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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 |
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..* |
Account.guarantor.party | |
Element Id | Account.guarantor.party |
Definition | The entity who is responsible. |
Cardinality | 1..1 |
Type | Reference(Patient | RelatedPerson | Organization) |
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 |
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 |
Account.partOf | |
Element Id | Account.partOf |
Definition | Reference to a parent Account. |
Cardinality | 0..1 |
Type | Reference(Account) |