DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). 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 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 Alternate Names Type code Is Modifier To Do Is this in the 80%? Better name? true Summary true Period
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 centres, centers, etc.

Control 1..1
Alternate Names Cost center; Record
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 Account.status
Definition

Name used for Indicates whether the account when displaying it to humans in reports, etc. is presently used/usable or not.

Control 0..1
Terminology Binding AccountStatus ( Required )
Type string code
Is Modifier Title true
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
Definition

Categorizes the account for reporting and searching purposes.

Control 0..1
Terminology Binding AccountType : The usage type of this account, permits categorization of accounts. Account Types ( Example )
Type CodeableConcept
Summary true
Account.status Account.name
Definition

Indicates whether Name used for the account is presently used/useable or not. when displaying it to humans in reports, etc.

Control 0..1
Binding Type AccountStatus: Indicates whether the account is available to be used. ( Preferred string )
Alternate Names Title
Summary true
Account.subject
Definition

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

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

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

Account.activePeriod Account.period
Definition

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

Control 0..1
Type Period
Summary true
Comments

Transactions cannot typically It is possible for transactions relevant to a coverage period to be posted to the account outside of its "active" before or after the coverage period, however the services that are being charged for must be within this period.

Account.currency Account.active
Definition

Identifies Indicates the currency to period of time over which the account is allowed to have transactions must posted to it. This period may be converted when crediting or debiting different to the account. coveragePeriod which is the duration of time that services may occur.

Control 0..1
Binding AccountCurrency : Example : Currency codes - ISO 4217 (The monetary currency in which this account records values.) Type Coding Summary Period
Comments Requirements

Tracked separately from balance because currency might be known when balance is not. In some cases, balance might Accounts are able to be expressed in active only during a currency other than the base currency for specific period, and the account. dates to which charges should be able to be applied.

To Do Summary Is this in the 80%? true
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
Account.coveragePeriod Account.coverage
Definition

Identifies The party(s) that are responsible for covering the period payment of time this account, and what order should they be applied to the account applies to; e.g. accounts created per fiscal year, quarter, etc. account.

Control 0..1 0..*
Type 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.

Summary Account.coverage.coverage true
Comments Definition

It is possible The party(s) that are responsible for transactions relevant payment (or part of) of charges applied to a this account (including self-pay).

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

To Do Control Better name? 1..1
Type Reference ( Coverage )
Summary true
Account.subject Account.coverage.priority
Definition

Identifies The priority of the patient, device, practitioner, location or other object coverage in the account is associated with. context of this account.

Control 0..1
Type Reference ( Patient | Device | Practitioner | Location | HealthcareService | Organization positiveInt )
Alternate Names target coordination of benefit priority
Summary true
To Do Comments Is there a use-case

It is common in some jurisdictions for 0..*? Would this there to be in multiple coverages allocated to an account, and a sequence is required to order the 80%? settling of the account (often with insurance claiming).

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..*
Account.guarantor.party
Definition

The entity who is responsible.

Control 1..1
Type Reference ( Patient | RelatedPerson | Organization )
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
Definition

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

Control 0..1
Type Period