Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.3.0 - STU1 Draft
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim | Phiên bản: 0.3.0 | ||||
| Computable Name: VNCoreClaim | |||||
Profile Claim cho Việt Nam. Dùng cho yêu cầu thanh toán chi phí khám chữa bệnh BHYT. Mapping từ chuẩn dữ liệu đầu ra phục vụ BHXH hiện hành (QĐ 130 → QĐ 4750 → QĐ 3176). Bảng kê chi phí theo QĐ 697/QĐ-BYT (19/3/2026) — 12 danh mục, 14 mã. Căn cứ:
Usages:
You can also check for usages in the FHIR IG Statistics
Mô tả profile, differential, snapshot và các biểu diễn liên quan.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary |
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |
 extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system |
 identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) |
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
  type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk |
 value |
SΣ | 1..1 | string | Giá trị MA_LK Example General: 123456 |
| status |
?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. |
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) |
| use |
SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. |
 patient |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) |
| created |
SΣ | 1..1 | dateTime | Ngày tạo yêu cầu |
| insurer |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán |
| provider |
SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) |
| priority |
Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. |
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier |
| Slices for diagnosis[x] |
1..1 | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes. | ||
| diagnosisCodeableConcept |
CodeableConcept | |||
| diagnosisReference |
Reference(Condition) | |||
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. |
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
1..1 | positiveInt | Procedure instance identifier | |
 Slices for procedure[x] |
1..1 | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes. | ||
| procedureCodeableConcept |
CodeableConcept | |||
| procedureReference |
Reference(Procedure) | |||
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |
| insurance |
SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
Σ | 1..1 | positiveInt | Insurance instance identifier |
| focal |
SΣ | 1..1 | boolean | Coverage to be used for adjudication |
| coverage |
SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) |
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| date |
1..1 | date | When the incident occurred | |
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
S | 1..1 | positiveInt | Item instance identifier |
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) |
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: USCLSCodes (example): Allowable service and product codes. |
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |
| unitPrice |
0..1 | Money | Đơn giá | |
| net |
S | 0..1 | Money | Thành tiền |
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.identifier:MALK.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std. |
| Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x] | Base | example | ICD-10 Procedure Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
| Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Claim | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Claim | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary |
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system |
| identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) |
 type |
0..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk | |
| value |
S | 1..1 | string | Giá trị MA_LK |
| status |
S | 1..1 | code | Trạng thái yêu cầu thanh toán |
| type |
S | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) |
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) |
| use |
S | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination |
| patient |
S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) |
| created |
S | 1..1 | dateTime | Ngày tạo yêu cầu |
| insurer |
S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán |
| provider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) |
| priority |
1..1 | CodeableConcept | Mức ưu tiên xử lý | |
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) |
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier |
| Slices for diagnosis[x] |
1..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Slice: Unordered, Open by type:$this | |
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) |
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |
| Slices for procedure[x] |
1..1 | CodeableConcept, Reference(Procedure) | Specific clinical procedure Slice: Unordered, Open by type:$this | |
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |
| insurance |
S | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) |
| focal |
S | 1..1 | boolean | Coverage to be used for adjudication |
| coverage |
S | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) |
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |
| sequence |
S | 1..1 | positiveInt | Item instance identifier |
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) |
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT |
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |
| unitPrice |
0..1 | Money | Đơn giá | |
| net |
S | 0..1 | Money | Thành tiền |
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary | ||||
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |||||
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system | ||||
| identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk | ||||
| value |
SΣ | 1..1 | string | Giá trị MA_LK Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. | ||||
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) | ||||
| use |
SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. | ||||
| patient |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) | ||||
| billablePeriod |
Σ | 0..1 | Period | Relevant time frame for the claim | ||||
| created |
SΣ | 1..1 | dateTime | Ngày tạo yêu cầu | ||||
