Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MOPEDAccount

MOPED Profil der Account Ressource für die administrative Fallführung und Abrechnung.

Usage:

• Refer to this Resource Profile: MOPEDEncounter
• Examples for this Resource Profile: Account/Test1Account and Account/Test2Account

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Account

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef
subject		0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses
owner		0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	active | inactive | entered-in-error | on-hold | unknown Binding: AccountStatus (required): Indicates whether the account is available to be used. ele-1: All FHIR elements must have a @value or children
subject	Σ	0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses ele-1: All FHIR elements must have a @value or children
owner	Σ	0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Account.status	required	AccountStatus http://hl7.org/fhir/ValueSet/account-status|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Account	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Account	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Account	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Account	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Account	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Account number
status	?!Σ	1..1	code	active | inactive | entered-in-error | on-hold | unknown Binding: AccountStatus (required): Indicates whether the account is available to be used.
billingStatus	Σ	0..1	CodeableConcept	Tracks the lifecycle of the account through the billing process Binding: AccountBillingStatus (example): Indicates whether the account is available to be used for billing purposes.
type	Σ	0..1	CodeableConcept	E.g. patient, expense, depreciation Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts.
name	Σ	0..1	string	Human-readable label
subject	Σ	0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses
servicePeriod	Σ	0..1	Period	Transaction window
coverage	Σ	0..*	BackboneElement	The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
coverage	Σ	1..1	Reference(Coverage)	The party(s), such as insurances, that may contribute to the payment of this account
priority	Σ	0..1	positiveInt	The priority of the coverage in the context of this account
owner	Σ	0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account
description	Σ	0..1	markdown	Explanation of purpose/use
guarantor		0..*	BackboneElement	The parties ultimately responsible for balancing the Account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
party		1..1	Reference(Patient | RelatedPerson | Organization)	Responsible entity
onHold		0..1	boolean	Credit or other hold applied
period		0..1	Period	Guarantee account during
diagnosis	ΣC	0..*	BackboneElement	The list of diagnoses relevant to this account act-1: The dateOfDiagnosis is not valid when using a reference to a diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		0..1	positiveInt	Ranking of the diagnosis (for each type)
condition	ΣC	1..1	CodeableReference(Condition)	The diagnosis relevant to the account Binding: ConditionProblemDiagnosisCodes (example)
dateOfDiagnosis	C	0..1	dateTime	Date of the diagnosis (when coded diagnosis)
type		0..*	CodeableConcept	Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
onAdmission		0..1	boolean	Diagnosis present on Admission
packageCode		0..*	CodeableConcept	Package Code specific for billing Binding Description (No ValueSet): (example): Local or Regional package codes, e.g. DRGs
procedure	ΣC	0..*	BackboneElement	The list of procedures relevant to this account act-2: The dateOfService is not valid when using a reference to a procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		0..1	positiveInt	Ranking of the procedure (for each type)
code	ΣC	1..1	CodeableReference(Procedure)	The procedure relevant to the account Binding: ProcedureCodesSNOMEDCT (example)
dateOfService	C	0..1	dateTime	Date of the procedure (when coded procedure)
type		0..*	CodeableConcept	How this procedure value should be used in charging the account Binding Description (No ValueSet): (example): Usage for the specific procedure - e.g. billing
packageCode		0..*	CodeableConcept	Package Code specific for billing Binding Description (No ValueSet): (example): Local or Regional package codes, e.g. DRGs
device	Σ	0..*	Reference(Device)	Any devices that were associated with the procedure
relatedAccount		0..*	BackboneElement	Other associated accounts related to this account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..1	CodeableConcept	Relationship of the associated Account Binding: AccountRelationship (example): Indicates the relationship between the accounts
account		1..1	Reference(Account)	Reference to an associated Account
currency		0..1	CodeableConcept	The base or default currency Binding: Currencies (required)
balance		0..*	BackboneElement	Calculated account balance(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
aggregate		0..1	CodeableConcept	Who is expected to pay this part of the balance Binding: AccountAggregate (extensible): Indicates the balance was outstanding at the given age.
term		0..1	CodeableConcept	current | 30 | 60 | 90 | 120 Binding: AccountBalanceTerm (extensible): Indicates the balance was outstanding at the given age.
estimate		0..1	boolean	Estimated balance
amount		1..1	Money	Calculated amount
calculatedAt		0..1	instant	Time the balance amount was calculated
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Account.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Account.status	required	AccountStatus http://hl7.org/fhir/ValueSet/account-status|5.0.0 from the FHIR Standard
Account.billingStatus	example	AccountBillingStatus http://hl7.org/fhir/ValueSet/account-billing-status from the FHIR Standard
Account.type	example	AccountTypes http://hl7.org/fhir/ValueSet/account-type from the FHIR Standard
Account.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Account.diagnosis.type	preferred	EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-use from the FHIR Standard
Account.diagnosis.packageCode	example
Account.procedure.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Account.procedure.type	example
Account.procedure.packageCode	example
Account.relatedAccount.relationship	example	AccountRelationship http://hl7.org/fhir/ValueSet/account-relationship from the FHIR Standard
Account.currency	required	Currencies (a valid code from urn:iso:std:iso:4217) http://hl7.org/fhir/ValueSet/currencies|5.0.0 from the FHIR Standard
Account.balance.aggregate	extensible	AccountAggregate http://hl7.org/fhir/ValueSet/account-aggregate from the FHIR Standard
Account.balance.term	extensible	AccountBalanceTerm http://hl7.org/fhir/ValueSet/account-balance-term from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
act-1	error	Account.diagnosis	The dateOfDiagnosis is not valid when using a reference to a diagnosis : condition.reference.empty().not() implies dateOfDiagnosis.empty()
act-2	error	Account.procedure	The dateOfService is not valid when using a reference to a procedure : code.reference.empty().not() implies dateOfService.empty()
dom-2	error	Account	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Account	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Account	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Account	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Account	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Account

