Profile Comparison between http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim vs http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim

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)

Messages

ErrorStructureDefinition.versionValues for version differ: '0.8.0' vs '0.9.0'
InformationStructureDefinition.commentValues for comment differ: 'Hồ sơ Claim gửi BHXH cần đi kèm Provenance + chữ ký số (TT 12/2026/TT-BTC Đ2).' vs 'Không đặt chữ ký trong Claim.meta. Nếu hợp đồng trao đổi chọn Provenance hoặc Bundle.signature, phải quy định rõ target, phạm vi byte được ký, thuật toán, chứng thư, timestamp và quy tắc xác minh.'
InformationStructureDefinition.requirementsValues for requirements differ: 'Khi gửi hồ sơ thanh toán BHYT điện tử cho cơ quan BHXH theo TT 12/2026/TT-BTC Điều 2, bên gửi PHẢI kèm Provenance resource có Provenance.signature là chữ ký số hợp lệ của người có thẩm quyền tại cơ sở KCB (theo NĐ 137/2024/NĐ-CP và NĐ 164/2025/NĐ-CP). Profile này không enforce constraint qua invariant — đây là policy ở lớp workflow/transport, có thể được kiểm tra ở Bundle, Task, hoặc API gateway.' vs 'Khi Claim là một phần của hồ sơ điện tử gửi Cổng tiếp nhận dữ liệu BHYT để đề nghị thanh toán, tài liệu/dữ liệu gửi đi phải được ký số và xác thực theo TT 12/2026/TT-BTC Điều 2 và pháp luật về giao dịch điện tử. Cách biểu diễn chữ ký — ví dụ chữ ký ở thông điệp/transport, tài liệu ký, Bundle.signature hoặc Provenance.signature — phải theo hợp đồng trao đổi đã được bên nhận chấp thuận; chỉ tuân thủ profile Claim này không chứng minh chữ ký hợp lệ.'
ErrorClaim.patientType Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]])
InformationStructureDefinition.definitionValues for definition differ: 'The Insurer who is target of the request.' vs 'Cơ quan bảo hiểm xã hội thanh toán không phải là cơ sở khám chữa bệnh; biểu diễn bằng Organization và định danh theo NamingSystem BHXH. The paying social-insurance authority is not a healthcare facility; represent it as Organization identified with the BHXH NamingSystem.'
ErrorClaim.insurerType Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]])
ErrorClaim.providerType Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]])
InformationStructureDefinition.shortValues for short differ: 'Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT)' vs 'Thủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT_QT)'
ErrorClaim.insurance.coverageType Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]])

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Claim
      .copyrightCăn 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 ban hành 01/07/2025, hiệu lực 15/08/2025; NĐ 90/2026/NĐ-CP (ban hành 30/03/2026, hiệu lực 15/05/2026 — đang áp dụng); QĐ 3176/QĐ-BYT ngày 29/10/2024; QĐ 697/QĐ-BYT ngày 19/03/2026.
