This is the set of resources that conform to either of the profiles Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response) and Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response). E.g. what you have to deal with if you get resources conforming to one of them
Name Flags Card. Type Description & Constraints Filter: Bindings
CoverageEligibilityResponse 0..* CoverageEligibilityResponse resource meta Σ 0..1 Meta Metadata about the resource implicitRules ?! Σ 0..1 uri A set of rules under which this content was created language 0..1 code Language of the resource contentBinding: ?? ( preferred ) : A human language. text 0..1 Narrative Text summary of the resource, for human interpretationThis profile does not constrain the narrative in regard to content, language, or traceability to data elements contained 0..* Resource Contained, inline Resources extension 0..* Extension Additional content defined by implementations modifierExtension ?! 0..* Extension Extensions that cannot be ignored identifier S 0..* Identifier Mã giao dịch phản hồi — đối soát với request của cơ sở KCB status ?! S Σ 1..1 code active | cancelled | draft | entered-in-errorBinding: ?? ( required ) : A code specifying the state of the resource instance. purpose S Σ 1..* code Mục đích tra cứu (khớp request): validation | benefits | ...Binding: ?? ( required ) : A code specifying the types of information being requested. patient S Σ 1..1 Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient), Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)Intended recipient of products and services serviced[x] 0..1 Estimated date or dates of service servicedDate date servicedPeriod Period created S Σ 1..1 dateTime Thời điểm tạo phản hồi requestor 0..1 Reference (Practitioner | PractitionerRole | Organization )Party responsible for the request request S Σ 1..1 Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-request), Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-request)Yêu cầu tra cứu tương ứng outcome S Σ 1..1 code queued | complete | error | partial — kết quả xử lý của Cổng BHYTBinding: ?? ( required ) : The outcome of the processing. disposition 0..1 string Disposition Message insurer S Σ 1..1 Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization), Reference (Organization )Cơ quan BHXH phản hồi insurance S 0..* BackboneElement Patient insurance information extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized coverage S Σ 1..1 Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage), Reference (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)Insurance information inforce S 0..1 boolean Thẻ BHYT còn hiệu lực tại thời điểm tra cứu (true/false) benefitPeriod 0..1 Period When the benefits are applicable item S C 0..* BackboneElement Chi tiết quyền lợi/mức hưởng BHYT khi purpose=benefits (mỗi nhóm quyền lợi 1 item)Constraints: ces-1 extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized category 0..1 CodeableConcept Benefit classificationBinding: ?? ( example ) : Benefit categories such as: oral, medical, vision etc. productOrService 0..1 CodeableConcept Billing, service, product, or drug codeBinding: ?? ( example ) : Allowable service and product codes. modifier 0..* CodeableConcept Product or service billing modifiersBinding: ?? ( 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. provider 0..1 Reference (Practitioner | PractitionerRole )Performing practitioner excluded 0..1 boolean Excluded from the plan name 0..1 string Short name for the benefit description 0..1 string Description of the benefit or services covered network 0..1 CodeableConcept In or out of networkBinding: ?? ( example ) : Code to classify in or out of network services. unit 0..1 CodeableConcept Individual or familyBinding: ?? ( example ) : Unit covered/serviced - individual or family. term 0..1 CodeableConcept Annual or lifetimeBinding: ?? ( example ) : Coverage unit - annual, lifetime. benefit S 0..* BackboneElement Mức hưởng theo loại quyền lợi (vd tỷ lệ %, trần thanh toán) extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized type 1..1 CodeableConcept Benefit classificationBinding: ?? ( example ) : Deductable, visits, co-pay, etc. allowed[x] 0..1 Benefits allowed allowedUnsignedInt unsignedInt allowedString string allowedMoney Money used[x] 0..1 Benefits used usedUnsignedInt unsignedInt usedString string usedMoney Money authorizationRequired 0..1 boolean Authorization required flag authorizationSupporting 0..* CodeableConcept Type of required supporting materialsBinding: ?? ( example ) : Type of supporting information to provide with a preauthorization. authorizationUrl 0..1 uri Preauthorization requirements endpoint preAuthRef 0..1 string Preauthorization reference form 0..1 CodeableConcept Printed form identifierBinding: ?? ( example ) : The forms codes. error 0..* BackboneElement Processing errors extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized code 1..1 CodeableConcept Error code detailing processing issuesBinding: ?? ( example ) : The error codes for adjudication processing.
CoverageEligibilityResponse 
meta 
implicitRules 
contained 
extension 
modifierExtension 
patient 
serviced[x] 
