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-RoleClassSubscriber-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-RoleClassSubscriber-for-R4</b></p><a name="R5-v3-RoleClassSubscriber-for-R4"> </a><a name="hcR5-v3-RoleClassSubscriber-for-R4"> </a><p>This value set expansion contains 1 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-RoleClassSubscriber-for-R4-http://terminology.hl7.org/CodeSystem/v3-RoleClass-SUBSCR"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleClass.html#v3-RoleClass-SUBSCR">SUBSCR</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleClass</td><td>subscriber</td><td><div><p><strong>Description:</strong> A role played by a person 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.</p>
<p><strong>Discussion:</strong> The policy holder holds the contract with the policy or program underwriter. The subscriber holds a certificate of coverage under the contract. In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies.</p>
<p><strong>Note:</strong> The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy.</p>
<p><strong>Example:</strong> An employee or a member of an association.</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="0.0.1-snapshot-2"/>
</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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/5.0/ValueSet/R5-v3-RoleClassSubscriber-for-R4"/>
<version value="0.0.1-snapshot-2"/>
<name value="R5_v3_RoleClassSubscriber_for_R4"/>
<title
value="Cross-version VS for R5.RoleClassSubscriber for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:37:05.374989+10:00"/>
<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 concepts from http://terminology.hl7.org/ValueSet/v3-RoleClassSubscriber|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
<version value="3.1.0"/>
<concept>
<code value="SUBSCR"/>
<display value="subscriber"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:37:05.374987+10:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
<version value="3.1.0"/>
<code value="SUBSCR"/>
<display value="subscriber"/>
</contains>
</expansion>
</ValueSet>