OID reference

RoleClassCoveredParty

2.16.840.1.113883.1.11.19807

Description

**Description:** A relationship between a party that receives benefit coverage under the terms of an insurance policy or program and the underwriter of the policy or program. The role is played by the party that receives benefit coverage under the terms of a particular insurance policy or program. The organization pla…

Full description and source information

Identification

Identifier and names

Parent
2.16.840.1.113883.1.11 (harmonizationValueSets)
Node code
19807
Node names
  • RoleClassCoveredParty
  • v3-RoleClassCoveredParty
Numeric OID
2.16.840.1.113883.1.11.19807
URN notation
urn:oid:2.16.840.1.113883.1.11.19807
ASN.1, OID-IRI and named path variants
ASN.1 notation

{2 16 840 1 113883 1 11 19807}

  • {joint-iso-itu-t(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-RoleClassCoveredParty(19807)}
  • {joint-iso-itu-t(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-RoleClassCoveredParty(19807)}
  • {joint-iso-ccitt(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-RoleClassCoveredParty(19807)}
  • {joint-iso-ccitt(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-RoleClassCoveredParty(19807)}
OID-IRI notation
  • /2/16/840/1/113883/1/11/19807
  • /Country/840/1/113883/1/11/19807
  • /Joint-ISO-ITU-T/16/840/1/113883/1/11/19807
Named path variants
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/RoleClassCoveredParty
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-RoleClassCoveredParty

Meaning

Descriptions

1 unique

Identical descriptions are grouped. Different wording and device-specific notes are retained.

**Description:** A relationship between a party that receives benefit coverage under the terms of an insurance policy or program and the underwriter of the policy or program. The role is played by the party that receives benefit coverage under the terms of a particular insurance policy or program. The organization playing the underwriter of that policy or program is the scoping entity. A covered party receives coverage under a policy because of some contractual or other relationship with the policy holder. In most cases, the policy holder has discretion over which parties may be covered under a policy, unless the policy holder assigns or is required by a court to assign this right. A covered party receives coverage under a program by being determined eligible based on program eligibility criteria specified by the program sponsor. **Discussion:** This reason for coverage is specified by use of a role type code from either of the abstract value sets beneath the PolicyOrProgramCoverageRoleType abstract value set. The CoverageRoleType abstract value set can only be used when the role class is the concept code "covered party" (COVPTY) because this value set contains precoordinated coded concepts relating to coverage criteria that was developed for the Canadian realm. This is to avoid overlapping concepts, e.g., the DEPEN role.class cannot be used with the FAMDEP Role.code The CoveredPartyRoleType abstract value set may be used with any of the covered party role class codes to support post coordination of coverage criteria. Where coverage under a policy depends on the concurrence of a policy holder, a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target. **Note:** A particular policy may cover several parties, one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder. **Note:** The entity playing the role of covered party is an organization, a non-person living subject or a group of persons, the role class codes Subscriber and Dependent may not be used.

Sources for this description

HL7 Terminology

See 1 matching source record

Evidence

Source records

1 records

Matching descriptions are grouped; open a group to compare definitions and supporting files.

Records for description 1HL7 Terminology1 record · 1 source

Description 1

RoleClassCoveredParty, v3-RoleClassCoveredParty · activeHL7 Terminology1 source

Status in source: active.

Names: RoleClassCoveredParty, v3-RoleClassCoveredParty

Technical details
{
  "url": "http://terminology.hl7.org/ValueSet/v3-RoleClassCoveredParty",
  "date": "2014-03-26",
  "title": "RoleClassCoveredParty",
  "status": "active",
  "contact": [
    {
      "telecom": [
        {
          "value": "http://hl7.org",
          "system": "url"
        },
        {
          "value": "hq@HL7.org",
          "system": "email"
        }
      ]
    }
  ],
  "version": "3.0.0",
  "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",
  "publisher": "Health Level Seven International",
  "experimental": false,
  "resource_type": "ValueSet",
  "oid_identifier": {
    "value": "urn:oid:2.16.840.1.113883.1.11.19807",
    "system": "urn:ietf:rfc:3986"
  }
}

Registration

Registration authorities

First Registration Authority (inferred from ancestor 2.16.840.1.113883)

W. Ted Klein

Current Registration Authority (inferred from ancestor 2.16.840.1.113883.1.11)

Ted Klein

Siblings (1736)

