FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative
FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative
FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-PublicHealthcareProgram-for-R4"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-PublicHealthcareProgram-for-R4</b></p><a name="R5-v3-PublicHealthcareProgram-for-R4"> </a><a name="hcR5-v3-PublicHealthcareProgram-for-R4"> </a><p>This value set expansion contains 13 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-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PUBLICPOL"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PUBLICPOL">PUBLICPOL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>public healthcare</td><td><div><p>Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DENTPRG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-DENTPRG">DENTPRG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>dental program</td><td><div><p><strong>Definition:</strong> A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DISEASEPRG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-DISEASEPRG">DISEASEPRG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>public health program</td><td><div><p><strong>Definition:</strong> A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.</p>
<p><strong>Example:</strong> Reproductive health, sexually transmitted disease, and end renal disease programs.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CANPRG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-CANPRG">CANPRG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>women's cancer detection program</td><td><div><p><strong>Definition:</strong> A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages.</p>
<p><strong>Example:</strong> To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ENDRENAL"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ENDRENAL">ENDRENAL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>end renal program</td><td><div><p><strong>Definition:</strong> A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.</p>
<p>Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-HIVAIDS"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-HIVAIDS">HIVAIDS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>HIV-AIDS program</td><td><div><p><strong>Definition:</strong> Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.</p>
<p><strong>Example:</strong> In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MANDPOL"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MANDPOL">MANDPOL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>mandatory health program</td><td><div/></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MENTPRG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MENTPRG">MENTPRG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>mental health program</td><td><div><p><strong>Definition:</strong> Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.</p>
<p><strong>Example:</strong> In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SAFNET"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SAFNET">SAFNET</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>safety net clinic program</td><td><div><p><strong>Definition:</strong> Government administered and funded program to support provision of care to underserved populations through safety net clinics.</p>
<p><strong>Example:</strong> In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBPRG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBPRG">SUBPRG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>substance use program</td><td><div><p><strong>Definition:</strong> Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.</p>
<p><strong>Example:</strong> In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSIDIZ"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSIDIZ">SUBSIDIZ</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized health program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSIDMC"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSIDMC">SUBSIDMC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized managed care program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
<p><em>Discussion:</em> The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-PublicHealthcareProgram-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SUBSUPP"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SUBSUPP">SUBSUPP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>subsidized supplemental health program</td><td><div><p><strong>Definition:</strong> A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</p>
<p><strong>Example:</strong> Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy.</p>
<p><em>Discussion:</em> The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.</p>
</div></td></tr></table></div>
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<date value="2025-09-01T22:37:05.305292+10:00"/>
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value="This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-PublicHealthcareProgram|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."/>
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<display value="public health program"/>
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<display value="women's cancer detection program"/>
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<display value="end renal program"/>
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<code value="HIVAIDS"/>
<display value="HIV-AIDS program"/>
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<display value="mandatory health program"/>
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<display value="substance use program"/>
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IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 based on FHIR 4.0.1. Generated 2025-09-13
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