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

: R5V3XRoleClassPayeePolicyRelationshipForR4 - TTL Representation

Page standards status: Trial-use Maturity Level: 0

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "R5-v3-xRoleClassPayeePolicyRelationship-for-R4"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-xRoleClassPayeePolicyRelationship-for-R4</b></p><a name=\"R5-v3-xRoleClassPayeePolicyRelationship-for-R4\"> </a><a name=\"hcR5-v3-xRoleClassPayeePolicyRelationship-for-R4\"> </a><p>This value set expansion contains 5 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-xRoleClassPayeePolicyRelationship-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-COVPTY\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></td><td>3.1.0</td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-v3-RoleClass.html#v3-RoleClass-COVPTY\">COVPTY</a></td><td>covered party</td><td><div><p>A role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.</p>\n<p>*Discussion:*This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.</p>\n<p>Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-xRoleClassPayeePolicyRelationship-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-GUAR\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></td><td>3.1.0</td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-v3-RoleClass.html#v3-RoleClass-GUAR\">GUAR</a></td><td>guarantor</td><td><div><p>A person or organization (player) that serves as a financial guarantor for another person or organization (scoper).</p>\n</div></td></tr><tr><td><a name=\"R5-v3-xRoleClassPayeePolicyRelationship-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-POLHOLD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></td><td>3.1.0</td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-v3-RoleClass.html#v3-RoleClass-POLHOLD\">POLHOLD</a></td><td>policy holder</td><td><div><p>A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.</p>\n<p>*Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.</p>\n<p>A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-xRoleClassPayeePolicyRelationship-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-PROV\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></td><td>3.1.0</td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-v3-RoleClass.html#v3-RoleClass-PROV\">PROV</a></td><td>healthcare provider</td><td><div><p>An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper).</p>\n</div></td></tr><tr><td><a name=\"R5-v3-xRoleClassPayeePolicyRelationship-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-PRS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></td><td>3.1.0</td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-v3-RoleClass.html#v3-RoleClass-PRS\">PRS</a></td><td>personal relationship</td><td><div><p>Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "fhir"     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "packageId"^^xsd:anyURI ;
fhir:l fhir:packageId       ] ;
fhir:value [
a fhir:Id ;
fhir:v "hl7.fhir.uv.xver-r5.r4"       ]     ] [
fhir:url [
fhir:v "version"^^xsd:anyURI ;
fhir:l fhir:version       ] ;
fhir:value [
a fhir:String ;
fhir:v "0.1.0"       ]     ] [
fhir:url [
fhir:v "uri"^^xsd:anyURI ;
fhir:l fhir:uri       ] ;
fhir:value [
a fhir:Uri ;
fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>       ]     ] ) ;
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/package-source>     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 0 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-xRoleClassPayeePolicyRelationship-for-R4"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-xRoleClassPayeePolicyRelationship-for-R4>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "R5V3XRoleClassPayeePolicyRelationshipForR4"] ; # 
  fhir:title [ fhir:v "Cross-version ValueSet R5.XRoleClassPayeePolicyRelationship for use in FHIR R4"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "FHIR Infrastructure"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "FHIR Infrastructure" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0` for use in FHIR R4."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "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-xRoleClassPayeePolicyRelationship|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-xRoleClassPayeePolicyRelationship|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
      ( fhir:concept [
fhir:code [ fhir:v "COVPTY" ] ;
fhir:display [ fhir:v "covered party" ]       ] [
fhir:code [ fhir:v "GUAR" ] ;
fhir:display [ fhir:v "guarantor" ]       ] [
fhir:code [ fhir:v "POLHOLD" ] ;
fhir:display [ fhir:v "policy holder" ]       ] [
fhir:code [ fhir:v "PROV" ] ;
fhir:display [ fhir:v "healthcare provider" ]       ] [
fhir:code [ fhir:v "PRS" ] ;
fhir:display [ fhir:v "personal relationship" ]       ] )     ] )
  ] ; # 
  fhir:expansion [
fhir:timestamp [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime ] ;
    ( fhir:contains [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
fhir:code [ fhir:v "COVPTY" ] ;
fhir:display [ fhir:v "covered party" ]     ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
fhir:code [ fhir:v "GUAR" ] ;
fhir:display [ fhir:v "guarantor" ]     ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
fhir:code [ fhir:v "POLHOLD" ] ;
fhir:display [ fhir:v "policy holder" ]     ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
fhir:code [ fhir:v "PROV" ] ;
fhir:display [ fhir:v "healthcare provider" ]     ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass>       ] ;
fhir:version [ fhir:v "3.1.0" ] ;
fhir:code [ fhir:v "PRS" ] ;
fhir:display [ fhir:v "personal relationship" ]     ] )
  ] . #