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4.3.2.111 HL7 v3 Value Set RoleCode

Vocabulary

Work Group

Maturity Level: N/A

External

Use Context: Any

This value set (http://hl7.org/fhir/ValueSet/v3-RoleCode) is defined as part of HL7 v3.

Summary

Defining URL:

http://hl7.org/fhir/ValueSet/v3-RoleCode

Name:

v3 Code System RoleCode

Definition:

A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes.

OID:

(for OID based terminology systems)

Source Resource

XML / JSON

This value set is used in the following places:

This value set is the designated 'entire code system' value set for v3 Code System RoleCode

4.3.2.111.1 Content Logical Definition

This value set includes codes from the following code systems:

Include all codes defined in http://hl7.org/fhir/v3/RoleCode

4.3.2.111.2 Expansion

This expansion generated 03 Apr 2018

This value set contains 397 concepts

All codes from system http://hl7.org/fhir/v3/RoleCode

Code	Display	Definition
_AffiliationRoleType	AffiliationRoleType	Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related. Examples: Business Partner, Business Associate, Colleague
_AgentRoleType	AgentRoleType	Parties that may or should contribute or have contributed to an Act.
AMENDER	amender	An entity which corrected, edited, or amended pre-existing information.
CLASSIFIER	classifier	An individual authorized to assign an original classification to information, including compilations of unclassified information, based on a determination that the information requires protection against unauthorized disclosure. The individual marks the information with immutable, computable, and human readable security labels in accordance with applicable security labeling policies. The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded, downgraded, used in derivative classification, or declassified] in a manner that preserves the overridden original classification binding and provenance.
CONSENTER	consenter	An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy.
CONSWIT	consent witness	An entity which has witnessed and attests to observing another entity being counseled about an agreement such as a consent for services, advanced directive, or a privacy consent directive.
COPART	co-participant	An entity which participates in the generation of and attest to veracity of content, but is not an author or coauthor. For example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report.
DECLASSIFIER	declassifier	An individual which is authorized to declassify information based on a determination that the information no longer requires protection against unauthorized disclosure. The individual marks the information being declassified using computable and human readable security labels indicating that this is copy of previously classified information is unclassified in accordance with applicable security labeling policies. The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded or used in derivative classification] in a manner that preserves the overridden original classification binding and provenance.
DELEGATEE	delegatee	A party to whom some right or authority is granted by a delegator.
DELEGATOR	delegator	A party that grants all or some portion its right or authority to another party.
DOWNGRDER	downgrader	An individual authorized to lower the classification level of labeled content and provide rationale for doing so as directed by a classification guide.
DRIVCLASSIFIER	derivative classifier	An individual who is only authorized to classify reproduced, extracted, or summarized classified information, or compile classified and unclassified information by applying classification markings derived from source material or as directed by a classification guide.
GRANTEE	grantee	An entity which accepts certain rights or authority from a grantor.
GRANTOR	grantor	An entity which agrees to confer certain rights or authority to a grantee.
INTPRTER	interpreter	An entity which converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information.
REVIEWER	reviewer	An entity authorized to filter information according to approved criteria.
VALIDATOR	validator	An entity authorized to validate information for inclusion in a record.
_CoverageSponsorRoleType	CoverageSponsorRoleType	Description:Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)
FULLINS	Fully insured coverage sponsor	Description:An employer or organization that contracts with an underwriter to assumes the financial risk and administrative responsibility for coverage of health services for covered parties.
SELFINS	Self insured coverage sponsor	Description:An employer or organization that assumes the financial risk and administrative responsibility for coverage of health services for covered parties.
_PayorRoleType	PayorRoleType	Description:PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set. Examples:A Payor that is a TPA may administer a managed care plan without underwriting the risk.
ENROLBKR	Enrollment Broker	Description:A payor that is responsible for functions related to the enrollment of covered parties.
