Generated Narrative: StructureDefinition vn-core-payment-reconciliation

NameFlagsCard.TypeDescription & Constraintsdoco
.. PaymentReconciliation 0..*PaymentReconciliationPaymentReconciliation resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:formNumber S0..1stringSố hiệu biên bản 06/BH (TT 12/2026/TT-BTC)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
.... extension:auditStatus S0..1CodeableConceptTrạng thái giám định BHYT (received | under-review | approved | rejected | disputed)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status
Binding: Trạng thái giám định BHYT — VN Claim Audit Status ValueSet (extensible)
... status S1..1codeTrạng thái resource (active | cancelled | draft | entered-in-error)
... period S1..1PeriodChu kỳ quyết toán BHYT (tháng/quý)
... created S1..1dateTimeNgày lập biên bản 06/BH
... paymentIssuer S0..1Reference(Cơ sở y tế VN Core — VN Core Organization Profile)Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
... request S0..1Reference(Task)Hồ sơ/đề nghị thanh toán liên quan (optional)
... outcome S0..1codeKết quả tổng quát chuẩn FHIR (queued | complete | error | partial)
... paymentAmount S1..1MoneyTổng tiền BHXH thanh toán theo biên bản 06/BH
... detail S1..*BackboneElementChi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
.... type S1..1CodeableConceptLoại giao dịch (payment | adjustment | advance...)
.... request S0..1Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile)Tham chiếu Claim được quyết toán
.... amount S0..1MoneySố tiền quyết toán cho Claim (VND)

doco Documentation for this format
 <status value="draft"/> <date value="2026-04-27"/> <publisher value="Omi HealthTech / VN Core FHIR Community Initiative"/> <contact> <name value="Omi HealthTech / VN Core FHIR Community Initiative"/> <telecom> <system value="url"/> <value value="https://hl7.org.vn"/> </telecom> <telecom> <system value="email"/> <value value="info@hl7.org.vn"/> </telecom> </contact> <contact> <name value="Omi HealthTech (OmiGroup)"/> <telecom> <system value="url"/> <value value="https://omihealthtech.vn"/> </telecom> <telecom> <system value="url"/> <value value="https://omigroup.vn"/> </telecom> <telecom> <system value="email"/> <value value="healthtech@omigroup.vn"/> </telecom> </contact> <description value="Profile PaymentReconciliation cho biên bản quyết toán/thanh toán chi phí KCB BHYT giữa cơ sở KCB và cơ quan BHXH (biểu mẫu 06/BH). Mỗi PaymentReconciliation tổng hợp kết quả giám định cho một chu kỳ quyết toán (thông thường theo tháng/quý) và liệt kê các Claim được duyệt/từ chối/tranh chấp. Căn cứ: - TT 12/2026/TT-BTC — Bộ Tài chính, hướng dẫn giám định, thanh toán, quyết toán chi phí KCB BHYT điện tử; Điều 6 và Phụ lục biểu mẫu 06/BH. - NĐ 188/2025/NĐ-CP (ban hành 01/07/2025, hiệu lực 15/08/2025) — Hướng dẫn thi hành Luật BHYT. - NĐ 164/2025/NĐ-CP (29/06/2025) — Giao dịch điện tử trong lĩnh vực BHXH. - Luật 51/2024/QH15 — Luật BHYT sửa đổi."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="VN"/> <display value="Viet Nam"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="cdanetv4"/> <uri value="http://www.cda-adc.ca/en/services/cdanet/"/> <name value="Canadian Dental Association eclaims standard"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="PaymentReconciliation"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PaymentReconciliation"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="PaymentReconciliation"> <path value="PaymentReconciliation"/> <short value="PaymentReconciliation resource"/> <definition value="This resource provides the details including amount of a payment and allocates the payment items being paid."/> <min value="0"/> <max value="*"/> <base> <path value="PaymentReconciliation"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> </element> <element id="PaymentReconciliation.id"> <path value="PaymentReconciliation.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="PaymentReconciliation.meta"> <path value="PaymentReconciliation.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="PaymentReconciliation.implicitRules"> <path value="PaymentReconciliation.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="PaymentReconciliation.language"> <path value="PaymentReconciliation.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="PaymentReconciliation.text"> <path value="PaymentReconciliation.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="PaymentReconciliation.contained"> <path value="PaymentReconciliation.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="PaymentReconciliation.extension"> <path value="PaymentReconciliation.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.extension:formNumber"> <path value="PaymentReconciliation.extension"/> <sliceName value="formNumber"/> <short value="Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC)"/> <definition value="Số hiệu biên bản quyết toán/thanh toán chi phí KCB BHYT (biểu mẫu 06/BH) giữa cơ sở KCB và cơ quan BHXH. Căn cứ: - TT 12/2026/TT-BTC — Bộ Tài chính, Điều 6 và Phụ lục biểu mẫu 06/BH (Biên bản quyết toán chi phí KCB BHYT)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.extension:auditStatus"> <path value="PaymentReconciliation.extension"/> <sliceName value="auditStatus"/> <short value="Trạng thái giám định BHYT (received | under-review | approved | rejected | disputed)"/> <definition value="Mở rộng vòng đời giám định BHYT Việt Nam theo TT 12/2026/TT-BTC. Bổ sung cho `PaymentReconciliation.outcome` chuẩn FHIR vốn chỉ có queued/complete/error/partial."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.modifierExtension"> <path value="PaymentReconciliation.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="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."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="PaymentReconciliation.identifier"> <path value="PaymentReconciliation.identifier"/> <short value="Business Identifier for a payment reconciliation"/> <definition value="A unique identifier assigned to this payment reconciliation."