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: Bundle khám ngoại trú + thanh toán BHYT

Bản thô json | Tải xuống

    {
      "resourceType" : "Bundle",
      "id" : "ExampleBundleOutpatientBHYT",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"
        ]
      },
      "language" : "vi",
      "type" : "collection",
      "timestamp" : "2026-04-05T11:00:00+07:00",
      "entry" : [
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "ExamplePatientNguyenVanAn",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ExamplePatientNguyenVanAn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ExamplePatientNguyenVanAn</b></p><a name=\"ExamplePatientNguyenVanAn\"> </a><a name=\"hcExamplePatientNguyenVanAn\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-patient.html\">Bệnh nhân VN Core — VN Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Thẻ bảo hiểm y tế/001085012345</li><li>Mã bệnh nhân nội bộ/BV-CR-2026-001234</li><li>Mã số bảo hiểm xã hội/0791234567</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0901234567(Mobile)</li><li><a href=\"mailto:an.nguyen@email.vn\">an.nguyen@email.vn</a></li><li>Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận dân tộc của bệnh nhân theo danh mục 54 dân tộc Việt Nam\n(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.\nCăn cứ: Hiến pháp 2013 Điều 5, Luật Căn cước 2023.\"><a href=\"StructureDefinition-vn-ext-ethnicity.html\">Dân tộc — Vietnam Ethnicity Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs 01}\">Kinh</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Phường Ngọc Hà, Hà Nội</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận nghề nghiệp của bệnh nhân theo Danh mục Nghề nghiệp Việt Nam (VSCO 2020).\nCăn cứ: QĐ 34/2020/QĐ-TTg (20/11/2020) — Ban hành Danh mục nghề nghiệp Việt Nam.\n1.516 mã, 5 cấp phân loại, tương thích ISCO-08 (ILO).\nFHIR base Patient không có element nghề nghiệp chuẩn — cần extension.\nNghề nghiệp ảnh hưởng đánh giá nguy cơ sức khỏe nghề nghiệp (TT 28/2016/TT-BYT).\"><a href=\"StructureDefinition-vn-ext-occupation.html\">Nghề nghiệp — Vietnam Occupation Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs 2511}\">Nhà phân tích hệ thống</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's professed religious affiliations.\"><a href=\"http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-religion.html\">Patient Religion</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs 02}, {http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation 1041}\">Công giáo</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\">Patient Citizenship:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 VN}\">Viet Nam</span></li></ul></td></tr></table></div>"
            },
            "extension" : [
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs",
                      "code" : "01",
                      "display" : "Kinh"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-religion",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs",
                      "code" : "02",
                      "display" : "Công giáo"
                    },
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation",
                      "code" : "1041",
                      "display" : "Roman Catholic Church"
                    }
                  ],
                  "text" : "Công giáo"
                }
              },
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs",
                      "code" : "2511",
                      "display" : "Nhà phân tích hệ thống"
                    }
                  ]
                }
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "urn:iso:std:iso:3166",
                          "code" : "VN",
                          "display" : "Viet Nam"
                        }
                      ]
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                "valueAddress" : {
                  "extension" : [
                    {
                      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province",
                      "valueCoding" : {
                        "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs",
                        "code" : "01",
                        "display" : "Thành phố Hà Nội"
                      }
                    },
                    {
                      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward",
                      "valueCoding" : {
                        "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs",
                        "code" : "00008",
                        "display" : "Phường Ngọc Hà"
                      }
                    }
                  ],
                  "text" : "Phường Ngọc Hà, Hà Nội",
                  "state" : "Hà Nội",
                  "country" : "VN"
                }
              }
            ],
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                      "code" : "CCCD",
                      "display" : "Căn cước công dân"
                    }
                  ]
                },
                "system" : "http://fhir.hl7.org.vn/core/sid/cccd",
                "value" : "001085012345"
              },
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                      "code" : "BHYT",
                      "display" : "Thẻ bảo hiểm y tế"
                    }
                  ]
                },
                "system" : "http://fhir.hl7.org.vn/core/sid/bhyt",
                "value" : "001085012345"
              },
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                      "code" : "MRN",
                      "display" : "Mã bệnh nhân nội bộ"
                    }
                  ]
                },
