abstractbaseDefinitioncopyrightdatedescriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | Quyết toán BHYT VN Core — VN Core Payment Reconciliation Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-payment-reconciliation) |
| Right: | Quyết toán BHYT VN Core — VN Core Payment Reconciliation Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-payment-reconciliation) |
| Error | StructureDefinition.version | Values for version differ: '0.5.0' vs '0.5.1' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/PaymentReconciliation | ||
| copyright | |||
| date | 2026-04-27 | ||
| description | 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. | ||
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#VN | ||
| kind | resource | ||
| name | VNCorePaymentReconciliation | ||
| publisher | Omi HealthTech / VN Core FHIR Community Initiative | ||
| purpose | |||
| status | draft | ||
| title | Quyết toán BHYT VN Core — VN Core Payment Reconciliation Profile | ||
| type | PaymentReconciliation | ||
| url | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-payment-reconciliation | ||
| version | 0.5.0 | 0.5.1 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 PaymentReconciliation | 0..* | PaymentReconciliation | PaymentReconciliation resource | 0..* | PaymentReconciliation | PaymentReconciliation resource | |||||||||||
 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 | |||||||||
| identifier | 0..* | Identifier | Business Identifier for a payment reconciliation | 0..* | Identifier | Business Identifier for a payment reconciliation | |||||||||||
| status | ?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: ?? (required): A code specifying the state of the resource instance. | ?!SΣ | 1..1 | code | Trạng thái resource (active | cancelled | draft | entered-in-error) Binding: ?? (required): A code specifying the state of the resource instance. | |||||||||
| period | SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) | SΣ | 1..1 | Period | Chu kỳ quyết toán BHYT (tháng/quý) | |||||||||
| created | SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH | SΣ | 1..1 | dateTime | Ngày lập biên bản 06/BH | |||||||||
| paymentIssuer | SΣ | 0..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ quan BHXH chi trả (BHXH cấp tỉnh/Trung ương) | SΣ | 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) | S | 0..1 | Reference(Task) | Hồ sơ/đề nghị thanh toán liên quan (optional) | |||||||||
| requestor | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible practitioner | |||||||||||
| outcome | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ?? (required): The outcome of the processing. | S | 0..1 | code | Kết quả tổng quát chuẩn FHIR (queued | complete | error | partial) Binding: ?? (required): The outcome of the processing. | |||||||||
| disposition | 0..1 | string | Disposition message | 0..1 | string | Disposition message | |||||||||||
| paymentDate | Σ | 1..1 | date | When payment issued | Σ | 1..1 | date | When payment issued | |||||||||
| paymentAmount | SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH | SΣ | 1..1 | Money | Tổng tiền BHXH thanh toán theo biên bản 06/BH | |||||||||
| paymentIdentifier | 0..1 | Identifier | Business identifier for the payment | 0..1 | Identifier | Business identifier for the payment | |||||||||||
 detail | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) | S | 1..* | BackboneElement | Chi tiết quyết toán theo từng Claim (mỗi dòng 06/BH) | |||||||||
 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 | |||||||||
| identifier | 0..1 | Identifier | Business identifier of the payment detail | 0..1 | Identifier | Business identifier of the payment detail | |||||||||||
| predecessor | 0..1 | Identifier | Business identifier of the prior payment detail | 0..1 | Identifier | Business identifier of the prior payment detail | |||||||||||
| type | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: ?? (example): The reason for the amount: payment, adjustment, advance. | S | 1..1 | CodeableConcept | Loại giao dịch (payment | adjustment | advance...) Binding: ?? (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 | 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 | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Submitter of the request | |||||||||||
| response | 0..1 | Reference(Resource) | Response committing to a payment | 0..1 | Reference(Resource) | Response committing to a payment | |||||||||||
| date | 0..1 | date | Date of commitment to pay | 0..1 | date | Date of commitment to pay | |||||||||||
| responsible | 0..1 | Reference(PractitionerRole) | Contact for the response | 0..1 | Reference(PractitionerRole) | Contact for the response | |||||||||||
| payee | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Recipient of the payment | |||||||||||
| amount | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) | S | 0..1 | Money | Số tiền quyết toán cho Claim (VND) | |||||||||
| formCode | 0..1 | CodeableConcept | Printed form identifier Binding: ?? (example): The forms codes. | 0..1 | CodeableConcept | Printed form identifier Binding: ?? (example): The forms codes. | |||||||||||
 processNote | 0..* | BackboneElement | Note concerning processing | 0..* | BackboneElement | Note concerning processing | |||||||||||
 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 | 0..1 | code | display | print | printoper Binding: ?? (required): The presentation types of notes. | 0..1 | code | display | print | printoper Binding: ?? (required): The presentation types of notes. | |||||||||||
| text | 0..1 | string | Note explanatory text | 0..1 | string | Note explanatory text | |||||||||||
| Documentation for this format | |||||||||||||||||