/> <requirements value="Allows payment reconciliations to be distinguished and referenced."/> <min value="0"/> <max value="*"/> <base> <path value="PaymentReconciliation.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> </element> <element id="PaymentReconciliation.status"> <path value="PaymentReconciliation.status"/> <short value="Trạng thái resource (active | cancelled | draft | entered-in-error)"/> <definition value="The status of the resource instance."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <requirements value="Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PaymentReconciliationStatus"/> </extension> <strength value="required"/> <description value="A code specifying the state of the resource instance."/> <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> </element> <element id="PaymentReconciliation.period"> <path value="PaymentReconciliation.period"/> <short value="Chu kỳ quyết toán BHYT (tháng/quý)"/> <definition value="Khoảng thời gian áp dụng cho biên bản quyết toán 06/BH — thông thường là một tháng hoặc một quý theo TT 12/2026/TT-BTC."/> <requirements value="Needed to allow receivers to monitor and reconcile payment issuer schedules."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> </element> <element id="PaymentReconciliation.created"> <path value="PaymentReconciliation.created"/> <short value="Ngày lập biên bản 06/BH"/> <definition value="The date when the resource was created."/> <requirements value="Need to record a timestamp for use by both the recipient and the issuer."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.created"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> </element> <element id="PaymentReconciliation.paymentIssuer"> <path value="PaymentReconciliation.paymentIssuer"/> <short value="Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)"/> <definition value="The party who generated the payment."/> <comment value="This party is also responsible for the reconciliation."/> <requirements value="Need to identify the party resonsible for the payment and this resource."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.paymentIssuer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> </element> <element id="PaymentReconciliation.request"> <path value="PaymentReconciliation.request"/> <short value="Hồ sơ/đề nghị thanh toán liên quan (optional)"/> <definition value="Tham chiếu Task đại diện cho hồ sơ đề nghị thanh toán mà PaymentReconciliation này quyết toán. Optional — có thể null nếu workflow không track Task."/> <requirements value="Needed to allow the response to be linked to the request."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.request"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="cdanetv4"/> <map value="A02|G01"/> </mapping> </element> <element id="PaymentReconciliation.requestor"> <path value="PaymentReconciliation.requestor"/> <short value="Responsible practitioner"/> <definition value="The practitioner who is responsible for the services rendered to the patient."/> <requirements value="Need to identify the party responsible for the request."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.requestor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cdanetv4"/> <map value="B01"/> </mapping> </element> <element id="PaymentReconciliation.outcome"> <path value="PaymentReconciliation.outcome"/> <short value="Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)"/> <definition value="Giữ binding required chuẩn FHIR. Để biểu diễn vòng đời giám định BHYT Việt Nam theo TT 12/2026/TT-BTC, dùng PaymentReconciliation.extension[auditStatus] với VNClaimAuditStatusVS."/> <comment value="The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)."/> <requirements value="To advise the requestor of an overall processing outcome."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.outcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RemittanceOutcome"/> </extension> <strength value="required"/> <description value="The outcome of the processing."/> <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"/> </binding> </element> <element id="PaymentReconciliation.disposition"> <path value="PaymentReconciliation.disposition"/> <short value="Disposition message"/> <definition value="A human readable description of the status of the request for the reconciliation."/> <requirements value="Provided for user display."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.disposition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> </element> <element id="PaymentReconciliation.paymentDate"> <path value="PaymentReconciliation.paymentDate"/> <short value="When payment issued"/> <definition value="The date of payment as indicated on the financial instrument."/> <requirements value="To advise the payee when payment can be expected."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.paymentDate"/> <min value="1"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="PaymentReconciliation.paymentAmount"> <path value="PaymentReconciliation.paymentAmount"/> <short value="Tổng tiền BHXH thanh toán theo biên bản 06/BH"/> <definition value="Total payment amount as indicated on the financial instrument."/> <requirements value="Needed to provide the actual payment amount."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.paymentAmount"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Money"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="PaymentReconciliation.paymentIdentifier"> <path value="PaymentReconciliation.paymentIdentifier"/> <short value="Business identifier for the payment"/> <definition value="Issuer's unique identifier for the payment instrument."/> <comment value="For example: EFT number or check number."