HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review Viet Nam cờ

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

Phần mở rộng: Phân đoạn thẻ và mức hưởng trên bảng kê — Cost Statement Card Segment - Mô tả chi tiết

Draft tại thời điểm 2026-08-01

Các định nghĩa cho vn-ext-cost-statement-segment phần mở rộng

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

Một phân đoạn của bảng kê chi phí: một thẻ BHYT (hoặc không thẻ) trong một khoảng thời gian với một mức hưởng.

Mẫu bảng kê của QĐ 697/QĐ-BYT lặp phần chi phí theo từng thẻ và từng mức hưởng trong cùng một đợt khám chữa bệnh — một người có thể đổi thẻ giữa đợt, hoặc cùng một thẻ đổi mức hưởng khi đủ điều kiện (NĐ 188/2025/NĐ-CP Điều 21). Extension này biểu diễn đúng cách lặp đó.

Khác biệt cốt lõi so với vn-ext-coverage-benefit-stage (dùng trên Claim, đã ngừng): coverage ở đây là 0..1. QĐ 697/QĐ-BYT Phần Hai hướng dẫn lập bảng kê cho người không có thẻ bảo hiểm y tế — trường hợp đó phân đoạn không có Coverage nào và mức hưởng để trống. Đây chính là điều Claim không biểu diễn được vì Claim.insurance là 1..* (xem ADR-0021).


Optional Extension Element - found in all resources.

ShortPhân đoạn thẻ và mức hưởng trên bảng kê — Cost Statement Card SegmentOptional Extensions Element
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
vn-cost-statement-segment-benefit-range: Mức hưởng của phân đoạn phải nằm trong khoảng 0–100. The segment benefit level SHALL be between 0 and 100. (extension.where(url = 'benefitLevel').value.ofType(decimal).all($this >= 0 and $this <= 100))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

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

Control20..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:sequence
    Slice Namesequence
    Definition

    Số nguyên dương định danh duy nhất phân đoạn trong cùng bảng kê. Mỗi dòng chi phí trỏ về một sequence qua vn-ext-cost-statement-line-segment.

    ShortKhoá thứ tự phân đoạn — Segment sequence keyAdditional content defined by implementations
    Control10..1*
    TypeExtension
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:sequence.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

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

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 8. Extension.extension:sequence.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuesequence
      10. Extension.extension:sequence.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control10..1
      TypepositiveInt, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Extension.extension:coverage
      Slice Namecoverage
      Definition

      Tham chiếu Coverage thật của phân đoạn. ĐỂ TRỐNG khi người bệnh không có thẻ BHYT (QĐ 697/QĐ-BYT Phần Hai) hoặc tự chi trả toàn bộ — không được tạo Coverage giả để lấp chỗ.

      ShortThẻ BHYT của phân đoạn — BHYT card of this segmentAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. Extension.extension:coverage.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

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

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Extension.extension:coverage.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valuecoverage
        18. Extension.extension:coverage.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control10..1
        TypeReference(Thẻ BHYT VN Core — VN Core Coverage Profile), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. Extension.extension:period
        Slice Nameperiod
        Definition

        Khoảng thời gian liên tục mà thẻ và mức hưởng của phân đoạn áp dụng. Ngày thực hiện của mỗi dòng chi phí phải nằm trong khoảng này.

        ShortKhoảng thời gian của phân đoạn — Segment periodAdditional content defined by implementations
        Control10..1*
        TypeExtension
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        22. Extension.extension:period.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

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

        Control0..0*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 24. Extension.extension:period.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valueperiod
          26. Extension.extension:period.value[x]
          Definition

          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          ShortValue of extension
          Control10..1
          TypePeriod, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Extension.extension:period.value[x].start
          Definition

          The start of the period. The boundary is inclusive.

          ShortStarting time with inclusive boundary
          Comments

          If the low element is missing, the meaning is that the low boundary is not known.

          Control10..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. Extension.extension:period.value[x].end
          Definition

          The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

          ShortEnd time with inclusive boundary, if not ongoing
          Comments

          The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

          Control10..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. Extension.extension:benefitLevel
          Slice NamebenefitLevel
          Definition

          Mức hưởng tính theo phần trăm. ĐỂ TRỐNG khi phân đoạn không có thẻ BHYT; cột (8) của mẫu khi đó mặc định bằng 0 theo QĐ 697/QĐ-BYT Phần Hai.

          ShortMức hưởng BHYT của phân đoạn, 0–100 — BHYT benefit levelAdditional content defined by implementations
          Control0..1*
          TypeExtension
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. Extension.extension:benefitLevel.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional content defined by implementations
          Comments

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

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 36. Extension.extension:benefitLevel.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed ValuebenefitLevel
            38. Extension.extension:benefitLevel.value[x]
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control10..1
            Typedecimal, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. Extension.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-cost-statement-segment
            42. Extension.value[x]
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control0..01
            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

            Guidance on how to interpret the contents of this table can be foundhere

            0. Extension
            Definition

            Một phân đoạn của bảng kê chi phí: một thẻ BHYT (hoặc không thẻ) trong một khoảng thời gian với một mức hưởng.