TPA	Third party administrator	Description:Third party administrator (TPA) is a payor organization that processes health care claims without carrying insurance risk. Third party administrators are prominent players in the managed care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other administrative activities. Self-insured employers often contract with third party administrator to handle their insurance functions. Insurance companies oftentimes outsource the claims, utilization review or membership functions to a TPA. Sometimes TPAs only manage provider networks, only claims or only utilization review. While some third-party administrators may operate as units of insurance companies, they are often independent. However, hospitals or provider organizations desiring to set up their own health plans will often outsource certain responsibilities to TPAs. TPAs may perform one or several payor functions, specified by the PayorParticipationFunction value set, such as provider management, enrollment, utilization management, and fee for service claims adjudication management.
UMO	Utilization management organization	Description:A payor that is responsible for review and case management of health services covered under a policy or program.
RESPRSN	responsible party	The role played by a party who has legal responsibility for another party.
EXCEST	executor of estate	The role played by a person acting as the estate executor for a deceased subscriber or policyholder who was the responsible party
GUADLTM	guardian ad lidem	The role played by a person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings.
GUARD	guardian	The role played by a person or institution legally empowered with responsibility for the care of a ward.
POWATT	power of attorney	A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.
DPOWATT	durable power of attorney	A relationship between two people in which one person authorizes another, usually a family member or relative, to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned. Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency.
HPOWATT	healthcare power of attorney	A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that continues (by its terms) to be effective even though the grantor has become mentally incompetent after signing the document.
SPOWATT	special power of attorney	A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned.
_AssignedRoleType	AssignedRoleType	AssignedRoleType
_AssignedNonPersonLivingSubjectRoleType	AssignedNonPersonLivingSubjectRoleType	Description:A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity
ASSIST	Assistive non-person living subject	Description:Dogs trained to assist the ill or physically challenged.
BIOTH	Biotherapeutic non-person living subject	Description:Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies.
ANTIBIOT	Antibiotic	Description:Non-person living subject used as antibiotic. Examples:Bacteriophage, is a virus that infects bacteria.
DEBR	Debridement	Description:Maggots raised for biodebridement. Discussion: Maggot Debridement Therapy is the medical use of live maggots for cleaning non-healing wounds. Examples:Removal of burnt skin.
CCO	Clinical Companion	Description:Companion animals, such as dogs, cats, and rabbits, which may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life.
SEE	Seeing	Description:Dogs trained to assist persons who are seeing impaired or blind.
SNIFF	Sniffing	Description:Dogs trained or having the ability to detect imminent seizures or cancers in humans, probably as a result of volatile chemical (odors) given off by the malignancy of the host.
_CertifiedEntityType	CertifiedEntityType	Defines types of certifications for all entities
_CitizenRoleType	CitizenRoleType	A role type used to qualify a person's legal status within a country or nation.
CAS	asylum seeker	A person who has fled his or her home country to find a safe place elsewhere.
CASM	single minor asylum seeker	A person who is someone of below legal age who has fled his or her home country, without his or her parents, to find a safe place elsewhere at time of categorization.
CN	national	A person who is legally recognized as a member of a nation or country, with associated rights and obligations.
CNRP	non-country member without residence permit	A foreigner who is present in a country (which is foreign to him/her) unlawfully or without the country's authorization (may be called an illegal alien).
CNRPM	non-country member minor without residence permit	A person who is below legal age present in a country, without his or her parents, (which is foreign to him/her) unlawfully or without the country's authorization.
CPCA	permit card applicant	A non-country member admitted to the territory of a nation or country as a non-resident for an explicit purpose.
CRP	non-country member with residence permit	A foreigner who is a resident of the country but does not have citizenship.
CRPM	non-country member minor with residence permit	A person who is a resident below legal age of the country without his or her parents and does not have citizenship.
_ContactRoleType	ContactRoleType	Types of contact for Role code "CON"
_AdministrativeContactRoleType	AdministrativeContactRoleType	A contact role used for business and/or administrative purposes.
BILL	Billing Contact	A contact role used to identify a person within a Provider organization that can be contacted for billing purposes (e.g. about the content of the Invoice).
ORG	organizational contact	A contact for an organization for administrative purposes. Contact role specifies a person acting as a liason for the organization. Example: HR Department representative.
PAYOR	Payor Contact	A contact role used to identify a person within a Payor organization to whom this communication is addressed.
ECON	emergency contact	A contact designated for contact in emergent situations.
NOK	next of kin	Played by an individual who is designated as the next of kin for another individual which scopes the role.
_IdentifiedEntityType	IdentifiedEntityType	Definition: A code representing the type of identifier that has been assigned to the identified entity (IDENT). Examples: Example values include Social Insurance Number, Product Catalog ID, Product Model Number.