/> <requirements value="Enable the receiver to reconcile when payment is received."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.paymentIdentifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail"> <path value="PaymentReconciliation.detail"/> <short value="Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)"/> <definition value="Distribution of the payment amount for a previously acknowledged payable."/> <requirements value="Needed to show how the payment amount is distributed across the payables."/> <min value="1"/> <max value="*"/> <base> <path value="PaymentReconciliation.detail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.id"> <path value="PaymentReconciliation.detail.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="PaymentReconciliation.detail.extension"> <path value="PaymentReconciliation.detail.extension"/> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="PaymentReconciliation.detail.modifierExtension"> <path value="PaymentReconciliation.detail.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="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."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="PaymentReconciliation.detail.identifier"> <path value="PaymentReconciliation.detail.identifier"/> <short value="Business identifier of the payment detail"/> <definition value="Unique identifier for the current payment item for the referenced payable."/> <requirements value="Needed for reconciliation of payments."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.predecessor"> <path value="PaymentReconciliation.detail.predecessor"/> <short value="Business identifier of the prior payment detail"/> <definition value="Unique identifier for the prior payment item for the referenced payable."/> <requirements value="Needed for reconciliation of payments."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.predecessor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.type"> <path value="PaymentReconciliation.detail.type"/> <short value="Loại giao dịch (payment | adjustment | advance...)"/> <definition value="Code to indicate the nature of the payment."/> <comment value="For example: payment, adjustment, funds advance, etc."/> <requirements value="Needed to provide context for the amount."/> <min value="1"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.type"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PaymentType"/> </extension> <strength value="example"/> <description value="The reason for the amount: payment, adjustment, advance."/> <valueSet value="http://hl7.org/fhir/ValueSet/payment-type|4.0.1"/> </binding> </element> <element id="PaymentReconciliation.detail.request"> <path value="PaymentReconciliation.detail.request"/> <short value="Tham chiếu Claim được quyết toán"/> <definition value="A resource, such as a Claim, the evaluation of which could lead to payment."/> <requirements value="Needed to provide a linkage to the original request."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.request"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.submitter"> <path value="PaymentReconciliation.detail.submitter"/> <short value="Submitter of the request"/> <definition value="The party which submitted the claim or financial transaction."/> <requirements value="Needed for audit and validation."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.submitter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.response"> <path value="PaymentReconciliation.detail.response"/> <short value="Response committing to a payment"/> <definition value="A resource, such as a ClaimResponse, which contains a commitment to payment."/> <requirements value="Needed to provide a linkage to the payment commitment."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.response"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.date"> <path value="PaymentReconciliation.detail.date"/> <short value="Date of commitment to pay"/> <definition value="The date from the response resource containing a commitment to pay."/> <requirements value="Needed for audit and validation."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.responsible"> <path value="PaymentReconciliation.detail.responsible"/> <short value="Contact for the response"/> <definition value="A reference to the individual who is responsible for inquiries regarding the response and its payment."/> <requirements value="To provide contact information."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.responsible"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.payee"> <path value="PaymentReconciliation.detail.payee"/> <short value="Recipient of the payment"/> <definition value="The party which is receiving the payment."/> <requirements value="Needed for audit and validation."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.payee"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.detail.amount"> <path value="PaymentReconciliation.detail.amount"/> <short value="Số tiền quyết toán cho Claim (VND)"/> <definition value="The monetary amount allocated from the total payment to the payable."/> <requirements value="Needed to explain the distribution of the payment to the payables."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.detail.amount"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Money"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.formCode"> <path value="PaymentReconciliation.formCode"/> <short value="Printed form identifier"/> <definition value="A code for the form to be used for printing the content."/> <comment value="May be needed to identify specific jurisdictional forms."/> <requirements value="Needed to specify the specific form used for producing output for this response."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.formCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Forms"/> </extension> <strength value="example"/> <description value="The forms codes."