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• HL7® AT Core Patient Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-patient)
• HL7® AT Core Organization Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-organization)

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
• http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
• http://example.org/StructureDefinition/moped-ext-workflowStatus
• http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall
• http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
• http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
• http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
• http://example.org/StructureDefinition/moped-ext-claimRef

Differential View

This structure is derived from Account

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef
subject		0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses
owner		0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	active | inactive | entered-in-error | on-hold | unknown Binding: AccountStatus (required): Indicates whether the account is available to be used. ele-1: All FHIR elements must have a @value or children
subject	Σ	0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses ele-1: All FHIR elements must have a @value or children
owner	Σ	0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Account.status	required	AccountStatus http://hl7.org/fhir/ValueSet/account-status|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Account	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Account	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Account	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Account	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Account	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Account		0..*	Account	Tracks balance, charges, for patient or cost center
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
anzahlVerlegungen		0..1	unsignedInt	AnzahlVerlegungen URL: http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
anzahlBeurlaubungen		0..1	unsignedInt	AnzahlBeurlaubungen URL: http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
workflowStatus		1..1	Coding	Workflow Status URL: http://example.org/StructureDefinition/moped-ext-workflowStatus Binding: Workflow Status eines Falls (required): Code für den MOPED Workflowstatus
verdachtArbeitsSchuelerunfall		0..1	Coding	Verdacht auf Arbeits- oder Schuelerunfall URL: http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required): Code für die Art des Verdachts
verdachtFremdverschulden		0..1	boolean	Verdacht auf Fremdverschulden URL: http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
tageOhneKostenbeitrag		0..1	unsignedInt	Tage ohne Einhebung des Kostenbeitrags URL: http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
coverageEligibilityRequestRef		0..1	Reference(MOPEDCoverageEligibilityRequest)	CoverageEligibilityRequest Referenz URL: http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
claimRef		0..1	Reference(MOPEDClaim)	Claim Referenz URL: http://example.org/StructureDefinition/moped-ext-claimRef
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Account number
status	?!Σ	1..1	code	active | inactive | entered-in-error | on-hold | unknown Binding: AccountStatus (required): Indicates whether the account is available to be used.
billingStatus	Σ	0..1	CodeableConcept	Tracks the lifecycle of the account through the billing process Binding: AccountBillingStatus (example): Indicates whether the account is available to be used for billing purposes.
type	Σ	0..1	CodeableConcept	E.g. patient, expense, depreciation Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts.
name	Σ	0..1	string	Human-readable label
subject	Σ	0..*	Reference(HL7® AT Core Patient Profile)	The entity that caused the expenses
servicePeriod	Σ	0..1	Period	Transaction window
coverage	Σ	0..*	BackboneElement	The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
coverage	Σ	1..1	Reference(Coverage)	The party(s), such as insurances, that may contribute to the payment of this account
priority	Σ	0..1	positiveInt	The priority of the coverage in the context of this account
owner	Σ	0..1	Reference(HL7® AT Core Organization Profile)	Entity managing the Account
description	Σ	0..1	markdown	Explanation of purpose/use
guarantor		0..*	BackboneElement	The parties ultimately responsible for balancing the Account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
party		1..1	Reference(Patient | RelatedPerson | Organization)	Responsible entity
onHold		0..1	boolean	Credit or other hold applied
period		0..1	Period	Guarantee account during
diagnosis	ΣC	0..*	BackboneElement	The list of diagnoses relevant to this account act-1: The dateOfDiagnosis is not valid when using a reference to a diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		0..1	positiveInt	Ranking of the diagnosis (for each type)
condition	ΣC	1..1	CodeableReference(Condition)	The diagnosis relevant to the account Binding: ConditionProblemDiagnosisCodes (example)
dateOfDiagnosis	C	0..1	dateTime	Date of the diagnosis (when coded diagnosis)
