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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeValueSet
IdValueSet-R5-v3-ActCoverageLimitCode-for-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4b/0.1.0/ValueSet-R5-v3-ActCoverageLimitCode-for-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageLimitCode-for-R4B
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5V3ActCoverageLimitCodeForR4B
TitleCross-version ValueSet R5.ActCoverageLimitCode for use in FHIR R4B
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0` for use in FHIR R4B.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0` as defined in FHIR R5 in FHIR R4B. The source value set is bound to the following FHIR R5 elements: * Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4B

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
hl7.terminology#currentv3-ActCodeActCode

Narrative

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

Generated Narrative: ValueSet R5-v3-ActCoverageLimitCode-for-R4B

This value set expansion contains 10 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  COVMXcoverage maximum

Definition: Codes representing the maximum coverate or financial participation requirements.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  COVPRDcoverage period

Codes representing the time period during which coverage is available; or financial participation requirements are in effect.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  LFEMXlife time maximum

Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NETAMTNet Amount

Maximum net amount that will be covered for the product or service specified.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  PRDMXperiod maximum

Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  UNITPRICEUnit Price

Maximum unit price that will be covered for the authorized product or service.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  UNITQTYUnit Quantity

Maximum number of items that will be covered of the product or service specified.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoveragePartyLimitGroupCodeActCoveragePartyLimitGroupCode

Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoverageQuantityLimitCodeActCoverageQuantityLimitCode

Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoveredPartyLimitCodeActCoveredPartyLimitCode

Codes representing the types of covered parties that may receive covered benefits under a policy or program.


Source1

{
  "resourceType": "ValueSet",
  "id": "R5-v3-ActCoverageLimitCode-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageLimitCode-for-R4B",
  "version": "0.1.0",
  "name": "R5V3ActCoverageLimitCodeForR4B",
  "title": "Cross-version ValueSet R5.ActCoverageLimitCode for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0` for use in FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0` as defined in FHIR R5\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "concept": [
          {
            "code": "COVMX",
            "display": "coverage maximum"
          },
          {
            "code": "COVPRD",
            "display": "coverage period"
          },
          {
            "code": "LFEMX",
            "display": "life time maximum"
          },
          {
            "code": "NETAMT",
            "display": "Net Amount"
          },
          {
            "code": "PRDMX",
            "display": "period maximum"
          },
          {
            "code": "UNITPRICE",
            "display": "Unit Price"
          },
          {
            "code": "UNITQTY",
            "display": "Unit Quantity"
          },
          {
            "code": "_ActCoveragePartyLimitGroupCode",
            "display": "ActCoveragePartyLimitGroupCode"
          },
          {
            "code": "_ActCoverageQuantityLimitCode",
            "display": "ActCoverageQuantityLimitCode"
          },
          {
            "code": "_ActCoveredPartyLimitCode",
            "display": "ActCoveredPartyLimitCode"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "COVMX",
        "display": "coverage maximum"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "COVPRD",
        "display": "coverage period"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "LFEMX",
        "display": "life time maximum"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NETAMT",
        "display": "Net Amount"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "PRDMX",
        "display": "period maximum"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "UNITPRICE",
        "display": "Unit Price"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "UNITQTY",
        "display": "Unit Quantity"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "_ActCoveragePartyLimitGroupCode",
        "display": "ActCoveragePartyLimitGroupCode"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "_ActCoverageQuantityLimitCode",
        "display": "ActCoverageQuantityLimitCode"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "_ActCoveredPartyLimitCode",
        "display": "ActCoveredPartyLimitCode"
      }
    ]
  }
}