OIDNameDirect childrenDescendantsDescription
2.16.840.1.113883.1.11.19757 ObservationActContextAgeType, v3-ObservationActContextAgeType00
2.16.840.1.113883.1.11.19758 LOINCObservationActContextAgeType, v3-LOINCObservationActContextAgeType00
2.16.840.1.113883.1.11.19759 ObservationInterpretationProtocolInclusion, v3-ObservationInterpretationProtocolInclusion00
2.16.840.1.113883.1.11.19760 ObservationInterpretationOustsideThreshold, v3-ObservationInterpretationOustsideThreshold00
2.16.840.1.113883.1.11.19761 NameLegalUse, v3-NameLegalUse00
2.16.840.1.113883.1.11.19762 XActMoodDefEvnRqo, v3-xActMoodDefEvnRqo00
2.16.840.1.113883.1.11.19763 XActMoodRequestEvent, v3-xActMoodRequestEvent00
2.16.840.1.113883.1.11.19764 XActReplaceOrRevise, v3-xActReplaceOrRevise00
2.16.840.1.113883.1.11.19765 ActRelationshipSucceeds, v3-ActRelationshipSucceeds00
2.16.840.1.113883.1.11.19766 ActClassPosition, v3-ActClassPosition00
2.16.840.1.113883.1.11.19767 EPSGGeodeticParameterDataset, v3-EPSG-GeodeticParameterDataset00
2.16.840.1.113883.1.11.19768 SCDHECGISSpatialAccuracyTiers, v3-SCDHEC-GISSpatialAccuracyTiers00
2.16.840.1.113883.1.11.19769 ValidationIssue, v3-ValidationIssue00
2.16.840.1.113883.1.11.19770 LengthOutOfRange, v3-LengthOutOfRange00
2.16.840.1.113883.1.11.19771 CodeIsNotValid, v3-CodeIsNotValid00
2.16.840.1.113883.1.11.19772 RepetitionsOutOfRange, v3-RepetitionsOutOfRange00
2.16.840.1.113883.1.11.19773 ObservationAlert, v3-ObservationAlert00
2.16.840.1.113883.1.11.19774 ComplianceAlert, v3-ComplianceAlert00
2.16.840.1.113883.1.11.19775 DuplicateTherapyAlert, v3-DuplicateTherapyAlert00
2.16.840.1.113883.1.11.19776 DosageProblem, v3-DosageProblem00
2.16.840.1.113883.1.11.19777 GenericUpdateReasonCode, v3-GenericUpdateReasonCode00
2.16.840.1.113883.1.11.19778 ActNonObservationIndicationCode, v3-ActNonObservationIndicationCode00
2.16.840.1.113883.1.11.19779 CombinedPharmacyOrderSuspendReasonCode, v3-CombinedPharmacyOrderSuspendReasonCode00
2.16.840.1.113883.1.11.19780 TimingDetectedIssueCode, v3-TimingDetectedIssueCode00
2.16.840.1.113883.1.11.19781 MedicationOrderAbortReasonCode, v3-MedicationOrderAbortReasonCode00
2.16.840.1.113883.1.11.19782 MedicationOrderReleaseReasonCode, v3-MedicationOrderReleaseReasonCode00
2.16.840.1.113883.1.11.19784 PatientProfileQueryReasonCode, v3-PatientProfileQueryReasonCode00
2.16.840.1.113883.1.11.19785 PharmacySupplyEventStockReasonCode, v3-PharmacySupplyEventStockReasonCode00
2.16.840.1.113883.1.11.19786 PharmacySupplyRequestRenewalRefusalReasonCode, v3-PharmacySupplyRequestRenewalRefusalReasonCode00
2.16.840.1.113883.1.11.19787 SupplyOrderAbortReasonCode, v3-SupplyOrderAbortReasonCode00
2.16.840.1.113883.1.11.19788 ActMedicationTherapyDurationWorkingListCode, v3-ActMedicationTherapyDurationWorkingListCode00
2.16.840.1.113883.1.11.19789 ActCareProvisionCode, v3-ActCareProvisionCode00
2.16.840.1.113883.1.11.19790 ActCredentialedCareCode, v3-ActCredentialedCareCode00
2.16.840.1.113883.1.11.19791 ActCredentialedCareProvisionPersonCode, v3-ActCredentialedCareProvisionPersonCode00
2.16.840.1.113883.1.11.19792 ActCredentialedCareProvisionProgramCode, v3-ActCredentialedCareProvisionProgramCode00
2.16.840.1.113883.1.11.19793 VerificationOutcomeValue, v3-VerificationOutcomeValue00
2.16.840.1.113883.1.11.19794 ActObservationVerificationType, v3-ActObservationVerificationType00
2.16.840.1.113883.1.11.19795 CaseTransmissionMode, v3-CaseTransmissionMode00
2.16.840.1.113883.1.11.19796 ActClassSubjectPhysicalPosition, v3-ActClassSubjectPhysicalPosition00
2.16.840.1.113883.1.11.19798 ActClassSubjectBodyPosition, v3-ActClassSubjectBodyPosition00
2.16.840.1.113883.1.11.19799 ActClassSupine, v3-ActClassSupine00
2.16.840.1.113883.1.11.19805 CoveredPartyRoleType, v3-CoveredPartyRoleType00
2.16.840.1.113883.1.11.19808 RoleClassNamedInsured, v3-RoleClassNamedInsured00
2.16.840.1.113883.1.11.19809 PolicyOrProgramCoverageRoleType, v3-PolicyOrProgramCoverageRoleType00
2.16.840.1.113883.1.11.19810 ClaimantCoveredPartyRoleType, v3-ClaimantCoveredPartyRoleType00
2.16.840.1.113883.1.11.19811 ProgramEligibleCoveredPartyRoleType, v3-ProgramEligibleCoveredPartyRoleType00
2.16.840.1.113883.1.11.19812 MilitaryRoleType, v3-MilitaryRoleType00
2.16.840.1.113883.1.11.19813 IndividualInsuredCoveredPartyRoleType, v3-IndividualInsuredCoveredPartyRoleType00
2.16.840.1.113883.1.11.19814 SubscriberCoveredPartyRoleType, v3-SubscriberCoveredPartyRoleType00
2.16.840.1.113883.1.11.19815 DependentCoveredPartyRoleType, v3-DependentCoveredPartyRoleType00