HL7 Terminology (THO)
6.1.0 - Publication International flag

This page is part of the HL7 Terminology (v6.1.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. 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: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: ClaimantCoveredPartyRoleType
Other Identifiers: OID:2.16.840.1.113883.1.11.19810

Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html

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)

Generated Narrative: ValueSet v3-ClaimantCoveredPartyRoleType

Language: en

This value set includes codes based on the following rules:

 

Expansion

Generated Narrative: ValueSet

Language: en

Expansion based on codesystem RoleCode v3.0.0 (CodeSystem)

This value set contains 4 concepts

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

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2022-10-18reviseMarc DuteauTSMGFixing missing metadata; up-349
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