OID reference

PolicyOrProgramCoverageRoleType

2.16.840.1.113883.1.11.19809

Description

**Description:** A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria. Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which m…

Full description and source information

Identification

Identifier and names

Parent
2.16.840.1.113883.1.11 (harmonizationValueSets)
Node code
19809
Node names
  • PolicyOrProgramCoverageRoleType
  • v3-PolicyOrProgramCoverageRoleType
Numeric OID
2.16.840.1.113883.1.11.19809
URN notation
urn:oid:2.16.840.1.113883.1.11.19809
ASN.1, OID-IRI and named path variants
ASN.1 notation

{2 16 840 1 113883 1 11 19809}

  • {joint-iso-itu-t(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-PolicyOrProgramCoverageRoleType(19809)}
  • {joint-iso-itu-t(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-PolicyOrProgramCoverageRoleType(19809)}
  • {joint-iso-ccitt(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-PolicyOrProgramCoverageRoleType(19809)}
  • {joint-iso-ccitt(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-PolicyOrProgramCoverageRoleType(19809)}
OID-IRI notation
  • /2/16/840/1/113883/1/11/19809
  • /Country/840/1/113883/1/11/19809
  • /Joint-ISO-ITU-T/16/840/1/113883/1/11/19809
Named path variants
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/PolicyOrProgramCoverageRoleType
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-PolicyOrProgramCoverageRoleType

Meaning

Descriptions

1 unique

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

**Description:** A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria. Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be: 1. The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage 2. May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent 3. May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits. **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". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead. In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.

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

PolicyOrProgramCoverageRoleType, v3-PolicyOrProgramCoverageRoleType · activeHL7 Terminology1 source

Status in source: active.

Names: PolicyOrProgramCoverageRoleType, v3-PolicyOrProgramCoverageRoleType

Technical details
{
  "url": "http://terminology.hl7.org/ValueSet/v3-PolicyOrProgramCoverageRoleType",
  "date": "2014-03-26",
  "title": "PolicyOrProgramCoverageRoleType",
  "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:2.16.840.1.113883.1.11.19809",
    "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
2.16.840.1.113883.1.11.19807 RoleClassCoveredParty, v3-RoleClassCoveredParty00
2.16.840.1.113883.1.11.19808 RoleClassNamedInsured, v3-RoleClassNamedInsured00
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