| Left: | Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim) |
| Right: | Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim) |
| Error | StructureDefinition.version | Values for version differ: '0.3.0' vs '0.4.0' |
| Information | StructureDefinition.short | Values for short differ: 'Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT' vs 'Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT (bắt buộc ít nhất 1 dòng)' |
| Information | Claim.item | Element minimum cardinalities differ: '0' vs '1' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Claim | ||
| copyright | Căn cứ pháp lý Việt Nam: Luật 25/2008/QH12 ngày 14/11/2008; Luật 51/2024/QH15 ngày 27/11/2024; NĐ 188/2025/NĐ-CP ngày 01/07/2025; NĐ 90/2026/NĐ-CP ngày 30/03/2026; QĐ 3176/QĐ-BYT ngày 29/10/2024; QĐ 697/QĐ-BYT ngày 19/03/2026. |
| |
| date | 2026-03-21 | ||
| description | Profile Claim cho Việt Nam. Dùng cho yêu cầu thanh toán chi phí khám chữa bệnh BHYT. Mapping từ chuẩn dữ liệu đầu ra phục vụ BHXH hiện hành (QĐ 130 → QĐ 4750 → QĐ 3176). Bảng kê chi phí theo QĐ 697/QĐ-BYT (19/3/2026) — 12 danh mục, 14 mã. Căn cứ: - QĐ 130/QĐ-BYT (2023) — Chuẩn dữ liệu đầu ra phục vụ BHXH - QĐ 4750/QĐ-BYT (2023) — Sửa đổi QĐ 130 - QĐ 3176/QĐ-BYT (29/10/2024) — Sửa đổi QĐ 4750 - QĐ 697/QĐ-BYT (19/3/2026) — Mẫu bảng kê chi phí KCB (thay QĐ 6556) - NĐ 188/2025/NĐ-CP — Hướng dẫn thi hành Luật BHYT - Luật BHYT 2008 sửa đổi 2014 | Profile Claim cho Việt Nam. Dùng cho yêu cầu thanh toán chi phí khám chữa bệnh BHYT. Mapping từ chuẩn dữ liệu đầu ra phục vụ BHXH hiện hành (QĐ 130 → QĐ 4750 → QĐ 3176). Bảng kê chi phí theo QĐ 697/QĐ-BYT (19/3/2026) — 12 danh mục, 14 mã. Căn cứ: - QĐ 130/QĐ-BYT (2023) — Chuẩn dữ liệu đầu ra phục vụ BHXH - QĐ 4750/QĐ-BYT (2023) — Sửa đổi QĐ 130 - QĐ 3176/QĐ-BYT (29/10/2024) — Sửa đổi QĐ 4750 - QĐ 697/QĐ-BYT (19/3/2026) — Mẫu bảng kê chi phí KCB (thay QĐ 6556) - NĐ 188/2025/NĐ-CP (01/07/2025) — Hướng dẫn thi hành Luật BHYT, Điều 15 về giá trị sử dụng thẻ và Điều 22 về nhiều thẻ BHYT - NĐ 90/2026/NĐ-CP (30/03/2026) — Xử phạt vi phạm hành chính trong lĩnh vực y tế khi hồ sơ/chứng từ BHYT sai quy định - Luật BHYT 2008 sửa đổi 2014 - Luật 25/2008/QH12 ngày 14/11/2008 về BHYT; Luật 51/2024/QH15 ngày 27/11/2024 sửa đổi Luật BHYT Nguồn chính thức: NĐ 188/2025/NĐ-CP https://vanban.chinhphu.vn/?docid=214515&pageid=27160; NĐ 90/2026/NĐ-CP https://vanban.chinhphu.vn/?docid=217386&pageid=27160 |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#VN | ||
| kind | resource | ||
| name | VNCoreClaim | ||
| publisher | HL7 Vietnam | ||
| purpose | |||
| status | draft | ||
| title | Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile | ||
| type | Claim | ||
| url | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim | ||
| version | 0.3.0 | 0.4.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Claim | 0..* | Claim | Claim, Pre-determination or Pre-authorization | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: vn-claim-single-focal-insurance, vn-claim-coverage-not-expired | ||||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (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 | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| Slices for identifier | S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system | S | 1..* | Identifier | Định danh hồ sơ thanh toán, bao gồm MA_LK Slice: Unordered, Open by value:system | |||||||||
| status | ?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: ?? (required): A code specifying the state of the resource instance. | ?!SΣ | 1..1 | code | Trạng thái yêu cầu thanh toán Binding: ?? (required): A code specifying the state of the resource instance. | |||||||||
| type | SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ?? (extensible): The type or discipline-style of the claim. | SΣ | 1..1 | CodeableConcept | Loại yêu cầu: institutional (nội trú), professional (ngoại trú) Binding: ?? (extensible): The type or discipline-style of the claim. | |||||||||
| subType | S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: ?? (extensible) | S | 0..1 | CodeableConcept | Mã đối tượng đến KCB (MA_DOITUONG_KCB per QĐ 3276/QĐ-BYT) Binding: ?? (extensible) | |||||||||
