Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R5-v3-ActCoverageReason-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-ActCoverageReason-for-R4</b></p><a name=\"R5-v3-ActCoverageReason-for-R4\"> </a><a name=\"hcR5-v3-ActCoverageReason-for-R4\"> </a><p>This value set expansion contains 23 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-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-AGE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-AGE\">AGE</a></td><td>age eligibility</td><td><div><p>A person becomes eligible for a program based on age.</p>\n<p><em>Example:</em> In the U.S., a person who is 65 years of age or older is eligible for Medicare.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-COVSUS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-COVSUS\">COVSUS</a></td><td>coverage suspended</td><td><div><p>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.</p>\n<p>Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-CRIME\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-CRIME\">CRIME</a></td><td>crime victim</td><td><div><p>A person becomes eligible for insurance or a program because of crime related health condition or injury.</p>\n<p><em>Example:</em> A person is a claimant under the U.S. Crime Victims Compensation program.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DECSD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-DECSD\">DECSD</a></td><td>deceased</td><td><div><p>Client deceased.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DIS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-DIS\">DIS</a></td><td>disability</td><td><div><p>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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-EMPLOY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-EMPLOY\">EMPLOY</a></td><td>employment benefit</td><td><div><p>A person becomes eligible for insurance provided as an employment benefit based on employment status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FINAN\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FINAN\">FINAN</a></td><td>financial eligibility</td><td><div><p>A person becomes eligible for a program based on financial criteria.</p>\n<p><em>Example:</em> A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-HEALTH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-HEALTH\">HEALTH</a></td><td>health status</td><td><div><p>A person becomes eligible for a program because of a qualifying health condition or injury.</p>\n<p><em>Examples:</em> 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</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-MULTI\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-MULTI\">MULTI</a></td><td>multiple criteria eligibility</td><td><div><p>A person becomes eligible for a program based on more than one criterion.</p>\n<p><em>Examples:</em> 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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PNC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-PNC\">PNC</a></td><td>property and casualty condition</td><td><div><p>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.</p>\n<p><em>Example:</em> A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-REGERR\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-REGERR\">REGERR</a></td><td>registered in error</td><td><div><p>Client was registered in error.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-STATUTORY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-STATUTORY\">STATUTORY</a></td><td>statutory eligibility</td><td><div><p>A person becomes eligible for a program based on statutory criteria.</p>\n<p><em>Examples:</em> 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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-VEHIC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-VEHIC\">VEHIC</a></td><td>motor vehicle accident victim</td><td><div><p>A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-WORK\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-WORK\">WORK</a></td><td>work related</td><td><div><p>A person becomes eligible for insurance or a program because of a work related health condition or injury.</p>\n<p><em>Example:</em> A person is a claimant under the U.S. Black Lung Program.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActCoverageProviderReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActCoverageProviderReason\">_ActCoverageProviderReason</a></td><td>ActCoverageProviderReason</td><td><div><p>**Description:**Identifies the reason or rationale for coverage of a service or product based on characteristics of the provider, e.g., contractual relationship to payor, such as in or out-of-network; relationship of the covered party to the provider.</p>\n<p>**Example:**In closed managed care plan, a covered party is assigned a primary care provider who provides primary care services and authorizes referrals and ancillary and non-primary care services.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActCoverageReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActCoverageReason\">_ActCoverageReason</a></td><td>ActCoverageReason</td><td><div><p>**Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActCoverageServiceReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActCoverageServiceReason\">_ActCoverageServiceReason</a></td><td>ActCoverageServiceReason</td><td><div><p>**Description:**Identifies the reason or rationale for coverage of a service or product based on clinical efficacy criteria or practices prescribed by the payor.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActIneligibilityReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActIneligibilityReason\">_ActIneligibilityReason</a></td><td>ActIneligibilityReason</td><td><div><p>Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.</p>\n<p>Examples are client deceased & adopted client has been given a new policy identifier.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_CoverageEligibilityReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_CoverageEligibilityReason\">_CoverageEligibilityReason</a></td><td>CoverageEligibilityReason</td><td><div><p>Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>\n<p><em>Examples:</em> A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_CoverageExclusionReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_CoverageExclusionReason\">_CoverageExclusionReason</a></td><td>CoverageExclusionReason</td><td><div><p><strong>Definition:</strong> Identifies the reason or rationale for coverage of a service or product based on coverage exclusions related to the risk of adverse selection by covered parties.