compose.inactivecompose.lockedDatecopyrightdatedescriptionexperimentalimmutablejurisdictionnamepublisherpurposestatustitleurlversion| Name | Value | Comments | |
|---|---|---|---|
| compose.inactive | |||
| compose.lockedDate | |||
| copyright | |||
| date | 2014-03-26 | ||
| description | A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder. **Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. **Discussion:** The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts. | ||
| experimental | false | ||
| immutable | |||
| jurisdiction | |||
| name | CoveredPartyRoleType | ||
| publisher | |||
| purpose | |||
| status | active | ||
| title | CoveredPartyRoleType | ||
| url | http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType | ||
| version | 2.0.0 | ||
| Item | Property | Value | Comments | ||
|---|---|---|---|---|---|
| include | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
| include | |||||
| include | |||||
| include | |||||
| include | |||||
| include | |||||
| exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
 Concept | _ClaimantCoveredPartyRoleType | ||||
| exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
| Concept | _ProgramEligiblePartyRoleType | ||||
| exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
| Concept | _IndividualInsuredPartyRoleType | ||||
| exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
| Concept | _SubscriberCoveredPartyRoleType | ||||
| exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
| Concept | _DependentCoveredPartyRoleType | ||||
| Code | Display | Comments | |
|---|---|---|---|
| _CoveredPartyRoleType | covered party role type | ||
| CRIMEVIC | crime victim | ||
| INJWKR | injured worker | ||
| COCBEN | continuity of coverage beneficiary | ||
| DIFFABL | differently abled | ||
| WARD | ward | ||
| RETIREE | retiree | ||
| INDIG | member of an indigenous people | ||
| MIL | military | ||
| ACTMIL | active duty military | ||
| RETMIL | retired military | ||
| VET | veteran | ||
| INJ | injured plaintiff | ||
| STUD | student | ||
| FSTUD | full-time student | ||
| PSTUD | part-time student | ||