        .date2026-03-21
          .descriptionProfile 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-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT). 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-BYT - QĐ 3176/QĐ-BYT (29/10/2024) — Sửa đổi QĐ 4750/QĐ-BYT - QĐ 697/QĐ-BYT (19/3/2026) — Mẫu bảng kê chi phí KCB (thay QĐ 6556/QĐ-BYT) - NĐ 188/2025/NĐ-CP — ban hành 01/07/2025, hiệu lực 15/08/2025 — 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 (ban hành 30/03/2026, hiệu lực 15/05/2026 — đang áp dụng) — 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 TVPL: NĐ 188/2025/NĐ-CP https://thuvienphapluat.vn/van-ban/Bao-hiem/Nghi-dinh-188-2025-ND-CP-huong-dan-Luat-Bao-hiem-y-te-641049.aspx; NĐ 90/2026/NĐ-CP https://thuvienphapluat.vn/van-ban/Vi-pham-hanh-chinh/Nghi-dinh-sua-doi-Nghi-dinh-117-2020-ND-CP-xu-phat-vi-pham-hanh-chinh-trong-linh-vuc-y-te-639959.aspx
            .experimental
              .fhirVersion4.0.1
                .jurisdiction
                  ..jurisdiction[0]urn:iso:std:iso:3166#VN
                    .kindresource
                      .nameVNCoreClaim
                        .publisherOmi HealthTech / VN Core FHIR Community Initiative
                          .purpose
                            .statusdraft
                              .titleYêu cầu thanh toán KCB VN Core — VN Core Claim Profile
                                .typeClaim
                                  .urlhttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim
                                    .version0.8.00.9.0
                                    • Values Differ

                                    Structure

                                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                    .. Claim C0..*ClaimClaim, Pre-determination or Pre-authorization
                                    Constraints: vn-claim-single-focal-insurance, vn-claim-coverage-not-expired
                                    C0..*ClaimClaim, Pre-determination or Pre-authorization
                                    Constraints: vn-claim-single-focal-insurance, vn-claim-coverage-not-expired
                                      ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                        ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                          ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                            ... language 0..1codeLanguage of the resource content
                                            Binding: ?? (preferred): A human language.
                                            Additional BindingsPurpose
                                            ??Max Binding
                                            0..1codeLanguage of the resource content
                                            Binding: ?? (preferred): A human language.
                                            Additional BindingsPurpose
                                            ??Max Binding
                                              ... text 0..1NarrativeText 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..1NarrativeText 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..*ResourceContained, inline Resources
                                                0..*ResourceContained, inline Resources
                                                  ... Slices for extension 0..*ExtensionExtension
                                                  Slice: Unordered, Open by value:url
                                                  0..*ExtensionExtension
                                                  Slice: Unordered, Open by value:url
                                                    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                    ?!0..*ExtensionExtensions that cannot be ignored
                                                      ... Slices for identifier S1..*IdentifierĐịnh danh hồ sơ thanh toán, bao gồm MA_LK
                                                      Slice: Unordered, Open by value:system
                                                      S1..*IdentifierĐịnh danh hồ sơ thanh toán, bao gồm MA_LK
                                                      Slice: Unordered, Open by value:system
                                                        ... status ?!SΣ1..1codeTrạng thái yêu cầu thanh toán
                                                        Binding: ?? (required): A code specifying the state of the resource instance.
                                                        ?!SΣ1..1codeTrạng thái yêu cầu thanh toán
                                                        Binding: ?? (required): A code specifying the state of the resource instance.
                                                          ... type SΣ1..1CodeableConceptLoại yêu cầu: institutional (nội trú), professional (ngoại trú)
                                                          Binding: ?? (extensible): The type or discipline-style of the claim.
                                                          SΣ1..1CodeableConceptLoại yêu cầu: institutional (nội trú), professional (ngoại trú)
                                                          Binding: ?? (extensible): The type or discipline-style of the claim.
                                                            ... subType S0..1CodeableConceptMã đối tượng đến KCB (MA_DOITUONG_KCB theo QĐ 3276/QĐ-BYT)
                                                            Binding: ?? (extensible)
                                                            S0..1CodeableConceptMã đối tượng đến KCB (MA_DOITUONG_KCB theo QĐ 3276/QĐ-BYT)
                                                            Binding: ?? (extensible)
                                                              ... use SΣ1..1codeMục đích: claim (thanh toán) | preauthorization | predetermination
                                                              Binding: ?? (required): The purpose of the Claim: predetermination, preauthorization, claim.
                                                              SΣ1..1codeMục đích: claim (thanh toán) | preauthorization | predetermination
                                                              Binding: ?? (required): The purpose of the Claim: predetermination, preauthorization, claim.