type		0..*	CodeableConcept	Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
onAdmission		0..1	boolean	Diagnosis present on Admission
packageCode		0..*	CodeableConcept	Package Code specific for billing Binding Description (No ValueSet): (example): Local or Regional package codes, e.g. DRGs
procedure	ΣC	0..*	BackboneElement	The list of procedures relevant to this account act-2: The dateOfService is not valid when using a reference to a procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		0..1	positiveInt	Ranking of the procedure (for each type)
code	ΣC	1..1	CodeableReference(Procedure)	The procedure relevant to the account Binding: ProcedureCodesSNOMEDCT (example)
dateOfService	C	0..1	dateTime	Date of the procedure (when coded procedure)
type		0..*	CodeableConcept	How this procedure value should be used in charging the account Binding Description (No ValueSet): (example): Usage for the specific procedure - e.g. billing
packageCode		0..*	CodeableConcept	Package Code specific for billing Binding Description (No ValueSet): (example): Local or Regional package codes, e.g. DRGs
device	Σ	0..*	Reference(Device)	Any devices that were associated with the procedure
relatedAccount		0..*	BackboneElement	Other associated accounts related to this account
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..1	CodeableConcept	Relationship of the associated Account Binding: AccountRelationship (example): Indicates the relationship between the accounts
account		1..1	Reference(Account)	Reference to an associated Account
currency		0..1	CodeableConcept	The base or default currency Binding: Currencies (required)
balance		0..*	BackboneElement	Calculated account balance(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
aggregate		0..1	CodeableConcept	Who is expected to pay this part of the balance Binding: AccountAggregate (extensible): Indicates the balance was outstanding at the given age.
term		0..1	CodeableConcept	current | 30 | 60 | 90 | 120 Binding: AccountBalanceTerm (extensible): Indicates the balance was outstanding at the given age.
estimate		0..1	boolean	Estimated balance
amount		1..1	Money	Calculated amount
calculatedAt		0..1	instant	Time the balance amount was calculated
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Account.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Account.status	required	AccountStatus http://hl7.org/fhir/ValueSet/account-status|5.0.0 from the FHIR Standard
Account.billingStatus	example	AccountBillingStatus http://hl7.org/fhir/ValueSet/account-billing-status from the FHIR Standard
Account.type	example	AccountTypes http://hl7.org/fhir/ValueSet/account-type from the FHIR Standard
Account.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Account.diagnosis.type	preferred	EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-use from the FHIR Standard
Account.diagnosis.packageCode	example
Account.procedure.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Account.procedure.type	example
Account.procedure.packageCode	example
Account.relatedAccount.relationship	example	AccountRelationship http://hl7.org/fhir/ValueSet/account-relationship from the FHIR Standard
Account.currency	required	Currencies (a valid code from urn:iso:std:iso:4217) http://hl7.org/fhir/ValueSet/currencies|5.0.0 from the FHIR Standard
Account.balance.aggregate	extensible	AccountAggregate http://hl7.org/fhir/ValueSet/account-aggregate from the FHIR Standard
Account.balance.term	extensible	AccountBalanceTerm http://hl7.org/fhir/ValueSet/account-balance-term from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
act-1	error	Account.diagnosis	The dateOfDiagnosis is not valid when using a reference to a diagnosis : condition.reference.empty().not() implies dateOfDiagnosis.empty()
act-2	error	Account.procedure	The dateOfService is not valid when using a reference to a procedure : code.reference.empty().not() implies dateOfService.empty()
dom-2	error	Account	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Account	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Account	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Account	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Account	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Account

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• HL7® AT Core Patient Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-patient)
• HL7® AT Core Organization Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-organization)

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/moped-ext-anzahlVerlegungen
• http://example.org/StructureDefinition/moped-ext-anzahlBeurlaubungen
• http://example.org/StructureDefinition/moped-ext-workflowStatus
• http://example.org/StructureDefinition/moped-ext-verdachtArbeitsSchuelerunfall
• http://example.org/StructureDefinition/moped-ext-verdachtFremdverschulden
• http://example.org/StructureDefinition/moped-ext-tageOhneKostenbeitrag
• http://example.org/StructureDefinition/moped-ext-coverageEligibilityRequestRef
• http://example.org/StructureDefinition/moped-ext-claimRef

Other representations of profile: CSV, Excel, Schematron