Current Build
Patient Administration Work GroupMaturity Level: 2 Trial UseSecurity Category: Patient Compartments: Device, Patient, Practitioner

Detailed Descriptions for the elements in the Account resource.

Account
Element IdAccount
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.

Cardinality0..*
TypeDomainResource
Alternate NamesCost center; Record
Account.identifier
Element IdAccount.identifier
Definition

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

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summarytrue
Account.status
Element IdAccount.status
Definition

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

Cardinality1..1
Terminology BindingAccountStatus (Required)
Typecode
Is Modifiertrue (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)
Summarytrue
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 IdAccount.type
Definition

Categorizes the account for reporting and searching purposes.

Cardinality0..1
Terminology BindingAccount Types (Example)
TypeCodeableConcept
Summarytrue
Account.name
Element IdAccount.name
Definition

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

Cardinality0..1
Typestring
Alternate NamesTitle
Summarytrue
Account.subject
Element IdAccount.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.

Cardinality0..*
TypeReference(Patient | Device | Practitioner | PractitionerRole | Location | HealthcareService | Organization)
PatternsReference(Patient,Device,Practitioner,PractitionerRole,Location,HealthcareService,Organization): Common patterns = Participant
Alternate Namestarget
Summarytrue
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 IdAccount.servicePeriod
Definition

The date range of services associated with this account.

Cardinality0..1
TypePeriod
Summarytrue
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 IdAccount.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.

Cardinality0..*
Summarytrue
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 IdAccount.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.

Cardinality1..1
TypeReference(Coverage)
Summarytrue
Account.coverage.priority
Element IdAccount.coverage.priority
Definition

The priority of the coverage in the context of this account.

Cardinality0..1
TypepositiveInt
Alternate Namescoordination of benefit priority
Summarytrue
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 IdAccount.owner
Definition

Indicates the service area, hospital, department, etc. with responsibility for managing the Account.

Cardinality0..1
TypeReference(Organization)
Summarytrue
Account.description
Element IdAccount.description
Definition

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

Cardinality0..1
Typestring
Summarytrue
Account.guarantor
Element IdAccount.guarantor
Definition

The parties responsible for balancing the account if other payment options fall short.

Cardinality0..*
Account.guarantor.party
Element IdAccount.guarantor.party
Definition

The entity who is responsible.

Cardinality1..1
TypeReference(Patient | RelatedPerson | Organization)
PatternsReference(Patient,RelatedPerson,Organization): Common patterns = Participant, ParticipantContactable
Account.guarantor.onHold
Element IdAccount.guarantor.onHold
Definition

A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.

Cardinality0..1
Typeboolean
Account.guarantor.period
Element IdAccount.guarantor.period
Definition

The timeframe during which the guarantor accepts responsibility for the account.

Cardinality0..1
TypePeriod
Account.partOf
Element IdAccount.partOf
Definition

Reference to a parent Account.

Cardinality0..1
TypeReference(Account)