FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-PolicyOrProgramCoverageRoleType-for-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-PolicyOrProgramCoverageRoleType-for-R4B.html |
| URL | http://hl7.org/fhir/5.0/ValueSet/R5-v3-PolicyOrProgramCoverageRoleType-for-R4B |
| Version | 0.0.1-snapshot-2 |
| Status | active |
| Date | 2025-09-01T22:37:05.28801+10:00 |
| Name | R5_v3_PolicyOrProgramCoverageRoleType_for_R4B |
| Title | Cross-version VS for R5.PolicyOrProgramCoverageRoleType for use in FHIR R4B |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-PolicyOrProgramCoverageRoleType|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B. |
No resources found
| CodeSystem | |
| v3-RoleCode | RoleCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-PolicyOrProgramCoverageRoleType-for-R4B
This value set expansion contains 27 concepts.
| Code | System | Display | Definition |
| FAMDEP | http://terminology.hl7.org/CodeSystem/v3-RoleCode | family dependent | The player of the role is dependent of the scoping entity. |
| HANDIC | http://terminology.hl7.org/CodeSystem/v3-RoleCode | handicapped dependent | Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult. |
| INJ | http://terminology.hl7.org/CodeSystem/v3-RoleCode | injured plaintiff | Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy. |
| SELF | http://terminology.hl7.org/CodeSystem/v3-RoleCode | self | Covered party is the policy holder. Also known as the subscriber. |
| SPON | http://terminology.hl7.org/CodeSystem/v3-RoleCode | sponsored dependent | Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward. |
| STUD | http://terminology.hl7.org/CodeSystem/v3-RoleCode | student | Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy. |
| FSTUD | http://terminology.hl7.org/CodeSystem/v3-RoleCode | full-time student | Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy. |
| PSTUD | http://terminology.hl7.org/CodeSystem/v3-RoleCode | part-time student | Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy. |
| ADOPT | http://terminology.hl7.org/CodeSystem/v3-RoleCode | adopted child | A child taken into one's family through legal means and raised as one's own child. |
| GCHILD | http://terminology.hl7.org/CodeSystem/v3-RoleCode | grandchild | A child of one's son or daughter. |
| GPARNT | http://terminology.hl7.org/CodeSystem/v3-RoleCode | grandparent | parent of a parent of the subject. |
| NAT | http://terminology.hl7.org/CodeSystem/v3-RoleCode | natural child | A child as determined by birth. |
| NIENE | http://terminology.hl7.org/CodeSystem/v3-RoleCode | niece/nephew | A child of one's brother or sister or of the brother or sister of one's spouse. |
| PARNT | http://terminology.hl7.org/CodeSystem/v3-RoleCode | parent | One that begets or brings forth offspring or a person who brings up and cares for for another (Webster's Collegiate Dictionary) |
| SPSE | http://terminology.hl7.org/CodeSystem/v3-RoleCode | spouse | A marriage partner; a husband or wife. |
| STEP | http://terminology.hl7.org/CodeSystem/v3-RoleCode | step child | A child receiving parental care and nurture from a person who is related to them through marriage to their parent. |
| CRIMEVIC | http://terminology.hl7.org/CodeSystem/v3-RoleCode | crime victim | Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria. |
| INJWKR | http://terminology.hl7.org/CodeSystem/v3-RoleCode | injured worker | Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim. Discussion: This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria. |
| COCBEN | http://terminology.hl7.org/CodeSystem/v3-RoleCode | continuity of coverage beneficiary | Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria. |
| DIFFABL | http://terminology.hl7.org/CodeSystem/v3-RoleCode | differently abled | Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria. |
| WARD | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ward | Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law. |
| RETIREE | http://terminology.hl7.org/CodeSystem/v3-RoleCode | retiree | Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a retiree meets jurisdictional or policy criteria. |
| INDIG | http://terminology.hl7.org/CodeSystem/v3-RoleCode | member of an indigenous people | Description: A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria. |
| MIL | http://terminology.hl7.org/CodeSystem/v3-RoleCode | military | Definition: A person playing the role of program eligible under a program based on military status. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria |
| ACTMIL | http://terminology.hl7.org/CodeSystem/v3-RoleCode | active duty military | Description: A person playing the role of program eligible under a program based on active military status. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria. |
| RETMIL | http://terminology.hl7.org/CodeSystem/v3-RoleCode | retired military | Description: A person playing the role of program eligible under a program based on retired military status. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria. |
| VET | http://terminology.hl7.org/CodeSystem/v3-RoleCode | veteran | Description: A person playing the role of program eligible under a program based on status as a military veteran. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria. |
FHIR
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"version": "0.0.1-snapshot-2",
"name": "R5_v3_PolicyOrProgramCoverageRoleType_for_R4B",
"title": "Cross-version VS for R5.PolicyOrProgramCoverageRoleType for use in FHIR R4B",
"status": "active",
"experimental": false,
"date": "2025-09-01T22:37:05.28801+10:00",
"publisher": "FHIR Infrastructure",
"contact": [
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"description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-PolicyOrProgramCoverageRoleType|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.",
"jurisdiction": [
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"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"version": "2.2.0",
"concept": [
{
"code": "FAMDEP",
"display": "family dependent"
},
{
"code": "HANDIC",
"display": "handicapped dependent"
},
{
"code": "INJ",
"display": "injured plaintiff"
},
{
"code": "SELF",
"display": "self"
},
{
"code": "SPON",
"display": "sponsored dependent"
},
{
"code": "STUD",
"display": "student"
},
{
"code": "FSTUD",
"display": "full-time student"
},
{
"code": "PSTUD",
"display": "part-time student"
},
{
"code": "ADOPT",
"display": "adopted child"
},
{
"code": "GCHILD",
"display": "grandchild"
},
{
"code": "GPARNT",
"display": "grandparent"
},
{
"code": "NAT",
"display": "natural child"
},
{
"code": "NIENE",
"display": "niece/nephew"
},
{
"code": "PARNT",
"display": "parent"
},
{
"code": "SPSE",
"display": "spouse"
},
{
"code": "STEP",
"display": "step child"
},
{
"code": "CRIMEVIC",
"display": "crime victim"
},
{
"code": "INJWKR",
"display": "injured worker"
},
{
"code": "COCBEN",
"display": "continuity of coverage beneficiary"
},
{
"code": "DIFFABL",
"display": "differently abled"
},
{
"code": "WARD",
"display": "ward"
},
{
"code": "RETIREE",
"display": "retiree"
},
{
"code": "INDIG",
"display": "member of an indigenous people"
},
{
"code": "MIL",
"display": "military"
},
{
"code": "ACTMIL",
"display": "active duty military"
},
{
"code": "RETMIL",
"display": "retired military"
},
{
"code": "VET",
"display": "veteran"
}
]
}
]
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"timestamp": "2025-09-01T22:37:05.288011+10:00",
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"code": "SPON",
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"code": "PSTUD",
"display": "part-time student"
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
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"code": "ADOPT",
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"version": "2.2.0",
"code": "GCHILD",
"display": "grandchild"
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{
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"version": "2.2.0",
"code": "GPARNT",
"display": "grandparent"
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{
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"version": "2.2.0",
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"code": "STEP",
"display": "step child"
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{
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"code": "CRIMEVIC",
"display": "crime victim"
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{
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"display": "continuity of coverage beneficiary"
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"code": "RETIREE",
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{
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"code": "INDIG",
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{
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"code": "MIL",
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{
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"code": "ACTMIL",
"display": "active duty military"
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{
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"code": "VET",
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}