Final| Description |
History description 2014-03-26: Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26 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. 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. 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. |
| Level/ Type | Code | Display Name / Intensional Definition | Code System |
|---|---|---|---|
| 0‑A | _CoveredPartyRoleType | covered party role type | Role Code |
| 1‑A | _ClaimantCoveredPartyRoleType | ClaimantCoveredPartyRoleType | Role Code |
| 1‑A | _DependentCoveredPartyRoleType | DependentCoveredPartyRoleType | Role Code |
| 1‑A | _IndividualInsuredPartyRoleType | IndividualInsuredPartyRoleType | Role Code |
| 1‑A | _ProgramEligiblePartyRoleType | ProgramEligiblePartyRoleType | Role Code |
| 1‑A | _SubscriberCoveredPartyRoleType | SubscriberCoveredPartyRoleType | Role Code |
 Include | Value Set 2.16.840.1.113883.1.11.19810 Flexibility 2014-03-26T00:00:00 | ||
| 0‑A | _ClaimantCoveredPartyRoleType | ClaimantCoveredPartyRoleType | Role Code |
| 1‑L | CRIMEVIC | crime victim | Role Code |
| 1‑L | INJWKR | injured worker | Role Code |
| 0‑L | INJ | injured plaintiff | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19811 Flexibility 2014-03-26T00:00:00 | ||
| 0‑A | _ProgramEligiblePartyRoleType | ProgramEligiblePartyRoleType | Role Code |
| 1‑L | CRIMEVIC | crime victim | Role Code |
| 1‑L | INJWKR | injured worker | Role Code |
| 1‑L | DIFFABL | differently abled | Role Code |
| 1‑L | WARD | ward | Role Code |
| 1‑L | INDIG | member of an indigenous people | Role Code |
| 1‑S | MIL | military | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19813 Flexibility 2014-03-26T00:00:00 | ||
| 0‑A | _IndividualInsuredPartyRoleType | IndividualInsuredPartyRoleType | Role Code |
| 1‑L | COCBEN | continuity of coverage beneficiary | Role Code |
| 1‑L | RETIREE | retiree | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19671 Flexibility 2014-03-26T00:00:00 | ||
| 0‑S | STUD | student | Role Code |
| 1‑L | FSTUD | full-time student | Role Code |
| 1‑L | PSTUD | part-time student | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19814 Flexibility 2014-03-26T00:00:00 | ||
| 0‑A | _SubscriberCoveredPartyRoleType | SubscriberCoveredPartyRoleType | Role Code |
| 1‑L | COCBEN | continuity of coverage beneficiary | Role Code |
| 1‑L | RETIREE | retiree | Role Code |
| 1‑S | MIL | military | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19815 Flexibility 2014-03-26T00:00:00 | ||
| 0‑A | _DependentCoveredPartyRoleType | DependentCoveredPartyRoleType | Role Code |
| 1‑L | COCBEN | continuity of coverage beneficiary | Role Code |
| 1‑L | DIFFABL | differently abled | Role Code |
| 1‑L | WARD | ward | Role Code |
| Include | Value Set 2.16.840.1.113883.1.11.19671 Flexibility 2014-03-26T00:00:00 | ||
| 0‑S | STUD | student | Role Code |
| 1‑L | FSTUD | full-time student | Role Code |
| 1‑L | PSTUD | part-time student | Role Code |
