@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://fhir.hl7.org.vn/core/Basic/vn-actor-bhyt-submitter> a fhir:Basic ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "vn-actor-bhyt-submitter"] ;
  fhir:Resource.language [ fhir:value "vi"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ActorDefinition vn-actor-bhyt-submitter</b></p><a name=\"vn-actor-bhyt-submitter\"> </a><a name=\"hcvn-actor-bhyt-submitter\"> </a><table class=\"grid\"><tr><td><b>Actor: VNActorBHYTSubmitter </b></td><td>Bên gửi hồ sơ BHYT (Submitter)</td><td>Type: system </td></tr><tr><td colspan=\"3\"><div><p>Obligation trên element MS của lát BHYT theo CHIỀU TRAO ĐỔI: với hồ sơ do cơ sở LẬP (Bundle submission, Claim, CoverageEligibilityRequest, Coverage, Patient, Account) submitter mang SHALL:populate-if-known; với phản hồi do cơ quan BHXH sinh (ClaimResponse, CoverageEligibilityResponse, PaymentReconciliation) submitter là bên TIÊU THỤ nên mang SHALL:no-error + SHALL:handle. Task kiến nghị giám định KHÔNG thuộc nhóm phản hồi: nó do cơ sở KCB lập để phản đối kết quả giám định, nên submitter vẫn là bên SINH (SHALL:populate-if-known) — khớp VNBHYTGatewayServer.fsh và lát BHYTResponse chỉ khoá đúng ba profile response.</p>\n</div></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.url" ] ;
     fhir:Extension.valueUri [ fhir:value "http://fhir.hl7.org.vn/core/ActorDefinition/vn-actor-bhyt-submitter" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.version" ] ;
     fhir:Extension.valueString [ fhir:value "0.10.0" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.name" ] ;
     fhir:Extension.valueString [ fhir:value "VNActorBHYTSubmitter" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.title" ] ;
     fhir:Extension.valueString [ fhir:value "Bên gửi hồ sơ BHYT (Submitter)" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.status" ] ;
     fhir:Extension.valueCode [ fhir:value "active" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.experimental" ] ;
     fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.date" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2026-09-22T23:37:51+07:00"^^xsd:dateTime ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.publisher" ] ;
     fhir:Extension.valueString [ fhir:value "Omi HealthTech / VN Core FHIR Community Initiative" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.contact" ] ;
     fhir:Extension.valueContactDetail [
       fhir:ContactDetail.name [ fhir:value "Omi HealthTech / VN Core FHIR Community Initiative" ] ;
       fhir:ContactDetail.telecom [
         fhir:index -1 ;
         fhir:ContactPoint.system [ fhir:value "url" ] ;
         fhir:ContactPoint.value [ fhir:value "https://hl7.org.vn" ]
       ], [
         fhir:index -1 ;
         fhir:ContactPoint.system [ fhir:value "email" ] ;
         fhir:ContactPoint.value [ fhir:value "info@hl7.org.vn" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.contact" ] ;
     fhir:Extension.valueContactDetail [
       fhir:ContactDetail.name [ fhir:value "Omi HealthTech (OmiGroup)" ] ;
       fhir:ContactDetail.telecom [
         fhir:index -1 ;
         fhir:ContactPoint.system [ fhir:value "url" ] ;
         fhir:ContactPoint.value [ fhir:value "https://omihealthtech.vn" ]
       ], [
         fhir:index -1 ;
         fhir:ContactPoint.system [ fhir:value "url" ] ;
         fhir:ContactPoint.value [ fhir:value "https://omigroup.vn" ]
       ], [
         fhir:index -1 ;
         fhir:ContactPoint.system [ fhir:value "email" ] ;
         fhir:ContactPoint.value [ fhir:value "info@hl7.org.vn" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.description" ] ;
     fhir:Extension.valueMarkdown [ fhir:value "Cơ sở KCB (hoặc phần mềm đại diện) LẬP và GỬI hồ sơ đề nghị thanh toán BHYT tới Cổng tiếp nhận giám định. Nghĩa vụ trục CREATE-POPULATE trên hồ sơ BHYT: điền phần tử Must Support khi dữ liệu có thật (SHALL:populate-if-known) theo QĐ 3176/QĐ-BYT và NĐ 164/2025/NĐ-CP." ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.jurisdiction" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
         fhir:Coding.code [ fhir:value "VN" ] ;
         fhir:Coding.display [ fhir:value "Viet Nam" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.type" ] ;
     fhir:Extension.valueCode [ fhir:value "system" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.documentation" ] ;
     fhir:Extension.valueMarkdown [ fhir:value "Obligation trên element MS của lát BHYT theo CHIỀU TRAO ĐỔI: với hồ sơ do cơ sở LẬP (Bundle submission, Claim, CoverageEligibilityRequest, Coverage, Patient, Account) submitter mang SHALL:populate-if-known; với phản hồi do cơ quan BHXH sinh (ClaimResponse, CoverageEligibilityResponse, PaymentReconciliation) submitter là bên TIÊU THỤ nên mang SHALL:no-error + SHALL:handle. Task kiến nghị giám định KHÔNG thuộc nhóm phản hồi: nó do cơ sở KCB lập để phản đối kết quả giám định, nên submitter vẫn là bên SINH (SHALL:populate-if-known) — khớp VNBHYTGatewayServer.fsh và lát BHYTResponse chỉ khoá đúng ba profile response." ]
  ] ;
  fhir:Basic.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.25.161089673617632664299011809196868855799.12.2" ]
  ] ;
  fhir:Basic.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/fhir-types" ] ;
       fhir:Coding.code [ fhir:value "ActorDefinition" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://fhir.hl7.org.vn/core/Basic/vn-actor-bhyt-submitter.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------