                                                                ... patient SΣ1..1Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)Bệnh nhân (XML 3176: MA_BN)SΣ1..1Reference(Bệnh nhân VN Core — VN Core Patient Profile)Bệnh nhân (XML 3176: MA_BN)
                                                                • Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]])
                                                                ... billablePeriod Σ0..1PeriodRelevant time frame for the claimΣ0..1PeriodRelevant time frame for the claim
                                                                  ... created SΣ1..1dateTimeNgày tạo yêu cầuSΣ1..1dateTimeNgày tạo yêu cầu
                                                                    ... enterer 0..1Reference(Practitioner | PractitionerRole)Author of the claim0..1Reference(Practitioner | PractitionerRole)Author of the claim
                                                                      ... insurer SΣ0..1Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)Cơ quan BHXH thanh toánSΣ0..1Reference(Organization)Cơ quan BHXH thanh toán
                                                                      • Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]])
                                                                      ... provider SΣ1..1Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)Cơ sở KCB thực hiện (XML 3176: MA_CSKCB)SΣ1..1Reference(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)
                                                                      • Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]])
                                                                      ... priority Σ1..1CodeableConceptMức ưu tiên xử lý
                                                                      Binding: ?? (example): The timeliness with which processing is required: stat, normal, deferred.
                                                                      Σ1..1CodeableConceptMức ưu tiên xử lý
                                                                      Binding: ?? (example): The timeliness with which processing is required: stat, normal, deferred.
                                                                        ... fundsReserve 0..1CodeableConceptFor whom to reserve funds
                                                                        Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None).
                                                                        0..1CodeableConceptFor whom to reserve funds
                                                                        Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None).
                                                                          ... related 0..*BackboneElementPrior or corollary claims
                                                                          0..*BackboneElementPrior or corollary claims
                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                  .... claim 0..1Reference(Claim)Reference to the related claim0..1Reference(Claim)Reference to the related claim
                                                                                    .... relationship 0..1CodeableConceptHow the reference claim is related
                                                                                    Binding: ?? (example): Relationship of this claim to a related Claim.
                                                                                    0..1CodeableConceptHow the reference claim is related
                                                                                    Binding: ?? (example): Relationship of this claim to a related Claim.
                                                                                      .... reference 0..1IdentifierFile or case reference0..1IdentifierFile or case reference
                                                                                        ... prescription 0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Prescription authorizing services and products0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Prescription authorizing services and products
                                                                                          ... originalPrescription 0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Original prescription if superseded by fulfiller0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Original prescription if superseded by fulfiller
                                                                                            ... payee 0..1BackboneElementRecipient of benefits payable0..1BackboneElementRecipient of benefits payable
                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    .... type 1..1CodeableConceptCategory of recipient
                                                                                                    Binding: ?? (example): A code for the party to be reimbursed.
                                                                                                    1..1CodeableConceptCategory of recipient
                                                                                                    Binding: ?? (example): A code for the party to be reimbursed.
                                                                                                      .... party 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)Recipient reference0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)Recipient reference
                                                                                                        ... referral 0..1Reference(ServiceRequest)Treatment referral0..1Reference(ServiceRequest)Treatment referral
                                                                                                          ... facility 0..1Reference(Location)Servicing facility0..1Reference(Location)Servicing facility
                                                                                                            ... careTeam 0..*BackboneElementMembers of the care team
                                                                                                            0..*BackboneElementMembers of the care team
                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    .... sequence 1..1positiveIntOrder of care team1..1positiveIntOrder of care team
                                                                                                                      .... provider 1..1Reference(Practitioner | PractitionerRole | Organization)Practitioner or organization1..1Reference(Practitioner | PractitionerRole | Organization)Practitioner or organization
                                                                                                                        .... responsible 0..1booleanIndicator of the lead practitioner0..1booleanIndicator of the lead practitioner
                                                                                                                          .... role 0..1CodeableConceptFunction within the team
                                                                                                                          Binding: ?? (example): The role codes for the care team members.
                                                                                                                          0..1CodeableConceptFunction within the team
                                                                                                                          Binding: ?? (example): The role codes for the care team members.
                                                                                                                            .... qualification 0..1CodeableConceptPractitioner credential or specialization
                                                                                                                            Binding: ?? (example): Provider professional qualifications.