                "system" : "http://fhir.hl7.org.vn/core/sid/mrn",
                "value" : "BV-CR-2026-001234"
              },
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                      "code" : "BHXH",
                      "display" : "Mã số bảo hiểm xã hội"
                    }
                  ]
                },
                "system" : "http://fhir.hl7.org.vn/core/sid/bhxh",
                "value" : "0791234567"
              }
            ],
            "name" : [
              {
                "text" : "Nguyễn Văn An",
                "family" : "Nguyễn",
                "given" : [
                  "Văn",
                  "An"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "0901234567",
                "use" : "mobile"
              },
              {
                "system" : "email",
                "value" : "an.nguyen@email.vn"
              }
            ],
            "gender" : "male",
            "birthDate" : "1985-03-15",
            "address" : [
              {
                "extension" : [
                  {
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province",
                    "valueCoding" : {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs",
                      "code" : "79",
                      "display" : "Thành phố Hồ Chí Minh"
                    }
                  },
                  {
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward",
                    "valueCoding" : {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs",
                      "code" : "26743",
                      "display" : "Phường Bến Thành"
                    }
                  }
                ],
                "text" : "Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh",
                "line" : [
                  "Số 123 Nguyễn Huệ"
                ],
                "state" : "Thành phố Hồ Chí Minh",
                "country" : "VN"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Coverage/ExampleCoverageBHYTNew",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "ExampleCoverageBHYTNew",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_ExampleCoverageBHYTNew\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage ExampleCoverageBHYTNew</b></p><a name=\"ExampleCoverageBHYTNew\"> </a><a name=\"hcExampleCoverageBHYTNew\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-coverage.html\">Thẻ BHYT VN Core — VN Core Coverage Profile</a></p></div><p><b>Loại đối tượng BHYT — Vietnam BHYT Card Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs DN}\">Người lao động trong doanh nghiệp</span></p><p><b>Nơi đăng ký KCB ban đầu — Vietnam Primary Care Facility Extension</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p><p><b>identifier</b>: <a href=\"NamingSystem-vn-bhyt-ns.html\" title=\"Hệ thống định danh Số thẻ Bảo hiểm Y tế, do BHXH Việt Nam cấp.\nHỗ trợ 3 format (hiện duy trì song song):\n- CCCD 12 chữ số: hỗ trợ từ 15/8/2025 (NĐ 188/2025/NĐ-CP, hiệu lực 15/8/2025)\n- Mã số BHXH 10 chữ số: từ 01/4/2021\n- Format cũ 15 ký tự (2 chữ cái + 13 chữ số): trước 01/4/2021\nBên triển khai cần xác minh chính sách BHXH hiện hành trước khi coi CCCD là mã BHYT duy nhất.\nCăn cứ:\n- **Luật 51/2024/QH15** — 27/11/2024 — sửa đổi Luật BHYT, hiệu lực 01/7/2025\n- **NĐ 188/2025/NĐ-CP** — ban hành 01/7/2025, hiệu lực 15/8/2025 — hướng dẫn thi hành Luật BHYT, hỗ trợ định danh BHYT theo CCCD\n- **QĐ 3176/QĐ-BYT** — 29/10/2024 — chuẩn dữ liệu đầu ra KCB phục vụ BHXH\n- Luật BHYT 2008 sửa đổi 2014 — nền tảng lịch sử.\">VNBHYT</a>/001085012345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/insurance-coverage-type medical}\">Bảo hiểm y tế</span></p><p><b>subscriber</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>beneficiary</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2025-08-01 --&gt; 2026-07-31</p><p><b>payor</b>: Bảo hiểm Xã hội Việt Nam</p></div>"
            },
            "extension" : [
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-bhyt-card-type",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs",
                      "code" : "DN",
                      "display" : "Người lao động trong doanh nghiệp"
                    }
                  ]
                }
              },
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-primary-care-facility",
                "valueReference" : {
                  🔗 "reference" : "Organization/ExampleOrganizationChoRay",
                  "identifier" : {
                    "system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb",
                    "value" : "79001"
                  },
                  "display" : "Bệnh viện Chợ Rẫy"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "http://fhir.hl7.org.vn/core/sid/bhyt",
                "value" : "001085012345"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/insurance-coverage-type",
                  "code" : "medical",
                  "display" : "Medical"
                }
              ],
              "text" : "Bảo hiểm y tế"
            },
            "subscriber" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "beneficiary" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code" : "self",
                  "display" : "Self"
                }
              ]
            },
            "period" : {
              "start" : "2025-08-01",
              "end" : "2026-07-31"
            },
            "payor" : [
              {
                "display" : "Bảo hiểm Xã hội Việt Nam"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterOutpatientGastritis",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "InlineEncounterOutpatientGastritis",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_InlineEncounterOutpatientGastritis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter InlineEncounterOutpatientGastritis</b></p><a name=\"InlineEncounterOutpatientGastritis\"> </a><a name=\"hcInlineEncounterOutpatientGastritis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-encounter.html\">Lượt khám/nhập viện VN Core — VN Core Encounter Profile</a></p></div><p><b>Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs 5}\">Khám chữa bệnh ban đầu</span></p><p><b>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-2026-04-05-0142</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 01}\">Khám ngoại trú chuyên khoa Tiêu hóa</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>period</b>: 2026-04-05 08:00:00+0700 --&gt; 2026-04-05 10:30:00+0700</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleOutpatientBHYT.html#Condition_InlineConditionGastritis\">K29.5 — Viêm dạ dày mạn tính</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs",
                      "code" : "5",
                      "display" : "Khám chữa bệnh ban đầu"
                    }
                  ]
                }
              },
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code",
                "valueIdentifier" : {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                        "code" : "MA_LUOT_KCB",
                        "display" : "Mã lượt khám chữa bệnh"
                      }
                    ]
                  },
                  "system" : "http://fhir.hl7.org.vn/core/sid/ma-luot-kcb",
                  "value" : "LK-2026-04-05-0142"
                }
              }
            ],
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "AMB",
              "display" : "ambulatory"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs",
                    "code" : "01",
                    "display" : "Khám bệnh"
                  }
                ],
                "text" : "Khám ngoại trú chuyên khoa Tiêu hóa"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "period" : {
              "start" : "2026-04-05T08:00:00+07:00",
              "end" : "2026-04-05T10:30:00+07:00"
            },
            "diagnosis" : [
              {
                "condition" : {
                  "reference" : "Condition/InlineConditionGastritis",
                  "display" : "K29.5 — Viêm dạ dày mạn tính"
                },
                "use" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                      "code" : "AD",
                      "display" : "Admission diagnosis"
                    }
                  ]
                }
              }
            ],
            "serviceProvider" : {
              🔗 "reference" : "Organization/ExampleOrganizationChoRay",
              "display" : "Bệnh viện Chợ Rẫy"
            }
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionGastritis",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "InlineConditionGastritis",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_InlineConditionGastritis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition InlineConditionGastritis</b></p><a name=\"InlineConditionGastritis\"> </a><a name=\"hcInlineConditionGastritis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-condition.html\">Chẩn đoán VN Core — VN Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K29.5}\">Viêm dạ dày mạn tính, không đặc hiệu</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleOutpatientBHYT.html#Encounter_InlineEncounterOutpatientGastritis\">Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --&gt; 2026-04-05 10:30:00+0700</a></p><p><b>recordedDate</b>: 2026-04-05</p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "K29.5",
                  "display" : "Chronic gastritis, unspecified"
                }
              ],
              "text" : "Viêm dạ dày mạn tính, không đặc hiệu"
            },
            "subject" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "encounter" : {
              "reference" : "Encounter/InlineEncounterOutpatientGastritis"
            },
            "recordedDate" : "2026-04-05"
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationGlucoseNormal",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "InlineObservationGlucoseNormal",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InlineObservationGlucoseNormal\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineObservationGlucoseNormal</b></p><a name=\"InlineObservationGlucoseNormal\"> </a><a name=\"hcInlineObservationGlucoseNormal\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-observation-lab.html\">Xét nghiệm VN Core — VN Core Observation Laboratory Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 14771-0}\">Glucose máu lúc đói</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleOutpatientBHYT.html#Encounter_InlineEncounterOutpatientGastritis\">Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --&gt; 2026-04-05 10:30:00+0700</a></p><p><b>effective</b>: 2026-04-05 08:30:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>value</b>: 5.2 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>3.9 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>6.1 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>3.9 – 6.1 mmol/L</td></tr></table></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "14771-0",
                  "display" : "Fasting glucose [Moles/volume] in Serum or Plasma"
                }
              ],
              "text" : "Glucose máu lúc đói"
            },
            "subject" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "encounter" : {
              "reference" : "Encounter/InlineEncounterOutpatientGastritis"
            },
