HL7.TERMINOLOGY\IndividualInsuredCoveredPartyRoleType

HL7 Terminology (THO)
3.0.0 - Publication

This page is part of the HL7 Terminology (v3.0.0: 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

ValueSet: IndividualInsuredCoveredPartyRoleType

Summary

Defining URL:

http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType

Version:

2.0.0

Name:

IndividualInsuredCoveredPartyRoleType

Status:

Active as of 3/26/14

Definition:

DescriptionA role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.

OID:

2.16.840.1.113883.1.11.19813 (for OID based terminology systems)

Source Resource:

XML / JSON / Turtle

References

Included into CoveredPartyRoleType

Logical Definition (CLD)

This value set includes codes based on the following rules:

Include codes from http://terminology.hl7.org/CodeSystem/v3-RoleCode where concept is-a _IndividualInsuredPartyRoleType
Import all the codes that are contained in http://terminology.hl7.org/ValueSet/v3-StudentRoleType

Expansion

This value set contains 5 concepts

Expansion based on:

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-RoleCode

Code	Display	Definition
_IndividualInsuredPartyRoleType	IndividualInsuredPartyRoleType	A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.
COCBEN	continuity of coverage beneficiary	Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law. 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 continuity of coverage beneficiary meets jurisdictional or policy criteria.
RETIREE	retiree	Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy. 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 retiree meets jurisdictional or policy criteria.
STUD	student	Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.
FSTUD	full-time student	Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.
PSTUD	part-time student	Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.

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

Date

Action

Author

Custodian

Comment

2020-05-06

revise