Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Tổng chi phí theo nhóm — Claim Cost Summary Extension
Slices for extension				Content/Rules for all slices
extension:totalMedication		0..1	Extension	Tổng tiền thuốc (T_THUOC)
extension		0..0		Extension
url		1..1	uri	"totalMedication"
value[x]		1..1	Money	VND
extension:totalSupplies		0..1	Extension	Tổng tiền VTYT (T_VTYT)
extension		0..0		Extension
url		1..1	uri	"totalSupplies"
value[x]		1..1	Money	Value of extension
extension:totalInsurance		0..1	Extension	Tổng BHYT thanh toán (T_BHTT)
extension		0..0		Extension
url		1..1	uri	"totalInsurance"
value[x]		1..1	Money	Value of extension
extension:totalPatientCopay		0..1	Extension	Bệnh nhân cùng chi trả (T_BNCCT)
extension		0..0		Extension
url		1..1	uri	"totalPatientCopay"
value[x]		1..1	Money	Value of extension
extension:totalPatientSelfPay		0..1	Extension	Bệnh nhân tự trả (T_BNTT)
extension		0..0		Extension
url		1..1	uri	"totalPatientSelfPay"
value[x]		1..1	Money	Value of extension
extension:totalOtherFund		0..1	Extension	Nguồn khác (T_NGUONKHAC)
extension		0..0		Extension
url		1..1	uri	"totalOtherFund"
value[x]		1..1	Money	Value of extension
extension:totalNonCovered		0..1	Extension	Chi phí ngoài định suất (T_NGOAIDS) — quỹ BHYT vẫn chi trả
extension		0..0		Extension
url		1..1	uri	"totalNonCovered"
value[x]		1..1	Money	Value of extension
extension:totalInsuranceFeeForService		0..1	Extension	Quỹ BHYT thanh toán ngoài định suất/DRG — phí dịch vụ (T_BHTT_GDV)
extension		0..0		Extension
url		1..1	uri	"totalInsuranceFeeForService"
value[x]		1..1	Money	Số tiền BHYT trả cho khoản phí dịch vụ (VND)
url		1..1	uri	"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
value[x]		0..0		Value of extension
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Tổng chi phí theo nhóm — Claim Cost Summary Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:totalMedication		0..1	Extension	Tổng tiền thuốc (T_THUOC)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalMedication"
value[x]		1..1	Money	VND
extension:totalSupplies		0..1	Extension	Tổng tiền VTYT (T_VTYT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalSupplies"
value[x]		1..1	Money	Value of extension
extension:totalInsurance		0..1	Extension	Tổng BHYT thanh toán (T_BHTT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalInsurance"
value[x]		1..1	Money	Value of extension
extension:totalPatientCopay		0..1	Extension	Bệnh nhân cùng chi trả (T_BNCCT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalPatientCopay"
value[x]		1..1	Money	Value of extension
extension:totalPatientSelfPay		0..1	Extension	Bệnh nhân tự trả (T_BNTT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalPatientSelfPay"
value[x]		1..1	Money	Value of extension
extension:totalOtherFund		0..1	Extension	Nguồn khác (T_NGUONKHAC)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalOtherFund"
value[x]		1..1	Money	Value of extension
extension:totalNonCovered		0..1	Extension	Chi phí ngoài định suất (T_NGOAIDS) — quỹ BHYT vẫn chi trả
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalNonCovered"
value[x]		1..1	Money	Value of extension
extension:totalInsuranceFeeForService		0..1	Extension	Quỹ BHYT thanh toán ngoài định suất/DRG — phí dịch vụ (T_BHTT_GDV)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalInsuranceFeeForService"
value[x]		1..1	Money	Số tiền BHYT trả cho khoản phí dịch vụ (VND)
url		1..1	uri	"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
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

Complex Extension: Extension tổng hợp chi phí KCB theo từng nhóm nguồn chi trả. Mapping theo chuỗi XML QĐ 130/QĐ-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT: T_THUOC, T_VTYT, T_BNCCT, T_BNTT, T_BHTT, T_NGUONKHAC, T_BHTT_GDV. Riêng T_NGOAIDS là trường của XML legacy QĐ 4210/QĐ-BYT, giữ để đọc/bridge dữ liệu lịch sử; không coi đó là trường của XML 3176 hoặc tự đổi thành T_BHTT_GDV. Căn cứ: QĐ 130/QĐ-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT (29/10/2024), QĐ 697/QĐ-BYT. Các field tổng tiền này được chuẩn hoá thêm qua VNBHYTFinancialFieldCS và ConceptMap vn-cm-bhyt-financial-field-to-adjudication; extension chỉ giữ số tiền tổng hợp, không encode công thức adjudication của payer. Nguồn thiết kế: OHP Data Processor (Claim extensions production mapping).