            "effectiveDateTime" : "2026-04-05T08:30:00+07:00",
            "performer" : [
              {
                🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
                "display" : "BS CKII Nguyễn Thị Lan"
              }
            ],
            "valueQuantity" : {
              "value" : 5.2,
              "unit" : "mmol/L",
              "system" : "http://unitsofmeasure.org",
              "code" : "mmol/L"
            },
            "referenceRange" : [
              {
                "low" : {
                  "value" : 3.9,
                  "unit" : "mmol/L",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mmol/L"
                },
                "high" : {
                  "value" : 6.1,
                  "unit" : "mmol/L",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mmol/L"
                },
                "text" : "3.9 – 6.1 mmol/L"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestOmeprazole",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "InlineMedicationRequestOmeprazole",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_InlineMedicationRequestOmeprazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest InlineMedicationRequestOmeprazole</b></p><a name=\"InlineMedicationRequestOmeprazole\"> </a><a name=\"hcInlineMedicationRequestOmeprazole\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-medication-request.html\">Đơn thuốc VN Core — VN Core MedicationRequest Profile</a></p></div><p><b>Số đăng ký thuốc (Visa) — Medication Registration Number</b>: VD-25123-18</p><p><b>Ngày y lệnh — Order Date Extension</b>: 2026-04-05 10:00:00+0700</p><blockquote><p><b>Thông tin chi phí BHYT — Insurance Cost Info Extension</b></p><ul><li>scope: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</span></li><li>paymentRatio: 100</li><li>benefitLevel: 80</li></ul></blockquote><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.whocc.no/atc A02BC01}\">Omeprazole 20mg viên nang</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleOutpatientBHYT.html#Encounter_InlineEncounterOutpatientGastritis\">Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --&gt; 2026-04-05 10:30:00+0700</a></p><p><b>authoredOn</b>: 2026-04-05 10:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K29.5}\">Viêm dạ dày mạn tính</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Uống 1 viên 20mg, 1 lần/ngày, trước ăn sáng 30 phút</p><p><b>timing</b>: before breakfast, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Uống</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>20 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 14 viên</p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>14</td><td>ngày</td><td><a href=\"http://unitsofmeasure.org\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote></div>"
            },
            "extension" : [
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number",
                "valueString" : "VD-25123-18"
              },
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date",
                "valueDateTime" : "2026-04-05T10:00:00+07:00"
              },
              {
                "extension" : [
                  {
                    "url" : "scope",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
                          "code" : "1",
                          "display" : "Trong phạm vi hưởng BHYT"
                        }
                      ]
                    }
                  },
                  {
                    "url" : "paymentRatio",
                    "valueDecimal" : 100
                  },
                  {
                    "url" : "benefitLevel",
                    "valueDecimal" : 80
                  }
                ],
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
              }
            ],
            "status" : "active",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "outpatient",
                    "display" : "Outpatient"
                  }
                ]
              }
            ],
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "A02BC01",
                  "display" : "Omeprazole"
                }
              ],
              "text" : "Omeprazole 20mg viên nang"
            },
            "subject" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "encounter" : {
              "reference" : "Encounter/InlineEncounterOutpatientGastritis"
            },
            "authoredOn" : "2026-04-05T10:00:00+07:00",
            "requester" : {
              🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
              "display" : "BS CKII Nguyễn Thị Lan"
            },
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "K29.5",
                    "display" : "Chronic gastritis, unspecified"
                  }
                ],
                "text" : "Viêm dạ dày mạn tính"
              }
            ],
            "dosageInstruction" : [
              {
                "sequence" : 1,
                "text" : "Uống 1 viên 20mg, 1 lần/ngày, trước ăn sáng 30 phút",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d",
                    "when" : [
                      "ACM"
                    ]
                  }
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral route"
                    }
                  ],
                  "text" : "Uống"
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 20,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest" : {
              "numberOfRepeatsAllowed" : 0,
              "quantity" : {
                "value" : 14,
                "unit" : "viên"
              },
              "expectedSupplyDuration" : {
                "value" : 14,
                "unit" : "ngày",
                "system" : "http://unitsofmeasure.org",