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_CoverageFinancialParticipationReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_CoverageFinancialParticipationReason\">_CoverageFinancialParticipationReason</a></td><td>CoverageFinancialParticipationReason</td><td><div><p>**Description:**Identifies the reason or rationale for coverage of a service or product based on financial participation responsibilities of the covered party.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_CoverageLimitationReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_CoverageLimitationReason\">_CoverageLimitationReason</a></td><td>CoverageLimitationReason</td><td><div><p>**Description:**Identifies the reason or rationale for limitations on the coverage of a service or product based on coverage contract provisions.</p>\n<p>**Example:**The maximum cost per unit; or the maximum number of units per period, which is typically the policy or program effective time.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActCoverageReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_EligibilityActReasonCode\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_EligibilityActReasonCode\">_EligibilityActReasonCode</a></td><td>EligibilityActReasonCode</td><td><div><p>Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>\n<p><em>Examples:</em> A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</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-ActCoverageReason-for-R4",
"version" : "0.1.0",
"name" : "R5V3ActCoverageReasonForR4",
"title" : "Cross-version ValueSet R5.ActCoverageReason 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-ActCoverageReason|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-ActCoverageReason|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-ActCoverageReason|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
"compose" : {
"include" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"concept" : [
{
"code" : "AGE",
"display" : "age eligibility"
},
{
"code" : "COVSUS",
"display" : "coverage suspended"
},
{
"code" : "CRIME",
"display" : "crime victim"
},
{
"code" : "DECSD",
"display" : "deceased"
},
{
"code" : "DIS",
"display" : "disability"
},
{
"code" : "EMPLOY",
"display" : "employment benefit"
},
{
"code" : "FINAN",
"display" : "financial eligibility"
},
{
"code" : "HEALTH",
"display" : "health status"
},
{
"code" : "MULTI",
"display" : "multiple criteria eligibility"
},
{
"code" : "PNC",
"display" : "property and casualty condition"
},
{
"code" : "REGERR",
"display" : "registered in error"
},
{
"code" : "STATUTORY",
"display" : "statutory eligibility"
},
{
"code" : "VEHIC",
"display" : "motor vehicle accident victim"
},
{
"code" : "WORK",
"display" : "work related"
},
{
"code" : "_ActCoverageProviderReason",
"display" : "ActCoverageProviderReason"
},
{
"code" : "_ActCoverageReason",
"display" : "ActCoverageReason"
},
{
"code" : "_ActCoverageServiceReason",
"display" : "ActCoverageServiceReason"
},
{
"code" : "_ActIneligibilityReason",
"display" : "ActIneligibilityReason"
},
{
"code" : "_CoverageEligibilityReason",
"display" : "CoverageEligibilityReason"
},
{
"code" : "_CoverageExclusionReason",
"display" : "CoverageExclusionReason"
},
{
"code" : "_CoverageFinancialParticipationReason",
"display" : "CoverageFinancialParticipationReason"
},
{
"code" : "_CoverageLimitationReason",
"display" : "CoverageLimitationReason"
},
{
"code" : "_EligibilityActReasonCode",
"display" : "EligibilityActReasonCode"
}
]
}
]
},
"expansion" : {
"timestamp" : "2026-03-17T21:02:03.8104715+00:00",
"contains" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "AGE",
"display" : "age eligibility"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "COVSUS",
"display" : "coverage suspended"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "CRIME",
"display" : "crime victim"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "DECSD",
"display" : "deceased"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "DIS",
"display" : "disability"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "EMPLOY",
"display" : "employment benefit"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "FINAN",
"display" : "financial eligibility"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "HEALTH",
"display" : "health status"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "MULTI",
"display" : "multiple criteria eligibility"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "PNC",
"display" : "property and casualty condition"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "REGERR",
"display" : "registered in error"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "STATUTORY",
"display" : "statutory eligibility"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "VEHIC",
"display" : "motor vehicle accident victim"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "WORK",
"display" : "work related"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_ActCoverageProviderReason",
"display" : "ActCoverageProviderReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_ActCoverageReason",
"display" : "ActCoverageReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_ActCoverageServiceReason",
"display" : "ActCoverageServiceReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_ActIneligibilityReason",
"display" : "ActIneligibilityReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_CoverageEligibilityReason",
"display" : "CoverageEligibilityReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_CoverageExclusionReason",
"display" : "CoverageExclusionReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_CoverageFinancialParticipationReason",
"display" : "CoverageFinancialParticipationReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_CoverageLimitationReason",
"display" : "CoverageLimitationReason"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_EligibilityActReasonCode",
"display" : "EligibilityActReasonCode"
}
]
}
}
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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