Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.5.0) 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: 0.5.0 | ||||
| Computable Name: VNCorePaymentReconciliation | |||||
Profile PaymentReconciliation cho biên bản quyết toán/thanh toán chi phí KCB BHYT giữa cơ sở KCB và cơ quan BHXH (biểu mẫu 06/BH). Mỗi PaymentReconciliation tổng hợp kết quả giám định cho một chu kỳ quyết toán (thông thường theo tháng/quý) và liệt kê các Claim được duyệt/từ chối/tranh chấp. Căn cứ:
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: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form |
![]() ![]() ![]() |
S | 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) |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
![]() ![]() |
SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) |
![]() ![]() |
SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH |
![]() ![]() |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) |
![]() ![]() |
S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) |
![]() ![]() |
S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing. |
![]() ![]() |
Σ | 1..1 | date | When payment issued |
![]() ![]() |
SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH |
![]() ![]() |
S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. |
![]() ![]() ![]() |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán |
![]() ![]() ![]() |
S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) |
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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form |
![]() ![]() ![]() |
S | 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) |
![]() ![]() |
S | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) |
![]() ![]() |
S | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) |
![]() ![]() |
S | 1..1 | dateTime | Ngày lập biên bản 06/BH |
![]() ![]() |
S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) |
![]() ![]() |
S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) |
![]() ![]() |
S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) |
![]() ![]() |
S | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH |
![]() ![]() |
S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) |
![]() ![]() ![]() |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán |
![]() ![]() ![]() |
S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form | ||||
![]() ![]() ![]() |
S | 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) | ||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | Business Identifier for a payment reconciliation | |||||
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() |
SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) | ||||
![]() ![]() |
SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) | ||||
![]() ![]() |
S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) | ||||
![]() ![]() |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | |||||
![]() ![]() |
S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing. | ||||
![]() ![]() |
0..1 | string | Disposition message | |||||
![]() ![]() |
Σ | 1..1 | date | When payment issued | ||||
![]() ![]() |
SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH | ||||
![]() ![]() |
0..1 | Identifier | Business identifier for the payment | |||||
![]() ![]() |
S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | Identifier | Business identifier of the payment detail | |||||
![]() ![]() ![]() |
0..1 | Identifier | Business identifier of the prior payment detail | |||||
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán | ||||
![]() ![]() ![]() |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request | |||||
![]() ![]() ![]() |
0..1 | Reference(Resource) | Response committing to a payment | |||||
![]() ![]() ![]() |
0..1 | date | Date of commitment to pay | |||||
![]() ![]() ![]() |
0..1 | Reference(PractitionerRole) | Contact for the response | |||||
![]() ![]() ![]() |
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | |||||
![]() ![]() ![]() |
S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) | ||||
![]() ![]() |
0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes. | |||||
![]() ![]() |
0..* | BackboneElement | Note concerning processing | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes. | |||||
![]() ![]() ![]() |
0..1 | string | Note explanatory text | |||||
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.detail.type | Base | example | Payment Type Codes | 📍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()
|
Summary
Mandatory: 2 elements
Must-Support: 13 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: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form |
![]() ![]() ![]() |
S | 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) |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
![]() ![]() |
SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) |
![]() ![]() |
SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH |
![]() ![]() |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) |
![]() ![]() |
S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) |
![]() ![]() |
S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing. |
![]() ![]() |
Σ | 1..1 | date | When payment issued |
![]() ![]() |
SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH |
![]() ![]() |
S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. |
![]() ![]() ![]() |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán |
![]() ![]() ![]() |
S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) |
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()
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form |
![]() ![]() ![]() |
S | 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) |
![]() ![]() |
S | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) |
![]() ![]() |
S | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) |
![]() ![]() |
S | 1..1 | dateTime | Ngày lập biên bản 06/BH |
![]() ![]() |
S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) |
![]() ![]() |
S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) |
![]() ![]() |
S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) |
![]() ![]() |
S | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH |
![]() ![]() |
S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) |
![]() ![]() ![]() |
S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán |
![]() ![]() ![]() |
S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) |
Documentation for this format | ||||
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | PaymentReconciliation | PaymentReconciliation resource | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
S | 0..1 | string | Số hiệu biên bản 06/BH (TT 12/2026/TT-BTC) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form | ||||
![]() ![]() ![]() |
S | 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) | ||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | Business Identifier for a payment reconciliation | |||||
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() |
SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) | ||||
![]() ![]() |
SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) | ||||
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S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) | ||||
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0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | |||||
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S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing. | ||||
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0..1 | string | Disposition message | |||||
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Σ | 1..1 | date | When payment issued | ||||
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SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH | ||||
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0..1 | Identifier | Business identifier for the payment | |||||
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S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | Identifier | Business identifier of the payment detail | |||||
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0..1 | Identifier | Business identifier of the prior payment detail | |||||
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S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance. | ||||
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S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán | ||||
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0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request | |||||
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0..1 | Reference(Resource) | Response committing to a payment | |||||
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0..1 | date | Date of commitment to pay | |||||
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0..1 | Reference(PractitionerRole) | Contact for the response | |||||
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0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | |||||
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S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) | ||||
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0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes. | |||||
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0..* | BackboneElement | Note concerning processing | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes. | |||||
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0..1 | string | Note explanatory text | |||||
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.detail.type | Base | example | Payment Type Codes | 📍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()
|
Summary
Mandatory: 2 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
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