_LocationIdentifiedEntityRoleCode	LocationIdentifiedEntityRoleCode	Description:Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.
ACHFID	accreditation location identifier	Description:Identifier assigned to a location by the organization responsible for accrediting the location.
JURID	jurisdiction location identifier	Description:Identifier assigned to a location by a jurisdiction.
LOCHFID	local location identifier	Description:Identifier assigned to a location by a local party (which could be the facility itself or organization overseeing a group of facilities).
_LivingSubjectProductionClass	LivingSubjectProductionClass	Code indicating the primary use for which a living subject is bred or grown
BF	Beef	Cattle used for meat production
BL	Broiler	Chickens raised for meat
BR	Breeder	Breeding/genetic stock
CO	Companion	Companion animals
DA	Dairy	Milk production
DR	Draft	Draft animals
DU	Dual	Dual purpose. Defined purposes based on species and breed
FI	Fiber	Animals raised for their fur, hair or skins
LY	Layer	Chickens raised for egg production
MT	Meat	Animals raised for meat production
MU	Multiplier	Poultry flocks used for chick/poult production
PL	Pleasure	Animals rasied for recreation
RC	Racing	Animals raised for racing perfomance
SH	Show	Animals raised for shows
VL	Veal	Cattle raised for veal meat production. Implicit is the husbandry method.
WL	Wool	Sheep, goats and other mammals raised for their fiber
WO	Working	Animals used to perform work
_MedicationGeneralizationRoleType	MedicationGeneralizationRoleType	Identifies the specific hierarchical relationship between the playing and scoping medications. Examples: Generic, Generic Formulation, Therapeutic Class, etc.
DC	therapeutic class	Description:A categorization of medicinal products by their therapeutic properties and/or main therapeutic use.
GD	generic drug	Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients independent of strength, and form. The scoping entity identifies a unique combination of medicine ingredients; sometimes referred to as "ingredient set".
GDF	generic drug form	Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients and dose form, independent of strength of the ingredients. The scoping entity identifies a unique combination of medicine ingredients in a specific dose form.
GDS	generic drug strength	Relates a manufactured drug product to the non-proprietary (generic) representation of is ingredients with their strength. The scoping entity identifies a unique combination of medicine ingredients with their strength.
GDSF	generic drug strength form	Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.
MGDSF	manufactured drug strength form	Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.
_MemberRoleType	MemberRoleType	Types of membership for Role code "MBR"
TRB	Tribal Member	A person who is a member of a tribe.
_PersonalRelationshipRoleType	PersonalRelationshipRoleType	PersonalRelationshipRoleType
FAMMEMB	family member	A relationship between two people characterizing their "familial" relationship
CHILD	child	The player of the role is a child of the scoping entity.
CHLDADOPT	adopted child	The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.
DAUADOPT	adopted daughter	The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.
SONADOPT	adopted son	The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.
CHLDFOST	foster child	The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.
DAUFOST	foster daughter	The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.
SONFOST	foster son	The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.
DAUC	daughter	Description: The player of the role is a female child (of any type) of scoping entity (parent)
DAU	natural daughter	The player of the role is a female offspring of the scoping entity (parent).
STPDAU	stepdaughter	The player of the role is a daughter of the scoping person's spouse by a previous union.
NCHILD	natural child	The player of the role is an offspring of the scoping entity as determined by birth.
SON	natural son	The player of the role is a male offspring of the scoping entity (parent).
SONC	son	Description: The player of the role is a male child (of any type) of scoping entity (parent)
STPSON	stepson	The player of the role is a son of the scoping person's spouse by a previous union.
STPCHLD	step child	The player of the role is a child of the scoping person's spouse by a previous union.
EXT	extended family member	Description: A family member not having an immediate genetic or legal relationship e.g. Aunt, cousin, great grandparent, grandchild, grandparent, niece, nephew or uncle.
AUNT	aunt	The player of the role is a sister of the scoping person's mother or father.
MAUNT	maternal aunt	Description:The player of the role is a biological sister of the scoping person's biological mother.
PAUNT	paternal aunt	Description:The player of the role is a biological sister of the scoping person's biological father.
COUSN	cousin	The player of the role is a relative of the scoping person descended from a common ancestor, such as a grandparent, by two or more steps in a diverging line.
MCOUSN	maternal cousin	Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's mother's side, such as a grandparent, by two or more steps in a diverging line.
PCOUSN	paternal cousin	Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's father's side, such as a grandparent, by two or more steps in a diverging line.
GGRPRN	great grandparent	The player of the role is a parent of the scoping person's grandparent.
