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Packagehl7.fhir.uv.xver-r5.r4.r4
Resource TypeValueSet
IdValueSet-R5-v3-RoleClassProgramEligible-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.0.1-snapshot-2/ValueSet-R5-v3-RoleClassProgramEligible-for-R4.html
URLhttp://hl7.org/fhir/5.0/ValueSet/R5-v3-RoleClassProgramEligible-for-R4
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:37:05.373681+10:00
NameR5_v3_RoleClassProgramEligible_for_R4
TitleCross-version VS for R5.RoleClassProgramEligible for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-RoleClassProgramEligible|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

No resources found


Resources that this resource uses

CodeSystem
v3-RoleClassRoleClass

Narrative

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

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

This value set expansion contains 1 concepts.

CodeSystemDisplayDefinition
  PROGhttp://terminology.hl7.org/CodeSystem/v3-RoleClassprogram eligible

Description: A role played by a party that meets the eligibility criteria for coverage under a program. A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.

Discussion: A program as typically government administered coverage for parties determined eligible under the terms of the program.

Note: The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.

In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.

Example: A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid.


Source1

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    "status": "generated",
    "div": "<!-- snip (see above) -->"
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        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
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    {
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      "valueInteger": 0,
      "_valueInteger": {
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  ],
  "url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-RoleClassProgramEligible-for-R4",
  "version": "0.0.1-snapshot-2",
  "name": "R5_v3_RoleClassProgramEligible_for_R4",
  "title": "Cross-version VS for R5.RoleClassProgramEligible for use in FHIR R4",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:37:05.373681+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
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      "name": "FHIR Infrastructure",
      "telecom": [
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          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
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  ],
  "description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-RoleClassProgramEligible|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
  "jurisdiction": [
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      "coding": [
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          "code": "001",
          "display": "World"
        }
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    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "concept": [
          {
            "code": "PROG",
            "display": "program eligible"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:37:05.37368+10:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
        "version": "3.1.0",
        "code": "PROG",
        "display": "program eligible"
      }
    ]
  }
}