This is the set of resources that conform to both Yêu cầu tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Request Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-request) and Yêu cầu tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Request Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-request).
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() | 0..* | CoverageEligibilityRequest resource | ||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||
![]() ![]() | 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..* | Resource | Contained, inline Resources | |||||
![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() | S | 0..* | Identifier | Mã giao dịch tra cứu của cơ sở KCB — để đối soát request/response | ||||
![]() ![]() | ?!SΣ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | ||||
![]() ![]() | 0..1 | CodeableConcept | Desired processing priority Binding: ?? (example): The timeliness with which processing is required: STAT, normal, Deferred. | |||||
![]() ![]() | SΣ | 1..* | code | Mục đích tra cứu — thường 'validation' (kiểm tra hiệu lực thẻ) hoặc 'benefits' (quyền lợi/mức hưởng) Binding: ?? (required): A code specifying the types of information being requested. | ||||
![]() ![]() | SΣ | 1..1 | Người bệnh có thẻ BHYT cần tra cứu | |||||
![]() ![]() | S | 0..1 | Ngày/khoảng cần kiểm tra hiệu lực thẻ (vd ngày vào viện), khác thời điểm tạo request | |||||
![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() | Period | |||||||
![]() ![]() | SΣ | 1..1 | dateTime | Thời điểm tạo yêu cầu tra cứu | ||||
![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Author | |||||
![]() ![]() | S | 0..1 | Cơ sở KCB thực hiện tra cứu | |||||
![]() ![]() | SΣ | 1..1 | Cơ quan BHXH / đơn vị quản lý quỹ BHYT | |||||
![]() ![]() | 0..1 | Reference(Location) | Servicing facility | |||||
![]() ![]() | 0..* | BackboneElement | Supporting information | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() | 1..1 | positiveInt | Information instance identifier | |||||
![]() ![]() ![]() | 1..1 | Reference(Resource) | Data to be provided | |||||
![]() ![]() ![]() | 0..1 | boolean | Applies to all items | |||||
![]() ![]() | S | 1..* | BackboneElement | Patient insurance information | ||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() | 0..1 | boolean | Applicable coverage | |||||
![]() ![]() ![]() | S | 1..1 | Thẻ BHYT cần kiểm tra hiệu lực/quyền lợi | |||||
![]() ![]() ![]() | 0..1 | string | Additional provider contract number | |||||
![]() ![]() | 0..* | BackboneElement | Item to be evaluated for eligibiity | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() | 0..* | positiveInt | Applicable exception or supporting information | |||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral, medical, vision etc. | |||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | |||||
![]() ![]() ![]() | 0..* | CodeableConcept | Product or service billing modifiers Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner | |||||
![]() ![]() ![]() | 0..1 | ??, ?? | Count of products or services | |||||
![]() ![]() ![]() | 0..1 | Money | Fee, charge or cost per item | |||||
![]() ![]() ![]() | 0..1 | Reference(Location | Organization) | Servicing facility | |||||
![]() ![]() ![]() | 0..* | BackboneElement | Applicable diagnosis | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | Nature of illness or problem Binding: ?? (example): ICD10 Diagnostic codes. | ||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() | Reference(Condition) | |||||||
![]() ![]() ![]() | 0..* | Reference(Resource) | Product or service details | |||||
Documentation for this format | ||||||||