Financial

This data model conveys when the patient owes something for a medication, lab, test, or other care (e.g., bed charges). It contains details about the product or service, as well as details like date, time, amounts, and participating organizations and persons.

Providers typically use Financial for billing and internal cost allocation.

This data model has event types that allow you to:

post a new charge to a patient's account; or
update a charge on a patient's account.

EHR support for Financial

Almost all EHR systems support the Financial data model to facilitate financial transactions between the main EHR system, third-party systems producing charges, and any external billing systems. Typically, this is facilitated via a DFT HL7v2 interface or proprietary API.

Claim vs. Financial data model

Claim is generally a summary of patient care that’s sent or received after an inpatient admission or outpatient encounter is concluded.

Financial is for handling financial charges on the fly during a patient’s care.

Events in Financial

Transaction

AccountUpdate

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