| use | SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: ?? (required): The purpose of the Claim: predetermination, preauthorization, claim. | SΣ | 1..1 | code | Mục đích: claim (thanh toán) | preauthorization | predetermination Binding: ?? (required): The purpose of the Claim: predetermination, preauthorization, claim. | |||||||||
| patient | SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) | SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân (XML 3176: MA_BN) | |||||||||
| billablePeriod | Σ | 0..1 | Period | Relevant time frame for the claim | Σ | 0..1 | Period | Relevant time frame for the claim | |||||||||
| created | SΣ | 1..1 | dateTime | Ngày tạo yêu cầu | SΣ | 1..1 | dateTime | Ngày tạo yêu cầu | |||||||||
| enterer | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim | |||||||||||
| insurer | SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán | SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH thanh toán | |||||||||
| provider | SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) | SΣ | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile | Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Cơ sở KCB thực hiện (XML 3176: MA_CSKCB) | |||||||||
| priority | Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ?? (example): The timeliness with which processing is required: stat, normal, deferred. | Σ | 1..1 | CodeableConcept | Mức ưu tiên xử lý Binding: ?? (example): The timeliness with which processing is required: stat, normal, deferred. | |||||||||
| fundsReserve | 0..1 | CodeableConcept | For whom to reserve funds Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None). | 0..1 | CodeableConcept | For whom to reserve funds Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None). | |||||||||||
 related | 0..* | BackboneElement | Prior or corollary claims | 0..* | BackboneElement | Prior or corollary claims | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| claim | 0..1 | Reference(Claim) | Reference to the related claim | 0..1 | Reference(Claim) | Reference to the related claim | |||||||||||
| relationship | 0..1 | CodeableConcept | How the reference claim is related Binding: ?? (example): Relationship of this claim to a related Claim. | 0..1 | CodeableConcept | How the reference claim is related Binding: ?? (example): Relationship of this claim to a related Claim. | |||||||||||
| reference | 0..1 | Identifier | File or case reference | 0..1 | Identifier | File or case reference | |||||||||||
| prescription | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products | |||||||||||
| originalPrescription | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller | |||||||||||
| payee | 0..1 | BackboneElement | Recipient of benefits payable | 0..1 | BackboneElement | Recipient of benefits payable | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type | 1..1 | CodeableConcept | Category of recipient Binding: ?? (example): A code for the party to be reimbursed. | 1..1 | CodeableConcept | Category of recipient Binding: ?? (example): A code for the party to be reimbursed. | |||||||||||
| party | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference | |||||||||||
| referral | 0..1 | Reference(ServiceRequest) | Treatment referral | 0..1 | Reference(ServiceRequest) | Treatment referral | |||||||||||
| facility | 0..1 | Reference(Location) | Servicing facility | 0..1 | Reference(Location) | Servicing facility | |||||||||||
| careTeam | 0..* | BackboneElement | Members of the care team | 0..* | BackboneElement | Members of the care team | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Order of care team | 1..1 | positiveInt | Order of care team | |||||||||||
| provider | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization | |||||||||||
| responsible | 0..1 | boolean | Indicator of the lead practitioner | 0..1 | boolean | Indicator of the lead practitioner | |||||||||||
| role | 0..1 | CodeableConcept | Function within the team Binding: ?? (example): The role codes for the care team members. | 0..1 | CodeableConcept | Function within the team Binding: ?? (example): The role codes for the care team members. | |||||||||||
