FHIR Release 3 (STU) R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.5.0: R4 Ballot #2). 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

Patient Administration Work Group Maturity Level : 2   Trial Use Compartments : Device , Patient , Practitioner

Detailed Descriptions for the elements in the Account resource.

Summary true
Account
Element Id 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
Type DomainResource
Alternate Names Cost center; Record
Account.identifier
Element Id Account.identifier
Definition

Unique identifier used to reference the account. May Might or may might 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.status
Element Id Account.status
Definition

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

Control 0..1 1..1
Terminology Binding AccountStatus ( Required )
Type code
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary true
Comments

This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.

Account.type
Element Id Account.type
Definition

Categorizes the account for reporting and searching purposes.

Control 0..1
Terminology Binding Account Types ( Example )
Type CodeableConcept
Summary true
Account.name
Element Id 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.subject
Element Id Account.subject
Definition

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

Control 0..1 0..*
Type Reference ( Patient | Device | Practitioner | Location | HealthcareService | Organization )
Alternate Names target
Summary true
Comments

Accounts can be applied to non patients for tracking other non patient related activities, such as group services (patients not tracked, and costs charged to another body), or may might not be allocated.

Account.period Account.servicePeriod
Element Id Account.servicePeriod
Definition

Identifies the period The date range of time the account applies to; e.g. accounts created per fiscal year, quarter, etc. services associated with this account.

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 outside the coverage service period, however as long as the services that are being charged for must be service was provided within this period. 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. defined service period.

Account.balance Account.coverage
Definition Represents the sum of all credits less all debits associated with the account. Might be positive, zero or negative. Control 0..1 Type Element Id Money Account.coverage
Definition

The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.

Control 0..*
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.coverage.coverage
Element Id Account.coverage.coverage
Definition

The party(s) that are responsible for contribute to payment (or part of) of the 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 1..1
Type Reference ( Coverage )
Summary true
Account.coverage.priority
Element Id Account.coverage.priority
Definition

The priority of the coverage in the context of this account.

Control 0..1
Type positiveInt
Alternate Names coordination of benefit priority
Summary true
Comments

It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).

Account.owner
Element Id Account.owner
Definition

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

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

Parties financially responsible for the account.

Control 0..*
Account.guarantor.party
Element Id Account.guarantor.party
Definition

The entity who is responsible.

Control 1..1
Type Reference ( Patient | RelatedPerson | Organization )
Account.guarantor.onHold
Element Id Account.guarantor.onHold
Definition

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

Control 0..1
Type boolean
Account.guarantor.period
Element Id Account.guarantor.period
Definition

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

Control 0..1
Type Period
Account.partOf
Element Id Account.partOf
Definition

Reference to a parent Account.

Control 0..1
Type Reference ( Account )