GGRFTH	great grandfather	The player of the role is the father of the scoping person's grandparent.
MGGRFTH	maternal great-grandfather	Description:The player of the role is the biological father of the scoping person's biological mother's parent.
PGGRFTH	paternal great-grandfather	Description:The player of the role is the biological father of the scoping person's biological father's parent.
GGRMTH	great grandmother	The player of the role is the mother of the scoping person's grandparent.
MGGRMTH	maternal great-grandmother	Description:The player of the role is the biological mother of the scoping person's biological mother's parent.
PGGRMTH	paternal great-grandmother	Description:The player of the role is the biological mother of the scoping person's biological father's parent.
MGGRPRN	maternal great-grandparent	Description:The player of the role is a biological parent of the scoping person's biological mother's parent.
PGGRPRN	paternal great-grandparent	Description:The player of the role is a biological parent of the scoping person's biological father's parent.
GRNDCHILD	grandchild	The player of the role is a child of the scoping person's son or daughter.
GRNDDAU	granddaughter	The player of the role is a daughter of the scoping person's son or daughter.
GRNDSON	grandson	The player of the role is a son of the scoping person's son or daughter.
GRPRN	grandparent	The player of the role is a parent of the scoping person's mother or father.
GRFTH	grandfather	The player of the role is the father of the scoping person's mother or father.
MGRFTH	maternal grandfather	Description:The player of the role is the biological father of the scoping person's biological mother.
PGRFTH	paternal grandfather	Description:The player of the role is the biological father of the scoping person's biological father.
GRMTH	grandmother	The player of the role is the mother of the scoping person's mother or father.
MGRMTH	maternal grandmother	Description:The player of the role is the biological mother of the scoping person's biological mother.
PGRMTH	paternal grandmother	Description:The player of the role is the biological mother of the scoping person's biological father.
MGRPRN	maternal grandparent	Description:The player of the role is the biological parent of the scoping person's biological mother.
PGRPRN	paternal grandparent	Description:The player of the role is the biological parent of the scoping person's biological father.
INLAW	inlaw	A relationship between an individual and a member of their spousal partner's immediate family.
CHLDINLAW	child-in-law	The player of the role is the spouse of scoping person's child.
DAUINLAW	daughter in-law	The player of the role is the wife of scoping person's son.
SONINLAW	son in-law	The player of the role is the husband of scoping person's daughter.
PRNINLAW	parent in-law	The player of the role is the parent of scoping person's husband or wife.
FTHINLAW	father-in-law	The player of the role is the father of the scoping person's husband or wife.
MTHINLAW	mother-in-law	The player of the role is the mother of the scoping person's husband or wife.
SIBINLAW	sibling in-law	The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse.
BROINLAW	brother-in-law	The player of the role is: (1) a brother of the scoping person's spouse, or (2) the husband of the scoping person's sister, or (3) the husband of a sister of the scoping person's spouse.
SISINLAW	sister-in-law	The player of the role is: (1) a sister of the scoping person's spouse, or (2) the wife of the scoping person's brother, or (3) the wife of a brother of the scoping person's spouse.
NIENEPH	niece/nephew	The player of the role is a child of scoping person's brother or sister or of the brother or sister of the scoping person's spouse.
NEPHEW	nephew	The player of the role is a son of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.
NIECE	niece	The player of the role is a daughter of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.
UNCLE	uncle	The player of the role is a brother of the scoping person's mother or father.
MUNCLE	maternal uncle	Description:The player of the role is a biological brother of the scoping person's biological mother.
PUNCLE	paternal uncle	Description:The player of the role is a biological brother of the scoping person's biological father.
PRN	parent	The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child).
ADOPTP	adoptive parent	The player of the role (parent) has taken the scoper (child) into their family through legal means and raises them as his or her own child.
ADOPTF	adoptive father	The player of the role (father) is a male who has taken the scoper (child) into their family through legal means and raises them as his own child.
ADOPTM	adoptive mother	The player of the role (father) is a female who has taken the scoper (child) into their family through legal means and raises them as her own child.
FTH	father	The player of the role is a male who begets or raises or nurtures the scoping entity (child).
FTHFOST	foster father	The player of the role (parent) who is a male state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary. The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.
NFTH	natural father	The player of the role is a male who begets the scoping entity (child).
NFTHF	natural father of fetus	Indicates the biologic male parent of a fetus.
STPFTH	stepfather	The player of the role is the husband of scoping person's mother and not the scoping person's natural father.
MTH	mother	The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child).