/> <valueSet value="http://hl7.org/fhir/ValueSet/forms|4.0.1"/> </binding> </element> <element id="PaymentReconciliation.processNote"> <path value="PaymentReconciliation.processNote"/> <short value="Note concerning processing"/> <definition value="A note that describes or explains the processing in a human readable form."/> <requirements value="Provides the specific textual explanations associated with the processing."/> <min value="0"/> <max value="*"/> <base> <path value="PaymentReconciliation.processNote"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="PaymentReconciliation.processNote.id"> <path value="PaymentReconciliation.processNote.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="PaymentReconciliation.processNote.extension"> <path value="PaymentReconciliation.processNote.extension"/> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="PaymentReconciliation.processNote.modifierExtension"> <path value="PaymentReconciliation.processNote.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="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."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="PaymentReconciliation.processNote.type"> <path value="PaymentReconciliation.processNote.type"/> <short value="display | print | printoper"/> <definition value="The business purpose of the note text."/> <requirements value="To convey the expectation for when the text is used."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.processNote.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="NoteType"/> </extension> <strength value="required"/> <description value="The presentation types of notes."/> <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.0.1"/> </binding> </element> <element id="PaymentReconciliation.processNote.text"> <path value="PaymentReconciliation.processNote.text"/> <short value="Note explanatory text"/> <definition value="The explanation or description associated with the processing."/> <requirements value="Required to provide human readable explanation."/> <min value="0"/> <max value="1"/> <base> <path value="PaymentReconciliation.processNote.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="cdanetv4"/> <map value="G32"/> </mapping> </element> </snapshot> <differential> <element id="PaymentReconciliation"> <path value="PaymentReconciliation"/> </element> <element id="PaymentReconciliation.extension"> <path value="PaymentReconciliation.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element id="PaymentReconciliation.extension:formNumber"> <path value="PaymentReconciliation.extension"/> <sliceName value="formNumber"/> <short value="Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC)"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form"/> </type> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.extension:auditStatus"> <path value="PaymentReconciliation.extension"/> <sliceName value="auditStatus"/> <short value="Trạng thái giám định BHYT (received | under-review | approved | rejected | disputed)"/> <definition value="Mở rộng vòng đời giám định BHYT Việt Nam theo TT 12/2026/TT-BTC. Bổ sung cho `PaymentReconciliation.outcome` chuẩn FHIR vốn chỉ có queued/complete/error/partial."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status"/> </type> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.status"> <path value="PaymentReconciliation.status"/> <short value="Trạng thái resource (active | cancelled | draft | entered-in-error)"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.period"> <path value="PaymentReconciliation.period"/> <short value="Chu kỳ quyết toán BHYT (tháng/quý)"/> <definition value="Khoảng thời gian áp dụng cho biên bản quyết toán 06/BH — thông thường là một tháng hoặc một quý theo TT 12/2026/TT-BTC."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.created"> <path value="PaymentReconciliation.created"/> <short value="Ngày lập biên bản 06/BH"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.paymentIssuer"> <path value="PaymentReconciliation.paymentIssuer"/> <short value="Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)"/> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"/> </type> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.request"> <path value="PaymentReconciliation.request"/> <short value="Hồ sơ/đề nghị thanh toán liên quan (optional)"/> <definition value="Tham chiếu Task đại diện cho hồ sơ đề nghị thanh toán mà PaymentReconciliation này quyết toán. Optional — có thể null nếu workflow không track Task."/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.outcome"> <path value="PaymentReconciliation.outcome"/> <short value="Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)"/> <definition value="Giữ binding required chuẩn FHIR. Để biểu diễn vòng đời giám định BHYT Việt Nam theo TT 12/2026/TT-BTC, dùng PaymentReconciliation.extension[auditStatus] với VNClaimAuditStatusVS."/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.paymentAmount"> <path value="PaymentReconciliation.paymentAmount"/> <short value="Tổng tiền BHXH thanh toán theo biên bản 06/BH"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.detail"> <path value="PaymentReconciliation.detail"/> <short value="Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.detail.type"> <path value="PaymentReconciliation.detail.type"/> <short value="Loại giao dịch (payment | adjustment | advance...)"/> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.detail.request"> <path value="PaymentReconciliation.detail.request"/> <short value="Tham chiếu Claim được quyết toán"/> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"/> </type> <mustSupport value="true"/> </element> <element id="PaymentReconciliation.detail.amount"> <path value="PaymentReconciliation.detail.amount"/> <short value="Số tiền quyết toán cho Claim (VND)"/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>