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

RoleClassIndividual - XML Representation

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Raw xml

Source view

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-RoleClassIndividual"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><h2>RoleClassIndividual</h2><div><p><strong>Description:</strong> A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization.</p>
<p><strong>Note:</strong> The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.</p>
<p><strong>Example:</strong> The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder.</p>
</div><ul><li>Include codes from <a href="CodeSystem-v3-RoleClass.html"><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></a> where concept  is-a  <a href="CodeSystem-v3-RoleClass.html#v3-RoleClass-INDIV">INDIV</a></li></ul></div>
  </text>
  <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassIndividual"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.20141"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="RoleClassIndividual"/>
  <title value="RoleClassIndividual"/>
  <status value="active"/>
  <date value="2014-03-26T00:00:00-04:00"/>
  <description
               value="**Description:** A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization.

**Note:** The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.

**Example:** The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder."/>
  <immutable value="true"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="INDIV"/>
      </filter>
    </include>
  </compose>
</ValueSet>