                "code" : "d"
              }
            }
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/Claim/InlineClaimOutpatientBHYT",
          "resource" : {
            "resourceType" : "Claim",
            "id" : "InlineClaimOutpatientBHYT",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_InlineClaimOutpatientBHYT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim InlineClaimOutpatientBHYT</b></p><a name=\"InlineClaimOutpatientBHYT\"> </a><a name=\"hcInlineClaimOutpatientBHYT\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-claim.html\">Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile</a></p></div><blockquote><p><b>Tổng chi phí theo nhóm — Claim Cost Summary Extension</b></p><ul><li>totalMedication: <span title=\"Vietnamese Dong\">₫168.000</span> (VND)</li><li>totalInsurance: <span title=\"Vietnamese Dong\">₫318.400</span> (VND)</li><li>totalPatientCopay: <span title=\"Vietnamese Dong\">₫79.600</span> (VND)</li><li>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫0</span> (VND)</li></ul></blockquote><blockquote><p><b>Kỳ thanh toán — Claim Payment Period Extension</b></p><ul><li>year: 2026</li><li>month: 4</li></ul></blockquote><p><b>Phương thức thanh toán — Payment Method Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs 1}\">Phí dịch vụ (FFS)</span></p><p><b>identifier</b>: Mã liên kết hồ sơ BHYT/LK-2026-OUT-000201</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>subType</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs 1.1}\">KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>created</b>: 2026-04-05</p><p><b>provider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K29.5}\">Viêm dạ dày mạn tính</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosistype principal}\">Principal Diagnosis</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-ExampleCoverageBHYTNew.html\">BHYT Nguyễn Văn An — DN 80%</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Khoa thực hiện — Claim Item Department Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs K05}\">Khoa Nội tiêu hoá</span></p><blockquote><p><b>Thông tin chi phí BHYT — Insurance Cost Info Extension</b></p><ul><li>scope: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</span></li><li>paymentRatio: 100</li><li>benefitLevel: 80</li></ul></blockquote><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 1}\">Khám bệnh</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs 02.05}\">Khám chuyên khoa Nội tiêu hóa</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150000</td><td>Vietnamese đồng</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Khoa thực hiện — Claim Item Department Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs K47}\">Khoa Xét nghiệm</span></p><blockquote><p><b>Thông tin chi phí BHYT — Insurance Cost Info Extension</b></p><ul><li>scope: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</span></li><li>paymentRatio: 100</li><li>benefitLevel: 80</li></ul></blockquote><p><b>sequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 3}\">Xét nghiệm</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}\">Định lượng Glucose máu (lúc đói)</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80000</td><td>Vietnamese đồng</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>item</b></p><blockquote><p><b>Thông tin chi phí BHYT — Insurance Cost Info Extension</b></p><ul><li>scope: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</span></li><li>paymentRatio: 100</li><li>benefitLevel: 80</li></ul></blockquote><p><b>sequence</b>: 3</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 8}\">Thuốc, dịch truyền</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}\">Omeprazole 20mg viên nang × 14</span></p><p><b>quantity</b>: 14</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>12000</td><td>Vietnamese đồng</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>168000</td><td>Vietnamese đồng</td></tr></table></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>398000</td><td>Vietnamese đồng</td></tr></table></div>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "totalMedication",
                    "valueMoney" : {
                      "value" : 168000,
                      "currency" : "VND"
                    }
                  },
                  {
                    "url" : "totalInsurance",
                    "valueMoney" : {
                      "value" : 318400,
                      "currency" : "VND"
                    }
                  },
                  {
                    "url" : "totalPatientCopay",
                    "valueMoney" : {
                      "value" : 79600,
                      "currency" : "VND"
                    }
                  },
                  {
                    "url" : "totalPatientSelfPay",
                    "valueMoney" : {
                      "value" : 0,
                      "currency" : "VND"
                    }
                  }
                ],
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
              },
              {
                "extension" : [
                  {
                    "url" : "year",
                    "valueInteger" : 2026
                  },
                  {
                    "url" : "month",
                    "valueInteger" : 4
                  }
                ],
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"
              },
              {
                "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs",
                      "code" : "1",
                      "display" : "Phí dịch vụ (FFS)"
                    }
                  ]
                }
              }
            ],