            Mẫu bảng kê của QĐ 697/QĐ-BYT lặp phần chi phí theo từng thẻ và từng mức hưởng trong cùng một đợt khám chữa bệnh — một người có thể đổi thẻ giữa đợt, hoặc cùng một thẻ đổi mức hưởng khi đủ điều kiện (NĐ 188/2025/NĐ-CP Điều 21). Extension này biểu diễn đúng cách lặp đó.

            Khác biệt cốt lõi so với vn-ext-coverage-benefit-stage (dùng trên Claim, đã ngừng): coverage ở đây là 0..1. QĐ 697/QĐ-BYT Phần Hai hướng dẫn lập bảng kê cho người không có thẻ bảo hiểm y tế — trường hợp đó phân đoạn không có Coverage nào và mức hưởng để trống. Đây chính là điều Claim không biểu diễn được vì Claim.insurance là 1..* (xem ADR-0021).

            ShortPhân đoạn thẻ và mức hưởng trên bảng kê — Cost Statement Card Segment
            Invariantsvn-cost-statement-segment-benefit-range: Mức hưởng của phân đoạn phải nằm trong khoảng 0–100. The segment benefit level SHALL be between 0 and 100. (extension.where(url = 'benefitLevel').value.ofType(decimal).all($this >= 0 and $this <= 100))
            2. Extension.extension
            Control2..?
            4. Extension.extension:sequence
            Slice Namesequence
            Definition

            Số nguyên dương định danh duy nhất phân đoạn trong cùng bảng kê. Mỗi dòng chi phí trỏ về một sequence qua vn-ext-cost-statement-line-segment.

            ShortKhoá thứ tự phân đoạn — Segment sequence key
            Control1..1
            Must Supporttrue
            6. Extension.extension:sequence.extension
            Control0..0
            8. Extension.extension:sequence.url
            Fixed Valuesequence
            10. Extension.extension:sequence.value[x]
            Control1..?
            TypepositiveInt
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            12. Extension.extension:coverage
            Slice Namecoverage
            Definition

            Tham chiếu Coverage thật của phân đoạn. ĐỂ TRỐNG khi người bệnh không có thẻ BHYT (QĐ 697/QĐ-BYT Phần Hai) hoặc tự chi trả toàn bộ — không được tạo Coverage giả để lấp chỗ.

            ShortThẻ BHYT của phân đoạn — BHYT card of this segment
            Control0..1
            Must Supporttrue
            14. Extension.extension:coverage.extension
            Control0..0
            16. Extension.extension:coverage.url
            Fixed Valuecoverage
            18. Extension.extension:coverage.value[x]
            Control1..?
            TypeReference(Thẻ BHYT VN Core — VN Core Coverage Profile)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            20. Extension.extension:period
            Slice Nameperiod
            Definition

            Khoảng thời gian liên tục mà thẻ và mức hưởng của phân đoạn áp dụng. Ngày thực hiện của mỗi dòng chi phí phải nằm trong khoảng này.

            ShortKhoảng thời gian của phân đoạn — Segment period
            Control1..1
            Must Supporttrue
            22. Extension.extension:period.extension
            Control0..0
            24. Extension.extension:period.url
            Fixed Valueperiod
            26. Extension.extension:period.value[x]
            Control1..?
            TypePeriod
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            28. Extension.extension:period.value[x].start
            Control1..?
            Must Supporttrue
            30. Extension.extension:period.value[x].end
            Control1..?
            Must Supporttrue
            32. Extension.extension:benefitLevel
            Slice NamebenefitLevel
            Definition

            Mức hưởng tính theo phần trăm. ĐỂ TRỐNG khi phân đoạn không có thẻ BHYT; cột (8) của mẫu khi đó mặc định bằng 0 theo QĐ 697/QĐ-BYT Phần Hai.

            ShortMức hưởng BHYT của phân đoạn, 0–100 — BHYT benefit level
            Control0..1
            Must Supporttrue
            34. Extension.extension:benefitLevel.extension
            Control0..0
            36. Extension.extension:benefitLevel.url
            Fixed ValuebenefitLevel
            38. Extension.extension:benefitLevel.value[x]
            Control1..?
            Typedecimal
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            40. Extension.url
            Fixed Valuehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-cost-statement-segment
            42. Extension.value[x]
            Control0..0

            Guidance on how to interpret the contents of this table can be foundhere

            0. Extension
            Definition

            Một phân đoạn của bảng kê chi phí: một thẻ BHYT (hoặc không thẻ) trong một khoảng thời gian với một mức hưởng.