• totalMedication: Money: An Extension
• totalSupplies: Money: An Extension
• totalInsurance: Money: An Extension
• totalPatientCopay: Money: An Extension
• totalPatientSelfPay: Money: An Extension
• totalOtherFund: Money: An Extension
• totalNonCovered: Money: Trường legacy QĐ 4210/QĐ-BYT Bảng 1 STT 32 và Bảng 2 STT 22: chi phí ngoài định suất vẫn do quỹ BHYT chi trả. Tên totalNonCovered là tên kỹ thuật lịch sử, không có nghĩa ngoài phạm vi hưởng. Giữ nguyên carrier để đọc dữ liệu cũ; khi chuyển sang chuỗi XML 3176 phải đối chiếu phương thức thanh toán và nguồn, không tự ánh xạ đồng nhất với T_BHTT_GDV. Legacy out-of-capitation amount; not an excluded or denied benefit.
• totalInsuranceFeeForService: Money: An Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Tổng chi phí theo nhóm — Claim Cost Summary Extension
Slices for extension				Content/Rules for all slices
extension:totalMedication		0..1	Extension	Tổng tiền thuốc (T_THUOC)
extension		0..0		Extension
url		1..1	uri	"totalMedication"
value[x]		1..1	Money	VND
extension:totalSupplies		0..1	Extension	Tổng tiền VTYT (T_VTYT)
extension		0..0		Extension
url		1..1	uri	"totalSupplies"
value[x]		1..1	Money	Value of extension
extension:totalInsurance		0..1	Extension	Tổng BHYT thanh toán (T_BHTT)
extension		0..0		Extension
url		1..1	uri	"totalInsurance"
value[x]		1..1	Money	Value of extension
extension:totalPatientCopay		0..1	Extension	Bệnh nhân cùng chi trả (T_BNCCT)
extension		0..0		Extension
url		1..1	uri	"totalPatientCopay"
value[x]		1..1	Money	Value of extension
extension:totalPatientSelfPay		0..1	Extension	Bệnh nhân tự trả (T_BNTT)
extension		0..0		Extension
url		1..1	uri	"totalPatientSelfPay"
value[x]		1..1	Money	Value of extension
extension:totalOtherFund		0..1	Extension	Nguồn khác (T_NGUONKHAC)
extension		0..0		Extension
url		1..1	uri	"totalOtherFund"
value[x]		1..1	Money	Value of extension
extension:totalNonCovered		0..1	Extension	Chi phí ngoài định suất (T_NGOAIDS) — quỹ BHYT vẫn chi trả
extension		0..0		Extension
url		1..1	uri	"totalNonCovered"
value[x]		1..1	Money	Value of extension
extension:totalInsuranceFeeForService		0..1	Extension	Quỹ BHYT thanh toán ngoài định suất/DRG — phí dịch vụ (T_BHTT_GDV)
extension		0..0		Extension
url		1..1	uri	"totalInsuranceFeeForService"
value[x]		1..1	Money	Số tiền BHYT trả cho khoản phí dịch vụ (VND)
url		1..1	uri	"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
value[x]		0..0		Value of extension
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Tổng chi phí theo nhóm — Claim Cost Summary Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:totalMedication		0..1	Extension	Tổng tiền thuốc (T_THUOC)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalMedication"
value[x]		1..1	Money	VND
extension:totalSupplies		0..1	Extension	Tổng tiền VTYT (T_VTYT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalSupplies"
value[x]		1..1	Money	Value of extension
extension:totalInsurance		0..1	Extension	Tổng BHYT thanh toán (T_BHTT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalInsurance"
value[x]		1..1	Money	Value of extension
extension:totalPatientCopay		0..1	Extension	Bệnh nhân cùng chi trả (T_BNCCT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalPatientCopay"
value[x]		1..1	Money	Value of extension
extension:totalPatientSelfPay		0..1	Extension	Bệnh nhân tự trả (T_BNTT)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalPatientSelfPay"
value[x]		1..1	Money	Value of extension
extension:totalOtherFund		0..1	Extension	Nguồn khác (T_NGUONKHAC)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalOtherFund"
value[x]		1..1	Money	Value of extension
extension:totalNonCovered		0..1	Extension	Chi phí ngoài định suất (T_NGOAIDS) — quỹ BHYT vẫn chi trả
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalNonCovered"
value[x]		1..1	Money	Value of extension
extension:totalInsuranceFeeForService		0..1	Extension	Quỹ BHYT thanh toán ngoài định suất/DRG — phí dịch vụ (T_BHTT_GDV)
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"totalInsuranceFeeForService"
value[x]		1..1	Money	Số tiền BHYT trả cho khoản phí dịch vụ (VND)
url		1..1	uri	"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
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

Complex Extension: Extension tổng hợp chi phí KCB theo từng nhóm nguồn chi trả. Mapping theo chuỗi XML QĐ 130/QĐ-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT: T_THUOC, T_VTYT, T_BNCCT, T_BNTT, T_BHTT, T_NGUONKHAC, T_BHTT_GDV. Riêng T_NGOAIDS là trường của XML legacy QĐ 4210/QĐ-BYT, giữ để đọc/bridge dữ liệu lịch sử; không coi đó là trường của XML 3176 hoặc tự đổi thành T_BHTT_GDV. Căn cứ: QĐ 130/QĐ-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT (29/10/2024), QĐ 697/QĐ-BYT. Các field tổng tiền này được chuẩn hoá thêm qua VNBHYTFinancialFieldCS và ConceptMap vn-cm-bhyt-financial-field-to-adjudication; extension chỉ giữ số tiền tổng hợp, không encode công thức adjudication của payer. Nguồn thiết kế: OHP Data Processor (Claim extensions production mapping).

• totalMedication: Money: An Extension
• totalSupplies: Money: An Extension
• totalInsurance: Money: An Extension
• totalPatientCopay: Money: An Extension
• totalPatientSelfPay: Money: An Extension
• totalOtherFund: Money: An Extension
• totalNonCovered: Money: Trường legacy QĐ 4210/QĐ-BYT Bảng 1 STT 32 và Bảng 2 STT 22: chi phí ngoài định suất vẫn do quỹ BHYT chi trả. Tên totalNonCovered là tên kỹ thuật lịch sử, không có nghĩa ngoài phạm vi hưởng. Giữ nguyên carrier để đọc dữ liệu cũ; khi chuyển sang chuỗi XML 3176 phải đối chiếu phương thức thanh toán và nguồn, không tự ánh xạ đồng nhất với T_BHTT_GDV. Legacy out-of-capitation amount; not an excluded or denied benefit.
• totalInsuranceFeeForService: Money: An Extension