                                                                                                                            0..1CodeableConceptPractitioner credential or specialization
                                                                                                                            Binding: ?? (example): Provider professional qualifications.
                                                                                                                              ... supportingInfo 0..*BackboneElementSupporting information
                                                                                                                              0..*BackboneElementSupporting information
                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                      .... sequence 1..1positiveIntInformation instance identifier1..1positiveIntInformation instance identifier
                                                                                                                                        .... category 1..1CodeableConceptClassification of the supplied information
                                                                                                                                        Binding: ?? (example): The valuset used for additional information category codes.
                                                                                                                                        1..1CodeableConceptClassification of the supplied information
                                                                                                                                        Binding: ?? (example): The valuset used for additional information category codes.
                                                                                                                                          .... code 0..1CodeableConceptType of information
                                                                                                                                          Binding: ?? (example): The valuset used for additional information codes.
                                                                                                                                          0..1CodeableConceptType of information
                                                                                                                                          Binding: ?? (example): The valuset used for additional information codes.
                                                                                                                                            .... timing[x] 0..1date, PeriodWhen it occurred0..1date, PeriodWhen it occurred
                                                                                                                                              .... value[x] 0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided
                                                                                                                                                .... reason 0..1CodeableConceptExplanation for the information
                                                                                                                                                Binding: ?? (example): Reason codes for the missing teeth.
                                                                                                                                                0..1CodeableConceptExplanation for the information
                                                                                                                                                Binding: ?? (example): Reason codes for the missing teeth.
                                                                                                                                                  ... diagnosis S1..*BackboneElementChẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC)
                                                                                                                                                  S1..*BackboneElementChẩn đoán — ICD-10 VN (XML 3176: MA_BENH, MA_BENHKHAC)
                                                                                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                          .... sequence S1..1positiveIntDiagnosis instance identifierS1..1positiveIntDiagnosis instance identifier
                                                                                                                                                            .... Slices for diagnosis[x] 1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                            Slice: Unordered, Open by type:$this
                                                                                                                                                            Binding: ?? (example): Example ICD10 Diagnostic codes.
                                                                                                                                                            1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                            Slice: Unordered, Open by type:$this
                                                                                                                                                            Binding: ?? (example): Example ICD10 Diagnostic codes.
                                                                                                                                                              .... type S0..*CodeableConceptLoại chẩn đoán (chính/phụ)
                                                                                                                                                              Binding: ?? (example): The type of the diagnosis: admitting, principal, discharge.
                                                                                                                                                              S0..*CodeableConceptLoại chẩn đoán (chính/phụ)
                                                                                                                                                              Binding: ?? (example): The type of the diagnosis: admitting, principal, discharge.
                                                                                                                                                                .... onAdmission 0..1CodeableConceptPresent on admission
                                                                                                                                                                Binding: ?? (example): Present on admission.
                                                                                                                                                                0..1CodeableConceptPresent on admission
                                                                                                                                                                Binding: ?? (example): Present on admission.
                                                                                                                                                                  .... packageCode 0..1CodeableConceptPackage billing code
                                                                                                                                                                  Binding: ?? (example): The DRG codes associated with the diagnosis.
                                                                                                                                                                  0..1CodeableConceptPackage billing code
                                                                                                                                                                  Binding: ?? (example): The DRG codes associated with the diagnosis.
                                                                                                                                                                    ... procedure 0..*BackboneElementThủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT)
                                                                                                                                                                    0..*BackboneElementThủ thuật/phẫu thuật — ICD-9-CM (XML 3176: MA_PTTT_QT)
                                                                                                                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                        .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                            .... sequence 1..1positiveIntProcedure instance identifier1..1positiveIntProcedure instance identifier
                                                                                                                                                                              .... type 0..*CodeableConceptCategory of Procedure
                                                                                                                                                                              Binding: ?? (example): Example procedure type codes.
