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.

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.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

An Extension

Kennzeichen, ob der Schein (Abrechnungsfall) fuer die Abrechnung gesperrt ist. Quelle: Schein.Abrechnungssperre

Kennzeichen, ob fuer den Schein (Abrechnungsfall) das Ersatzverfahren (manuelle Erfassung ohne eGK) angewendet wurde. Quelle: Schein.Ersatzverfahren

Kennzeichen, ob der Schein (Abrechnungsfall) als Nachzuegler in einer spaeteren KVDT-Lieferung als dem servicePeriod-Quartal eingereicht wird. Quelle: Schein.Nachzuegler

Anzahl der Arzt-Patienten-Kontakte (APK) im Abrechnungsfall (Schein). KVDT-relevant; aus der Quelle uebernommen, nicht aus Encounter-Zaehlung abgeleitet. Quelle: Schein.ArztPatientenKontakt

Datum des letzten eGK-/VSDM-Einlesens im Quartal. Fehlt das Datum, wurde die Karte im Quartal nicht eingelesen (vgl. Ersatzverfahren). Quelle: Schein.Chipkartenlesedatum (Sentinel-Wert wird als fehlend abgebildet)

TSVG Vermittlungs-/Kontaktart (KVDT FK 4103) des Behandlungsfalls. Steuert die extrabudgetaere Verguetung. Quelle: Schein.Vermittlungsart.

Datum der Terminvermittlung (TSVG). Quelle: Schein.TagDerTerminvermittlung.

Scheinuntergruppe (KVDT FK 4239) of the billing case. KBV-conformant codes remain allowed through the extensible binding, and cognovis semantic codes use https://fhir.cognovis.de/praxis/CodeSystem/schein-untergruppe. Source: Schein.Scheinuntergruppe.

Zeitpunkt der Anlage des Scheins (Abrechnungsfall) im PVS. Fachliches Anlagedatum aus dem Quellsystem, getrennt von den technischen Stempeln (meta.lastUpdated / Server-createdAt) und typischerweise abweichend vom servicePeriod (Quartalsgrenzen) und vom eGK-Lesedatum. Quelle: Schein.DatumAnlage

Betriebsstaettennummer (BSNR) der ueberweisenden Praxis auf einem Ueberweisungsschein (Scheinart Ueberweisung). Rohwert aus dem Quellsystem. Quelle: Schein.ÜberweisungVon

Lebenslange Arztnummer (LANR) des ueberweisenden Arztes auf einem Ueberweisungsschein (Scheinart Ueberweisung). Rohwert aus dem Quellsystem. Quelle: Schein.ÜberweisungVonLANR

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's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

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

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

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

Use active for an open billing case and inactive for a closed billing case. Billing lifecycle states such as claimed or settled are represented on Claim and ClaimResponse, not Account.status.

Indicates whether the account is available to be used.

Categorizes the account for reporting and searching purposes.

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.

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.

The date range of services associated with this account.

It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.

The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.

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.

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's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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.

Use active for an open billing case and inactive for a closed billing case. Billing lifecycle states such as claimed or settled are represented on Claim and ClaimResponse, not Account.status.

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.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

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.

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.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

A human language.

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.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

An Extension

Kennzeichen, ob der Schein (Abrechnungsfall) fuer die Abrechnung gesperrt ist. Quelle: Schein.Abrechnungssperre

Kennzeichen, ob fuer den Schein (Abrechnungsfall) das Ersatzverfahren (manuelle Erfassung ohne eGK) angewendet wurde. Quelle: Schein.Ersatzverfahren

Kennzeichen, ob der Schein (Abrechnungsfall) als Nachzuegler in einer spaeteren KVDT-Lieferung als dem servicePeriod-Quartal eingereicht wird. Quelle: Schein.Nachzuegler

Anzahl der Arzt-Patienten-Kontakte (APK) im Abrechnungsfall (Schein). KVDT-relevant; aus der Quelle uebernommen, nicht aus Encounter-Zaehlung abgeleitet. Quelle: Schein.ArztPatientenKontakt

Datum des letzten eGK-/VSDM-Einlesens im Quartal. Fehlt das Datum, wurde die Karte im Quartal nicht eingelesen (vgl. Ersatzverfahren). Quelle: Schein.Chipkartenlesedatum (Sentinel-Wert wird als fehlend abgebildet)

TSVG Vermittlungs-/Kontaktart (KVDT FK 4103) des Behandlungsfalls. Steuert die extrabudgetaere Verguetung. Quelle: Schein.Vermittlungsart.

Datum der Terminvermittlung (TSVG). Quelle: Schein.TagDerTerminvermittlung.

Scheinuntergruppe (KVDT FK 4239) of the billing case. KBV-conformant codes remain allowed through the extensible binding, and cognovis semantic codes use https://fhir.cognovis.de/praxis/CodeSystem/schein-untergruppe. Source: Schein.Scheinuntergruppe.

Zeitpunkt der Anlage des Scheins (Abrechnungsfall) im PVS. Fachliches Anlagedatum aus dem Quellsystem, getrennt von den technischen Stempeln (meta.lastUpdated / Server-createdAt) und typischerweise abweichend vom servicePeriod (Quartalsgrenzen) und vom eGK-Lesedatum. Quelle: Schein.DatumAnlage

Betriebsstaettennummer (BSNR) der ueberweisenden Praxis auf einem Ueberweisungsschein (Scheinart Ueberweisung). Rohwert aus dem Quellsystem. Quelle: Schein.ÜberweisungVon

Lebenslange Arztnummer (LANR) des ueberweisenden Arztes auf einem Ueberweisungsschein (Scheinart Ueberweisung). Rohwert aus dem Quellsystem. Quelle: Schein.ÜberweisungVonLANR

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's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

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

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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 manageable, 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.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Time period during which identifier is/was valid for use.

Organization that issued/manages the identifier.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

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

Use active for an open billing case and inactive for a closed billing case. Billing lifecycle states such as claimed or settled are represented on Claim and ClaimResponse, not Account.status.

Indicates whether the account is available to be used.

Categorizes the account for reporting and searching purposes.

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

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.

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.

The date range of services associated with this account.

It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.

The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.

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.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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 manageable, 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.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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.

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

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).

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

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

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

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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 manageable, 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.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

The entity who is responsible.

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

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

Reference to a parent Account.