GESTM	gestational mother	The player is a female whose womb carries the fetus of the scoper. Generally used when the gestational mother and natural mother are not the same.
MTHFOST	foster mother	The player of the role (parent) who is a female state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary. The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.
NMTH	natural mother	The player of the role is a female who conceives or gives birth to the scoping entity (child).
NMTHF	natural mother of fetus	The player is the biologic female parent of the scoping fetus.
STPMTH	stepmother	The player of the role is the wife of scoping person's father and not the scoping person's natural mother.
NPRN	natural parent	natural parent
PRNFOST	foster parent	The player of the role (parent) who is a state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary. The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.
STPPRN	step parent	The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.
SIB	sibling	The player of the role shares one or both parents in common with the scoping entity.
BRO	brother	The player of the role is a male sharing one or both parents in common with the scoping entity.
HBRO	half-brother	The player of the role is a male related to the scoping entity by sharing only one biological parent.
NBRO	natural brother	The player of the role is a male having the same biological parents as the scoping entity.
TWINBRO	twin brother	The scoper was carried in the same womb as the male player and shares common biological parents.
FTWINBRO	fraternal twin brother	The scoper was carried in the same womb as the male player and shares common biological parents but is the product of a distinct egg/sperm pair.
ITWINBRO	identical twin brother	The male scoper is an offspring of the same egg-sperm pair as the male player.
STPBRO	stepbrother	The player of the role is a son of the scoping person's stepparent.
HSIB	half-sibling	The player of the role is related to the scoping entity by sharing only one biological parent.
HSIS	half-sister	The player of the role is a female related to the scoping entity by sharing only one biological parent.
NSIB	natural sibling	The player of the role has both biological parents in common with the scoping entity.
NSIS	natural sister	The player of the role is a female having the same biological parents as the scoping entity.
TWINSIS	twin sister	The scoper was carried in the same womb as the female player and shares common biological parents.
FTWINSIS	fraternal twin sister	The scoper was carried in the same womb as the female player and shares common biological parents but is the product of a distinct egg/sperm pair.
ITWINSIS	identical twin sister	The female scoper is an offspring of the same egg-sperm pair as the female player.
TWIN	twin	The scoper and player were carried in the same womb and shared common biological parents.
FTWIN	fraternal twin	The scoper and player were carried in the same womb and share common biological parents but are the product of distinct egg/sperm pairs.
ITWIN	identical twin	The scoper and player are offspring of the same egg-sperm pair.
SIS	sister	The player of the role is a female sharing one or both parents in common with the scoping entity.
STPSIS	stepsister	The player of the role is a daughter of the scoping person's stepparent.
STPSIB	step sibling	The player of the role is a child of the scoping person's stepparent.
SIGOTHR	significant other	A person who is important to one's well being; especially a spouse or one in a similar relationship. (The player is the one who is important)
DOMPART	domestic partner	The player of the role cohabits with the scoping person but is not the scoping person's spouse.
FMRSPS	former spouse	Player of the role was previously joined to the scoping person in marriage and this marriage is now dissolved and inactive. Usage Note: This is significant to indicate as some jurisdictions have different legal requirements for former spouse to access the patient's record, from a general friend.
SPS	spouse	The player of the role is a marriage partner of the scoping person.
HUSB	husband	The player of the role is a man joined to a woman (scoping person) in marriage.
WIFE	wife	The player of the role is a woman joined to a man (scoping person) in marriage.
FRND	unrelated friend	The player of the role is a person who is known, liked, and trusted by the scoping person.
NBOR	neighbor	The player of the role lives near or next to the scoping person.
ONESELF	self	The relationship that a person has with his or her self.
ROOM	Roommate	One who shares living quarters with the subject.
_PolicyOrProgramCoverageRoleType	PolicyOrProgramCoverageRoleType	Description: A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria. Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be: The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits. Discussion: The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead. In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.
_CoverageRoleType	CoverageRoleType	Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc
FAMDEP	family dependent	The player of the role is dependent of the scoping entity.
HANDIC	handicapped dependent	Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult.
INJ	injured plaintiff	Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy.
SELF	self	Covered party is the policy holder. Also known as the subscriber.
SPON	sponsored dependent	Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward.
STUD	student	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.
FSTUD	full-time student	Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.
