Intersection of http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response and http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response

This is the set of resources that conform to both Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response) and Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponse resource
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierMã giao dịch phản hồi — đối soát với request của cơ sở KCB
... status ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
... purpose SΣ1..*codeMục đích tra cứu (khớp request): validation | benefits | ...
Binding: ?? (required): A code specifying the types of information being requested.
... patient SΣ1..1Intended recipient of products and services
... serviced[x] 0..1Estimated date or dates of service
.... servicedDatedate
.... servicedPeriodPeriod
... created SΣ1..1dateTimeThời điểm tạo phản hồi
... requestor 0..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the request
... request SΣ1..1Yêu cầu tra cứu tương ứng
... outcome SΣ1..1codequeued | complete | error | partial — kết quả xử lý của Cổng BHYT
Binding: ?? (required): The outcome of the processing.
... disposition 0..1stringDisposition Message
... insurer SΣ1..1Cơ quan BHXH phản hồi
... insurance S0..*BackboneElementPatient insurance information
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... coverage SΣ1..1Insurance information
.... inforce S0..1booleanThẻ BHYT còn hiệu lực tại thời điểm tra cứu (true/false)
.... benefitPeriod 0..1PeriodWhen the benefits are applicable
.... item SC0..*BackboneElementChi tiết quyền lợi/mức hưởng BHYT khi purpose=benefits (mỗi nhóm quyền lợi 1 item)
Constraints: ces-1
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 0..1CodeableConceptBenefit classification
Binding: ?? (example): Benefit categories such as: oral, medical, vision etc.
..... productOrService 0..1CodeableConceptBilling, service, product, or drug code
Binding: ?? (example): Allowable service and product codes.
..... modifier 0..*CodeableConceptProduct or service billing modifiers
Binding: ?? (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.
..... provider 0..1Reference(Practitioner | PractitionerRole)Performing practitioner
..... excluded 0..1booleanExcluded from the plan
..... name 0..1stringShort name for the benefit
..... description 0..1stringDescription of the benefit or services covered
..... network 0..1CodeableConceptIn or out of network
Binding: ?? (example): Code to classify in or out of network services.
..... unit 0..1CodeableConceptIndividual or family
Binding: ?? (example): Unit covered/serviced - individual or family.
..... term 0..1CodeableConceptAnnual or lifetime
Binding: ?? (example): Coverage unit - annual, lifetime.
..... benefit S0..*BackboneElementMức hưởng theo loại quyền lợi (vd tỷ lệ %, trần thanh toán)
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... type 1..1CodeableConceptBenefit classification
Binding: ?? (example): Deductable, visits, co-pay, etc.
...... allowed[x] 0..1Benefits allowed
....... allowedUnsignedIntunsignedInt
....... allowedStringstring
....... allowedMoneyMoney
...... used[x] 0..1Benefits used
....... usedUnsignedIntunsignedInt
....... usedStringstring
....... usedMoneyMoney
..... authorizationRequired 0..1booleanAuthorization required flag
..... authorizationSupporting 0..*CodeableConceptType of required supporting materials
Binding: ?? (example): Type of supporting information to provide with a preauthorization.
..... authorizationUrl 0..1uriPreauthorization requirements endpoint
... preAuthRef 0..1stringPreauthorization reference
... form 0..1CodeableConceptPrinted form identifier
Binding: ?? (example): The forms codes.
... error 0..*BackboneElementProcessing errors
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptError code detailing processing issues
Binding: ?? (example): The error codes for adjudication processing.

doco Documentation for this format