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 - XML Representation

Page standards status: Trial-use Maturity Level: 0

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-xRoleClassPayeePolicyRelationship-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-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>
<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>
<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>
</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>
</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>
<p>*Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.</p>
<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>
</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>
</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>
</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-xRoleClassPayeePolicyRelationship-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3XRoleClassPayeePolicyRelationshipForR4"/>
  <title
         value="Cross-version ValueSet R5.XRoleClassPayeePolicyRelationship 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-xRoleClassPayeePolicyRelationship|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-xRoleClassPayeePolicyRelationship|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-xRoleClassPayeePolicyRelationship|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-RoleClass"/>
      <version value="3.1.0"/>
      <concept>
        <code value="COVPTY"/>
        <display value="covered party"/>
      </concept>
      <concept>
        <code value="GUAR"/>
        <display value="guarantor"/>
      </concept>
      <concept>
        <code value="POLHOLD"/>
        <display value="policy holder"/>
      </concept>
      <concept>
        <code value="PROV"/>
        <display value="healthcare provider"/>
      </concept>
      <concept>
        <code value="PRS"/>
        <display value="personal relationship"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <version value="3.1.0"/>
      <code value="COVPTY"/>
      <display value="covered party"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <version value="3.1.0"/>
      <code value="GUAR"/>
      <display value="guarantor"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <version value="3.1.0"/>
      <code value="POLHOLD"/>
      <display value="policy holder"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <version value="3.1.0"/>
      <code value="PROV"/>
      <display value="healthcare provider"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <version value="3.1.0"/>
      <code value="PRS"/>
      <display value="personal relationship"/>
    </contains>
  </expansion>
</ValueSet>