{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-ParticipationIndirectTarget-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-ParticipationIndirectTarget-for-R4</b></p><a name=\"R5-v3-ParticipationIndirectTarget-for-R4\"> </a><a name=\"hcR5-v3-ParticipationIndirectTarget-for-R4\"> </a><p>This value set expansion contains 8 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-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-BEN\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-BEN\">BEN</a></td><td>beneficiary</td><td><div><p>Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.</p>\n<p>Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-CAGNT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-CAGNT\">CAGNT</a></td><td>causative agent</td><td><div><p>Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition.</p>\n<p>Constraint: The use of this participation is limited to observations.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-COV\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-COV\">COV</a></td><td>coverage target</td><td><div><p>The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-GUAR\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-GUAR\">GUAR</a></td><td>guarantor party</td><td><div><p>The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account</p>\n<p>*Example:*The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-HLD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-HLD\">HLD</a></td><td>holder</td><td><div><p>Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-IND\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-IND\">IND</a></td><td>indirect target</td><td><div><p>Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-RCT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-RCT\">RCT</a></td><td>record target</td><td><div><p>The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ParticipationIndirectTarget-for-R4-http://terminology.hl7.org/CodeSystem/v3-ParticipationType-RCV\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></td><td>4.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ParticipationType.html#v3-ParticipationType-RCV\">RCV</a></td><td>receiver</td><td><div><p>The person (or organization) who receives the product of an Act.</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-ParticipationIndirectTarget-for-R4",
  "version" : "0.1.0",
  "name" : "R5V3ParticipationIndirectTargetForR4",
  "title" : "Cross-version ValueSet R5.ParticipationIndirectTarget 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-ParticipationIndirectTarget|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-ParticipationIndirectTarget|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-ParticipationIndirectTarget|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "concept" : [{
        "code" : "BEN",
        "display" : "beneficiary"
      },
      {
        "code" : "CAGNT",
        "display" : "causative agent"
      },
      {
        "code" : "COV",
        "display" : "coverage target"
      },
      {
        "code" : "GUAR",
        "display" : "guarantor party"
      },
      {
        "code" : "HLD",
        "display" : "holder"
      },
      {
        "code" : "IND",
        "display" : "indirect target"
      },
      {
        "code" : "RCT",
        "display" : "record target"
      },
      {
        "code" : "RCV",
        "display" : "receiver"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "BEN",
      "display" : "beneficiary"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "CAGNT",
      "display" : "causative agent"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "COV",
      "display" : "coverage target"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "GUAR",
      "display" : "guarantor party"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "HLD",
      "display" : "holder"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "IND",
      "display" : "indirect target"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "RCT",
      "display" : "record target"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "version" : "4.0.0",
      "code" : "RCV",
      "display" : "receiver"
    }]
  }
}