HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: 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

ValueSet: ProgramEligibleCoveredPartyRoleType

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType
Version:2.0.0
Name:ProgramEligibleCoveredPartyRoleType
Status:Active as of 2014-03-26
Definition:

**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.

OID:2.16.840.1.113883.1.11.19811 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

 

Expansion

This value set contains 9 concepts

Expansion based on RoleCode v2.1.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v3-RoleCode

LvlCodeDisplayDefinition
0_ProgramEligiblePartyRoleTypeProgramEligiblePartyRoleType**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.
1  CRIMEVICcrime victim**Description:** A person playing the role of program eligible under a program based on allegations of being the victim of a crime. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.
1  INJWKRinjured worker**Description:** A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim. **Discussion:** This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.
1  DIFFABLdifferently abled**Description:** A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.
1  WARDward**Description:** A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.
1  INDIGmember of an indigenous people**Description:** A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria.
1  MILmilitary**Definition:** A person playing the role of program eligible under a program based on military status. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria
2    ACTMILactive duty military**Description:** A person playing the role of program eligible under a program based on active military status. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.
2    RETMILretired military**Description:** A person playing the role of program eligible under a program based on retired military status. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.
2    VETveteran**Description:** A person playing the role of program eligible under a program based on status as a military veteran. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26