| enterer |
0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim | |||||
| insurer |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán | ||||
| provider |
SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) | ||||
| priority |
Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. | ||||
| fundsReserve |
0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None). | |||||
| related |
0..* | BackboneElement | Prior or corollary claims | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| claim |
0..1 | Reference(Claim) | Reference to the related claim | |||||
| relationship |
0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. | |||||
| reference |
0..1 | Identifier | File or case reference | |||||
| prescription |
0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products | |||||
| originalPrescription |
0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller | |||||
| payee |
0..1 | BackboneElement | Recipient of benefits payable | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed. | |||||
| party |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference | |||||
| referral |
0..1 | Reference(ServiceRequest) | Treatment referral | |||||
| facility |
0..1 | Reference(Location) | Servicing facility | |||||
| careTeam |
0..* | BackboneElement | Members of the care team | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Order of care team | |||||
| provider |
1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization | |||||
| responsible |
0..1 | boolean | Indicator of the lead practitioner | |||||
| role |
0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members. | |||||
| qualification |
0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications. | |||||
| supportingInfo |
0..* | BackboneElement | Supporting information | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Information instance identifier | |||||
| category |
1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. | |||||
| code |
0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes. | |||||
 timing[x] |
0..1 | When it occurred | ||||||
| timingDate |
date | |||||||
| timingPeriod |
Period | |||||||
| value[x] |
0..1 | Data to be provided | ||||||
| valueBoolean |
boolean | |||||||
| valueString |
string | |||||||
| valueQuantity |
Quantity | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(Resource) | |||||||
| reason |
0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth. | |||||
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier | ||||
| Slices for diagnosis[x] |
1..1 | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes. | ||||||
| diagnosisCodeableConcept |
CodeableConcept | |||||||
| diagnosisReference |
Reference(Condition) | |||||||
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | ||||
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. | ||||
| onAdmission |
0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission. | |||||
| packageCode |
0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis. | |||||
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Procedure instance identifier | |||||
| type |
0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes. | |||||
| date |
0..1 | dateTime | When the procedure was performed | |||||
| Slices for procedure[x] |
1..1 | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes. | ||||||
| procedureCodeableConcept |
CodeableConcept | |||||||
| procedureReference |
Reference(Procedure) | |||||||
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| insurance |
SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
Σ | 1..1 | positiveInt | Insurance instance identifier | ||||
| focal |
SΣ | 1..1 | boolean | Coverage to be used for adjudication | ||||
| identifier |
0..1 | Identifier | Pre-assigned Claim number | |||||
| coverage |
SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) | ||||
| businessArrangement |
0..1 | string | Additional provider contract number | |||||
| preAuthRef |
0..* | string | Prior authorization reference number | |||||
| claimResponse |
0..1 | Reference(ClaimResponse) | Adjudication results | |||||
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| date |
1..1 | date | When the incident occurred | |||||
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |||||
| location[x] |
0..1 | Where the event occurred | ||||||
| locationAddress |
Address | |||||||
| locationReference |
Reference(Location) | |||||||
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |||||
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
S | 1..1 | positiveInt | Item instance identifier | ||||
| careTeamSequence |
0..* | positiveInt | Applicable careTeam members | |||||
| diagnosisSequence |
0..* | positiveInt | Applicable diagnoses | |||||
| procedureSequence |
0..* | positiveInt | Applicable procedures | |||||
| informationSequence |
0..* | positiveInt | Applicable exception and supporting information | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) | ||||
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: USCLSCodes (example): Allowable service and product codes. | ||||
| modifier |
0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| serviced[x] |
0..1 | Date or dates of service or product delivery | ||||||
| servicedDate |
date | |||||||
| servicedPeriod |
Period | |||||||
| location[x] |
0..1 | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc. | ||||||
| locationCodeableConcept |
CodeableConcept | |||||||
| locationAddress |
Address | |||||||
| locationReference |
Reference(Location) | |||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |||||
| unitPrice |
0..1 | Money | Đơn giá | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
S | 0..1 | Money | Thành tiền | ||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| bodySite |
0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch. | |||||
| subSite |
0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations. | |||||
| encounter |
0..* | Reference(Encounter) | Encounters related to this billed item | |||||
| detail |
