate supervision.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DEPSPS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DEPSPS\">DEPSPS</a></td><td>dependent spouse</td><td><div><p>Living with disabled spouse requiring functional and health care assistance</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DEPYGCHD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DEPYGCHD\">DEPYGCHD</a></td><td>dependent young children</td><td><div><p>Living with one or more dependent children requiring intensive supervision</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DISABL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DISABL\">DISABL</a></td><td>disability pay</td><td><div><p>Indicator of disability income replacement payment.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DISABLE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DISABLE\">DISABLE</a></td><td>disabled</td><td><div><p>Indication of disability.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DRLIC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DRLIC\">DRLIC</a></td><td>driver license</td><td><div><p>Indicator of driving status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-DRUG\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-DRUG\">DRUG</a></td><td>drug use</td><td><div><p>Indication of drug use.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ELSTAT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ELSTAT\">ELSTAT</a></td><td>eligibility indicator</td><td><div><p>Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-FAM\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-FAM\">FAM</a></td><td>live with family</td><td><div><p>Living with family. Maps to PD1-2 Living arrangement (IS) 00742 [F]</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-FOOD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-FOOD\">FOOD</a></td><td>food expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-FOSTER\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-FOSTER\">FOSTER</a></td><td>foster child document</td><td><div><p>Indicator of foster child status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-HEALTH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-HEALTH\">HEALTH</a></td><td>health expense</td><td><div><p>Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-HLSTAT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-HLSTAT\">HLSTAT</a></td><td>health status</td><td><div><p>Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-HMLESS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-HMLESS\">HMLESS</a></td><td>homeless</td><td><div><p>Indication of status as homeless.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-HOUSE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-HOUSE\">HOUSE</a></td><td>household expense</td><td><div><p>Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-ILGIM\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-ILGIM\">ILGIM</a></td><td>illegal immigrant</td><td><div><p>Indication of status as illegal immigrant.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-INCAR\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-INCAR\">INCAR</a></td><td>incarcerated</td><td><div><p>Indication of status as incarcerated.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-INCOME\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-INCOME\">INCOME</a></td><td>income</td><td><div><p>Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-INVEST\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-INVEST\">INVEST</a></td><td>investment income</td><td><div><p>Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-IVDRG\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-IVDRG\">IVDRG</a></td><td>IV drug use</td><td><div><p>Indication of IV drug use .</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-LEGAL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-LEGAL\">LEGAL</a></td><td>legal expense</td><td><div><p>Indicator of legal expenses.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-LIVDEP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-LIVDEP\">LIVDEP</a></td><td>living dependency</td><td><div><p>Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-LIVEXP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-LIVEXP\">LIVEXP</a></td><td>living expense</td><td><div><p>Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-LIVSIT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-LIVSIT\">LIVSIT</a></td><td>living situation</td><td><div><p>Code specifying observations related to living situation for a person in a private residence.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-MEMBER\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-MEMBER\">MEMBER</a></td><td>program or policy member</td><td><div><p>Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-MIL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-MIL\">MIL</a></td><td>military identification</td><td><div><p>Indicator of military status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-MORTG\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-MORTG\">MORTG</a></td><td>mortgage</td><td><div><p>Indicator of mortgage amount, interest, and payments.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-MRGCERT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-MRGCERT\">MRGCERT</a></td><td>marriage certificate</td><td><div><p>Indicator of marriage status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PASSPORT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PASSPORT\">PASSPORT</a></td><td>passport</td><td><div><p>Indicator of citizenship.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PAY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PAY\">PAY</a></td><td>paid employment</td><td><div><p>Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PGNT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PGNT\">PGNT</a></td><td>pregnant</td><td><div><p>Non-clinical report of pregnancy.