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Packagehl7.fhir.uv.xver-r5.r4.r4
Resource TypeValueSet
IdValueSet-R5-v3-PublicHealthcareProgram-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.0.1-snapshot-2/ValueSet-R5-v3-PublicHealthcareProgram-for-R4.html
URLhttp://hl7.org/fhir/5.0/ValueSet/R5-v3-PublicHealthcareProgram-for-R4
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:37:05.305292+10:00
NameR5_v3_PublicHealthcareProgram_for_R4
TitleCross-version VS for R5.PublicHealthcareProgram for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-PublicHealthcareProgram|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.

Resources that use this resource

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Resources that this resource uses

CodeSystem
v3-ActCodeActCode

Narrative

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

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

This value set expansion contains 13 concepts.

CodeSystemDisplayDefinition
  PUBLICPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodepublic 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).

  DENTPRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodedental 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.

  DISEASEPRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodepublic 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.

  CANPRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodewomen'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.

  ENDRENALhttp://terminology.hl7.org/CodeSystem/v3-ActCodeend 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.

  HIVAIDShttp://terminology.hl7.org/CodeSystem/v3-ActCodeHIV-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.

  MANDPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodemandatory health program
  MENTPRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodemental 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).

  SAFNEThttp://terminology.hl7.org/CodeSystem/v3-ActCodesafety 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.

  SUBPRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodesubstance 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).

  SUBSIDIZhttp://terminology.hl7.org/CodeSystem/v3-ActCodesubsidized 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.

  SUBSIDMChttp://terminology.hl7.org/CodeSystem/v3-ActCodesubsidized 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.

  SUBSUPPhttp://terminology.hl7.org/CodeSystem/v3-ActCodesubsidized 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.


Source1

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  "version": "0.0.1-snapshot-2",
  "name": "R5_v3_PublicHealthcareProgram_for_R4",
  "title": "Cross-version VS for R5.PublicHealthcareProgram for use in FHIR R4",
  "status": "active",
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  "date": "2025-09-01T22:37:05.305292+10:00",
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        "concept": [
          {
            "code": "PUBLICPOL",
            "display": "public healthcare"
          },
          {
            "code": "DENTPRG",
            "display": "dental program"
          },
          {
            "code": "DISEASEPRG",
            "display": "public health program"
          },
          {
            "code": "CANPRG",
            "display": "women's cancer detection program"
          },
          {
            "code": "ENDRENAL",
            "display": "end renal program"
          },
          {
            "code": "HIVAIDS",
            "display": "HIV-AIDS program"
          },
          {
            "code": "MANDPOL",
            "display": "mandatory health program"
          },
          {
            "code": "MENTPRG",
            "display": "mental health program"
          },
          {
            "code": "SAFNET",
            "display": "safety net clinic program"
          },
          {
            "code": "SUBPRG",
            "display": "substance use program"
          },
          {
            "code": "SUBSIDIZ",
            "display": "subsidized health program"
          },
          {
            "code": "SUBSIDMC",
            "display": "subsidized managed care program"
          },
          {
            "code": "SUBSUPP",
            "display": "subsidized supplemental health program"
          }
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        "version": "8.0.0",
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        "version": "8.0.0",
        "code": "ENDRENAL",
        "display": "end renal program"
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        "version": "8.0.0",
        "code": "HIVAIDS",
        "display": "HIV-AIDS program"
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        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "MENTPRG",
        "display": "mental health program"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "SAFNET",
        "display": "safety net clinic program"
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        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "SUBPRG",
        "display": "substance use program"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "SUBSIDIZ",
        "display": "subsidized health program"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "SUBSIDMC",
        "display": "subsidized managed care program"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "SUBSUPP",
        "display": "subsidized supplemental health program"
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}