VGR-SE Reimbursement Implementation Guide
0.8.0 - qa Sweden flag

This page is part of the VGR Reimbursement Implementation Guide (v0.8.0: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Resource Profile: VGRReimbursementAccount

Official URL: https://fhir.vgregion.se/ig/reimbursement/StructureDefinition/VGRReimbursementAccount Version: 0.8.0
Draft as of 2026-05-07 Computable Name: VGRReimbursementAccount

The Account-resource profiled for Healthcare Reimbursement in VGR. The element .coverage is the only element needed for this use case. It refers to a Coverage instance representing a Payment Commitment (betalningsförbindelse).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* Account Tracks balance, charges, for patient or cost center
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage Σ 1..1 Reference(VGRReimbursementCoverage) The party(s), such as insurances, that may contribute to the payment of this account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* Account Tracks balance, charges, for patient or cost center
... coverage S 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
.... coverage 1..1 Reference(VGRReimbursementCoverage) The party(s), such as insurances, that may contribute to the payment of this account

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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.
... 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(Patient | Device | Practitioner | PractitionerRole | Location | HealthcareService | Organization) The entity that caused the expenses
... servicePeriod Σ 0..1 Period Transaction window
... coverage SΣ 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(VGRReimbursementCoverage) 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(Organization) Entity managing the Account
... description Σ 0..1 string 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
... partOf 0..1 Reference(Account) Reference to a parent Account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.
Account.type Base example Account Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

Must-Support: 1 element

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* Account Tracks balance, charges, for patient or cost center
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage Σ 1..1 Reference(VGRReimbursementCoverage) The party(s), such as insurances, that may contribute to the payment of this account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

Differential View

This structure is derived from Account

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* Account Tracks balance, charges, for patient or cost center
... coverage S 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
.... coverage 1..1 Reference(VGRReimbursementCoverage) The party(s), such as insurances, that may contribute to the payment of this account

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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.
... 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(Patient | Device | Practitioner | PractitionerRole | Location | HealthcareService | Organization) The entity that caused the expenses
... servicePeriod Σ 0..1 Period Transaction window
... coverage SΣ 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(VGRReimbursementCoverage) 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(Organization) Entity managing the Account
... description Σ 0..1 string 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
... partOf 0..1 Reference(Account) Reference to a parent Account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.
Account.type Base example Account Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

Must-Support: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron