<status value="active"/> <experimental value="false"/> <date value="2014-03-26"/> <publisher value="Health Level Seven International"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org"/> </telecom> <telecom> <system value="email"/> <value value="hq@HL7.org"/> </telecom> </contact> <description value="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."/> <copyright value="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"/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <filter> <property value="concept"/> <op value="is-a"/> <value value="_CoveredPartyRoleType"/> </filter> </include> <include> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType"/> </include> <include> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType"/> </include> <include> <valueSet value="http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType"/> </include> <include> <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType"/> </include> <include> <valueSet value="http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType"/> </include> <exclude> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <concept> <code value="_ClaimantCoveredPartyRoleType"/> </concept> </exclude> <exclude> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <concept> <code value="_ProgramEligiblePartyRoleType"/> </concept> </exclude> <exclude> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <concept> <code value="_IndividualInsuredPartyRoleType"/> </concept> </exclude> <exclude> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <concept> <code value="_SubscriberCoveredPartyRoleType"/> </concept> </exclude> <exclude> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <concept> <code value="_DependentCoveredPartyRoleType"/> </concept> </exclude> </compose> </ValueSet>

Generated Narrative: ValueSet v3-CoveredPartyRoleType

Language: en

This value set includes codes based on the following rules:

Include codes fromhttp://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0 where concept is-a _CoveredPartyRoleType
Import all the codes that are contained in ClaimantCoveredPartyRoleType
Import all the codes that are contained in ProgramEligibleCoveredPartyRoleType
Import all the codes that are contained in IndividualInsuredCoveredPartyRoleType
Import all the codes that are contained in SubscriberCoveredPartyRoleType
Import all the codes that are contained in DependentCoveredPartyRoleType

This value set excludes codes based on the following rules:

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0

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

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0

Code	Display	Definition
_ProgramEligiblePartyRoleType	ProgramEligiblePartyRoleType	Description:A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0

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.

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0

Code	Display	Definition
_SubscriberCoveredPartyRoleType	SubscriberCoveredPartyRoleType	Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version 📦3.0.0

Code	Display	Definition
_DependentCoveredPartyRoleType	DependentCoveredPartyRoleType	Description: A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.