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Narrative

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Source1

{
  "resourceType": "ValueSet",
  "id": "v3-CoveredPartyRoleType",
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.1.11.19805"
    }
  ],
  "version": "3.0.0",
  "name": "CoveredPartyRoleType",
  "title": "CoveredPartyRoleType",
  "status": "active",
  "experimental": false,
  "date": "2014-03-26",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.\r\n\r\n**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.\r\n\r\n**Discussion:** The Abstract Value Set \"CoverageRoleType\", which was developed for use in the Canadian realm \"pre-coordinate\" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., \"handicapped dependent\". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be \"post-coordinated\" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.",
  "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "filter": [
          {
            "property": "concept",
            "op": "is-a",
            "value": "_CoveredPartyRoleType"
          }
        ]
      },
      {
        "valueSet": [
          "http://terminology.hl7.org/ValueSet/v3-ClaimantCoveredPartyRoleType"
        ]
      },
      {
        "valueSet": [
          "http://terminology.hl7.org/ValueSet/v3-ProgramEligibleCoveredPartyRoleType"
        ]
      },
      {
        "valueSet": [
          "http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType"
        ]
      },
      {
        "valueSet": [
          "http://terminology.hl7.org/ValueSet/v3-SubscriberCoveredPartyRoleType"
        ]
      },
      {
        "valueSet": [
          "http://terminology.hl7.org/ValueSet/v3-DependentCoveredPartyRoleType"
        ]
      }
    ],
    "exclude": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept": [
          {
            "code": "_ClaimantCoveredPartyRoleType"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept": [
          {
            "code": "_ProgramEligiblePartyRoleType"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept": [
          {
            "code": "_IndividualInsuredPartyRoleType"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept": [
          {
            "code": "_SubscriberCoveredPartyRoleType"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "concept": [
          {
            "code": "_DependentCoveredPartyRoleType"
          }
        ]
      }
    ]
  }
}