Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
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<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
<id value="ExampleExplanationOfBenefitBHYT"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit ExampleExplanationOfBenefitBHYT</b></p><a name="ExampleExplanationOfBenefitBHYT"> </a><a name="hcExampleExplanationOfBenefitBHYT"> </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-explanation-of-benefit.html">Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit 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">₫3.200.000</span> (VND)</li><li>totalSupplies: <span title="Vietnamese Dong">₫450.000</span> (VND)</li><li>totalInsurance: <span title="Vietnamese Dong">₫9.280.000</span> (VND)</li><li>totalPatientCopay: <span title="Vietnamese Dong">₫2.320.000</span> (VND)</li><li>totalPatientSelfPay: <span title="Vietnamese Dong">₫2.220.000</span> (VND)</li><li>totalOtherFund: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>totalNonCovered: <span title="Vietnamese Dong">₫2.220.000</span> (VND)</li></ul></blockquote><blockquote><p><b>Kỳ thanh toán — Claim Payment Period Extension</b></p><ul><li>year: 2026</li><li>month: 3</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>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</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>: 2026-03-19</p><p><b>insurer</b>: <a href="Organization-ExampleOrganizationBHXH.html">Bảo hiểm xã hội Việt Nam</a></p><p><b>provider</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy</a></p><p><b>claim</b>: <a href="Claim-ExampleClaimBHYT.html">Hồ sơ đề nghị thanh toán BHYT nội trú</a></p><p><b>claimResponse</b>: <a href="ClaimResponse-ExampleClaimResponseBHYT.html">Kết quả giám định của cơ quan BHXH</a></p><p><b>outcome</b>: Processing Complete</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 K35.8}">Acute appendicitis, other and unspecified</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>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><a href="Coverage-ExampleCoverageBHYTNew.html">Coverage: 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</a></td></tr></table><blockquote><p><b>item</b></p><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:">Khám chuyên khoa Ngoại tiêu hóa</span></p><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><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>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 2.2}">Ngày giường điều trị nội trú</span></p><p><b>productOrService</b>: <span title="Codes:">Ngày giường Ngoại loại 1 — 7 ngày</span></p><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>2520000</td><td>Vietnamese đồng</td></tr></table><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>2520000</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>2520000</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>504000</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>2016000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 6}">Phẫu thuật, thủ thuật</span></p><p><b>productOrService</b>: <span title="Codes:">Phẫu thuật nội soi cắt ruột thừa</span></p><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>8500000</td><td>Vietnamese đồng</td></tr></table><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>8500000</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>7500000</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>1500000</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>6000000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</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:">Ceftriaxone 2g bột pha tiêm hậu phẫu</span></p><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>1430000</td><td>Vietnamese đồng</td></tr></table><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>1430000</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>1430000</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>286000</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>1144000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 9}">Thiết bị y tế</span></p><p><b>productOrService</b>: <span title="Codes:">Kim luồn tĩnh mạch an toàn 22G</span></p><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>450000</td><td>Vietnamese đồng</td></tr></table><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>450000</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>0</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs patient-self-pay}">Người bệnh tự trả</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>450000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 6</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:">Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu</span></p><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>1770000</td><td>Vietnamese đồng</td></tr></table><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>1770000</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>0</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs patient-self-pay}">Người bệnh tự trả</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>1770000</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>14820000</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>11600000</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>2320000</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>9280000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs patient-self-pay}">Người bệnh tự trả</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>2220000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs other-fund}">Nguồn khác</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>0</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs non-covered}">Ngoài phạm vi/ngoài định suất</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>2220000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs medication-subtotal}">Tổng thuốc, dịch truyền</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>3200000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs supplies-subtotal}">Tổng vật tư/thiết bị y tế</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>450000</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>9280000</td><td>Vietnamese đồng</td></tr></table></blockquote><p><b>benefitPeriod</b>: 2026-01-01 --> 2026-12-31</p></div>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary">
<extension url="totalMedication">
<valueMoney>
<value value="3200000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalSupplies">
<valueMoney>
<value value="450000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalInsurance">
<valueMoney>
<value value="9280000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalPatientCopay">
<valueMoney>
<value value="2320000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalPatientSelfPay">
<valueMoney>
<value value="2220000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalOtherFund">
<valueMoney>
