HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Ví dụ ClaimResponse: Ví dụ: Kết quả giải quyết BHYT nội trú

Profile: Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile

identifier: Mã phản hồi XML1 của Cổng tiếp nhận BHYT/XML1-20260319-000001

status: Active

type: Institutional

use: Claim

patient: Nguyễn Văn An

created: 2026-03-19

insurer: Bảo hiểm xã hội Việt Nam

request: Claim: extension = ,,Phí dịch vụ (FFS); identifier = Mã liên kết hồ sơ BHYT: VNMALK#LK-2026-000101; status = active; type = Institutional; subType = KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu; use = claim; created = 2026-03-17; priority = Normal

outcome: Processing Complete

> item

> itemSequence: 1

> > adjudication

> > category: Submitted Amount

> > ### Amounts

> > - | Value | Currency
> > * | 150000 | Vietnamese đồng

> > adjudication

> > category: Eligible Amount

> > ### Amounts

> > - | Value | Currency
> > * | 150000 | Vietnamese đồng

> > adjudication

> > category: CoPay

> > ### Amounts

> > - | Value | Currency
> > * | 30000 | Vietnamese đồng

> > adjudication

> > category: Benefit Amount

> > ### Amounts

> > - | Value | Currency
> > * | 120000 | Vietnamese đồng

> item

> itemSequence: 2

> > adjudication

> > category: Submitted Amount

> > ### Amounts

> > - | Value | Currency
> > * | 2520000 | Vietnamese đồng

> > adjudication

> > category: Eligible Amount

> > ### Amounts

> > - | Value | Currency
> > * | 2520000 | Vietnamese đồng

> > adjudication

> > category: CoPay

> > ### Amounts

> > - | Value | Currency
> > * | 504000 | Vietnamese đồng

> > adjudication

> > category: Benefit Amount

> > ### Amounts

> > - | Value | Currency
> > * | 2016000 | Vietnamese đồng

> item

> itemSequence: 3

> > adjudication

> > category: Submitted Amount

> > ### Amounts

> > - | Value | Currency
> > * | 8500000 | Vietnamese đồng

> > adjudication

> > category: Eligible Amount

> > ### Amounts

> > - | Value | Currency
> > * | 7500000 | Vietnamese đồng

> > adjudication

> > category: CoPay

> > ### Amounts

> > - | Value | Currency
> > * | 1500000 | Vietnamese đồng

> > adjudication

> > category: Benefit Amount

> > ### Amounts

> > - | Value | Currency
> > * | 6000000 | Vietnamese đồng

> item

> itemSequence: 4

> > adjudication

> > category: Submitted Amount

> > ### Amounts

> > - | Value | Currency
> > * | 3200000 | Vietnamese đồng

> > adjudication

> > category: Eligible Amount

> > ### Amounts

> > - | Value | Currency
> > * | 2430000 | Vietnamese đồng

> > adjudication

> > category: CoPay

> > ### Amounts

> > - | Value | Currency
> > * | 486000 | Vietnamese đồng

> > adjudication

> > category: Benefit Amount

> > ### Amounts

> > - | Value | Currency
> > * | 1944000 | Vietnamese đồng

> total

> category: Submitted Amount

> ### Amounts

> - | Value | Currency
> * | 14370000 | Vietnamese đồng

> total

> category: Eligible Amount

> ### Amounts

> - | Value | Currency
> * | 12600000 | Vietnamese đồng

> total

> category: CoPay

> ### Amounts

> - | Value | Currency
> * | 2520000 | Vietnamese đồng

> total

> category: Benefit Amount

> ### Amounts

> - | Value | Currency
> * | 10080000 | Vietnamese đồng

> payment

> type: Complete

> ### Amounts

> - | Value | Currency
> * | 10080000 | Vietnamese đồng