HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review Viet Nam cờ

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Local Development build (v0.9.0) 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 nội trú

Tổng chi phí theo nhóm — Claim Cost Summary Extension

  • totalMedication: ₫3.200.000 (VND)
  • totalSupplies: ₫450.000 (VND)
  • totalInsurance: ₫9.280.000 (VND)
  • totalPatientCopay: ₫2.320.000 (VND)
  • totalPatientSelfPay: ₫2.220.000 (VND)
  • totalOtherFund: ₫0 (VND)
  • totalNonCovered: ₫2.220.000 (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: Institutional

use: Claim

patient: Nguyễn Văn An

created: 2026-03-19

insurer: Bảo hiểm xã hội Việt Nam

provider: Bệnh viện Chợ Rẫy

claim: Hồ sơ đề nghị thanh toán BHYT nội trú

claimResponse: Kết quả giám định của cơ quan BHXH

outcome: Processing Complete

Diagnoses

-SequenceDiagnosis[x]Type
*1Acute appendicitis, other and unspecifiedPrincipal Diagnosis

Insurances

-FocalCoverage
*trueCoverage: extension = Người lao động trong doanh nghiệp,->Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#0791234567; status = active; type = Medical; relationship = Self; period = 2025-08-01 --> 2026-07-31

item

sequence: 1

category: Khám bệnh

productOrService: Khám chuyên khoa Ngoại tiêu hóa

Nets

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*30000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*120000Vietnamese đồng

item

sequence: 2

category: Ngày giường điều trị nội trú

productOrService: Ngày giường Ngoại loại 1 — 7 ngày

Nets

-ValueCurrency
*2520000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*2520000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*2520000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*504000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*2016000Vietnamese đồng

item

sequence: 3

category: Phẫu thuật, thủ thuật

productOrService: Phẫu thuật nội soi cắt ruột thừa

Nets

-ValueCurrency
*8500000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*8500000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*7500000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*1500000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*6000000Vietnamese đồng

item

sequence: 4

category: Thuốc, dịch truyền

productOrService: Ceftriaxone 2g bột pha tiêm hậu phẫu

Nets

-ValueCurrency
*1430000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*1430000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*1430000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*286000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*1144000Vietnamese đồng

item

sequence: 5

category: Thiết bị y tế

productOrService: Kim luồn tĩnh mạch an toàn 22G

Nets

-ValueCurrency
*450000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*450000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*0Vietnamese đồng

adjudication

category: Người bệnh tự trả

Amounts

-ValueCurrency
*450000Vietnamese đồng

item

sequence: 6

category: Thuốc, dịch truyền

productOrService: Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu

Nets

-ValueCurrency
*1770000Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*1770000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*0Vietnamese đồng

adjudication

category: Người bệnh tự trả

Amounts

-ValueCurrency
*1770000Vietnamese đồng

total

category: Submitted Amount

Amounts

-ValueCurrency
*14820000Vietnamese đồng

total

category: Eligible Amount

Amounts

-ValueCurrency
*11600000Vietnamese đồng

total

category: CoPay

Amounts

-ValueCurrency
*2320000Vietnamese đồng

total

category: Benefit Amount

Amounts

-ValueCurrency
*9280000Vietnamese đồng

total

category: Người bệnh tự trả

Amounts

-ValueCurrency
*2220000Vietnamese đồng

total

category: Nguồn khác

Amounts

-ValueCurrency
*0Vietnamese đồng

total

category: Ngoài phạm vi/ngoài định suất

Amounts

-ValueCurrency
*2220000Vietnamese đồng

total

category: Tổng thuốc, dịch truyền

Amounts

-ValueCurrency
*3200000Vietnamese đồng

total

category: Tổng vật tư/thiết bị y tế

Amounts

-ValueCurrency
*450000Vietnamese đồng

payment

type: Complete

Amounts

-ValueCurrency
*9280000Vietnamese đồng

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