0..* | BackboneElement | Product or service provided | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Item instance identifier | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses. | |||||
| productOrService |
1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes. | |||||
| modifier |
0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Count of products or services | |||||
| unitPrice |
0..1 | Money | Fee, charge or cost per item | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
0..1 | Money | Total item cost | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| subDetail |
0..* | BackboneElement | Product or service provided | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Item instance identifier | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses. | |||||
| productOrService |
1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes. | |||||
| modifier |
0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Count of products or services | |||||
| unitPrice |
0..1 | Money | Fee, charge or cost per item | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
0..1 | Money | Total item cost | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std. |
| Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | FHIR Std. |
| Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | FHIR Std. |
| Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | FHIR Std. |
| Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | FHIR Std. |
| Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | FHIR Std. |
| Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.category | Base | example | Claim Information Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x] | Base | example | ICD-10 Procedure Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
| Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.bodySite | Base | example | Oral Site Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Claim | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Claim | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 5 elements
Must-Support: 25 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary |
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system |
| identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk |
| value |
SΣ | 1..1 | string | Giá trị MA_LK Example General: 123456 |
| status |
?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. |
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) |
| use |
SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. |
| patient |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) |
| created |
SΣ | 1..1 | dateTime | Ngày tạo yêu cầu |
| insurer |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán |
| provider |
SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) |
| priority |
Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. |
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier |
| Slices for diagnosis[x] |
1..1 | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes. | ||
| diagnosisCodeableConcept |
CodeableConcept | |||
| diagnosisReference |
Reference(Condition) | |||
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. |
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
1..1 | positiveInt | Procedure instance identifier | |
| Slices for procedure[x] |
1..1 | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes. | ||
| procedureCodeableConcept |
CodeableConcept | |||
| procedureReference |
Reference(Procedure) | |||
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |
| insurance |
SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
Σ | 1..1 | positiveInt | Insurance instance identifier |
| focal |
SΣ | 1..1 | boolean | Coverage to be used for adjudication |
| coverage |
SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) |
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| date |
1..1 | date | When the incident occurred | |
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence |
S | 1..1 | positiveInt | Item instance identifier |
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) |
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: USCLSCodes (example): Allowable service and product codes. |
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |
| unitPrice |
0..1 | Money | Đơn giá | |
| net |
S | 0..1 | Money | Thành tiền |
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.identifier:MALK.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std. |
| Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x] | Base | example | ICD-10 Procedure Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
| Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Claim | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Claim | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary |
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system |
| identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) |
| type |
0..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk | |
| value |
S | 1..1 | string | Giá trị MA_LK |
| status |
S | 1..1 | code | Trạng thái yêu cầu thanh toán |
| type |
S | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) |
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) |
| use |
S | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination |
| patient |
S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) |
| created |
S | 1..1 | dateTime | Ngày tạo yêu cầu |
| insurer |
S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán |
| provider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) |
| priority |
1..1 | CodeableConcept | Mức ưu tiên xử lý | |
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) |
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier |
| Slices for diagnosis[x] |
1..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Slice: Unordered, Open by type:$this | |
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) |
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |
| Slices for procedure[x] |
1..1 | CodeableConcept, Reference(Procedure) | Specific clinical procedure Slice: Unordered, Open by type:$this | |
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |
| insurance |
S | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) |
| focal |
S | 1..1 | boolean | Coverage to be used for adjudication |
| coverage |
S | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) |
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |
| sequence |
S | 1..1 | positiveInt | Item instance identifier |
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) |
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT |
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |
| unitPrice |
0..1 | Money | Đơn giá | |
| net |
S | 0..1 | Money | Thành tiền |
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Claim |
0..* | Claim | Claim, Pre-determination or Pre-authorization | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:costSummary |
S | 0..1 | (Complex) | Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary | ||||
| extension:paymentPeriod |
0..1 | (Complex) | Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period | |||||
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system | ||||
| identifier:MALK |
S | 1..1 | Identifier | Mã liên kết hồ sơ (MA_LK) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LK | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-lk | ||||
| value |
SΣ | 1..1 | string | Giá trị MA_LK Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. | ||||
| subType |
S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet (extensible) | ||||
| use |
SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. | ||||
| patient |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) | ||||
| billablePeriod |
Σ | 0..1 | Period | Relevant time frame for the claim | ||||
| created |
SΣ | 1..1 | dateTime | Ngày tạo yêu cầu | ||||
| enterer |
0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim | |||||
| insurer |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán | ||||
| provider |
SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) | ||||
| priority |
Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. | ||||
| fundsReserve |
0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None). | |||||
| related |
0..* | BackboneElement | Prior or corollary claims | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| claim |
0..1 | Reference(Claim) | Reference to the related claim | |||||
| relationship |
0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. | |||||
| reference |
0..1 | Identifier | File or case reference | |||||
| prescription |
0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products | |||||
| originalPrescription |
0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller | |||||
| payee |
0..1 | BackboneElement | Recipient of benefits payable | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed. | |||||
| party |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference | |||||
| referral |
0..1 | Reference(ServiceRequest) | Treatment referral | |||||
| facility |
0..1 | Reference(Location) | Servicing facility | |||||
| careTeam |
0..* | BackboneElement | Members of the care team | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Order of care team | |||||
| provider |
1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization | |||||
| responsible |
0..1 | boolean | Indicator of the lead practitioner | |||||
| role |
0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members. | |||||
| qualification |
0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications. | |||||
| supportingInfo |
0..* | BackboneElement | Supporting information | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Information instance identifier | |||||
| category |
1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. | |||||
| code |
0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes. | |||||
| timing[x] |
0..1 | When it occurred | ||||||
| timingDate |
date | |||||||
| timingPeriod |
Period | |||||||
| value[x] |
0..1 | Data to be provided | ||||||
| valueBoolean |
boolean | |||||||
| valueString |
string | |||||||
| valueQuantity |
Quantity | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(Resource) | |||||||
| reason |
0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth. | |||||
| diagnosis |
S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
S | 1..1 | positiveInt | Diagnosis instance identifier | ||||
| Slices for diagnosis[x] |
1..1 | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes. | ||||||
| diagnosisCodeableConcept |
CodeableConcept | |||||||
| diagnosisReference |
Reference(Condition) | |||||||
| diagnosis[x]:diagnosisCodeableConcept |
S | 0..1 | CodeableConcept | Mã bệnh ICD-10 VN (QĐ 4469/QĐ-BYT) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | ||||
| type |
S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. | ||||
| onAdmission |
0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission. | |||||
| packageCode |
0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis. | |||||
| procedure |
0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Procedure instance identifier | |||||
| type |
0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes. | |||||
| date |
0..1 | dateTime | When the procedure was performed | |||||
| Slices for procedure[x] |
1..1 | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes. | ||||||
| procedureCodeableConcept |
CodeableConcept | |||||||
| procedureReference |
Reference(Procedure) | |||||||
| procedure[x]:procedureCodeableConcept |
0..1 | CodeableConcept | Specific clinical procedure Binding: Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet (extensible) | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| insurance |
SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
Σ | 1..1 | positiveInt | Insurance instance identifier | ||||
| focal |
SΣ | 1..1 | boolean | Coverage to be used for adjudication | ||||
| identifier |
0..1 | Identifier | Pre-assigned Claim number | |||||
| coverage |
SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) | ||||
| businessArrangement |
0..1 | string | Additional provider contract number | |||||
| preAuthRef |
0..* | string | Prior authorization reference number | |||||