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
                      "code" : "MA_LK",
                      "display" : "Mã liên kết hồ sơ BHYT"
                    }
                  ]
                },
                "system" : "http://fhir.hl7.org.vn/core/sid/ma-lk",
                "value" : "LK-2026-OUT-000201"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                  "code" : "professional",
                  "display" : "Professional"
                }
              ]
            },
            "subType" : {
              "coding" : [
                {
                  "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs",
                  "code" : "1.1",
                  "display" : "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu"
                }
              ]
            },
            "use" : "claim",
            "patient" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "created" : "2026-04-05",
            "provider" : {
              🔗 "reference" : "Organization/ExampleOrganizationChoRay",
              "display" : "Bệnh viện Chợ Rẫy"
            },
            "priority" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
                  "code" : "normal",
                  "display" : "Normal"
                }
              ]
            },
            "diagnosis" : [
              {
                "sequence" : 1,
                "diagnosisCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/sid/icd-10",
                      "code" : "K29.5",
                      "display" : "Chronic gastritis, unspecified"
                    }
                  ],
                  "text" : "Viêm dạ dày mạn tính"
                },
                "type" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
                        "code" : "principal",
                        "display" : "Principal Diagnosis"
                      }
                    ]
                  }
                ]
              }
            ],
            "insurance" : [
              {
                "sequence" : 1,
                "focal" : true,
                "coverage" : {
                  🔗 "reference" : "Coverage/ExampleCoverageBHYTNew",
                  "display" : "BHYT Nguyễn Văn An — DN 80%"
                }
              }
            ],
            "item" : [
              {
                "extension" : [
                  {
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs",
                          "code" : "K05",
                          "display" : "Khoa Nội tiêu hoá"
                        }
                      ]
                    }
                  },
                  {
                    "extension" : [
                      {
                        "url" : "scope",
                        "valueCodeableConcept" : {
                          "coding" : [
                            {
                              "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
                              "code" : "1",
                              "display" : "Trong phạm vi hưởng BHYT"
                            }
                          ]
                        }
                      },
                      {
                        "url" : "paymentRatio",
                        "valueDecimal" : 100
                      },
                      {
                        "url" : "benefitLevel",
                        "valueDecimal" : 80
                      }
                    ],
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
                  }
                ],
                "sequence" : 1,
                "category" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
                      "code" : "1",
                      "display" : "Khám bệnh"
                    }
                  ]
                },
                "productOrService" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs",
                      "code" : "02.05",
                      "display" : "Nội tiêu hóa"
                    }
                  ],
                  "text" : "Khám chuyên khoa Nội tiêu hóa"
                },
                "quantity" : {
                  "value" : 1
                },
                "unitPrice" : {
                  "value" : 150000,
                  "currency" : "VND"
                },
                "net" : {
                  "value" : 150000,
                  "currency" : "VND"
                }
              },
              {
                "extension" : [
                  {
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs",
                          "code" : "K47",
                          "display" : "Khoa Xét nghiệm"
                        }
                      ]
                    }
                  },
                  {
                    "extension" : [
                      {
                        "url" : "scope",
                        "valueCodeableConcept" : {
                          "coding" : [
                            {
                              "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
                              "code" : "1",
                              "display" : "Trong phạm vi hưởng BHYT"
                            }
                          ]
                        }
                      },
                      {
                        "url" : "paymentRatio",
                        "valueDecimal" : 100
                      },
                      {
                        "url" : "benefitLevel",
                        "valueDecimal" : 80
                      }
                    ],
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
                  }
