v3-CoveredPartyRoleType
type: ValueSet
node role: treeRoot
id:
  v: v3-CoveredPartyRoleType
language:
  v: en
text:
  status:
    v: extensions
  div: 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 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 Code Display Definition _ClaimantCoveredPartyRoleType ClaimantCoveredPartyRoleType **Description**A 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 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 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 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 cod…
url:
  v: http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.1.11.19805
version:
  v: 3.0.0
name:
  v: CoveredPartyRoleType
title:
  v: CoveredPartyRoleType
status:
  v: active
experimental:
  v: false
date:
  v: 2014-03-26
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: 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:
  v: 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:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    filter:
      property:
        v: concept
      op:
        v: is-a
      value:
        v: _CoveredPartyRoleType
  include:
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType
      link: http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType
  include:
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType
      link: http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType
  include:
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType
      link: http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType
  include:
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType
      link: http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType
  include:
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType
      link: http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType
  exclude:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    concept:
      code:
        v: _ClaimantCoveredPartyRoleType
  exclude:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    concept:
      code:
        v: _ProgramEligiblePartyRoleType
  exclude:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    concept:
      code:
        v: _IndividualInsuredPartyRoleType
  exclude:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    concept:
      code:
        v: _SubscriberCoveredPartyRoleType
  exclude:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    concept:
      code:
        v: _DependentCoveredPartyRoleType