                                                                                                                                                                              0..*CodeableConceptCategory of Procedure
                                                                                                                                                                              Binding: ?? (example): Example procedure type codes.
                                                                                                                                                                                .... date 0..1dateTimeWhen the procedure was performed0..1dateTimeWhen the procedure was performed
                                                                                                                                                                                  .... Slices for procedure[x] 1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                                  Slice: Unordered, Open by type:$this
                                                                                                                                                                                  Binding: ?? (example): Example ICD10 Procedure codes.
                                                                                                                                                                                  1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                                  Slice: Unordered, Open by type:$this
                                                                                                                                                                                  Binding: ?? (example): Example ICD10 Procedure codes.
                                                                                                                                                                                    .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                    0..*Reference(Device)Unique device identifier
                                                                                                                                                                                      ... insurance SΣ1..*BackboneElementThông tin BHYT (XML 3176: MA_THE)
                                                                                                                                                                                      SΣ1..*BackboneElementThông tin BHYT (XML 3176: MA_THE)
                                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                              .... sequence Σ1..1positiveIntInsurance instance identifierΣ1..1positiveIntInsurance instance identifier
                                                                                                                                                                                                .... focal SΣ1..1booleanCoverage to be used for adjudicationSΣ1..1booleanCoverage to be used for adjudication
                                                                                                                                                                                                  .... identifier 0..1IdentifierPre-assigned Claim number0..1IdentifierPre-assigned Claim number
                                                                                                                                                                                                    .... coverage SΣ1..1Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)Thẻ BHYT (Coverage)SΣ1..1Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)Thẻ BHYT (Coverage)
                                                                                                                                                                                                    • Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]])
                                                                                                                                                                                                    .... businessArrangement 0..1stringAdditional provider contract number0..1stringAdditional provider contract number
                                                                                                                                                                                                      .... preAuthRef 0..*stringPrior authorization reference number
                                                                                                                                                                                                      0..*stringPrior authorization reference number
                                                                                                                                                                                                        .... claimResponse 0..1Reference(ClaimResponse)Adjudication results0..1Reference(ClaimResponse)Adjudication results
                                                                                                                                                                                                          ... accident 0..1BackboneElementThông tin tai nạn thương tích0..1BackboneElementThông tin tai nạn thương tích
                                                                                                                                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                  .... date 1..1dateWhen the incident occurred1..1dateWhen the incident occurred
                                                                                                                                                                                                                    .... type 0..1CodeableConceptLoại tai nạn (MA_TAI_NAN theo QĐ 3176/QĐ-BYT, Bảng 8)
                                                                                                                                                                                                                    Binding: ?? (extensible)
                                                                                                                                                                                                                    0..1CodeableConceptLoại tai nạn (MA_TAI_NAN theo QĐ 3176/QĐ-BYT, Bảng 8)
                                                                                                                                                                                                                    Binding: ?? (extensible)
                                                                                                                                                                                                                      .... location[x] 0..1Address, Reference(Location)Where the event occurred0..1Address, Reference(Location)Where the event occurred
                                                                                                                                                                                                                        ... item S1..*BackboneElementChi tiết chi phí — 12 nhóm theo QĐ 697/QĐ-BYT (bắt buộc ít nhất 1 dòng)
                                                                                                                                                                                                                        S1..*BackboneElementChi tiết chi phí — 12 nhóm theo QĐ 697/QĐ-BYT (bắt buộc ít nhất 1 dòng)
                                                                                                                                                                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                            .... Slices for extension 0..*ExtensionExtension
                                                                                                                                                                                                                            Slice: Unordered, Open by value:url
                                                                                                                                                                                                                            0..*ExtensionExtension
                                                                                                                                                                                                                            Slice: Unordered, Open by value:url
                                                                                                                                                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                .... sequence S1..1positiveIntItem instance identifierS1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                  .... careTeamSequence 0..*positiveIntApplicable careTeam members
                                                                                                                                                                                                                                  0..*positiveIntApplicable careTeam members
                                                                                                                                                                                                                                    .... diagnosisSequence 0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                                    0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                                      .... procedureSequence 0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                      0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                        .... informationSequence 0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                        0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                          .... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                          Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                          0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                          Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                            .... category S0..1CodeableConceptNhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697/QĐ-BYT)
                                                                                                                                                                                                                                            Binding: ?? (extensible)
                                                                                                                                                                                                                                            S0..1CodeableConceptNhóm chi phí: khám, giường, XN, CĐHA, thuốc, TBYT... (QĐ 697/QĐ-BYT)
                                                                                                                                                                                                                                            Binding: ?? (extensible)
                                                                                                                                                                                                                                              .... productOrService S1..1CodeableConceptMã dịch vụ/thuốc/TBYT
