@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:ValueSet; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "v3-CoveredPartyRoleType"]; fhir:Resource.language [ fhir:value "en"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

CoveredPartyRoleType

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.

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**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.

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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.

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This value set includes codes based on the following rules:

" ]; fhir:ValueSet.url [ fhir:value "http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType"]; fhir:ValueSet.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ]; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.1.11.19805" ] ]; fhir:ValueSet.version [ fhir:value "2.0.0"]; fhir:ValueSet.name [ fhir:value "CoveredPartyRoleType"]; fhir:ValueSet.title [ fhir:value "CoveredPartyRoleType"]; fhir:ValueSet.status [ fhir:value "active"]; fhir:ValueSet.date [ fhir:value "2014-03-26T00:00:00-04:00"^^xsd:dateTime]; fhir:ValueSet.description [ fhir:value "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."]; fhir:ValueSet.compose [ fhir:ValueSet.compose.include [ fhir:index 0; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.filter [ fhir:index 0; fhir:ValueSet.compose.include.filter.property [ fhir:value "concept" ]; fhir:ValueSet.compose.include.filter.op [ fhir:value "is-a" ]; fhir:ValueSet.compose.include.filter.value [ fhir:value "_CoveredPartyRoleType" ] ] ], [ fhir:index 1; fhir:ValueSet.compose.include.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType"; fhir:index 0; fhir:link ] ], [ fhir:index 2; fhir:ValueSet.compose.include.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType"; fhir:index 0; fhir:link ] ], [ fhir:index 3; fhir:ValueSet.compose.include.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType"; fhir:index 0; fhir:link ] ], [ fhir:index 4; fhir:ValueSet.compose.include.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType"; fhir:index 0; fhir:link ] ], [ fhir:index 5; fhir:ValueSet.compose.include.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType"; fhir:index 0; fhir:link ] ]; fhir:ValueSet.compose.exclude [ fhir:index 0; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "_ClaimantCoveredPartyRoleType" ] ] ], [ fhir:index 1; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "_ProgramEligiblePartyRoleType" ] ] ], [ fhir:index 2; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "_IndividualInsuredPartyRoleType" ] ] ], [ fhir:index 3; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "_SubscriberCoveredPartyRoleType" ] ] ], [ fhir:index 4; fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "_DependentCoveredPartyRoleType" ] ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------