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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-DependentCoveredPartyRoleType-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-DependentCoveredPartyRoleType-for-R4</b></p><a name="R5-v3-DependentCoveredPartyRoleType-for-R4"> </a><a name="hcR5-v3-DependentCoveredPartyRoleType-for-R4"> </a><p>This value set expansion contains 7 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-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-COCBEN"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-COCBEN">COCBEN</a></td><td>continuity of coverage beneficiary</td><td><div><p><strong>Description:</strong> A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.</p>
<p><strong>Discussion:</strong> This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-DIFFABL"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-DIFFABL">DIFFABL</a></td><td>differently abled</td><td><div><p><strong>Description:</strong> A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.</p>
<p><strong>Discussion:</strong> This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-FSTUD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-FSTUD">FSTUD</a></td><td>full-time student</td><td><div><p>Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-PSTUD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-PSTUD">PSTUD</a></td><td>part-time student</td><td><div><p>Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-STUD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-STUD">STUD</a></td><td>student</td><td><div><p>Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-WARD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-WARD">WARD</a></td><td>ward</td><td><div><p><strong>Description:</strong> A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.</p>
<p><strong>Discussion:</strong> This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.</p>
</div></td></tr><tr><td><a name="R5-v3-DependentCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-_DependentCoveredPartyRoleType"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></td><td>2.2.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-_DependentCoveredPartyRoleType">_DependentCoveredPartyRoleType</a></td><td>DependentCoveredPartyRoleType</td><td><div><p><strong>Description:</strong> A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.</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-DependentCoveredPartyRoleType-for-R4"/>
<version value="0.1.0"/>
<name value="R5V3DependentCoveredPartyRoleTypeForR4"/>
<title
value="Cross-version ValueSet R5.DependentCoveredPartyRoleType 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-DependentCoveredPartyRoleType|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-DependentCoveredPartyRoleType|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-DependentCoveredPartyRoleType|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-RoleCode"/>
<version value="2.2.0"/>
<concept>
<code value="COCBEN"/>
<display value="continuity of coverage beneficiary"/>
</concept>
<concept>
<code value="DIFFABL"/>
<display value="differently abled"/>
</concept>
<concept>
<code value="FSTUD"/>
<display value="full-time student"/>
</concept>
<concept>
<code value="PSTUD"/>
<display value="part-time student"/>
</concept>
<concept>
<code value="STUD"/>
<display value="student"/>
</concept>
<concept>
<code value="WARD"/>
<display value="ward"/>
</concept>
<concept>
<code value="_DependentCoveredPartyRoleType"/>
<display value="DependentCoveredPartyRoleType"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="COCBEN"/>
<display value="continuity of coverage beneficiary"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="DIFFABL"/>
<display value="differently abled"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="FSTUD"/>
<display value="full-time student"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="PSTUD"/>
<display value="part-time student"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="STUD"/>
<display value="student"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="WARD"/>
<display value="ward"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<version value="2.2.0"/>
<code value="_DependentCoveredPartyRoleType"/>
<display value="DependentCoveredPartyRoleType"/>
</contains>
</expansion>
</ValueSet>