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-IndividualInsuredCoveredPartyRoleType-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-IndividualInsuredCoveredPartyRoleType-for-R4</b></p><a name="R5-v3-IndividualInsuredCoveredPartyRoleType-for-R4"> </a><a name="hcR5-v3-IndividualInsuredCoveredPartyRoleType-for-R4"> </a><p>This value set expansion contains 6 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-IndividualInsuredCoveredPartyRoleType-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-IndividualInsuredCoveredPartyRoleType-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-IndividualInsuredCoveredPartyRoleType-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-IndividualInsuredCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-RETIREE"> </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-RETIREE">RETIREE</a></td><td>retiree</td><td><div><p><strong>Description:</strong> A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.</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 retiree meets jurisdictional or policy criteria.</p>
</div></td></tr><tr><td><a name="R5-v3-IndividualInsuredCoveredPartyRoleType-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-IndividualInsuredCoveredPartyRoleType-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleCode-_IndividualInsuredPartyRoleType"> </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-_IndividualInsuredPartyRoleType">_IndividualInsuredPartyRoleType</a></td><td>IndividualInsuredPartyRoleType</td><td><div><p>A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.</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-IndividualInsuredCoveredPartyRoleType-for-R4"/>
<version value="0.1.0"/>
<name value="R5V3IndividualInsuredCoveredPartyRoleTypeForR4"/>
<title
value="Cross-version ValueSet R5.IndividualInsuredCoveredPartyRoleType 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-IndividualInsuredCoveredPartyRoleType|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-IndividualInsuredCoveredPartyRoleType|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-IndividualInsuredCoveredPartyRoleType|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="FSTUD"/>
<display value="full-time student"/>
</concept>
<concept>
<code value="PSTUD"/>
<display value="part-time student"/>
</concept>
<concept>
<code value="RETIREE"/>
<display value="retiree"/>
</concept>
<concept>
<code value="STUD"/>
<display value="student"/>
</concept>
<concept>
<code value="_IndividualInsuredPartyRoleType"/>
<display value="IndividualInsuredPartyRoleType"/>
</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="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="RETIREE"/>
<display value="retiree"/>
</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="_IndividualInsuredPartyRoleType"/>
<display value="IndividualInsuredPartyRoleType"/>
</contains>
</expansion>
</ValueSet>