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 |