STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

8.8.5 Resource Account - Detailed Descriptions

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 centres, etc.

Control1..1
Alternate NamesCost center; Record
Summarytrue
Account.identifier
Definition

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

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Summarytrue
Account.name
Definition

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

Control0..1
Typestring
Alternate NamesTitle
Summarytrue
Account.type
Definition

Categorizes the account for reporting and searching purposes.

Control0..1
BindingAccountType: The usage type of this account, permits categorization of accounts.
TypeCodeableConcept
Summarytrue
Account.status
Definition

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

Control0..1
BindingAccountStatus: Indicates whether the account is available to be used. (Required)
Typecode
Is Modifiertrue
Summarytrue
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.

Control0..1
TypePeriod
Requirements

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

Summarytrue
Account.currency
Definition

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

Control0..1
BindingAccountCurrency : Example: Currency codes - ISO 4217 (The monetary currency in which this account records values.)
TypeCoding
Summarytrue
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 DoIs 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.

Control0..1
TypeMoney
Summarytrue
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.

Control0..*
TypeReference(Coverage)
Summarytrue
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.

Control0..1
TypePeriod
Summarytrue
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 DoBetter name?
Account.subject
Definition

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

Control0..1
TypeReference(Patient | Device | Practitioner | Location | HealthcareService | Organization)
Alternate Namestarget
Summarytrue
To DoIs 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.

Control0..1
TypeReference(Organization)
Summarytrue
Account.description
Definition

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

Control0..1
Typestring
Summarytrue