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PROB\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PROB\">PROB</a></td><td>probation</td><td><div><p>Indication of probation status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PROP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PROP\">PROP</a></td><td>real property</td><td><div><p>Indicator of real property ownership, e.g., deed or real estate contract.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-REFUG\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-REFUG\">REFUG</a></td><td>refugee</td><td><div><p>Indication of refugee status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RELAT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RELAT\">RELAT</a></td><td>relative</td><td><div><p>Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 [R]</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RELDEP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RELDEP\">RELDEP</a></td><td>relative dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from one or more relatives.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RENT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RENT\">RENT</a></td><td>rent</td><td><div><p>Indicator of rental or lease payments.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RETACCT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RETACCT\">RETACCT</a></td><td>retirement investment account</td><td><div><p>Indicator of retirement investment account ownership.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RETIRE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RETIRE\">RETIRE</a></td><td>retirement pay</td><td><div><p>Indicator of retirement payment, e.g., pension check.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SOECSTAT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SOECSTAT\">SOECSTAT</a></td><td>socio economic status</td><td><div><p>Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SPOUSAL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SPOUSAL\">SPOUSAL</a></td><td>spousal or partner support</td><td><div><p>Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SPS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SPS\">SPS</a></td><td>spouse only</td><td><div><p>Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 [S]</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SPSDEP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SPSDEP\">SPSDEP</a></td><td>spouse dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from spouse or life partner.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-STUDENRL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-STUDENRL\">STUDENRL</a></td><td>student enrollment</td><td><div><p>Indicator of student status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SUNDRY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SUNDRY\">SUNDRY</a></td><td>sundry expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-SUPPLE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-SUPPLE\">SUPPLE</a></td><td>income supplement</td><td><div><p>Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-TAX\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-TAX\">TAX</a></td><td>tax obligation</td><td><div><p>Indicator of tax obligation or payment, e.g., statement of taxable income.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-TRANS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-TRANS\">TRANS</a></td><td>transportation expense</td><td><div><p>Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-TRUST\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-TRUST\">TRUST</a></td><td>trust</td><td><div><p>Indicator of status as trust beneficiary.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-UNEMPL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-UNEMPL\">UNEMPL</a></td><td>unemployed</td><td><div><p>Indication of unemployed status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-UNREL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-UNREL\">UNREL</a></td><td>unrelated person</td><td><div><p>Living with one or more unrelated persons.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-URELDEP\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-URELDEP\">URELDEP</a></td><td>unrelated person dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from one or more unrelated persons.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-UTIL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-UTIL\">UTIL</a></td><td>utility expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-_ActCoverageAssessmentObservationValue\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-_ActCoverageAssessmentObservationValue\">_ActCoverageAssessmentObservationValue</a></td><td>ActCoverageAssessmentObservationValue</td><td><div><p>Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageAssessmentObservationValue-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-_ActFinancialStatusObservationValue\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationValue.html#v3-ObservationValue-_ActFinancialStatusObservationValue\">_ActFinancialStatusObservationValue</a></td><td>ActFinancialStatusObservationValue</td><td><div><p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fhir"
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageAssessmentObservationValue-for-R4",
  "version" : "0.1.0",
  "name" : "R5V3ActCoverageAssessmentObservationValueForR4",
  "title" : "Cross-version ValueSet R5.ActCoverageAssessmentObservationValue for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [
    {
      "name" : "FHIR Infrastructure",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActCoverageAssessmentObservationValue|2.0.0` for use in FHIR R4.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ActCoverageAssessmentObservationValue|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActCoverageAssessmentObservationValue|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