<value value="0"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalNonCovered">
<valueMoney>
<value value="2220000"/>
<currency value="VND"/>
</valueMoney>
</extension>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period">
<extension url="year">
<valueInteger value="2026"/>
</extension>
<extension url="month">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs"/>
<code value="1"/>
<display value="Phí dịch vụ (FFS)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="institutional"/>
<display value="Institutional"/>
</coding>
</type>
<use value="claim"/>
<patient>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</patient>
<created value="2026-03-19"/>
<insurer>🔗
<reference value="Organization/ExampleOrganizationBHXH"/>
<display value="Bảo hiểm xã hội Việt Nam"/>
</insurer>
<provider>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<display value="Bệnh viện Chợ Rẫy"/>
</provider>
<claim>🔗
<reference value="Claim/ExampleClaimBHYT"/>
<display value="Hồ sơ đề nghị thanh toán BHYT nội trú"/>
</claim>
<claimResponse>🔗
<reference value="ClaimResponse/ExampleClaimResponseBHYT"/>
<display value="Kết quả giám định của cơ quan BHXH"/>
</claimResponse>
<outcome value="complete"/>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="K35.8"/>
<display value="Acute appendicitis, other and unspecified"/>
</coding>
</diagnosisCodeableConcept>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
<code value="principal"/>
<display value="Principal Diagnosis"/>
</coding>
</type>
</diagnosis>
<insurance>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/ExampleCoverageBHYTNew"/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="1"/>
<display value="Khám bệnh"/>
</coding>
</category>
<productOrService>
<text value="Khám chuyên khoa Ngoại tiêu hóa"/>
</productOrService>
<net>
<value value="150000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="150000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="150000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
<display value="CoPay"/>
</coding>
</category>
<amount>
<value value="30000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
</category>
<amount>
<value value="120000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<item>
<sequence value="2"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="2.2"/>
<display value="Ngày giường điều trị nội trú"/>
</coding>
</category>
<productOrService>
<text value="Ngày giường Ngoại loại 1 — 7 ngày"/>
</productOrService>
<net>
<value value="2520000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="2520000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="2520000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
<display value="CoPay"/>
</coding>
</category>
<amount>
<value value="504000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
</category>
<amount>
<value value="2016000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<item>
<sequence value="3"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="6"/>
<display value="Phẫu thuật, thủ thuật"/>
</coding>
</category>
<productOrService>
<text value="Phẫu thuật nội soi cắt ruột thừa"/>
</productOrService>
<net>
<value value="8500000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="8500000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="7500000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
<display value="CoPay"/>
</coding>
</category>
<amount>
<value value="1500000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
</category>
<amount>
<value value="6000000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<item>
<sequence value="4"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="8"/>
<display value="Thuốc, dịch truyền"/>
</coding>
</category>
<productOrService>
<text value="Ceftriaxone 2g bột pha tiêm hậu phẫu"/>
</productOrService>
<net>
<value value="1430000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="1430000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="1430000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
<display value="CoPay"/>
</coding>
</category>
<amount>
<value value="286000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
</category>
<amount>
<value value="1144000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<item>
<sequence value="5"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="9"/>
<display value="Thiết bị y tế"/>
</coding>
</category>
<productOrService>
<text value="Kim luồn tĩnh mạch an toàn 22G"/>
</productOrService>
<net>
<value value="450000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="450000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="patient-self-pay"/>
<display value="Người bệnh tự trả"/>
</coding>
</category>
<amount>
<value value="450000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<item>
<sequence value="6"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="8"/>
<display value="Thuốc, dịch truyền"/>
</coding>
</category>
<productOrService>
<text value="Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu"/>
</productOrService>
<net>
<value value="1770000"/>
<currency value="VND"/>
</net>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="1770000"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="VND"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="patient-self-pay"/>
<display value="Người bệnh tự trả"/>
</coding>
</category>
<amount>
<value value="1770000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<total>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="14820000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<amount>
<value value="11600000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
<display value="CoPay"/>
</coding>
</category>
<amount>
<value value="2320000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
</category>
<amount>
<value value="9280000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="patient-self-pay"/>
<display value="Người bệnh tự trả"/>
</coding>
</category>
<amount>
<value value="2220000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="other-fund"/>
<display value="Nguồn khác"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="non-covered"/>
<display value="Ngoài phạm vi/ngoài định suất"/>
</coding>
</category>
<amount>
<value value="2220000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="medication-subtotal"/>
<display value="Tổng thuốc, dịch truyền"/>
</coding>
</category>
<amount>
<value value="3200000"/>
<currency value="VND"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs"/>
<code value="supplies-subtotal"/>
<display value="Tổng vật tư/thiết bị y tế"/>
</coding>
</category>
<amount>
<value value="450000"/>
<currency value="VND"/>
</amount>
</total>
<payment>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"/>
<code value="complete"/>
<display value="Complete"/>
</coding>
</type>
<amount>
<value value="9280000"/>
<currency value="VND"/>
</amount>
</payment>
<benefitPeriod>
<start value="2026-01-01"/>
<end value="2026-12-31"/>
</benefitPeriod>
</ExplanationOfBenefit>