R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

Patient Administration icon Work GroupMaturity Level: N/AStandards Status: Informative Compartments: Device, Patient, Practitioner

This is a representation of the json schema for Account, which is just a part of the full JSON Schema.

{
  "$schema": "http://json-schema.org/draft-06/schema#",
  "id": "http://hl7.org/fhir/json-schema/Account",
  "$ref": "#/definitions/Account",
  "description": "see http://hl7.org/fhir/json.html#schema for information about the FHIR Json Schemas",
  "definitions": {
    "Account": {
      "description": "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.",
      "properties": {
        "resourceType": {
          "description": "This is a Account resource",
          "const": "Account"
        },
        "id": {
          "description": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "$ref": "id.schema.json#/definitions/id"
        },
        "meta": {
          "description": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "$ref": "Meta.schema.json#/definitions/Meta"
        },
        "implicitRules": {
          "description": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "$ref": "#/definitions/uri"
        },
        "_implicitRules": {
          "description": "Extensions for implicitRules",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "language": {
          "description": "The base language in which the resource is written.",
          "$ref": "#/definitions/code"
        },
        "_language": {
          "description": "Extensions for language",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "text": {
          "description": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "$ref": "Narrative.schema.json#/definitions/Narrative"
        },
        "contained": {
          "description": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.",
          "items": {
            "$ref": "ResourceList.schema.json#/definitions/ResourceList"
          },
          "type": "array"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "identifier": {
          "description": "Unique identifier used to reference the account.  Might or might not be intended for human use (e.g. credit card number).",
          "items": {
            "$ref": "Identifier.schema.json#/definitions/Identifier"
          },
          "type": "array"
        },
        "status": {
          "description": "Indicates whether the account is presently used/usable or not.",
          "$ref": "#/definitions/code"
        },
        "_status": {
          "description": "Extensions for status",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "billingStatus": {
          "description": "The BillingStatus tracks the lifecycle of the account through the billing process. It indicates how transactions are treated when they are allocated to the account.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "type": {
          "description": "Categorizes the account for reporting and searching purposes.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "name": {
          "description": "Name used for the account when displaying it to humans in reports, etc.",
          "$ref": "#/definitions/string"
        },
        "_name": {
          "description": "Extensions for name",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "subject": {
          "description": "Identifies the entity which incurs the expenses. While the immediate recipients of services or goods might be entities related to the subject, the expenses were ultimately incurred by the subject of the Account.",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "servicePeriod": {
          "description": "The date range of services associated with this account.",
          "$ref": "Period.schema.json#/definitions/Period"
        },
        "coverage": {
          "description": "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.",
          "items": {
            "$ref": "#/definitions/Account_Coverage"
          },
          "type": "array"
        },
        "owner": {
          "description": "Indicates the service area, hospital, department, etc. with responsibility for managing the Account.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "description": {
          "description": "Provides additional information about what the account tracks and how it is used.",
          "$ref": "#/definitions/markdown"
        },
        "_description": {
          "description": "Extensions for description",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "guarantor": {
          "description": "The parties responsible for balancing the account if other payment options fall short.",
          "items": {
            "$ref": "#/definitions/Account_Guarantor"
          },
          "type": "array"
        },
        "diagnosis": {
          "description": "When using an account for billing a specific Encounter the set of diagnoses that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s).",
          "items": {
            "$ref": "#/definitions/Account_Diagnosis"
          },
          "type": "array"
        },
        "procedure": {
          "description": "When using an account for billing a specific Encounter the set of procedures that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s).",
          "items": {
            "$ref": "#/definitions/Account_Procedure"
          },
          "type": "array"
        },
        "relatedAccount": {
          "description": "Other associated accounts related to this account.",
          "items": {
            "$ref": "#/definitions/Account_RelatedAccount"
          },
          "type": "array"
        },
        "currency": {
          "description": "The default currency for the account.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "balance": {
          "description": "The calculated account balances - these are calculated and processed by the finance system.\r\rThe balances with a `term` that is not current are usually generated/updated by an invoicing or similar process.",
          "items": {
            "$ref": "#/definitions/Account_Balance"
          },
          "type": "array"
        },
        "calculatedAt": {
          "description": "Time the balance amount was calculated.",
