FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4.r4 |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-ActProgramTypeCode-for-R4.json |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/uv/xver-r5.r4/0.0.1-snapshot-2/ValueSet-R5-v3-ActProgramTypeCode-for-R4.html |
| URL | http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActProgramTypeCode-for-R4 |
| Version | 0.0.1-snapshot-2 |
| Status | active |
| Date | 2025-09-01T22:37:04.936952+10:00 |
| Name | R5_v3_ActProgramTypeCode_for_R4 |
| Title | Cross-version VS for R5.ActProgramTypeCode for use in FHIR R4 |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActProgramTypeCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4. |
No resources found
| CodeSystem | |
| v3-ActCode | ActCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-ActProgramTypeCode-for-R4
This value set expansion contains 24 concepts.
| Code | System | Display | Definition |
| PUBLICPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | public healthcare | Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service). |
| DENTPRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | dental program | Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria. |
| DISEASEPRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | public health program | Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs. |
| CANPRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | women's cancer detection program | Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening. |
| ENDRENAL | http://terminology.hl7.org/CodeSystem/v3-ActCode | end renal program | Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund. |
| HIVAIDS | http://terminology.hl7.org/CodeSystem/v3-ActCode | HIV-AIDS program | Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration. |
| MANDPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | mandatory health program | |
| MENTPRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | mental health program | Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA). |
| SAFNET | http://terminology.hl7.org/CodeSystem/v3-ActCode | safety net clinic program | Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration. |
| SUBPRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | substance use program | Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA). |
| SUBSIDIZ | http://terminology.hl7.org/CodeSystem/v3-ActCode | subsidized health program | Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. |
| SUBSIDMC | http://terminology.hl7.org/CodeSystem/v3-ActCode | subsidized managed care program | Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code. |
| SUBSUPP | http://terminology.hl7.org/CodeSystem/v3-ActCode | subsidized supplemental health program | Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code. |
| WCBPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | worker's compensation | Insurance policy for injuries sustained in the work place or in the course of employment. |
| CHAR | http://terminology.hl7.org/CodeSystem/v3-ActCode | charity program | Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge. |
| CRIME | http://terminology.hl7.org/CodeSystem/v3-ActCode | crime victim program | Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime. |
| EAP | http://terminology.hl7.org/CodeSystem/v3-ActCode | employee assistance program | Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential. |
| GOVEMP | http://terminology.hl7.org/CodeSystem/v3-ActCode | government employee health program | Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S. |
| HIRISK | http://terminology.hl7.org/CodeSystem/v3-ActCode | high risk pool program | Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable. |
| IND | http://terminology.hl7.org/CodeSystem/v3-ActCode | indigenous peoples health program | Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S. |
| MILITARY | http://terminology.hl7.org/CodeSystem/v3-ActCode | military health program | Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS. |
| RETIRE | http://terminology.hl7.org/CodeSystem/v3-ActCode | retiree health program | Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care. |
| SOCIAL | http://terminology.hl7.org/CodeSystem/v3-ActCode | social service program | Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria. |
| VET | http://terminology.hl7.org/CodeSystem/v3-ActCode | veteran health program | Definition: Services provided directly and through contracted and operated veteran health programs. |
FHIR
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{
"code": "DENTPRG",
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{
"code": "DISEASEPRG",
"display": "public health program"
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{
"code": "CANPRG",
"display": "women's cancer detection program"
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{
"code": "ENDRENAL",
"display": "end renal program"
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{
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{
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"code": "SUBSIDIZ",
"display": "subsidized health program"
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