FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-UnderwriterParticipationFunction-for-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-UnderwriterParticipationFunction-for-R4B.html |
| URL | http://hl7.org/fhir/5.0/ValueSet/R5-v3-UnderwriterParticipationFunction-for-R4B |
| Version | 0.0.1-snapshot-2 |
| Status | active |
| Date | 2025-09-01T22:37:05.474731+10:00 |
| Name | R5_v3_UnderwriterParticipationFunction_for_R4B |
| Title | Cross-version VS for R5.UnderwriterParticipationFunction for use in FHIR R4B |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-UnderwriterParticipationFunction|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-ParticipationFunction | ParticipationFunction |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-UnderwriterParticipationFunction-for-R4B
This value set expansion contains 5 concepts.
| Code | System | Display | Definition |
| PAYORCNTR | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | payor contracting | Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided. |
| REINS | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | reinsures | Definition: Underwriting reinsurance for another underwriter for the policy or program. |
| RETROCES | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | retrocessionaires | Definition: Underwriting reinsurance for another reinsurer. |
| SUBCTRT | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | subcontracting risk | Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region . |
| UNDERWRTNG | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | underwriting | Definition: Provision of underwriting analysis for another underwriter without assumption of risk. |
FHIR
FHIRsmith{
"resourceType": "ValueSet",
"id": "R5-v3-UnderwriterParticipationFunction-for-R4B",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
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{
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"_valueInteger": {
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],
"url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-UnderwriterParticipationFunction-for-R4B",
"version": "0.0.1-snapshot-2",
"name": "R5_v3_UnderwriterParticipationFunction_for_R4B",
"title": "Cross-version VS for R5.UnderwriterParticipationFunction for use in FHIR R4B",
"status": "active",
"experimental": false,
"date": "2025-09-01T22:37:05.474731+10:00",
"publisher": "FHIR Infrastructure",
"contact": [
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"telecom": [
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"description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-UnderwriterParticipationFunction|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.",
"jurisdiction": [
{
"coding": [
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"compose": {
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
"version": "2.1.0",
"concept": [
{
"code": "PAYORCNTR",
"display": "payor contracting"
},
{
"code": "REINS",
"display": "reinsures"
},
{
"code": "RETROCES",
"display": "retrocessionaires"
},
{
"code": "SUBCTRT",
"display": "subcontracting risk"
},
{
"code": "UNDERWRTNG",
"display": "underwriting"
}
]
}
]
},
"expansion": {
"timestamp": "2025-09-01T22:37:05.474731+10:00",
"contains": [
{
"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": "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": "SUBCTRT",
"display": "subcontracting risk"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
"version": "2.1.0",
"code": "UNDERWRTNG",
"display": "underwriting"
}
]
}
}