                ],
                "sequence" : 2,
                "category" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
                      "code" : "3",
                      "display" : "Xét nghiệm"
                    }
                  ]
                },
                "productOrService" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
                      "code" : "unknown",
                      "display" : "Unknown"
                    }
                  ],
                  "text" : "Định lượng Glucose máu (lúc đói)"
                },
                "quantity" : {
                  "value" : 1
                },
                "unitPrice" : {
                  "value" : 80000,
                  "currency" : "VND"
                },
                "net" : {
                  "value" : 80000,
                  "currency" : "VND"
                }
              },
              {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "scope",
                        "valueCodeableConcept" : {
                          "coding" : [
                            {
                              "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
                              "code" : "1",
                              "display" : "Trong phạm vi hưởng BHYT"
                            }
                          ]
                        }
                      },
                      {
                        "url" : "paymentRatio",
                        "valueDecimal" : 100
                      },
                      {
                        "url" : "benefitLevel",
                        "valueDecimal" : 80
                      }
                    ],
                    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
                  }
                ],
                "sequence" : 3,
                "category" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
                      "code" : "8",
                      "display" : "Thuốc, dịch truyền"
                    }
                  ]
                },
                "productOrService" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
                      "code" : "unknown",
                      "display" : "Unknown"
                    }
                  ],
                  "text" : "Omeprazole 20mg viên nang × 14"
                },
                "quantity" : {
                  "value" : 14
                },
                "unitPrice" : {
                  "value" : 12000,
                  "currency" : "VND"
                },
                "net" : {
                  "value" : 168000,
                  "currency" : "VND"
                }
              }
            ],
            "total" : {
              "value" : 398000,
              "currency" : "VND"
            }
          }
        },
        {
          "fullUrl" : "http://fhir.hl7.org.vn/core/ClaimResponse/InlineClaimResponseOutpatientBHYT",
          "resource" : {
            "resourceType" : "ClaimResponse",
            "id" : "InlineClaimResponseOutpatientBHYT",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-response"
              ]
            },
            "language" : "vi",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_InlineClaimResponseOutpatientBHYT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse InlineClaimResponseOutpatientBHYT</b></p><a name=\"InlineClaimResponseOutpatientBHYT\"> </a><a name=\"hcInlineClaimResponseOutpatientBHYT\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-claim-response.html\">Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>created</b>: 2026-04-05</p><p><b>insurer</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Bảo hiểm xã hội Việt Nam</a></p><p><b>request</b>: <a href=\"Bundle-ExampleBundleOutpatientBHYT.html#http-//fhir.hl7.org.vn/core/Claim/InlineClaimOutpatientBHYT\">Yêu cầu thanh toán BHYT ngoại trú</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>30000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>120000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>16000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>64000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 3</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>168000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>168000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>33600</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>134400</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>398000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>398000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>79600</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>318400</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}\">Complete</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>318400</td><td>Vietnamese đồng</td></tr></table></blockquote></div>"
            },
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                  "code" : "professional",
                  "display" : "Professional"
                }
              ]
            },
            "use" : "claim",
            "patient" : {
              🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
              "display" : "Nguyễn Văn An"
            },
            "created" : "2026-04-05",
            "insurer" : {
              🔗 "reference" : "Organization/ExampleOrganizationBHXH",
              "display" : "Bảo hiểm xã hội Việt Nam"
            },
            "request" : {
              "reference" : "http://fhir.hl7.org.vn/core/Claim/InlineClaimOutpatientBHYT",
              "display" : "Yêu cầu thanh toán BHYT ngoại trú"
            },
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