| claimResponse |
0..1 | Reference(ClaimResponse) | Adjudication results | |||||
| accident |
0..1 | BackboneElement | Thông tin tai nạn thương tích | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| date |
1..1 | date | When the incident occurred | |||||
| type |
0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: Mã tai nạn thương tích — Vietnam Accident Type ValueSet (extensible) | |||||
| location[x] |
0..1 | Where the event occurred | ||||||
| locationAddress |
Address | |||||||
| locationReference |
Reference(Location) | |||||||
| item |
S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:department |
0..1 | CodeableConcept | Khoa thực hiện (MA_KHOA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department Binding: Danh mục mã khoa — Vietnam Department ValueSet (extensible) | |||||
| extension:insuranceCostInfo |
0..1 | (Complex) | BHYT: phạm vi, tỷ lệ TT, mức hưởng URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
S | 1..1 | positiveInt | Item instance identifier | ||||
| careTeamSequence |
0..* | positiveInt | Applicable careTeam members | |||||
| diagnosisSequence |
0..* | positiveInt | Applicable diagnoses | |||||
| procedureSequence |
0..* | positiveInt | Applicable procedures | |||||
| informationSequence |
0..* | positiveInt | Applicable exception and supporting information | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: Danh mục chi phí KCB — Vietnam Cost Category ValueSet (extensible) | ||||
| productOrService |
S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: USCLSCodes (example): Allowable service and product codes. | ||||
| modifier |
0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| serviced[x] |
0..1 | Date or dates of service or product delivery | ||||||
| servicedDate |
date | |||||||
| servicedPeriod |
Period | |||||||
| location[x] |
0..1 | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc. | ||||||
| locationCodeableConcept |
CodeableConcept | |||||||
| locationAddress |
Address | |||||||
| locationReference |
Reference(Location) | |||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Số lượng | |||||
| unitPrice |
0..1 | Money | Đơn giá | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
S | 0..1 | Money | Thành tiền | ||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| bodySite |
0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch. | |||||
| subSite |
0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations. | |||||
| encounter |
0..* | Reference(Encounter) | Encounters related to this billed item | |||||
| detail |
0..* | BackboneElement | Product or service provided | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Item instance identifier | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses. | |||||
| productOrService |
1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes. | |||||
| modifier |
0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Count of products or services | |||||
| unitPrice |
0..1 | Money | Fee, charge or cost per item | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
0..1 | Money | Total item cost | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| subDetail |
0..* | BackboneElement | Product or service provided | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
1..1 | positiveInt | Item instance identifier | |||||
| revenue |
0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||
| category |
0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses. | |||||
| productOrService |
1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes. | |||||
| modifier |
0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
| programCode |
0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes. | |||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Count of products or services | |||||
| unitPrice |
0..1 | Money | Fee, charge or cost per item | |||||
| factor |
0..1 | decimal | Price scaling factor | |||||
| net |
0..1 | Money | Total item cost | |||||
| udi |
0..* | Reference(Device) | Unique device identifier | |||||
| total |
S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Claim.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Claim.identifier:MALK.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.subType | Base | extensible | Mã đối tượng đến KCB — Vietnam Patient Visit Type ValueSet | 📦0.3.0 | This IG |
| Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std. |
| Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | FHIR Std. |
| Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | FHIR Std. |
| Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | FHIR Std. |
| Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | FHIR Std. |
| Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | FHIR Std. |
| Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.category | Base | example | Claim Information Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std. |
| Claim.supportingInfo.reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.3.0 | This IG |
| Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | FHIR Std. |
| Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x] | Base | example | ICD-10 Procedure Codes | 📍4.0.1 | FHIR Std. |
| Claim.procedure.procedure[x]:procedureCodeableConcept | Base | extensible | Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet | 📦0.3.0 | This IG |
| Claim.accident.type | Base | extensible | Mã tai nạn thương tích — Vietnam Accident Type ValueSet | 📦0.3.0 | This IG |
| Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.category | Base | extensible | Danh mục chi phí KCB — Vietnam Cost Category ValueSet | 📦0.3.0 | This IG |
| Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.bodySite | Base | example | Oral Site Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std. |
| Claim.item.detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Claim | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Claim | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 5 elements
Must-Support: 25 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Biểu diễn khác của hồ sơ: CSV, Excel, Schematron
