FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

: Cross-version VS for R5.EligibilityActReasonCode for use in FHIR R4 - TTL Representation

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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-EligibilityActReasonCode-for-R4"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-EligibilityActReasonCode-for-R4</b></p><a name=\"R5-v3-EligibilityActReasonCode-for-R4\"> </a><a name=\"hcR5-v3-EligibilityActReasonCode-for-R4\"> </a><p>This value set expansion contains 14 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-COVSUS\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-COVSUS\">COVSUS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>coverage suspended</td><td><div><p>When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc.</p>\n<p>Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DECSD\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-DECSD\">DECSD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>deceased</td><td><div><p>Client deceased.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-REGERR\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-REGERR\">REGERR</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>registered in error</td><td><div><p>Client was registered in error.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-AGE\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-AGE\">AGE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>age eligibility</td><td><div><p>A person becomes eligible for a program based on age.</p>\n<p><em>Example:</em>  In the U.S., a person who is 65 years of age or older is eligible for Medicare.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-CRIME\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-CRIME\">CRIME</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>crime victim</td><td><div><p>A person becomes eligible for insurance or a program because of crime related health condition or injury.</p>\n<p><em>Example:</em>  A person is a claimant under the U.S. Crime Victims Compensation program.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DIS\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-DIS\">DIS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>disability</td><td><div><p>A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-EMPLOY\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-EMPLOY\">EMPLOY</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>employment benefit</td><td><div><p>A person becomes eligible for insurance provided as an employment benefit based on employment status.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FINAN\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-FINAN\">FINAN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>financial eligibility</td><td><div><p>A person becomes eligible for a program based on financial criteria.</p>\n<p><em>Example:</em>  A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-HEALTH\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-HEALTH\">HEALTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>health status</td><td><div><p>A person becomes eligible for a program because of a qualifying health condition or injury.</p>\n<p><em>Examples:</em>  A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-MULTI\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-MULTI\">MULTI</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>multiple criteria eligibility</td><td><div><p>A person becomes eligible for a program based on more than one criterion.</p>\n<p><em>Examples:</em>  In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PNC\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-PNC\">PNC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>property and casualty condition</td><td><div><p>A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.</p>\n<p><em>Example:</em>  A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-STATUTORY\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-STATUTORY\">STATUTORY</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>statutory eligibility</td><td><div><p>A person becomes eligible for a program based on statutory criteria.</p>\n<p><em>Examples:</em>  A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-VEHIC\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-VEHIC\">VEHIC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>motor vehicle accident victim</td><td><div><p>A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-EligibilityActReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-WORK\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-WORK\">WORK</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>work related</td><td><div><p>A person becomes eligible for insurance or a program because of a work related health condition or injury.</p>\n<p><em>Example:</em>  A person is a claimant under the U.S. Black Lung Program.</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:value [
a fhir:code ;
fhir:v "fhir"     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "packageId"^^xsd:anyURI ] ;
fhir:value [
a fhir:id ;
fhir:v "hl7.fhir.uv.xver-r5.r4"       ]     ] [
fhir:url [ fhir:v "version"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "0.0.1-snapshot-2"       ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
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:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "informative" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/5.0/ValueSet/R5-v3-EligibilityActReasonCode-for-R4"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.0.1-snapshot-2"] ; # 
  fhir:name [ fhir:v "R5_v3_EligibilityActReasonCode_for_R4"] ; # 
  fhir:title [ fhir:v "Cross-version VS for R5.EligibilityActReasonCode for use in FHIR R4"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-09-01T22:37:05.101947+10:00"^^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 concepts from http://terminology.hl7.org/ValueSet/v3-EligibilityActReasonCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
      ( fhir:concept [
fhir:code [ fhir:v "COVSUS" ] ;
fhir:display [ fhir:v "coverage suspended" ]       ] [
fhir:code [ fhir:v "DECSD" ] ;
fhir:display [ fhir:v "deceased" ]       ] [
fhir:code [ fhir:v "REGERR" ] ;
fhir:display [ fhir:v "registered in error" ]       ] [
fhir:code [ fhir:v "AGE" ] ;
fhir:display [ fhir:v "age eligibility" ]       ] [
fhir:code [ fhir:v "CRIME" ] ;
fhir:display [ fhir:v "crime victim" ]       ] [
fhir:code [ fhir:v "DIS" ] ;
fhir:display [ fhir:v "disability" ]       ] [
fhir:code [ fhir:v "EMPLOY" ] ;
fhir:display [ fhir:v "employment benefit" ]       ] [
fhir:code [ fhir:v "FINAN" ] ;
fhir:display [ fhir:v "financial eligibility" ]       ] [
fhir:code [ fhir:v "HEALTH" ] ;
fhir:display [ fhir:v "health status" ]       ] [
fhir:code [ fhir:v "MULTI" ] ;
fhir:display [ fhir:v "multiple criteria eligibility" ]       ] [
fhir:code [ fhir:v "PNC" ] ;
fhir:display [ fhir:v "property and casualty condition" ]       ] [
fhir:code [ fhir:v "STATUTORY" ] ;
fhir:display [ fhir:v "statutory eligibility" ]       ] [
fhir:code [ fhir:v "VEHIC" ] ;
fhir:display [ fhir:v "motor vehicle accident victim" ]       ] [
fhir:code [ fhir:v "WORK" ] ;
fhir:display [ fhir:v "work related" ]       ] )     ] )
  ] ; # 
  fhir:expansion [
fhir:timestamp [ fhir:v "2025-09-01T22:37:05.101942+10:00"^^xsd:dateTime ] ;
    ( fhir:contains [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "COVSUS" ] ;
fhir:display [ fhir:v "coverage suspended" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "DECSD" ] ;
fhir:display [ fhir:v "deceased" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "REGERR" ] ;
fhir:display [ fhir:v "registered in error" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "AGE" ] ;
fhir:display [ fhir:v "age eligibility" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "CRIME" ] ;
fhir:display [ fhir:v "crime victim" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "DIS" ] ;
fhir:display [ fhir:v "disability" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "EMPLOY" ] ;
fhir:display [ fhir:v "employment benefit" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "FINAN" ] ;
fhir:display [ fhir:v "financial eligibility" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "HEALTH" ] ;
fhir:display [ fhir:v "health status" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "MULTI" ] ;
fhir:display [ fhir:v "multiple criteria eligibility" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "PNC" ] ;
fhir:display [ fhir:v "property and casualty condition" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "STATUTORY" ] ;
fhir:display [ fhir:v "statutory eligibility" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "VEHIC" ] ;
fhir:display [ fhir:v "motor vehicle accident victim" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.1.0" ] ;
fhir:code [ fhir:v "WORK" ] ;
fhir:display [ fhir:v "work related" ]     ] )
  ] . #