This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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
Patient Administration Work Group | Maturity Level: 2 | Trial Use | Compartments: Device, Patient, Practitioner |
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 |
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 identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Summary | true |
Account.status | |
Definition | Indicates whether the account is presently used/usable or not. |
Control | 0..1 |
Terminology Binding | AccountStatus (Required) |
Type | code |
Is Modifier | 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 | Account Types (Example) |
Type | CodeableConcept |
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.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 |
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.period | |
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. |
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.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. |
Control | 0..* |
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.coverage.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 | 1..1 |
Type | Reference(Coverage) |
Summary | true |
Account.coverage.priority | |
Definition | The priority of the coverage in the context of this account. |
Control | 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 | |
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 |
Account.partOf | |
Definition | Reference to a parent Account. |
Control | 0..1 |
Type | Reference(Account) |