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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeValueSet
IdValueSet-R5-v3-xRoleClassPayeePolicyRelationship-for-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r5.r3/0.1.0/ValueSet-R5-v3-xRoleClassPayeePolicyRelationship-for-R3.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-v3-xRoleClassPayeePolicyRelationship-for-R3
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5V3XRoleClassPayeePolicyRelationshipForR3
TitleCross-version ValueSet R5.XRoleClassPayeePolicyRelationship for use in FHIR STU3
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0` for use in FHIR STU3.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0` as defined in FHIR R5 in FHIR STU3. The source value set is bound to the following FHIR R5 elements: * Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
hl7.terminology#currentv3-RoleClassRoleClass

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet R5-v3-xRoleClassPayeePolicyRelationship-for-R3

This value set expansion contains 5 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/v3-RoleClass3.1.0  COVPTYcovered party

A role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.

Discussion:This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.

Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.

http://terminology.hl7.org/CodeSystem/v3-RoleClass3.1.0  GUARguarantor

A person or organization (player) that serves as a financial guarantor for another person or organization (scoper).

http://terminology.hl7.org/CodeSystem/v3-RoleClass3.1.0  POLHOLDpolicy holder

A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.

Discussion:The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.

A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.

http://terminology.hl7.org/CodeSystem/v3-RoleClass3.1.0  PROVhealthcare provider

An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper).

http://terminology.hl7.org/CodeSystem/v3-RoleClass3.1.0  PRSpersonal relationship

Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well.


Source1

{
  "resourceType": "ValueSet",
  "id": "R5-v3-xRoleClassPayeePolicyRelationship-for-R3",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-xRoleClassPayeePolicyRelationship-for-R3",
  "version": "0.1.0",
  "name": "R5V3XRoleClassPayeePolicyRelationshipForR3",
  "title": "Cross-version ValueSet R5.XRoleClassPayeePolicyRelationship for use in FHIR STU3",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0` for use in FHIR STU3.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "concept": [
          {
            "code": "COVPTY",
            "display": "covered party"
          },
          {
            "code": "GUAR",
            "display": "guarantor"
          },
          {
            "code": "POLHOLD",
            "display": "policy holder"
          },
          {
            "code": "PROV",
            "display": "healthcare provider"
          },
          {
            "code": "PRS",
            "display": "personal relationship"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "COVPTY",
        "display": "covered party"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "GUAR",
        "display": "guarantor"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "POLHOLD",
        "display": "policy holder"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "PROV",
        "display": "healthcare provider"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "PRS",
        "display": "personal relationship"
      }
    ]
  }
}