Release 4 4B

This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). 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 R4B R4 R3 R2

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

Detailed Descriptions for the elements in the Account resource.

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.

Cardinality 0..*
Type DomainResource
Alternate Names Cost center; Record
Summary false
Account.identifier
Element Id Account.identifier
Definition

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

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Summary true
Account.status
Element Id Account.status
Definition

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

Cardinality 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.

Cardinality 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.

Cardinality 0..1
Type string
Alternate Names Title
Summary true
Account.subject
Element Id Account.subject
Definition

Identifies the entity which incurs the expenses. While the immediate recipients of services or goods might be entities related to the subject, the expenses were ultimately incurred by the subject of the Account.

Cardinality 0..*
Type Reference ( Patient | Device | Practitioner | PractitionerRole | 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 might not be allocated.

Account.servicePeriod
Element Id Account.servicePeriod
Definition

The date range of services associated with this account.

Cardinality 0..1
Type Period
Summary true
Comments

It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.

Account.coverage
Element Id 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.

Cardinality 0..*
Summary true
Comments

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

Local or jurisdictional 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/jurisdictional 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 contribute to payment (or part of) of the charges applied to this account (including self-pay).

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

Cardinality 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.

Cardinality 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 service area, hospital, department, etc. with responsibility for managing the Account.

Cardinality 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.

Cardinality 0..1
Type string
Summary true
Account.guarantor
Element Id Account.guarantor
Definition

The parties responsible for balancing the account if other payment options fall short.

Cardinality 0..*
Summary false
Account.guarantor.party
Element Id Account.guarantor.party
Definition

The entity who is responsible.

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

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

Cardinality 0..1
Type boolean
Summary false
Account.guarantor.period
Element Id Account.guarantor.period
Definition

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

Cardinality 0..1
Type Period
Summary false
Account.partOf
Element Id Account.partOf
Definition

Reference to a parent Account.

Cardinality 0..1
Type Reference ( Account )
Summary false