PSTUD	part-time student	Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.
ADOPT	adopted child	A child taken into one's family through legal means and raised as one's own child.
GCHILD	grandchild	A child of one's son or daughter.
GPARNT	grandparent	parent of a parent of the subject.
NAT	natural child	A child as determined by birth.
NIENE	niece/nephew	A child of one's brother or sister or of the brother or sister of one's spouse.
PARNT	parent	One that begets or brings forth offspring or a person who brings up and cares for for another (Webster's Collegiate Dictionary)
SPSE	spouse	A marriage partner; a husband or wife.
STEP	step child	A child receiving parental care and nurture from a person who is related to them through marriage to their parent.
_CoveredPartyRoleType	covered party role type	A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder. Example:An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. Discussion: The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.
_ClaimantCoveredPartyRoleType	ClaimantCoveredPartyRoleType	DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.
CRIMEVIC	crime 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.
INJWKR	injured 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.
_DependentCoveredPartyRoleType	DependentCoveredPartyRoleType	Description: A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.
COCBEN	continuity of coverage beneficiary	Description: 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. 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 continuity of coverage beneficiary meets jurisdictional or policy criteria.
DIFFABL	differently 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.
WARD	ward	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.
_IndividualInsuredPartyRoleType	IndividualInsuredPartyRoleType	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.
RETIREE	retiree	Description: 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. 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 retiree meets jurisdictional or policy criteria.
_ProgramEligiblePartyRoleType	ProgramEligiblePartyRoleType	Description:A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.
INDIG	member 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.
MIL	military	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
ACTMIL	active 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.
RETMIL	retired 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.
VET	veteran	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.
_SubscriberCoveredPartyRoleType	SubscriberCoveredPartyRoleType	Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.
_ResearchSubjectRoleBasis	ResearchSubjectRoleBasis	Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.
ERL	enrollment	Definition:The specific role being played by a research subject participating in the active treatment or primary data collection portion of a research study.
SCN	screening	Definition:The specific role being played by a research subject participating in the pre-enrollment evaluation portion of a research study.
_ServiceDeliveryLocationRoleType	ServiceDeliveryLocationRoleType	A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.
_DedicatedServiceDeliveryLocationRoleType	DedicatedServiceDeliveryLocationRoleType	A role of a place that further classifies a setting that is intended to house the provision of services.
_DedicatedClinicalLocationRoleType	DedicatedClinicalLocationRoleType	A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.
DX	Diagnostics or therapeutics unit	A practice setting where diagnostic procedures or therapeutic interventions are performed
CVDX	Cardiovascular diagnostics or therapeutics unit	A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)
CATH	Cardiac catheterization lab	Cardiac catheterization lab
ECHO	Echocardiography lab	Echocardiography lab
GIDX	Gastroenterology diagnostics or therapeutics lab	A practice setting where GI procedures (such as endoscopies) are performed
ENDOS	Endoscopy lab	(X12N 261QD0000N)
RADDX	Radiology diagnostics or therapeutics unit	A practice setting where radiology services (diagnostic or therapeutic) are provided (X12N 261QR0200N)
RADO	Radiation oncology unit	(X12N 261QX0203N)
RNEU	Neuroradiology unit	Neuroradiology unit
HOSP	Hospital	An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured.
CHR	Chronic Care Facility	(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes
GACH	Hospitals; General Acute Care Hospital	(X12N 282N00000N)
MHSP	Military Hospital	A health care facility operated by the Department of Defense or other military operation.
PSYCHF	Psychatric Care Facility	Healthcare facility that cares for patients with psychiatric illness(s).
RH	Rehabilitation hospital	(X12N 283X00000N)
RHAT	addiction treatment center	Description: A location that plays the role of delivering services which may include life training and/or social support to people with addictions.
RHII	intellectual impairment center	Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with intellectual and/or pervasive development disorders such as autism or severe behaviour disorder.
RHMAD	parents with adjustment difficulties center	Description: A location that plays the role of delivering services which may social support services for adolescents who are pregnant or have child and are experiencing adaptation issues/difficulties in their current or eventual parenting role.
RHPI	physical impairment center	Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with physical impairments.
