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 ExplanationOfBenefit: Ví dụ: Giải trình quyền lợi BHYT — Trẻ em dưới 6 tuổi (hưởng 100%)

Profile: Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile

> Tổng chi phí theo nhóm — Claim Cost Summary Extension

> - totalMedication: ₫150.000 (VND)
> - totalInsurance: ₫450.000 (VND)
> - totalPatientCopay: ₫0 (VND)
> - totalPatientSelfPay: ₫0 (VND)

> Kỳ thanh toán — Claim Payment Period Extension

> - year: 2026
> - month: 3

Phương thức thanh toán — Payment Method Extension: Phí dịch vụ (FFS)

status: Active

type: Professional

use: Claim

patient: Nguyễn Minh Khôi (03 tuổi, DOB: 2023-06-15)

created: 2026-03-20

insurer: Bảo hiểm xã hội Việt Nam

provider: Bệnh viện Chợ Rẫy — Khoa Nhi

outcome: Processing Complete

### Diagnoses

- | Sequence | Diagnosis[x] | Type
* | 1 | Nhiễm trùng đường hô hấp trên cấp tính | Principal Diagnosis

### Insurances

- | Focal | Coverage
* | true | Coverage: extension = Trẻ em dưới 6 tuổi,->Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#0794120056; status = active; type = Medical; subscriberId = 0794120056; relationship = Self; period = 2023-06-15 --> 2029-06-15

> item

> sequence: 1

> category: Khám bệnh

> productOrService: Khám chuyên khoa Nhi

> > adjudication

> > category: Submitted Amount

> > ### Amounts

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

> > adjudication

> > category: Eligible Amount

> > ### Amounts

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

> > adjudication

> > category: Benefit Amount

> > ### Amounts

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

> item

> sequence: 2

> category: Xét nghiệm

> productOrService: Công thức máu toàn phần (CBC)

> > adjudication

> > category: Submitted Amount

> > ### Amounts

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

> > adjudication

> > category: Eligible Amount

> > ### Amounts

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

> > adjudication

> > category: Benefit Amount

> > ### Amounts

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

> item

> sequence: 3

> category: Thuốc, dịch truyền

> productOrService: Amoxicillin 250mg/5ml siro x 1 chai, Paracetamol 120mg/5ml siro x 1 chai

> > adjudication

> > category: Submitted Amount

> > ### Amounts

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

> > adjudication

> > category: Eligible Amount

> > ### Amounts

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

> > adjudication

> > category: Benefit Amount

> > ### Amounts

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

> total

> category: Submitted Amount

> ### Amounts

> - | Value | Currency
> * | 450000 | Vietnamese đồng

> total

> category: Benefit Amount

> ### Amounts

> - | Value | Currency
> * | 450000 | Vietnamese đồng

> payment

> type: Complete

> ### Amounts

> - | Value | Currency
> * | 450000 | Vietnamese đồng

benefitPeriod: 2026-01-01 --> 2026-12-31