        "version" : "2.1.0",
        "concept" : [
          {
            "code" : "ABUSE",
            "display" : "abuse victim"
          },
          {
            "code" : "ADOPT",
            "display" : "adoption document"
          },
          {
            "code" : "ALONE",
            "display" : "alone"
          },
          {
            "code" : "ANNUITY",
            "display" : "annuity"
          },
          {
            "code" : "ASSET",
            "display" : "asset"
          },
          {
            "code" : "BTHCERT",
            "display" : "birth certificate"
          },
          {
            "code" : "CCOC",
            "display" : "creditable coverage document"
          },
          {
            "code" : "CHILD",
            "display" : "child support"
          },
          {
            "code" : "CLOTH",
            "display" : "clothing expense"
          },
          {
            "code" : "DEPCHD",
            "display" : "dependent children"
          },
          {
            "code" : "DEPSPS",
            "display" : "dependent spouse"
          },
          {
            "code" : "DEPYGCHD",
            "display" : "dependent young children"
          },
          {
            "code" : "DISABL",
            "display" : "disability pay"
          },
          {
            "code" : "DISABLE",
            "display" : "disabled"
          },
          {
            "code" : "DRLIC",
            "display" : "driver license"
          },
          {
            "code" : "DRUG",
            "display" : "drug use"
          },
          {
            "code" : "ELSTAT",
            "display" : "eligibility indicator"
          },
          {
            "code" : "FAM",
            "display" : "live with family"
          },
          {
            "code" : "FOOD",
            "display" : "food expense"
          },
          {
            "code" : "FOSTER",
            "display" : "foster child document"
          },
          {
            "code" : "HEALTH",
            "display" : "health expense"
          },
          {
            "code" : "HLSTAT",
            "display" : "health status"
          },
          {
            "code" : "HMLESS",
            "display" : "homeless"
          },
          {
            "code" : "HOUSE",
            "display" : "household expense"
          },
          {
            "code" : "ILGIM",
            "display" : "illegal immigrant"
          },
          {
            "code" : "INCAR",
            "display" : "incarcerated"
          },
          {
            "code" : "INCOME",
            "display" : "income"
          },
          {
            "code" : "INVEST",
            "display" : "investment income"
          },
          {
            "code" : "IVDRG",
            "display" : "IV drug use"
          },
          {
            "code" : "LEGAL",
            "display" : "legal expense"
          },
          {
            "code" : "LIVDEP",
            "display" : "living dependency"
          },
          {
            "code" : "LIVEXP",
            "display" : "living expense"
          },
          {
            "code" : "LIVSIT",
            "display" : "living situation"
          },
          {
            "code" : "MEMBER",
            "display" : "program or policy member"
          },
          {
            "code" : "MIL",
            "display" : "military identification"
          },
          {
            "code" : "MORTG",
            "display" : "mortgage"
          },
          {
            "code" : "MRGCERT",
            "display" : "marriage certificate"
          },
          {
            "code" : "PASSPORT",
            "display" : "passport"
          },
          {
            "code" : "PAY",
            "display" : "paid employment"
          },
          {
            "code" : "PGNT",
            "display" : "pregnant"
          },
          {
            "code" : "PROB",
            "display" : "probation"
          },
          {
            "code" : "PROP",
            "display" : "real property"
          },
          {
            "code" : "REFUG",
            "display" : "refugee"
          },
          {
            "code" : "RELAT",
            "display" : "relative"
          },
          {
            "code" : "RELDEP",
            "display" : "relative dependent"
          },
          {
            "code" : "RENT",
            "display" : "rent"
          },
          {
            "code" : "RETACCT",
            "display" : "retirement investment account"
          },
          {
            "code" : "RETIRE",
            "display" : "retirement pay"
          },
          {
            "code" : "SOECSTAT",
            "display" : "socio economic status"
          },
          {
            "code" : "SPOUSAL",
            "display" : "spousal or partner support"
          },
          {
            "code" : "SPS",
            "display" : "spouse only"
          },
          {
            "code" : "SPSDEP",
            "display" : "spouse dependent"
          },
          {
            "code" : "STUDENRL",
            "display" : "student enrollment"
          },
          {
            "code" : "SUNDRY",
            "display" : "sundry expense"
          },
          {
            "code" : "SUPPLE",
            "display" : "income supplement"
          },
          {
            "code" : "TAX",
            "display" : "tax obligation"
          },
          {
            "code" : "TRANS",
            "display" : "transportation expense"
          },
          {
            "code" : "TRUST",
            "display" : "trust"
          },
          {
            "code" : "UNEMPL",
            "display" : "unemployed"
          },
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