| qualification | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ?? (example): Provider professional qualifications. | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ?? (example): Provider professional qualifications. | |||||||||||
| supportingInfo | 0..* | BackboneElement | Supporting information | 0..* | BackboneElement | Supporting information | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Information instance identifier | 1..1 | positiveInt | Information instance identifier | |||||||||||
| category | 1..1 | CodeableConcept | Classification of the supplied information Binding: ?? (example): The valuset used for additional information category codes. | 1..1 | CodeableConcept | Classification of the supplied information Binding: ?? (example): The valuset used for additional information category codes. | |||||||||||
| code | 0..1 | CodeableConcept | Type of information Binding: ?? (example): The valuset used for additional information codes. | 0..1 | CodeableConcept | Type of information Binding: ?? (example): The valuset used for additional information codes. | |||||||||||
| timing[x] | 0..1 | date, Period | When it occurred | 0..1 | date, Period | When it occurred | |||||||||||
| value[x] | 0..1 | boolean, string, Quantity, Attachment, Reference(Resource) | Data to be provided | 0..1 | boolean, string, Quantity, Attachment, Reference(Resource) | Data to be provided | |||||||||||
| reason | 0..1 | CodeableConcept | Explanation for the information Binding: ?? (example): Reason codes for the missing teeth. | 0..1 | CodeableConcept | Explanation for the information Binding: ?? (example): Reason codes for the missing teeth. | |||||||||||
| diagnosis | S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) | S | 1..* | BackboneElement | Chẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC) | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | S | 1..1 | positiveInt | Diagnosis instance identifier | S | 1..1 | positiveInt | Diagnosis instance identifier | |||||||||
| Slices for diagnosis[x] | 1..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ?? (example): Example ICD10 Diagnostic codes. | 1..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Slice: Unordered, Open by type:$this Binding: ?? (example): Example ICD10 Diagnostic codes. | |||||||||||
| type | S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ?? (example): The type of the diagnosis: admitting, principal, discharge. | S | 0..* | CodeableConcept | Loại chẩn đoán (chính/phụ) Binding: ?? (example): The type of the diagnosis: admitting, principal, discharge. | |||||||||
| onAdmission | 0..1 | CodeableConcept | Present on admission Binding: ?? (example): Present on admission. | 0..1 | CodeableConcept | Present on admission Binding: ?? (example): Present on admission. | |||||||||||
| packageCode | 0..1 | CodeableConcept | Package billing code Binding: ?? (example): The DRG codes associated with the diagnosis. | 0..1 | CodeableConcept | Package billing code Binding: ?? (example): The DRG codes associated with the diagnosis. | |||||||||||
| procedure | 0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | 0..* | BackboneElement | Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT) | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Procedure instance identifier | 1..1 | positiveInt | Procedure instance identifier | |||||||||||
| type | 0..* | CodeableConcept | Category of Procedure Binding: ?? (example): Example procedure type codes. | 0..* | CodeableConcept | Category of Procedure Binding: ?? (example): Example procedure type codes. | |||||||||||
| date | 0..1 | dateTime | When the procedure was performed | 0..1 | dateTime | When the procedure was performed | |||||||||||
| Slices for procedure[x] | 1..1 | CodeableConcept, Reference(Procedure) | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ?? (example): Example ICD10 Procedure codes. | 1..1 | CodeableConcept, Reference(Procedure) | Specific clinical procedure Slice: Unordered, Open by type:$this Binding: ?? (example): Example ICD10 Procedure codes. | |||||||||||
| udi | 0..* | Reference(Device) | Unique device identifier | 0..* | Reference(Device) | Unique device identifier | |||||||||||
| insurance | SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) | SΣ | 1..* | BackboneElement | Thông tin BHYT (XML 3176: MA_THE) | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | Σ | 1..1 | positiveInt | Insurance instance identifier | Σ | 1..1 | positiveInt | Insurance instance identifier | |||||||||
| focal | SΣ | 1..1 | boolean | Coverage to be used for adjudication | SΣ | 1..1 | boolean | Coverage to be used for adjudication | |||||||||
| identifier | 0..1 | Identifier | Pre-assigned Claim number | 0..1 | Identifier | Pre-assigned Claim number | |||||||||||
| coverage | SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) | SΣ | 1..1 | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (Coverage) | |||||||||
| businessArrangement | 0..1 | string | Additional provider contract number | 0..1 | string | Additional provider contract number | |||||||||||
| preAuthRef | 0..* | string | Prior authorization reference number | 0..* | string | Prior authorization reference number | |||||||||||
| claimResponse | 0..1 | Reference(ClaimResponse) | Adjudication results | 0..1 | Reference(ClaimResponse) | Adjudication results | |||||||||||
| accident | 0..1 | BackboneElement | Thông tin tai nạn thương tích | 0..1 | BackboneElement | Thông tin tai nạn thương tích | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| date | 1..1 | date | When the incident occurred | 1..1 | date | When the incident occurred | |||||||||||
| type | 0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: ?? (extensible) | 0..1 | CodeableConcept | Loại tai nạn (MA_TAI_NAN per QĐ 3176, Bảng 8) Binding: ?? (extensible) | |||||||||||
| location[x] | 0..1 | Address, Reference(Location) | Where the event occurred | 0..1 | Address, Reference(Location) | Where the event occurred | |||||||||||
| item | S | 0..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT | S | 1..* | BackboneElement | Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT (bắt buộc ít nhất 1 dòng) |
| ||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | S | 1..1 | positiveInt | Item instance identifier | S | 1..1 | positiveInt | Item instance identifier | |||||||||
| careTeamSequence | 0..* | positiveInt | Applicable careTeam members | 0..* | positiveInt | Applicable careTeam members | |||||||||||
| diagnosisSequence | 0..* | positiveInt | Applicable diagnoses | 0..* | positiveInt | Applicable diagnoses | |||||||||||
| procedureSequence | 0..* | positiveInt | Applicable procedures | 0..* | positiveInt | Applicable procedures | |||||||||||
| informationSequence | 0..* | positiveInt | Applicable exception and supporting information | 0..* | positiveInt | Applicable exception and supporting information | |||||||||||
| revenue | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||||||||
| category | S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: ?? (extensible) | S | 0..1 | CodeableConcept | Nhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697) Binding: ?? (extensible) | |||||||||
| productOrService | S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: ?? (example): Allowable service and product codes. | S | 1..1 | CodeableConcept | Mã dịch vụ/thuốc/TBYT Binding: ?? (example): Allowable service and product codes. | |||||||||
| modifier | 0..* | CodeableConcept | Product 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. | 0..* | CodeableConcept | Product 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. | |||||||||||
| programCode | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | |||||||||||
| serviced[x] | 0..1 | date, Period | Date or dates of service or product delivery | 0..1 | date, Period | Date or dates of service or product delivery | |||||||||||
| location[x] | 0..1 | CodeableConcept, Address, Reference(Location) | Place of service or where product was supplied Binding: ?? (example): Place of service: pharmacy, school, prison, etc. | 0..1 | CodeableConcept, Address, Reference(Location) | Place of service or where product was supplied Binding: ?? (example): Place of service: pharmacy, school, prison, etc. | |||||||||||
| quantity | 0..1 | ?? | Số lượng | 0..1 | ?? | Số lượng | |||||||||||
| unitPrice | 0..1 | Money | Đơn giá | 0..1 | Money | Đơn giá | |||||||||||
| factor | 0..1 | decimal | Price scaling factor | 0..1 | decimal | Price scaling factor | |||||||||||
| net | S | 0..1 | Money | Thành tiền | S | 0..1 | Money | Thành tiền | |||||||||
| udi | 0..* | Reference(Device) | Unique device identifier | 0..* | Reference(Device) | Unique device identifier | |||||||||||
| bodySite | 0..1 | CodeableConcept | Anatomical location Binding: ?? (example): The code for the teeth, quadrant, sextant and arch. | 0..1 | CodeableConcept | Anatomical location Binding: ?? (example): The code for the teeth, quadrant, sextant and arch. | |||||||||||
| subSite | 0..* | CodeableConcept | Anatomical sub-location Binding: ?? (example): The code for the tooth surface and surface combinations. | 0..* | CodeableConcept | Anatomical sub-location Binding: ?? (example): The code for the tooth surface and surface combinations. | |||||||||||
| encounter | 0..* | Reference(Encounter) | Encounters related to this billed item | 0..* | Reference(Encounter) | Encounters related to this billed item | |||||||||||
 detail | 0..* | BackboneElement | Product or service provided | 0..* | BackboneElement | Product or service provided | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Item instance identifier | 1..1 | positiveInt | Item instance identifier | |||||||||||
| revenue | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||||||||
| category | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses. | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses. | |||||||||||
| productOrService | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | |||||||||||
| modifier | 0..* | CodeableConcept | Service/Product 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. | 0..* | CodeableConcept | Service/Product 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. | |||||||||||
| programCode | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | |||||||||||
| quantity | 0..1 | ?? | Count of products or services | 0..1 | ?? | Count of products or services | |||||||||||
| unitPrice | 0..1 | Money | Fee, charge or cost per item | 0..1 | Money | Fee, charge or cost per item | |||||||||||
| factor | 0..1 | decimal | Price scaling factor | 0..1 | decimal | Price scaling factor | |||||||||||
| net | 0..1 | Money | Total item cost | 0..1 | Money | Total item cost | |||||||||||
| udi | 0..* | Reference(Device) | Unique device identifier | 0..* | Reference(Device) | Unique device identifier | |||||||||||
| subDetail | 0..* | BackboneElement | Product or service provided | 0..* | BackboneElement | Product or service provided | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Item instance identifier | 1..1 | positiveInt | Item instance identifier | |||||||||||
| revenue | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | 0..1 | CodeableConcept | Revenue or cost center code Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products. | |||||||||||
| category | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses. | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses. | |||||||||||
| productOrService | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | |||||||||||
| modifier | 0..* | CodeableConcept | Service/Product 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. | 0..* | CodeableConcept | Service/Product 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. | |||||||||||
| programCode | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | 0..* | CodeableConcept | Program the product or service is provided under Binding: ?? (example): Program specific reason codes. | |||||||||||
| quantity | 0..1 | ?? | Count of products or services | 0..1 | ?? | Count of products or services | |||||||||||
| unitPrice | 0..1 | Money | Fee, charge or cost per item | 0..1 | Money | Fee, charge or cost per item | |||||||||||
| factor | 0..1 | decimal | Price scaling factor | 0..1 | decimal | Price scaling factor | |||||||||||
| net | 0..1 | Money | Total item cost | 0..1 | Money | Total item cost | |||||||||||
| udi | 0..* | Reference(Device) | Unique device identifier | 0..* | Reference(Device) | Unique device identifier | |||||||||||
| total | S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) | S | 0..1 | Money | Tổng chi phí (XML 3176: T_TONGCHI) | |||||||||
| Documentation for this format | |||||||||||||||||