VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam
0.1.0 - STU1 Draft
VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam
0.1.0 - STU1 Draft
VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Claim xmlns="http://hl7.org/fhir">
<id value="ExampleClaimBHYT"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim ExampleClaimBHYT</b></p><a name="ExampleClaimBHYT"> </a><a name="hcExampleClaimBHYT"> </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">₫3,200,000</span> (VND)</li><li>totalInsurance: <span title="Vietnamese Dong">₫10,080,000</span> (VND)</li><li>totalPatientCopay: <span title="Vietnamese Dong">₫2,520,000</span> (VND)</li><li>totalPatientSelfPay: <span title="Vietnamese Dong">₫1,770,000</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>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>: 2026-03-17</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 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>Procedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Procedure[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-9-cm 47.01}">Cắt ruột thừa qua nội soi</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 K01}">Khoa Khám bệnh</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://terminology.hl7.org/CodeSystem/data-absent-reason unknown}">Khám chuyên khoa Ngoại</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><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:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}">Giường BHYT hạng I — 7 ngày</span></p><p><b>quantity</b>: 7</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>360000</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>2520000</td><td>Vietnamese đồng</td></tr></table></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:{http://hl7.org/fhir/sid/icd-9-cm 47.01}">Cắt ruột thừa qua nội soi</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><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:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}">Thuốc kháng sinh + 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>3200000</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>14370000</td><td>Vietnamese đồng</td></tr></table></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="totalInsurance">
<valueMoney>
<value value="10080000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalPatientCopay">
<valueMoney>
<value value="2520000"/>
<currency value="VND"/>
</valueMoney>
</extension>
<extension url="totalPatientSelfPay">
<valueMoney>
<value value="1770000"/>
<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>
<subType>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs"/>
<code value="1.1"/>
<display value="KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu"/>
</coding>
</subType>
<use value="claim"/>
<patient>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</patient>
<created value="2026-03-17"/>
<provider>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<display value="Bệnh viện Chợ Rẫy"/>
</provider>
<priority>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
<display value="Normal"/>
</coding>
</priority>
<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>
<procedure>
<sequence value="1"/>
<procedureCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-9-cm"/>
<code value="47.01"/>
<display value="Cắt ruột thừa qua nội soi"/>
</coding>
</procedureCodeableConcept>
</procedure>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/ExampleCoverageBHYTNew"/>
<display value="BHYT Nguyễn Văn An — DN 80%"/>
</coverage>
</insurance>
<item>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"/>
<code value="K01"/>
<display value="Khoa Khám bệnh"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info">
<extension url="scope">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs"/>
<code value="1"/>
<display value="Trong phạm vi hưởng BHYT"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="paymentRatio">
<valueDecimal value="100"/>
</extension>
<extension url="benefitLevel">
<valueDecimal value="80"/>
</extension>
</extension>
<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>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
<text value="Khám chuyên khoa Ngoại"/>
</productOrService>
<net>
<value value="150000"/>
<currency value="VND"/>
</net>
</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>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
<text value="Giường BHYT hạng I — 7 ngày"/>
</productOrService>
<quantity>
<value value="7"/>
</quantity>
<unitPrice>
<value value="360000"/>
<currency value="VND"/>
</unitPrice>
<net>
<value value="2520000"/>
<currency value="VND"/>
</net>
</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>
<coding>
<system value="http://hl7.org/fhir/sid/icd-9-cm"/>
<code value="47.01"/>
<display value="Cắt ruột thừa qua nội soi"/>
</coding>
</productOrService>
<net>
<value value="8500000"/>
<currency value="VND"/>
</net>
</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>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
<text value="Thuốc kháng sinh + giảm đau hậu phẫu"/>
</productOrService>
<net>
<value value="3200000"/>
<currency value="VND"/>
</net>
</item>
<total>
<value value="14370000"/>
<currency value="VND"/>
</total>
</Claim>