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Patient Relationship to Subscriber


Identifier:5.09
Definition:Specifies only if patient is the subscriber or dependent within the context of the specified health plan
Constraints:C154-[DE-5.09-1] The Patient Relationship to Subscriber SHALL be coded as specified in HITSP/C80 Section 2.2.2.2 Subscriber Relationship

Value Set


Coverage Role Type Value Set

OID:2.16.840.1.113883.1.11.18877
Definition:The Subscriber Relationship vocabulary is reproduced below in Table 2-54 Subscriber Relationship Value Set Definition. This specifies if the patient is the subscriber or dependent within the context of the specified health plan.
Code System Name:RoleCode
Code System Source:Health Level Seven (HL7) Version 3.0 Vocabulary
Concept Code Concept Name Definition
FAMDEP Family dependent The player of the role is dependent of the scoping entity
FSTUD Full-time student Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy
HANDIC Handicapped dependent Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult
Injured plaintiff INJ Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy
PSTUD Part-time student Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy
SPON Sponsored dependent Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward
STUD Student Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy
Self SELF Not Available

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There are no Conceptual Domains linked to Patient Relationship to Subscriber.

Relationship Organization Item
utilizes HITSP Coverage Role Type Value Set   
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