RHPIH	physical impairment - hearing center	Description: A location that plays the role of delivering services for people with hearing impairments.
RHPIMS	physical impairment - motor skills center	Description: A location that plays the role of delivering services for people with motor skill impairments.
RHPIVS	physical impairment - visual skills center	Description: A location that plays the role of delivering services for people with visual skill impairments.
RHYAD	youths with adjustment difficulties center	Description: A location that plays the role of delivering services which may include life training and/or social support services for the adaption, rehabilitation and social integration of youths with adjustment difficulties.
HU	Hospital unit	Hospital unit
BMTU	Bone marrow transplant unit	Bone marrow transplant unit
CCU	Coronary care unit	Coronary care unit
CHEST	Chest unit	A specialty unit in hospital that focuses on chronic respirator patients and pulmonary failure
EPIL	Epilepsy unit	Epilepsy unit
ER	Emergency room	The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.
ETU	Emergency trauma unit	Emergency trauma unit
HD	Hemodialysis unit	Hemodialysis unit
HLAB	hospital laboratory	Description: A location that plays the role of delivering services which may include tests done based on clinical specimens to get health information about a patient as pertaining to the diagnosis, treatment and prevention of disease. Hospital laboratories may be further divided into specialized units such as Anatomic Pathology, Microbiology, and Biochemistry.
INLAB	inpatient laboratory	Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for a hospital visit longer than one day.
OUTLAB	outpatient laboratory	Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for same day visits.
HRAD	radiology unit	Description: A location that plays the role of delivering services which may include the branch of medicine that uses ionizing and non-ionizing radiation to diagnose and treat diseases. The radiology unit may be further divided into subspecialties such as Imaging, Cardiovascular, Thoracic, and Ultrasound.
HUSCS	specimen collection site	Description: A location that plays the role of delivering services which may include collecting specimens and/or samples from patients for laboratory testing purposes, but does not perform any tests or analysis functions.
ICU	Intensive care unit	Intensive care unit
PEDICU	Pediatric intensive care unit	Pediatric intensive care unit
PEDNICU	Pediatric neonatal intensive care unit	Pediatric neonatal intensive care unit
INPHARM	inpatient pharmacy	Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital.
MBL	medical laboratory	Description: A location that plays the role of delivering services which include biochemistry, hematology, microbiology, immunochemistry, and toxicology.
NCCS	Neurology critical care and stroke unit	Neurology critical care and stroke unit
NS	Neurosurgery unit	Neurosurgery unit
OUTPHARM	outpatient pharmacy	Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions.
PEDU	Pediatric unit	Pediatric unit
PHU	Psychiatric hospital unit	(X12N 273R00000N)
RHU	Rehabilitation hospital unit	Rehabilitation hospital unit
SLEEP	Sleep disorders unit	(X12N 261QA1200N)
NCCF	Nursing or custodial care facility	Nursing or custodial care facility
SNF	Skilled nursing facility	(X12N 314000000N)
OF	Outpatient facility	Outpatient facility
ALL	Allergy clinic	Allergy clinic
AMPUT	Amputee clinic	Amputee clinic
BMTC	Bone marrow transplant clinic	Bone marrow transplant clinic
BREAST	Breast clinic	Breast clinic
CANC	Child and adolescent neurology clinic	Child and adolescent neurology clinic
CAPC	Child and adolescent psychiatry clinic	Child and adolescent psychiatry clinic
CARD	Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities	Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities
PEDCARD	Pediatric cardiology clinic	Pediatric cardiology clinic
COAG	Coagulation clinic	Coagulation clinic
CRS	Colon and rectal surgery clinic	Colon and rectal surgery clinic
DERM	Dermatology clinic	Dermatology clinic
ENDO	Endocrinology clinic	Endocrinology clinic
PEDE	Pediatric endocrinology clinic	Pediatric endocrinology clinic
ENT	Otorhinolaryngology clinic	Otorhinolaryngology clinic
FMC	Family medicine clinic	Family medicine clinic
GI	Gastroenterology clinic	Gastroenterology clinic
PEDGI	Pediatric gastroenterology clinic	Pediatric gastroenterology clinic
GIM	General internal medicine clinic	General internal medicine clinic
GYN	Gynecology clinic	Gynecology clinic
HEM	Hematology clinic	Hematology clinic
PEDHEM	Pediatric hematology clinic	Pediatric hematology clinic
HTN	Hypertension clinic	Hypertension clinic
IEC	Impairment evaluation center	Focuses on assessing disability
INFD	Infectious disease clinic	Infectious disease clinic
PEDID	Pediatric infectious disease clinic	Pediatric infectious disease clinic
INV	Infertility clinic	Infertility clinic
LYMPH	Lympedema clinic	Lympedema clinic
MGEN	Medical genetics clinic	Medical genetics clinic
NEPH	Nephrology clinic	Nephrology clinic
PEDNEPH	Pediatric nephrology clinic	Pediatric nephrology clinic
NEUR	Neurology clinic	Neurology clinic
OB	Obstetrics clinic	Obstetrics clinic
OMS	Oral and maxillofacial surgery clinic	Oral and maxillofacial surgery clinic
ONCL	Medical oncology clinic	Medical oncology clinic
PEDHO	Pediatric oncology clinic	Pediatric oncology clinic
OPH	Opthalmology clinic	Opthalmology clinic
