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

## Phần mở rộng: Trạng thái giám định BHYT — Claim Audit Status Extension - Hồ sơ TTL

Draft tại thời điểm 2026-04-27

Biểu diễn TTL của vn-ext-claim-audit-status phần mở rộng.

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "vn-ext-claim-audit-status"] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition vn-ext-claim-audit-status</b></p><a name=\"vn-ext-claim-audit-status\"> </a><a name=\"hcvn-ext-claim-audit-status\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-claim-audit-status-definitions.html#Extension\" title=\"Trạng thái giám định, quyết toán hồ sơ thanh toán BHYT điện tử theo quy trình#xA;TT 12/2026/TT-BTC: tiếp nhận → giám định → duyệt/từ chối/tranh chấp.#xA;Đặt trên PaymentReconciliation hoặc Task workflow BHYT. Bổ sung cho `PaymentReconciliation.outcome`#xA;chuẩn FHIR (queued | complete | error | partial) để map đúng vòng đời giám định BHYT Việt Nam.#xA;Căn cứ:#xA;- TT 12/2026/TT-BTC — Bộ Tài chính, Điều 6 và Điều 10 (tranh chấp).#xA;- NĐ 188/2025/NĐ-CP.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trạng thái giám định BHYT — Claim Audit Status Extension</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-vn-ext-claim-audit-status-definitions.html#Extension.extension\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-claim-audit-status-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-claim-audit-status-definitions.html#Extension.value[x]\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">received | under-review | approved | rejected | disputed<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-claim-audit-status-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-claim-audit-status-vs\" class=\"binding\">Trạng thái giám định BHYT — VN Claim Audit Status ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-legal-basis"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-legal-basis>     ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-legal-document-ref-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-legal-document-ref-cs>       ] ;
    fhir:code [ fhir:v "TT-12-2026-BTC" ]     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status>
      ] ; #
      fhir:version [ fhir:v "0.5.0"] ; #
      fhir:name [ fhir:v "VNCoreExtClaimAuditStatus"] ; #
      fhir:title [ fhir:v "Trạng thái giám định BHYT — Claim Audit Status Extension"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:date [ fhir:v "2026-04-27"^^xsd:date] ; #
      fhir:publisher [ fhir:v "Omi HealthTech / VN Core FHIR Community Initiative"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Omi HealthTech / VN Core FHIR Community Initiative" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://hl7.org.vn" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "info@hl7.org.vn" ]     ] )
      ] [
    fhir:name [ fhir:v "Omi HealthTech (OmiGroup)" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://omihealthtech.vn" ]     ] [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://omigroup.vn" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "healthtech@omigroup.vn" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Trạng thái giám định, quyết toán hồ sơ thanh toán BHYT điện tử theo quy trình\nTT 12/2026/TT-BTC: tiếp nhận → giám định → duyệt/từ chối/tranh chấp.\nĐặt trên PaymentReconciliation hoặc Task workflow BHYT. Bổ sung cho `PaymentReconciliation.outcome`\nchuẩn FHIR (queued | complete | error | partial) để map đúng vòng đời giám định BHYT Việt Nam.\nCăn cứ:\n- TT 12/2026/TT-BTC — Bộ Tài chính, Điều 6 và Điều 10 (tranh chấp).\n- NĐ 188/2025/NĐ-CP."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "VN" ] ;
    fhir:display [ fhir:v "Viet Nam" ]     ] )
      ] ) ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:mapping ( [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:uri [
    fhir:v "http://hl7.org/v3"^^xsd:anyURI ;
    fhir:l <http://hl7.org/v3>     ] ;
    fhir:name [ fhir:v "RIM Mapping" ]
      ] ) ; #
      fhir:kind [ fhir:v "complex-type"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:context ( [
    fhir:type [ fhir:v "element" ] ;
    fhir:expression [ fhir:v "PaymentReconciliation" ]
      ] [
    fhir:type [ fhir:v "element" ] ;
    fhir:expression [ fhir:v "Task" ]
      ] [
    fhir:type [ fhir:v "element" ] ;
    fhir:expression [ fhir:v "ClaimResponse" ]
      ] ) ; #
      fhir:type [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension
      ] ; #
      fhir:baseDefinition [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
      ] ; #
      fhir:derivation [ fhir:v "constraint"] ; #
      fhir:snapshot [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "4.0.1"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "Extension" ] ;
    fhir:path [ fhir:v "Extension" ] ;
    fhir:short [ fhir:v "Trạng thái giám định BHYT — Claim Audit Status Extension" ] ;
    fhir:definition [ fhir:v "Trạng thái giám định, quyết toán hồ sơ thanh toán BHYT điện tử theo quy trình\nTT 12/2026/TT-BTC: tiếp nhận → giám định → duyệt/từ chối/tranh chấp.\nĐặt trên PaymentReconciliation hoặc Task workflow BHYT. Bổ sung cho `PaymentReconciliation.outcome`\nchuẩn FHIR (queued | complete | error | partial) để map đúng vòng đời giám định BHYT Việt Nam.\nCăn cứ:\n- TT 12/2026/TT-BTC — Bộ Tài chính, Điều 6 và Điều 10 (tranh chấp).\n- NĐ 188/2025/NĐ-CP." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:condition [ fhir:v "ele-1" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Extension.id" ] ;
    fhir:path [ fhir:v "Extension.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Extension.extension" ] ;
    fhir:path [ fhir:v "Extension.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Extension" ] ;
    fhir:definition [ fhir:v "An Extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "0" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Extension.url" ] ;
    fhir:path [ fhir:v "Extension.url" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "identifies the meaning of the extension" ] ;
    fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ;
    fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension.url" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "uri"^^xsd:anyURI ;
    fhir:l fhir:uri           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:fixed [
    a fhir:Uri ;
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status>       ] ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Extension.value[x]" ] ;
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:short [ fhir:v "received | under-review | approved | rejected | disputed" ] ;
    fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:valueSet [
    fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-claim-audit-status-vs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-claim-audit-status-vs>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "Extension" ] ;
    fhir:path [ fhir:v "Extension" ] ;
    fhir:short [ fhir:v "Trạng thái giám định BHYT — Claim Audit Status Extension" ] ;
    fhir:definition [ fhir:v "Trạng thái giám định, quyết toán hồ sơ thanh toán BHYT điện tử theo quy trình\nTT 12/2026/TT-BTC: tiếp nhận → giám định → duyệt/từ chối/tranh chấp.\nĐặt trên PaymentReconciliation hoặc Task workflow BHYT. Bổ sung cho `PaymentReconciliation.outcome`\nchuẩn FHIR (queued | complete | error | partial) để map đúng vòng đời giám định BHYT Việt Nam.\nCăn cứ:\n- TT 12/2026/TT-BTC — Bộ Tài chính, Điều 6 và Điều 10 (tranh chấp).\n- NĐ 188/2025/NĐ-CP." ]     ] [
    fhir:id [ fhir:v "Extension.extension" ] ;
    fhir:path [ fhir:v "Extension.extension" ] ;
    fhir:max [ fhir:v "0" ]     ] [
    fhir:id [ fhir:v "Extension.url" ] ;
    fhir:path [ fhir:v "Extension.url" ] ;
    fhir:fixed [
    a fhir:Uri ;
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-audit-status>       ]     ] [
    fhir:id [ fhir:v "Extension.value[x]" ] ;
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:short [ fhir:v "received | under-review | approved | rejected | disputed" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
    fhir:binding [
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:valueSet [
    fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-claim-audit-status-vs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-claim-audit-status-vs>         ]       ]     ] )
      ] . #