HL7 Terminology (THO)
5.0.0 - Publication International flag

This page is part of the HL7 Terminology (v5.0.0: 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: ClaimantCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType Version: 2.0.0
Active as of 2014-03-26 Computable Name: ClaimantCoveredPartyRoleType
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.19810

DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 3 concepts

Expansion based on RoleCode v2.2.0 (CodeSystem)

CodeSystemDisplayDefinition
  INJhttp://terminology.hl7.org/CodeSystem/v3-RoleCodeinjured plaintiff

Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy.

  _ClaimantCoveredPartyRoleTypehttp://terminology.hl7.org/CodeSystem/v3-RoleCodeClaimantCoveredPartyRoleType

DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.

  CRIMEVIChttp://terminology.hl7.org/CodeSystem/v3-RoleCodecrime 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.

  INJWKRhttp://terminology.hl7.org/CodeSystem/v3-RoleCodeinjured 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.

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
System 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

DateActionCustodianAuthorComment
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26