{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "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.",
"system" : "http://terminology.hl7.org/CodeSystem/conceptdomains",
"property" : [ {
"code" : "source",
"valueCode" : "v3"
}, {
"code" : "ConceptualSpaceForClassCode",
"valueCoding" : {
"code" : "COVPTY",
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass"
}
}, {
"code" : "contextBindingR1-valueSet",
"valueString" : "2.16.840.1.113883.1.11.19805"
}, {
"code" : "contextBindingR1-strength",
"valueCode" : "CWE"
}, {
"code" : "contextBindingR1-effectiveDate",
"valueDateTime" : "2020-01-01"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "parent",
"_implicit" : true,
"valueCode" : "FormalRelationshipRoleType"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "StudentRoleType"
} ],
"codesystem" : "33eb862a-4e29-55df-b067-9b9d45b786af",
"concept_id" : "42dcfd79-778a-5c1c-9df0-76101436923a",
"ancestors" : {
"RoleCode" : 4,
"AssocativeRoleType" : 3,
"CoveredPartyRoleType" : 0,
"FormalRelationshipRoleType" : 1,
"MutualRelationshipRoleType" : 2
},
"id" : "3f6e9c25-5b7a-4036-9787-5532d5d4ffc1",
"code" : "CoveredPartyRoleType",
"display" : "CoveredPartyRoleType",
"version" : "3.0.0"
}