This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

ParticipationBeneficiary - XML Representation

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Raw xml

Source view

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-ParticipationBeneficiary"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><h2>ParticipationBeneficiary</h2><div><p>Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.</p>
<p>Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.</p>
</div><ul><li>Include codes from <a href="CodeSystem-v3-ParticipationType.html"><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationType</code></a> where concept  is-a  <a href="CodeSystem-v3-ParticipationType.html#v3-ParticipationType-BEN">BEN</a></li></ul></div>
  </text>
  <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationBeneficiary"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.20067"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="ParticipationBeneficiary"/>
  <title value="ParticipationBeneficiary"/>
  <status value="active"/>
  <date value="2014-03-26T00:00:00-04:00"/>
  <description
               value="Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.

Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service."/>
  <immutable value="true"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="BEN"/>
      </filter>
    </include>
  </compose>
</ValueSet>