                                                                                                                                                                                                                                              Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                              S1..1CodeableConceptMã dịch vụ/thuốc/TBYT
                                                                                                                                                                                                                                              Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                .... modifier 0..*CodeableConceptProduct 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..*CodeableConceptProduct 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..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                  Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                  0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                  Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                    .... serviced[x] 0..1date, PeriodDate or dates of service or product delivery0..1date, PeriodDate or dates of service or product delivery
                                                                                                                                                                                                                                                      .... location[x] 0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                      Binding: ?? (example): Place of service: pharmacy, school, prison, etc.
                                                                                                                                                                                                                                                      0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                      Binding: ?? (example): Place of service: pharmacy, school, prison, etc.
                                                                                                                                                                                                                                                        .... quantity 0..1??Số lượng0..1??Số lượng
                                                                                                                                                                                                                                                          .... unitPrice 0..1MoneyĐơn giá0..1MoneyĐơn giá
                                                                                                                                                                                                                                                            .... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                              .... net S0..1MoneyThành tiềnS0..1MoneyThành tiền
                                                                                                                                                                                                                                                                .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                  .... bodySite 0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                  Binding: ?? (example): The code for the teeth, quadrant, sextant and arch.
                                                                                                                                                                                                                                                                  0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                  Binding: ?? (example): The code for the teeth, quadrant, sextant and arch.
                                                                                                                                                                                                                                                                    .... subSite 0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                                    Binding: ?? (example): The code for the tooth surface and surface combinations.
                                                                                                                                                                                                                                                                    0..*CodeableConceptAnatomical 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..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                        0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                          ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                            ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                              ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                ..... sequence 1..1positiveIntItem instance identifier1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                                                                  ..... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                  Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                  0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                  Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                    ..... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                    Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses.
                                                                                                                                                                                                                                                                                    0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                    Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses.
                                                                                                                                                                                                                                                                                      ..... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                      Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                      1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                      Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                        ..... modifier 0..*CodeableConceptService/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..*CodeableConceptService/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..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                          Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                                                          0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                          Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                                                            ..... quantity 0..1??Count of products or services0..1??Count of products or services
                                                                                                                                                                                                                                                                                              ..... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                ..... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                  ..... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                    ..... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                    0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                      ..... subDetail 0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                                                      0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                                                        ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                          ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                            ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                              ...... sequence 1..1positiveIntItem instance identifier1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                                                                                                ...... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                                                0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                                                  ...... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                  Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses.
                                                                                                                                                                                                                                                                                                                  0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                  Binding: ?? (example): Benefit categories such as: oral-basic, major, glasses.
                                                                                                                                                                                                                                                                                                                    ...... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                    Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                                                    1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                    Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                                                      ...... modifier 0..*CodeableConceptService/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..*CodeableConceptService/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..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                        Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                                                                                        0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                        Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                                                                                                          ...... quantity 0..1??Count of products or services0..1??Count of products or services
                                                                                                                                                                                                                                                                                                                            ...... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                              ...... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                ...... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                  ...... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                  0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                    ... total S0..1MoneyTổng chi phí (XML 3176: T_TONGCHI)S0..1MoneyTổng chi phí (XML 3176: T_TONGCHI)

                                                                                                                                                                                                                                                                                                                                      doco Documentation for this format