STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Detailed Descriptions for the elements in the Account resource.

Account
Definition

A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc.

Control 1..1
Alternate Names Cost center; Record
Summary true
Account.identifier
Definition

Unique identifier used to reference the account. May or may not be intended for human use (e.g. credit card number).

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..*
Type Identifier
Summary true
Account.name
Definition

Name used for the account when displaying it to humans in reports, etc.

Control 0..1
Type string
Alternate Names Title
Summary true
Account.type
Definition

Categorizes the account for reporting and searching purposes.

Control 0..1
Terminology Binding AccountType :
Type CodeableConcept
Summary true
Account.status
Definition

Indicates whether the account is presently used/useable or not.

Control 0..1
Terminology Binding AccountStatus ( Required )
Type code
Is Modifier true
Summary true
Account.active
Definition

Indicates the period of time over which the account is allowed to have transactions posted to it. This period may be different to the coveragePeriod which is the duration of time that services may occur.

Control 0..1
Type Period
Requirements

Accounts are able to be active only during a specific period, and the dates to which charges should be able to be applied.

Summary true
Account.currency
Definition

Identifies the currency to which transactions must be converted when crediting or debiting the account.

Control 0..1
Terminology Binding AccountCurrency :
Type Coding
Summary true
Comments

Tracked separately from balance because currency might be known when balance is not. In some cases, balance might be expressed in a currency other than the base currency for the account.

To Do Is this in the 80%?
Account.balance
Definition

Represents the sum of all credits less all debits associated with the account. Might be positive, zero or negative.

Control 0..1
Type Money
Summary true
Account.coverage
Definition

The party(s) that are responsible for payment (or part of) of charges applied to this account (including self-pay).

A coverage may only be resposible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.

Control 0..*
Type Reference ( Coverage )
Summary true
Comments

Typically this may be some form of insurance, internal charges, or self-pay.

Local or jurisdicational business rules may determine which coverage covers which types of billable items charged to the account, and in which order. Where the order is important, a local/jurisdicational extension may be defined to specify the order for the type of charge.

Account.coveragePeriod
Definition

Identifies the period of time the account applies to; e.g. accounts created per fiscal year, quarter, etc.

Control 0..1
Type Period
Summary true
Comments

It is possible for transactions relevant to a coverage period to be posted to the account before or after the coverage period, however the services that are being charged for must be within this period.

To Do Better name?
Account.subject
Definition

Identifies the patient, device, practitioner, location or other object the account is associated with.

Control 0..1
Type Reference ( Patient | Device | Practitioner | Location | HealthcareService | Organization )
Alternate Names target
Summary true
To Do Is there a use-case for 0..*? Would this be in the 80%?
Account.owner
Definition

Indicates the organization, department, etc. with responsibility for the account.

Control 0..1
Type Reference ( Organization )
Summary true
Account.description
Definition

Provides additional information about what the account tracks and how it is used.

Control 0..1
Type string
Summary true
Account.guarantor
Definition

Parties financially responsible for the account.

Control 0..*
Summary true
Account.guarantor.party
Definition

The entity who is responsible.

Control 1..1
Type Reference ( Patient | RelatedPerson | Organization )
Summary true
Account.guarantor.onHold
Definition

A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.

Control 0..1
Type boolean
Summary true
Account.guarantor.period
Definition

The timeframe during which the guarantor accepts responsibility for the account.

Control 0..1
Type Period
Summary true