HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.3.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: CoveredPartyRoleType - JSON Representation

Active as of 2014-03-26

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{
  "resourceType" : "ValueSet",
  "id" : "v3-CoveredPartyRoleType",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
  },
  "url" : "http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.1.11.19805"
    }
  ],
  "version" : "2.0.0",
  "name" : "CoveredPartyRoleType",
  "title" : "CoveredPartyRoleType",
  "status" : "active",
  "experimental" : false,
  "date" : "2014-03-26",
  "description" : "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.\r\n\r\n**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.\r\n\r\n**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.",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "_CoveredPartyRoleType"
          }
        ]
      },
      {
        "valueSet" : [
          "http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType"
        ]
      },
      {
        "valueSet" : [
          "http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType"
        ]
      },
      {
        "valueSet" : [
          "http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType"
        ]
      },
      {
        "valueSet" : [
          "http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType"
        ]
      },
      {
        "valueSet" : [
          "http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType"
        ]
      }
    ],
    "exclude" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept" : [
          {
            "code" : "_ClaimantCoveredPartyRoleType"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept" : [
          {
            "code" : "_ProgramEligiblePartyRoleType"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept" : [
          {
            "code" : "_IndividualInsuredPartyRoleType"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept" : [
          {
            "code" : "_SubscriberCoveredPartyRoleType"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept" : [
          {
            "code" : "_DependentCoveredPartyRoleType"
          }
        ]
      }
    ]
  }
}