{ "resourceType" : "ValueSet", "id" : "v3-CoveredPartyRoleType", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: ValueSet v3-CoveredPartyRoleType

Language: en

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

" }, "url" : "http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.1.11.19805" }], "version" : "3.0.0", "name" : "CoveredPartyRoleType", "title" : "CoveredPartyRoleType", "status" : "active", "experimental" : false, "date" : "2014-03-26", "publisher" : "Health Level Seven International", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://hl7.org" }, { "system" : "email", "value" : "hq@HL7.org" }] }], "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.\r\n\r\n**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.\r\n\r\n**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" : "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" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "filter" : [{ "property" : "concept", "op" : "is-a", "value" : "_CoveredPartyRoleType" }] }, { "valueSet" : ["http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType"] }, { "valueSet" : ["http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType"] }, { "valueSet" : ["http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType"] }, { "valueSet" : ["http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType"] }, { "valueSet" : ["http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType"] }], "exclude" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "concept" : [{ "code" : "_ClaimantCoveredPartyRoleType" }] }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "concept" : [{ "code" : "_ProgramEligiblePartyRoleType" }] }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "concept" : [{ "code" : "_IndividualInsuredPartyRoleType" }] }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "concept" : [{ "code" : "_SubscriberCoveredPartyRoleType" }] }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "concept" : [{ "code" : "_DependentCoveredPartyRoleType" }] }] } }