Relationship Codes TWG


Discussion with TWG -- who else is using these value sets? eg Doctor's office?

CPHA Codeset

0=cardholder
1=spouse
2=child underage
3=child overage
4=disabled dependent
5=dependant student
9=not known

HL7 FHIR Code Set, Extensible

**Anne - need to build a value set using the HL7 codes and adding: 3, child overage, disabled dependent 5 - dependent student. Discuss - 9 - not known may map to Other?

http://build.fhir.org/valueset-subscriber-relationship.html

http://terminology.hl7.org/CodeSystem/subscriber-relationship

Code Display Definition CPHA Value for Mapping Code System
self Self The Beneficiary is the Subscriber 0 http://terminology.hl7.org/CodeSystem/subscriber-relationship
spouse Spouse The Beneficiary is a spouse or equivalent of the Subscriber 1 http://terminology.hl7.org/CodeSystem/subscriber-relationship
child Child The Beneficiary is a child of the Subscriber 2 http://terminology.hl7.org/CodeSystem/subscriber-relationship
common Common Law Spouse The Beneficiary is a common law spouse or equivalent of the Subscriber N/A http://terminology.hl7.org/CodeSystem/subscriber-relationship
other Other The Beneficiary has some other relationship the Subscriber potential mapping to "unknown" http://terminology.hl7.org/CodeSystem/subscriber-relationship
injured Injured Party The Beneficiary is covered under insurance of the subscriber due to an injury N/A http://terminology.hl7.org/CodeSystem/subscriber-relationship
parent Parent The Beneficiary is a parent of the Subscriber N/A http://terminology.hl7.org/CodeSystem/subscriber-relationship
Extensions
overage child overage The Beneficiary is an overage child of the Subscriber 3 New code system - http://pharmacyeclaims.ca/fhir/ValueSet/subscriber-relationship
disabled disabled dependent The Beneficiary is a disabled dependent of the Subscriber 4 http://pharmacyeclaims.ca/fhir/ValueSet/subscriber-relationship
student dependent student The Beneficiary is a dependent student of the Subscriber 5 http://pharmacyeclaims.ca/fhir/ValueSet/subscriber-relationship
unknown Unknown The Beneficiary relationship to Subscriber is unknown ??? do we need this?