          "$ref": "#/definitions/instant"
        },
        "_calculatedAt": {
          "description": "Extensions for calculatedAt",
          "$ref": "Element.schema.json#/definitions/Element"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "resourceType"
      ]
    },
    "Account_Coverage": {
      "description": "A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "coverage": {
          "description": "The party(s) that contribute to payment (or part of) of the charges applied to this account (including self-pay).\n\nA 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.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "priority": {
          "description": "The priority of the coverage in the context of this account.",
          "$ref": "#/definitions/positiveInt"
        },
        "_priority": {
          "description": "Extensions for priority",
          "$ref": "Element.schema.json#/definitions/Element"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "coverage"
      ]
    },
    "Account_Guarantor": {
      "description": "A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "party": {
          "description": "The entity who is responsible.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "onHold": {
          "description": "A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.",
          "$ref": "#/definitions/boolean"
        },
        "_onHold": {
          "description": "Extensions for onHold",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "period": {
          "description": "The timeframe during which the guarantor accepts responsibility for the account.",
          "$ref": "Period.schema.json#/definitions/Period"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "party"
      ]
    },
    "Account_Diagnosis": {
      "description": "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.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "sequence": {
          "description": "Ranking of the diagnosis (for each type).",
          "$ref": "#/definitions/positiveInt"
        },
        "_sequence": {
          "description": "Extensions for sequence",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "condition": {
          "description": "The diagnosis relevant to the account.",
          "$ref": "CodeableReference.schema.json#/definitions/CodeableReference"
        },
        "dateOfDiagnosis": {
          "description": "Ranking of the diagnosis (for each type).",
          "$ref": "#/definitions/dateTime"
        },
        "_dateOfDiagnosis": {
          "description": "Extensions for dateOfDiagnosis",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "type": {
          "description": "Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …).",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "onAdmission": {
          "description": "Was the Diagnosis present on Admission in the related Encounter.",
          "$ref": "#/definitions/boolean"
        },
        "_onAdmission": {
          "description": "Extensions for onAdmission",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "packageCode": {
          "description": "The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "condition"
      ]
    },
    "Account_Procedure": {
      "description": "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.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "sequence": {
          "description": "Ranking of the procedure (for each type).",
          "$ref": "#/definitions/positiveInt"
        },
        "_sequence": {
          "description": "Extensions for sequence",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "code": {
          "description": "The procedure relevant to the account.",
          "$ref": "CodeableReference.schema.json#/definitions/CodeableReference"
        },
        "dateOfService": {
          "description": "Date of the procedure when using a coded procedure. If using a reference to a procedure, then the date on the procedure should be used.",
          "$ref": "#/definitions/dateTime"
        },
        "_dateOfService": {
          "description": "Extensions for dateOfService",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "type": {
          "description": "How this procedure value should be used in charging the account.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "packageCode": {
          "description": "The package code can be used to group procedures that may be priced or delivered as a single product. Such as DRGs.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "device": {
          "description": "Any devices that were associated with the procedure relevant to the account.",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "code"
      ]
    },
    "Account_RelatedAccount": {
      "description": "A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "relationship": {
          "description": "Relationship of the associated Account.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "account": {
          "description": "Reference to an associated Account.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "account"
      ]
    },
    "Account_Balance": {
      "description": "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.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "aggregate": {
          "description": "Who is expected to pay this part of the balance.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "term": {
          "description": "The term of the account balances - The balance value is the amount that was outstanding for this age.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "estimate": {
          "description": "The amount is only an estimated value - this is likely common for `current` term balances, but not with known terms (that were generated by a backend process).",
          "$ref": "#/definitions/boolean"
        },
        "_estimate": {
          "description": "Extensions for estimate",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "amount": {
          "description": "The actual balance value calculated for the age defined in the term property.",
          "$ref": "Money.schema.json#/definitions/Money"
        }
      },
      "type": "object",
      "additionalProperties": false,
      "required": [
        "amount"
      ]
    }
  }
}