            Mẫu bảng kê của QĐ 697/QĐ-BYT lặp phần chi phí theo từng thẻ và từng mức hưởng trong cùng một đợt khám chữa bệnh — một người có thể đổi thẻ giữa đợt, hoặc cùng một thẻ đổi mức hưởng khi đủ điều kiện (NĐ 188/2025/NĐ-CP Điều 21). Extension này biểu diễn đúng cách lặp đó.

            Khác biệt cốt lõi so với vn-ext-coverage-benefit-stage (dùng trên Claim, đã ngừng): coverage ở đây là 0..1. QĐ 697/QĐ-BYT Phần Hai hướng dẫn lập bảng kê cho người không có thẻ bảo hiểm y tế — trường hợp đó phân đoạn không có Coverage nào và mức hưởng để trống. Đây chính là điều Claim không biểu diễn được vì Claim.insurance là 1..* (xem ADR-0021).

            ShortPhân đoạn thẻ và mức hưởng trên bảng kê — Cost Statement Card Segment
            Control0..*
            This element is affected by the following invariants: ele-1
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            vn-cost-statement-segment-benefit-range: Mức hưởng của phân đoạn phải nằm trong khoảng 0–100. The segment benefit level SHALL be between 0 and 100. (extension.where(url = 'benefitLevel').value.ofType(decimal).all($this >= 0 and $this <= 100))
            2. Extension.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            4. Extension.extension
            Definition

            An Extension

            ShortExtension
            Control2..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 6. Extension.extension:sequence
              Slice Namesequence
              Definition

              Số nguyên dương định danh duy nhất phân đoạn trong cùng bảng kê. Mỗi dòng chi phí trỏ về một sequence qua vn-ext-cost-statement-line-segment.

              ShortKhoá thứ tự phân đoạn — Segment sequence key
              Control1..1
              TypeExtension
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              8. Extension.extension:sequence.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              10. Extension.extension:sequence.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 12. Extension.extension:sequence.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuesequence
                14. Extension.extension:sequence.value[x]
                Definition

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                ShortValue of extension
                Control1..1
                TypepositiveInt
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                16. Extension.extension:coverage
                Slice Namecoverage
                Definition

                Tham chiếu Coverage thật của phân đoạn. ĐỂ TRỐNG khi người bệnh không có thẻ BHYT (QĐ 697/QĐ-BYT Phần Hai) hoặc tự chi trả toàn bộ — không được tạo Coverage giả để lấp chỗ.

                ShortThẻ BHYT của phân đoạn — BHYT card of this segment
                Control0..1
                TypeExtension
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                18. Extension.extension:coverage.id
                Definition

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

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                20. Extension.extension:coverage.extension
                Definition

                An Extension

                ShortExtension
                Control0..0
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 22. Extension.extension:coverage.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuecoverage
                  24. Extension.extension:coverage.value[x]
                  Definition

                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                  ShortValue of extension
                  Control1..1
                  TypeReference(Thẻ BHYT VN Core — VN Core Coverage Profile)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  26. Extension.extension:period
                  Slice Nameperiod
                  Definition

                  Khoảng thời gian liên tục mà thẻ và mức hưởng của phân đoạn áp dụng. Ngày thực hiện của mỗi dòng chi phí phải nằm trong khoảng này.

                  ShortKhoảng thời gian của phân đoạn — Segment period
                  Control1..1
                  TypeExtension
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  28. Extension.extension:period.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  30. Extension.extension:period.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..0
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 32. Extension.extension:period.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valueperiod
                    34. Extension.extension:period.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control1..1
                    TypePeriod
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. Extension.extension:period.value[x].id
                    Definition

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

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    38. Extension.extension:period.value[x].extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

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

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 40. Extension.extension:period.value[x].start
                      Definition

                      The start of the period. The boundary is inclusive.

                      ShortStarting time with inclusive boundary
                      Comments

                      If the low element is missing, the meaning is that the low boundary is not known.

                      Control1..1
                      This element is affected by the following invariants: per-1
                      TypedateTime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      42. Extension.extension:period.value[x].end
                      Definition

                      The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                      ShortEnd time with inclusive boundary, if not ongoing
                      Comments

                      The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                      Control1..1
                      This element is affected by the following invariants: per-1
                      TypedateTime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      44. Extension.extension:benefitLevel
                      Slice NamebenefitLevel
                      Definition

                      Mức hưởng tính theo phần trăm. ĐỂ TRỐNG khi phân đoạn không có thẻ BHYT; cột (8) của mẫu khi đó mặc định bằng 0 theo QĐ 697/QĐ-BYT Phần Hai.

                      ShortMức hưởng BHYT của phân đoạn, 0–100 — BHYT benefit level
                      Control0..1
                      TypeExtension
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      46. Extension.extension:benefitLevel.id
                      Definition

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

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      48. Extension.extension:benefitLevel.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..0
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 50. Extension.extension:benefitLevel.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed ValuebenefitLevel
                        52. Extension.extension:benefitLevel.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control1..1
                        Typedecimal
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        54. Extension.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-cost-statement-segment
                        56. Extension.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control0..0
                        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))