Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review
Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-payment-reconciliation | Phiên bản: 0.10.0 | ||||
| Computable Name: VNCorePaymentReconciliation | |||||
| Định danh khác: OID:2.25.161089673617632664299011809196868855799.42.102 | |||||
Profile PaymentReconciliation cho thông báo chuyển tiền/remittance và phân bổ một khoản thanh toán BHYT tổng hợp về các yêu cầu hoặc giao dịch thành phần theo semantics FHIR R4. Resource này có thể tham chiếu kỳ nghiệp vụ và các Claim liên quan, nhưng không phải carrier chuẩn của Biên bản quyết toán Mẫu 06/BH. Dữ liệu 5 phần A–E và bộ chỉ tiêu quyết toán quý phải dùng LogicalModel VNCoreQuarterlyHealthcareCostSettlement; nếu cần văn bản ký, render LogicalModel rồi đóng gói bằng Composition/DocumentReference. Slice formNumber được giữ để tương thích dữ liệu cũ, không biến PaymentReconciliation thành biểu mẫu 06/BH.
Căn cứ: [TT 12/2026/TT-BTC] (ban hành 10/02/2026, hiệu lực 10/02/2026) — Giám định, thanh toán và quyết toán chi phí KCB BHYT; [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] (ban hành 29/06/2025, hiệu lực 01/07/2025) — Giao dịch điện tử trong lĩnh vực BHXH; [Luật 51/2024/QH15] (ban hành 27/11/2024, hiệu lực 01/07/2025) — Luật BHYT sửa đổi.
English summary: This profile represents a BHYT remittance or bulk payment and allocates that payment to underlying requests or transactions in accordance with FHIR R4 PaymentReconciliation semantics. It is not the canonical carrier for quarterly Form 06/BH; use VNCoreQuarterlyHealthcareCostSettlement for the five-section quarterly settlement dataset and render/package that model separately when a signed document is required. The formNumber slice remains only for backward compatibility.
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:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
  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:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
 extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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)
| ||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
| ||||||
 period |
SOΣ | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SOΣ | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
 paymentIssuer |
SOΣ | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
| ||||||
| paymentDate |
Σ | 1..1 | date | When payment issued | ||||||
| paymentAmount |
SOΣ | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
 value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
 detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
 Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
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| status |
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| period |
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| created |
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| paymentIssuer |
|
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| request |
|
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| outcome |
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| paymentAmount |
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| detail |
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| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| PaymentReconciliation.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.outcome | Base | required | Claim Processing Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.type | Base | example | Payment Type Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | PaymentReconciliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | PaymentReconciliation | 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 | PaymentReconciliation | 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 | PaymentReconciliation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | PaymentReconciliation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
| extension:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
| extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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 |
SO | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error)
| ||||||
| period |
SO | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SO | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
| paymentIssuer |
SO | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)
| ||||||
| paymentAmount |
SO | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||||
| detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
| Id | Grade | Path(s) | Description | Expression |
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
| 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:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
| extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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)
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
0..* | Identifier | Business Identifier for a payment reconciliation | |||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
| ||||||
| period |
SOΣ | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SOΣ | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
| paymentIssuer |
SOΣ | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| requestor |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | |||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
| ||||||
| disposition |
0..1 | string | Disposition message | |||||||
| paymentDate |
Σ | 1..1 | date | When payment issued | ||||||
| paymentAmount |
SOΣ | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| currency |
Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||||
| paymentIdentifier |
0..1 | Identifier | Business identifier for the payment | |||||||
| detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
| 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 | ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| predecessor |
0..1 | Identifier | Business identifier of the prior payment detail | |||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| submitter |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request | |||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| date |
0..1 | date | Date of commitment to pay | |||||||
| responsible |
0..1 | Reference(PractitionerRole) | Contact for the response | |||||||
| payee |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | |||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| currency |
Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||||
| formCode |
0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes. | |||||||
| processNote |
0..* | BackboneElement | Note concerning processing | |||||||
| 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 |
0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes. | |||||||
| text |
0..1 | string | Note explanatory text | |||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
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| detail |
|
|
| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| PaymentReconciliation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.outcome | Base | required | Claim Processing Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.paymentAmount.currency | Base | required | CurrencyCode | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.type | Base | example | Payment Type Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.amount.currency | Base | required | CurrencyCode | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.formCode | Base | example | Forms | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.processNote.type | Base | required | NoteType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | PaymentReconciliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | PaymentReconciliation | 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 | PaymentReconciliation | 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 | PaymentReconciliation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | PaymentReconciliation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
Summary
Mandatory: 5 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
| 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:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
| extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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)
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
| ||||||
| period |
SOΣ | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SOΣ | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
| paymentIssuer |
SOΣ | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
| ||||||
| paymentDate |
Σ | 1..1 | date | When payment issued | ||||||
| paymentAmount |
SOΣ | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| PaymentReconciliation.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.outcome | Base | required | Claim Processing Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.type | Base | example | Payment Type Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | PaymentReconciliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | PaymentReconciliation | 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 | PaymentReconciliation | 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 | PaymentReconciliation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | PaymentReconciliation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
| extension:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
| extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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 |
SO | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error)
| ||||||
| period |
SO | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SO | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
| paymentIssuer |
SO | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)
| ||||||
| paymentAmount |
SO | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||||
| detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
| Id | Grade | Path(s) | Description | Expression |
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| PaymentReconciliation |
C | 0..* | PaymentReconciliation | PaymentReconciliation resource Constraints: vn-payment-reconciliation-detail-amount-sum, vn-payment-reconciliation-money-vnd, vn-payment-reconciliation-detail-anchor | ||||||
| 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:formNumber |
SO | 0..1 | string | Tham chiếu biểu mẫu legacy để tương thích — Legacy form reference for compatibility URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
| ||||||
| extension:auditStatus |
SO | 0..1 | CodeableConcept | Trạng 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)
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
0..* | Identifier | Business Identifier for a payment reconciliation | |||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
| ||||||
| period |
SOΣ | 1..1 | Period | Kỳ đối soát/phân bổ khoản thanh toán — Remittance or payment-allocation period
| ||||||
| created |
SOΣ | 1..1 | dateTime | Ngày tạo thông báo đối soát/remittance — Reconciliation creation date
| ||||||
| paymentIssuer |
SOΣ | 0..1 | Reference(Organization) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
| ||||||
| request |
SO | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
| ||||||
| requestor |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | |||||||
| outcome |
SO | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
| ||||||
| disposition |
0..1 | string | Disposition message | |||||||
| paymentDate |
Σ | 1..1 | date | When payment issued | ||||||
| paymentAmount |
SOΣ | 1..1 | Money | Tổng khoản thanh toán/remittance BHXH — Total BHXH remittance amount
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| currency |
Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||||
| paymentIdentifier |
0..1 | Identifier | Business identifier for the payment | |||||||
| detail |
SO | 1..* | BackboneElement | Phân bổ khoản thanh toán theo giao dịch/Claim — Payment allocation by transaction or Claim
| ||||||
| 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 | ||||||
| identifier |
S | 0..1 | Identifier | Mã giao dịch thanh toán — một trong ba mỏ neo của vn-payment-reconciliation-detail-anchor | ||||||
| predecessor |
0..1 | Identifier | Business identifier of the prior payment detail | |||||||
| type |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||||
| request |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Claim hoặc yêu cầu được phân bổ khoản thanh toán — Claim/request receiving the allocation | ||||||
| submitter |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request | |||||||
| response |
S | 0..1 | Reference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile) | Kết quả giám định tương ứng với khoản phân bổ — adjudication being settled | ||||||
| date |
0..1 | date | Date of commitment to pay | |||||||
| responsible |
0..1 | Reference(PractitionerRole) | Contact for the response | |||||||
| payee |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | |||||||
| amount |
S | 1..1 | Money | Số tiền được phân bổ cho giao dịch (VND) — Amount allocated to the transaction | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||
| currency |
Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||||
| formCode |
0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes. | |||||||
| processNote |
0..* | BackboneElement | Note concerning processing | |||||||
| 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 |
0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes. | |||||||
| text |
0..1 | string | Note explanatory text | |||||||
| Documentation for this format | ||||||||||
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| PaymentReconciliation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.outcome | Base | required | Claim Processing Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.paymentAmount.currency | Base | required | CurrencyCode | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.type | Base | example | Payment Type Codes | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.detail.amount.currency | Base | required | CurrencyCode | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.formCode | Base | example | Forms | 📍4.0.1 | FHIR Std. |
| PaymentReconciliation.processNote.type | Base | required | NoteType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | PaymentReconciliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | PaymentReconciliation | 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 | PaymentReconciliation | 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 | PaymentReconciliation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | PaymentReconciliation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| vn-payment-reconciliation-detail-amount-sum | error | PaymentReconciliation | Tổng khoản thanh toán phải bằng tổng số tiền được phân bổ ở các detail. The payment amount SHALL equal the sum of amounts allocated across all details. |
paymentAmount.value = detail.amount.value.aggregate($this + $total, 0)
|
| vn-payment-reconciliation-detail-anchor | error | PaymentReconciliation | Mỗi dòng phân bổ thanh toán phải có ít nhất một mỏ neo giao dịch BẰNG GIÁ TRỊ THẬT: identifier có value, hoặc request/response là reference giải quyết được — Identifier rỗng/Reference chỉ có display không đối soát được (siết P1 round 3, 14/08/2026, cùng khuôn vn-claim-response-correlation-anchor). Each payment allocation detail SHALL carry at least one usable transaction anchor: an identifier WITH a value, or a resolvable request/response reference. |
detail.all(identifier.value.exists() or request.reference.exists() or response.reference.exists())
|
| vn-payment-reconciliation-money-vnd | error | PaymentReconciliation | Mọi khoản phân bổ chi tiết và tổng khoản thanh toán phải dùng VND. Every detail allocation and the total payment amount SHALL use VND. |
detail.amount.all(currency.count() = 1 and currency = 'VND') and paymentAmount.currency.count() = 1 and paymentAmount.currency = 'VND'
|
| Name | Bên giám định BHYT (Adjudicator) | Bên gửi hồ sơ BHYT (Submitter) |
|---|---|---|
| PaymentReconciliation |
||
| Slices for extension |
||
| extension:formNumber |
|
|
| extension:auditStatus |
|
|
| status |
|
|
| period |
|
|
| created |
|
|
| paymentIssuer |
|
|
| request |
|
|
| outcome |
|
|
| paymentAmount |
|
|
| detail |
|
|
| Documentation for this format | ||
Summary
Mandatory: 5 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Biểu diễn khác của hồ sơ: CSV, Excel, Schematron
