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

ValueSet: R5V3ProgramEligibleCoveredPartyRoleTypeForR4

Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ProgramEligibleCoveredPartyRoleType-for-R4 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R5V3ProgramEligibleCoveredPartyRoleTypeForR4

This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType|2.0.0 for use in FHIR R4.

This value set is part of the cross-version definitions generated to enable use of the value set http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType|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-ProgramEligibleCoveredPartyRoleType|2.0.0, defined in FHIR R5 does not have any mapping to FHIR R4

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📍2.2.0
    CodeDisplayDefinition
    ACTMILactive duty military**Description:** A person playing the role of program eligible under a program based on active military status.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.
    CRIMEVICcrime victim**Description:** A person playing the role of program eligible under a program based on allegations of being the victim of a crime.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.
    DIFFABLdifferently abled**Description:** 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.

    **Discussion:** 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.
    INDIGmember of an indigenous people**Description:** A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria.
    INJWKRinjured worker**Description:** A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.

    **Discussion:** This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.
    MILmilitary**Definition:** A person playing the role of program eligible under a program based on military status.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria
    RETMILretired military**Description:** A person playing the role of program eligible under a program based on retired military status.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.
    VETveteran**Description:** A person playing the role of program eligible under a program based on status as a military veteran.

    **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.
    WARDward**Description:** 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.

    **Discussion:** 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.
    _ProgramEligiblePartyRoleTypeProgramEligiblePartyRoleType**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.

 

Expansion

This value set expansion contains 10 concepts.

SystemVersionCodeDisplayDefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  ACTMILactive duty military

Description: A person playing the role of program eligible under a program based on active military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  CRIMEVICcrime victim

Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  DIFFABLdifferently abled

Description: 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.

Discussion: 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.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  INDIGmember of an indigenous people

Description: A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  INJWKRinjured worker

Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.

Discussion: This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  MILmilitary

Definition: A person playing the role of program eligible under a program based on military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  RETMILretired military

Description: A person playing the role of program eligible under a program based on retired military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  VETveteran

Description: A person playing the role of program eligible under a program based on status as a military veteran.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  WARDward

Description: 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.

Discussion: 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.

http://terminology.hl7.org/CodeSystem/v3-RoleCode2.2.0  _ProgramEligiblePartyRoleTypeProgramEligiblePartyRoleType

**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code