OPTC	optometry clinic	Description: A location that plays the role of delivering services which may include examination, diagnosis, treatment, management, and prevention of diseases and disorders of the eye as well as prescribing and fitting appropriate corrective lenses (glasses or contact lenses) as needed. Optometry clinics may also provide tests for visual field screening, measuring intra-ocular pressure and ophthalmoscopy, as and when required.
ORTHO	Orthopedics clinic	Orthopedics clinic
HAND	Hand clinic	Hand clinic
PAINCL	Pain clinic	(X12N 261QP3300N)
PC	Primary care clinic	(X12N 261QP2300N)
PEDC	Pediatrics clinic	Pediatrics clinic
PEDRHEUM	Pediatric rheumatology clinic	Pediatric rheumatology clinic
POD	Podiatry clinic	(X12N 261QP1100N)
PREV	Preventive medicine clinic	Preventive medicine clinic
PROCTO	Proctology clinic	Proctology clinic
PROFF	Provider's Office	Location where healthcare service was delivered, identified as the healthcare provider's practice office.
PROS	Prosthodontics clinic	Prosthodontics clinic
PSI	Psychology clinic	Psychology clinic
PSY	Psychiatry clinic	Psychiatry clinic
RHEUM	Rheumatology clinic	Rheumatology clinic
SPMED	Sports medicine clinic	Sports medicine clinic
SU	Surgery clinic	Surgery clinic
PLS	Plastic surgery clinic	Plastic surgery clinic
URO	Urology clinic	Urology clinic
TR	Transplant clinic	Transplant clinic
TRAVEL	Travel and geographic medicine clinic	Travel and geographic medicine clinic
WND	Wound clinic	Wound clinic
RTF	Residential treatment facility	Residential treatment facility
PRC	Pain rehabilitation center	Pain rehabilitation center
SURF	Substance use rehabilitation facility	(X12N 324500000N)
_DedicatedNonClinicalLocationRoleType	DedicatedNonClinicalLocationRoleType	A role of a place that further classifies a setting that is intended to house the provision of non-clinical services.
DADDR	Delivery Address	Location address where medical supplies were transported to for use.
MOBL	Mobile Unit	Location (mobile) where healthcare service was delivered.
AMB	Ambulance	Location (mobile) where healthcare service was delivered, identified specifically as an ambulance.
PHARM	Pharmacy	Location where healthcare service was delivered, identified as a pharmacy.
_IncidentalServiceDeliveryLocationRoleType	IncidentalServiceDeliveryLocationRoleType	IncidentalServiceDeliveryLocationRoleType
ACC	accident site	Location of an accident where healthcare service was delivered, such as a roadside.
COMM	Community Location	Community location where healthcare is delivered.
CSC	community service center	Description: A location that plays the role of delivering services which may include providing front-line services to the population of a defined geographic area such as: healthcare services and social services, preventive or curative, rehabilitation or reintegration.
PTRES	Patient's Residence	location where healthcare was delivered which is the residence of the Patient.
SCHOOL	school	Location where healthcare service was delivered, identified as a school or educational facility.
UPC	underage protection center	Description: A location that plays the role of delivering services which may include: social emergency services required for a young person as required under any jurisdictional youth laws, child placement, and family mediation in the defined geographical area the SDL is responsible for. It may provide expertise in a judiciary setting on child custody, adoption and biological history research.
WORK	work site	Location where healthcare service was delivered, identified as a work place.
_SpecimenRoleType	SpecimenRoleType	SpecimenRoleType
C	Calibrator	A specimen used for initial calibration settings of an instrument
G	Group	A set of patient samples in which the individuals of the group may or may not be identified.
L	Pool	Aliquots of individual specimens combined to form a single specimen representing all of the included individuals.
P	Patient	A specimen that has been collected from a patient.
Q	Quality Control	A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test.
B	Blind	Quality Control specimen submitted to the lab whose identity and composition is not known to the lab.
E	Electronic QC	An electronically simulated QC specimen
F	Filler Proficiency	Specimen used for testing proficiency of an organization performing testing (how does this differ from O?)
O	Operator Proficiency	A specimen used for evaluation of operator proficiency (operator in what context?)
V	Verifying	A specimen used for periodic calibration checks of instruments
R	Replicate	A portion of an original patent sample that is tested at the same time as the original sample
CLAIM	claimant	A party that makes a claim for coverage under a policy.
communityLaboratory	Community Laboratory	Community Laboratory
GT	Guarantor	An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider.
homeHealth	Home Health	Home Health
laboratory	Laboratory	Laboratory
pathologist	Pathologist	Pathologist
PH	Policy Holder	Policy holder for the insurance policy.
phlebotomist	Phlebotomist	Phlebotomist
PROG	program eligible	A party that meets the eligibility criteria for coverage under a program.
PT	Patient	The recipient for the service(s) and/or product(s) when they are not the covered party.
subject	Self	Self
thirdParty	Third Party	Third Party
DEP	DEP
DEPEN	dependent	A party covered under a policy based on association with a subscriber.
FM	Family Member	A member of the covered party's family. This could be the spouse, a parent, a grand parent, a sibling, etc.
INDIV	individual	A party covered under a policy as the policyholder.
NAMED	named insured	A party to an insurance policy to whom the insurer agrees to indemnify for losses, provides benefits for, or renders services.
PSYCHCF	PSYCHCF
SUBSCR	subscriber	A party covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage