HL7 Vietnam VN Core FHIR Implementation Guide

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 - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Hồ sơ tài nguyên: Quyết toán BHYT VN Core — VN Core Payment Reconciliation Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-payment-reconciliation | Phiên bản: 0.5.0 | Làm nổi bật phần thay đổi?
| 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:

- TT 12/2026/TT-BTC — Bộ Tài chính, hướng dẫn giám định, thanh toán, quyết toán chi phí KCB BHYT điện tử; Điều 6 và Phụ lục biểu mẫu 06/BH.
- NĐ 188/2025/NĐ-CP (ban hành 01/07/2025, hiệu lực 15/08/2025) — Hướng dẫn thi hành Luật BHYT.
- NĐ 164/2025/NĐ-CP (29/06/2025) — Giao dịch điện tử trong lĩnh vực BHXH.
- Luật 51/2024/QH15 — Luật BHYT sửa đổi.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Các dạng xem hình thức của nội dung hồ sơ

Mô tả profile, differential, snapshot và các biểu diễn liên quan.

- Bảng phần tử chính
- Bảng Differential
- Bảng Snapshot
- Thống kê/Tham chiếu
- Tất cả

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
period | S Σ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S Σ | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S Σ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
paymentDate | Σ | 1..1 | date | When payment issued
paymentAmount | S Σ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance.
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND)
Documentation for this format

#### Terminology Bindings

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.

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
status | S | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error)
period | S | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)
paymentAmount | S | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...)
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for a payment reconciliation
status | ?!S Σ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
period | S Σ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S Σ | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S Σ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
requestor |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
disposition |  | 0..1 | string | Disposition message
paymentDate | Σ | 1..1 | date | When payment issued
paymentAmount | S Σ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
paymentIdentifier |  | 0..1 | Identifier | Business identifier for the payment
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Business identifier of the payment detail
predecessor |  | 0..1 | Identifier | Business identifier of the prior payment detail
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance.
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
submitter |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request
response |  | 0..1 | Reference(Resource) | Response committing to a payment
date |  | 0..1 | date | Date of commitment to pay
responsible |  | 0..1 | Reference(PractitionerRole) | Contact for the response
payee |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment
amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND)
formCode |  | 0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes.
processNote |  | 0..* | BackboneElement | Note concerning processing
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes.
text |  | 0..1 | string | Note explanatory text
Documentation for this format

#### Terminology Bindings

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.

#### Constraints

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:

- Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
- Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim)

Extensions

This structure refers to these extensions:

- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status

Dạng xem phần tử chính

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
period | S Σ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S Σ | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S Σ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
paymentDate | Σ | 1..1 | date | When payment issued
paymentAmount | S Σ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance.
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND)
Documentation for this format

#### Terminology Bindings

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.

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
status | S | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error)
period | S | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial)
paymentAmount | S | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...)
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
amount | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PaymentReconciliation |  | 0..* | PaymentReconciliation | PaymentReconciliation resource
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:formNumber | 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
extension:auditStatus | 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for a payment reconciliation
status | ?!S Σ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
period | S Σ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý)
created | S Σ | 1..1 | dateTime | Ngày lập biên bản 06/BH
paymentIssuer | S Σ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương)
request | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional)
requestor |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner
outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ClaimProcessingCodes (required): The outcome of the processing.
disposition |  | 0..1 | string | Disposition message
paymentDate | Σ | 1..1 | date | When payment issued
paymentAmount | S Σ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH
paymentIdentifier |  | 0..1 | Identifier | Business identifier for the payment
detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Business identifier of the payment detail
predecessor |  | 0..1 | Identifier | Business identifier of the prior payment detail
type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: PaymentTypeCodes (example): The reason for the amount: payment, adjustment, advance.
request | S | 0..1 | Reference(Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile) | Tham chiếu Claim được quyết toán
submitter |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request
response |  | 0..1 | Reference(Resource) | Response committing to a payment
date |  | 0..1 | date | Date of commitment to pay
responsible |  | 0..1 | Reference(PractitionerRole) | Contact for the response
payee |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment
amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND)
formCode |  | 0..1 | CodeableConcept | Printed form identifier Binding: Form Codes (example): The forms codes.
processNote |  | 0..* | BackboneElement | Note concerning processing
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | code | display | print | printoper Binding: NoteType (required): The presentation types of notes.
text |  | 0..1 | string | Note explanatory text
Documentation for this format

#### Terminology Bindings

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.

#### Constraints

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:

- Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
- Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim)

Extensions

This structure refers to these extensions:

- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-reconciliation-form
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status

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