Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

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: R5V3ActCoverageReasonForR4 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-ActCoverageReason-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-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">  <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>
<p><em>Example:</em>  In the U.S., a person who is 65 years of age or older is eligible for Medicare.</p>
</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">  <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>
<p>Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).</p>
</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">  <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>
<p><em>Example:</em>  A person is a claimant under the U.S. Crime Victims Compensation program.</p>
</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">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-DECSD">DECSD</a></td><td>deceased</td><td><div><p>Client deceased.</p>
</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">  <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>
</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">  <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>
</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">  <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>
<p><em>Example:</em>  A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.</p>
</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">  <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>
<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>
</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">  <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>
<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>
</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">  <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>
<p><em>Example:</em>  A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.</p>
</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">  <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>
</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">  <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>
<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>
</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">  <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>
</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">  <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>
<p><em>Example:</em>  A person is a claimant under the U.S. Black Lung Program.</p>
</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">  <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>
<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>
</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">  <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>
</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">  <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>
</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">  <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>
<p>Examples are client deceased &amp; adopted client has been given a new policy identifier.</p>
</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">  <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>
<p><em>Examples:</em>  A person is a claimant under an automobile insurance policy are client deceased &amp; 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>
</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">  <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>
</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">  <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>
</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">  <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>
<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>
</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">  <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>
<p><em>Examples:</em>  A person is a claimant under an automobile insurance policy are client deceased &amp; 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>
</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="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
    </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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageReason-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3ActCoverageReasonForR4"/>
  <title
         value="Cross-version ValueSet R5.ActCoverageReason for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <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 content from `http://terminology.hl7.org/ValueSet/v3-ActCoverageReason|2.0.0` for use in FHIR R4."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://terminology.hl7.org/ValueSet/v3-ActCoverageReason|2.0.0` as defined in FHIR R5
in FHIR R4.

The source value set is bound to the following FHIR R5 elements:
* 

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:

FHIR 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 value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <concept>
        <code value="AGE"/>
        <display value="age eligibility"/>
      </concept>
      <concept>
        <code value="COVSUS"/>
        <display value="coverage suspended"/>
      </concept>
      <concept>
        <code value="CRIME"/>
        <display value="crime victim"/>
      </concept>
      <concept>
        <code value="DECSD"/>
        <display value="deceased"/>
      </concept>
      <concept>
        <code value="DIS"/>
        <display value="disability"/>
      </concept>
      <concept>
        <code value="EMPLOY"/>
        <display value="employment benefit"/>
      </concept>
      <concept>
        <code value="FINAN"/>
        <display value="financial eligibility"/>
      </concept>
      <concept>
        <code value="HEALTH"/>
        <display value="health status"/>
      </concept>
      <concept>
        <code value="MULTI"/>
        <display value="multiple criteria eligibility"/>
      </concept>
      <concept>
        <code value="PNC"/>
        <display value="property and casualty condition"/>
      </concept>
      <concept>
        <code value="REGERR"/>
        <display value="registered in error"/>
      </concept>
      <concept>
        <code value="STATUTORY"/>
        <display value="statutory eligibility"/>
      </concept>
      <concept>
        <code value="VEHIC"/>
        <display value="motor vehicle accident victim"/>
      </concept>
      <concept>
        <code value="WORK"/>
        <display value="work related"/>
      </concept>
      <concept>
        <code value="_ActCoverageProviderReason"/>
        <display value="ActCoverageProviderReason"/>
      </concept>
      <concept>
        <code value="_ActCoverageReason"/>
        <display value="ActCoverageReason"/>
      </concept>
      <concept>
        <code value="_ActCoverageServiceReason"/>
        <display value="ActCoverageServiceReason"/>
      </concept>
      <concept>
        <code value="_ActIneligibilityReason"/>
        <display value="ActIneligibilityReason"/>
      </concept>
      <concept>
        <code value="_CoverageEligibilityReason"/>
        <display value="CoverageEligibilityReason"/>
      </concept>
      <concept>
        <code value="_CoverageExclusionReason"/>
        <display value="CoverageExclusionReason"/>
      </concept>
      <concept>
        <code value="_CoverageFinancialParticipationReason"/>
        <display value="CoverageFinancialParticipationReason"/>
      </concept>
      <concept>
        <code value="_CoverageLimitationReason"/>
        <display value="CoverageLimitationReason"/>
      </concept>
      <concept>
        <code value="_EligibilityActReasonCode"/>
        <display value="EligibilityActReasonCode"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="AGE"/>
      <display value="age eligibility"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="COVSUS"/>
      <display value="coverage suspended"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="CRIME"/>
      <display value="crime victim"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="DECSD"/>
      <display value="deceased"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="DIS"/>
      <display value="disability"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="EMPLOY"/>
      <display value="employment benefit"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="FINAN"/>
      <display value="financial eligibility"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="HEALTH"/>
      <display value="health status"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="MULTI"/>
      <display value="multiple criteria eligibility"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="PNC"/>
      <display value="property and casualty condition"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="REGERR"/>
      <display value="registered in error"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="STATUTORY"/>
      <display value="statutory eligibility"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="VEHIC"/>
      <display value="motor vehicle accident victim"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="WORK"/>
      <display value="work related"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_ActCoverageProviderReason"/>
      <display value="ActCoverageProviderReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_ActCoverageReason"/>
      <display value="ActCoverageReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_ActCoverageServiceReason"/>
      <display value="ActCoverageServiceReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_ActIneligibilityReason"/>
      <display value="ActIneligibilityReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_CoverageEligibilityReason"/>
      <display value="CoverageEligibilityReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_CoverageExclusionReason"/>
      <display value="CoverageExclusionReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_CoverageFinancialParticipationReason"/>
      <display value="CoverageFinancialParticipationReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_CoverageLimitationReason"/>
      <display value="CoverageLimitationReason"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_EligibilityActReasonCode"/>
      <display value="EligibilityActReasonCode"/>
    </contains>
  </expansion>
</ValueSet>