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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeValueSet
IdValueSet-R5-v3-CoverageParticipationFunction-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0/ValueSet-R5-v3-CoverageParticipationFunction-for-R4.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-v3-CoverageParticipationFunction-for-R4
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5V3CoverageParticipationFunctionForR4
TitleCross-version ValueSet R5.CoverageParticipationFunction for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction|2.0.0` for use in FHIR R4.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction|2.0.0` as defined in FHIR R5 in FHIR R4. 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-CoverageParticipationFunction|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
hl7.terminology#currentv3-ParticipationFunctionParticipationFunction

Narrative

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

Generated Narrative: ValueSet R5-v3-CoverageParticipationFunction-for-R4

This value set expansion contains 17 concepts.

SystemVersionCodeDisplay
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  CLMADJclaims adjudication
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  ENROLLenrollment broker
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  FFSMGTffs management
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  FULINRDfully insured
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  MCMGTmanaged care management
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  PAYORCNTRpayor contracting
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  PROVMGTprovider management
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  REINSreinsures
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  RETROCESretrocessionaires
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  SELFINRDself insured
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  SUBCTRTsubcontracting risk
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  UMGTutilization management
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  UNDERWRTNGunderwriting
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  _CoverageParticipationFunctionCoverageParticipationFunction
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  _PayorParticipationFunctionPayorParticipationFunction
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  _SponsorParticipationFunctionSponsorParticipationFunction
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction2.1.0  _UnderwriterParticipationFunctionUnderwriterParticipationFunction

Source1

{
  "resourceType": "ValueSet",
  "id": "R5-v3-CoverageParticipationFunction-for-R4",
  "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.r4"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
        }
      ],
      "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",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-CoverageParticipationFunction-for-R4",
  "version": "0.1.0",
  "name": "R5V3CoverageParticipationFunctionForR4",
  "title": "Cross-version ValueSet R5.CoverageParticipationFunction for use in FHIR R4",
  "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-CoverageParticipationFunction|2.0.0` for use in FHIR R4.",
  "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-CoverageParticipationFunction|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\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-CoverageParticipationFunction|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "concept": [
          {
            "code": "CLMADJ",
            "display": "claims adjudication"
          },
          {
            "code": "ENROLL",
            "display": "enrollment broker"
          },
          {
            "code": "FFSMGT",
            "display": "ffs management"
          },
          {
            "code": "FULINRD",
            "display": "fully insured"
          },
          {
            "code": "MCMGT",
            "display": "managed care management"
          },
          {
            "code": "PAYORCNTR",
            "display": "payor contracting"
          },
          {
            "code": "PROVMGT",
            "display": "provider management"
          },
          {
            "code": "REINS",
            "display": "reinsures"
          },
          {
            "code": "RETROCES",
            "display": "retrocessionaires"
          },
          {
            "code": "SELFINRD",
            "display": "self insured"
          },
          {
            "code": "SUBCTRT",
            "display": "subcontracting risk"
          },
          {
            "code": "UMGT",
            "display": "utilization management"
          },
          {
            "code": "UNDERWRTNG",
            "display": "underwriting"
          },
          {
            "code": "_CoverageParticipationFunction",
            "display": "CoverageParticipationFunction"
          },
          {
            "code": "_PayorParticipationFunction",
            "display": "PayorParticipationFunction"
          },
          {
            "code": "_SponsorParticipationFunction",
            "display": "SponsorParticipationFunction"
          },
          {
            "code": "_UnderwriterParticipationFunction",
            "display": "UnderwriterParticipationFunction"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "CLMADJ",
        "display": "claims adjudication"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "ENROLL",
        "display": "enrollment broker"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "FFSMGT",
        "display": "ffs management"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "FULINRD",
        "display": "fully insured"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "MCMGT",
        "display": "managed care management"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "PAYORCNTR",
        "display": "payor contracting"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "PROVMGT",
        "display": "provider management"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "REINS",
        "display": "reinsures"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "RETROCES",
        "display": "retrocessionaires"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "SELFINRD",
        "display": "self insured"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "SUBCTRT",
        "display": "subcontracting risk"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "UMGT",
        "display": "utilization management"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "UNDERWRTNG",
        "display": "underwriting"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "_CoverageParticipationFunction",
        "display": "CoverageParticipationFunction"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "_PayorParticipationFunction",
        "display": "PayorParticipationFunction"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "_SponsorParticipationFunction",
        "display": "SponsorParticipationFunction"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
        "version": "2.1.0",
        "code": "_UnderwriterParticipationFunction",
        "display": "UnderwriterParticipationFunction"
      }
    ]
  }
}