Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Hồ sơ tài nguyên: Tài khoản viện phí — VN Core Account

Tài khoản viện phí gom toàn bộ chi phí của một đợt khám bệnh, chữa bệnh về một chỗ.

Vì sao cần. Một đợt điều trị thực tế có thể trải nhiều Encounter (nhập khoa, chuyển khoa, chuyển tuyến nội viện) nhưng chỉ có một bảng kê chi phí và một hồ sơ đề nghị thanh toán. Account là nơi duy nhất trong R4 giữ đúng quan hệ đó: Encounter.account, ChargeItem.account và Invoice.account cùng trỏ về nó. Nhờ vậy câu hỏi 'dòng chi phí này thuộc đợt điều trị nào, và bảng kê nào tổng hợp nó' trả lời được bằng truy vấn chứ không bằng cách so chuỗi MA_LK.

Quan hệ với MA_LK. MA_LK theo QĐ 3176/QĐ-BYT vẫn là định danh nghiệp vụ để gửi BHXH và vẫn nằm trên identifier. Khác biệt: MA_LK là khoá trao đổi, còn Account là đối tượng có thật trong hệ thống — hai thứ không thay nhau được.

Không dùng cho. Account KHÔNG mang số tiền. Tổng chi phí nằm ở Invoice.totalNet, kết quả giám định nằm ở ClaimResponse. Account chỉ trả lời câu hỏi thuộc về đâu.

Usages:

• Use this Profile: Document Bundle bàn giao bảng kê chi phí — VN Core Cost Statement Document Bundle
• Refer to this Profile: Tài khoản viện phí — VN Core Account, Dòng chi phí phát sinh — VN Core ChargeItem, Bảng kê chi phí khám bệnh, chữa bệnh — VN Core Cost Statement Invoice and Lượt khám/nhập viện VN Core — VN Core Encounter Profile
• Examples for this Profile: Đợt nội trú tim mạch 18/03–26/03/2026, Đợt nội trú 10/03–17/03/2026 — Ngoại tiêu hoá, Đợt nội trú tim mạch 18/03–26/03/2026, Đợt nội trú 10/03–17/03/2026 — Ngoại tiêu hoá... Show 2 more, Lượt khám ngoại trú 05/04/2026 — không BHYT and Lượt khám ngoại trú 05/04/2026 — không BHYT
• CapabilityStatements using this Profile: VN Core BHYT Gateway Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Các dạng xem hình thức của nội dung hồ sơ

Mô tả profile, differential, snapshot và các biểu diễn liên quan.

• Bảng phần tử chính
• Bảng Differential
• Bảng Snapshot
• Nghĩa vụ hỗ trợ
• Thống kê/Tham chiếu
• Tất cả

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣ	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SOΣ	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SOΣ	1..1	code	Trạng thái tài khoản viện phí Binding: AccountStatus (required): Indicates whether the account is available to be used. Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SOΣ	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name	SOΣ	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SOΣ	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SOΣ	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
coverage	Σ	1..1	Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	SΣ	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SOΣ	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
party		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Account.identifier:MALK.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Account.identifier:MALK.​type	Base	extensible	IdentifierType	📍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()
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
Slices for identifier	SO	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SO	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	S	1..1	string	The value that is unique
status	SO	1..1	code	Trạng thái tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SO	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
name	SO	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SO	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SO	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SO	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage		1..1	Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	S	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SO	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SO	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
party		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for identifier	SOΣ	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SOΣ	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	Trạng thái tài khoản viện phí Binding: AccountStatus (required): Indicates whether the account is available to be used. Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SOΣ	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name	SOΣ	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SOΣ	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SOΣ	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
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(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	SΣ	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SOΣ	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
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(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
onHold		0..1	boolean	Credit or other hold applied
period		0..1	Period	Guarantee account during
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Account.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Account.identifier:MALK.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Account.identifier:MALK.​type	Base	extensible	IdentifierType	📍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()
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 8 elements(1 nested mandatory element)
Must-Support: 14 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Thẻ BHYT VN Core — VN Core Coverage Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)
• Tài khoản viện phí — VN Core Account (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-account)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Account.identifier

