{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "A role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.\\r\\n\\r\\n*Discussion:*This reason for coverage is captured in 'Role.code' and 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.\\r\\n\\r\\nNote that a particular policy may cover several individuals 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.",
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
"property" : [ {
"code" : "status",
"valueCode" : "active"
}, {
"code" : "internalId",
"valueCode" : "14011"
}, {
"code" : "Name:Class",
"valueCode" : "coveredParty"
}, {
"code" : "Name:Role:player:Entity",
"valueCode" : "covered(&|Party)"
}, {
"code" : "Name:Role:scoper:Entity",
"valueCode" : "(underwriting&)|underwriter"
}, {
"code" : "Sort:Entity:playedRole:Role",
"valueCode" : "AAAAI____"
}, {
"code" : "Sort:Entity:scopedRole:Role",
"valueCode" : "AAAAI____"
}, {
"code" : "Name:Entity:playedRole:Role",
"valueString" : "as&"
}, {
"code" : "Name:Entity:scopedRole:Role",
"valueString" : "&"
}, {
"code" : "Name:Participation:role:Role",
"valueString" : "&"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "parent",
"_implicit" : true,
"valueCode" : "_RoleClassRelationshipFormal"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "CLAIM"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "NAMED"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "PROG"
} ],
"codesystem" : "4dad9fbb-56c6-5858-be58-40bd1e39fc29",
"concept_id" : "42de315e-7ec6-5e93-b638-052474c58e74",
"ancestors" : {
"ROL" : 4,
"COVPTY" : 0,
"_RoleClassAssociative" : 3,
"_RoleClassMutualRelationship" : 2,
"_RoleClassRelationshipFormal" : 1
},
"id" : "fc4d0803-a911-4cb3-9eab-99b5bf165472",
"code" : "COVPTY",
"display" : "covered party",
"version" : "4.0.0"
}