HL7 Terminology (THO)
5.0.0 - Publication World

This page is part of the HL7 Terminology (v5.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: DependentCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType Version: 2.0.0
Active as of 2014-03-26 Computable Name: DependentCoveredPartyRoleType
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.19815

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.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 6 concepts

CodeSystemDisplayDefinition
  _DependentCoveredPartyRoleTypehttp://terminology.hl7.org/CodeSystem/v3-RoleCodeDependentCoveredPartyRoleType

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.

  COCBENhttp://terminology.hl7.org/CodeSystem/v3-RoleCodecontinuity 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.

  DIFFABLhttp://terminology.hl7.org/CodeSystem/v3-RoleCodedifferently abled

Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.

  WARDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodeward

Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.

  STUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodestudent

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.

  FSTUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodefull-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.

  PSTUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodepart-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
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
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