Dạng xem phần tử chính

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣ	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SOΣ	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SOΣ	1..1	code	Trạng thái tài khoản viện phí Binding: AccountStatus (required): Indicates whether the account is available to be used. Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SOΣ	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name	SOΣ	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SOΣ	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SOΣ	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
coverage	Σ	1..1	Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	SΣ	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SOΣ	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
party		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Account.identifier:MALK.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Account.identifier:MALK.​type	Base	extensible	IdentifierType	📍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()
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Dạng xem Differential

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
Slices for identifier	SO	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SO	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	S	1..1	string	The value that is unique
status	SO	1..1	code	Trạng thái tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SO	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
name	SO	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SO	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SO	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SO	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage		1..1	Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	S	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SO	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SO	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
party		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Dạng xem SnapshotView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Account	C	0..*	Account	Tracks balance, charges, for patient or cost center Constraints: vn-account-period-covers-encounters, vn-account-coverage-priority-required, vn-account-coverage-priority-distinct
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for identifier	SOΣ	1..*	Identifier	Account number Slice: Unordered, Open by value:system Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
identifier:MALK	SOΣ	1..1	Identifier	Mã liên kết hồ sơ (MA_LK) của đợt khám bệnh, chữa bệnh Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MA_LK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	Trạng thái tài khoản viện phí Binding: AccountStatus (required): Indicates whether the account is available to be used. Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
type	SOΣ	1..1	CodeableConcept	Loại tài khoản — luôn là tài khoản thanh toán viện phí Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PBILLACCT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name	SOΣ	0..1	string	Tên gợi nhớ, ví dụ 'Đợt nội trú 10/03–17/03/2026' Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
servicePeriod	SOΣ	1..1	Period	Kỳ phát sinh chi phí của đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
coverage	SOΣ	0..*	BackboneElement	Thẻ BHYT áp cho đợt điều trị Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
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(Thẻ BHYT VN Core — VN Core Coverage Profile)	The party(s), such as insurances, that may contribute to the payment of this account
priority	SΣ	1..1	positiveInt	Thứ tự ưu tiên duy nhất của thẻ trong tài khoản
owner	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở khám bệnh, chữa bệnh giữ tài khoản viện phí Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
description	SOΣ	0..1	string	Explanation of purpose/use Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
guarantor	SO	0..*	BackboneElement	Bên chịu trách nhiệm chi trả phần ngoài quỹ BHYT Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
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(Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Responsible entity
onHold		0..1	boolean	Credit or other hold applied
period		0..1	Period	Guarantee account during
partOf	SO	0..1	Reference(Tài khoản viện phí — VN Core Account)	Tài khoản cha, nếu cơ sở tách tài khoản theo khoa hoặc giai đoạn Obligations Actor SHALL:populate-if-known Bên gửi hồ sơ BHYT (Submitter) SHALL:no-error & SHALL:persist Bên giám định BHYT (Adjudicator)
Documentation for this format

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Account.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Account.identifier:MALK.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Account.identifier:MALK.​type	Base	extensible	IdentifierType	📍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()
vn-account-coverage-priority-distinct	error	Account	Các thẻ bảo hiểm trên cùng tài khoản không được trùng thứ tự ưu tiên. Coverage priorities on an account SHALL be unique.	coverage.priority.isDistinct()
vn-account-coverage-priority-required	error	Account	Mỗi thẻ bảo hiểm được khai trên tài khoản phải có thứ tự ưu tiên. Every coverage entry on an account SHALL carry a priority.	coverage.all(priority.exists())
vn-account-period-covers-encounters	error	Account	Nếu tài khoản viện phí khai `servicePeriod` thì kỳ đó phải có điểm bắt đầu. Không có điểm bắt đầu thì mọi phép đối chiếu 'chi phí này thuộc kỳ nào' đều vô nghĩa. A billing account service period SHALL have a start.	servicePeriod.exists() implies servicePeriod.start.exists()

Name	Bên giám định BHYT (Adjudicator)	Bên gửi hồ sơ BHYT (Submitter)
Account
Slices for identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
identifier:MALK	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
name	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
servicePeriod	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
coverage	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
owner	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
description	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
guarantor	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
partOf	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 8 elements(1 nested mandatory element)
Must-Support: 14 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Thẻ BHYT VN Core — VN Core Coverage Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)
• Tài khoản viện phí — VN Core Account (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-account)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Account.identifier