HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review Viet Nam cờ

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Ví dụ ExplanationOfBenefit: Ví dụ: Giải trình quyền lợi BHYT nội trú

Tổng chi phí theo nhóm — Claim Cost Summary Extension

  • totalMedication: ₫73.500 (VND)
  • totalSupplies: ₫0 (VND)
  • totalInsurance: ₫10.080.000 (VND)
  • totalPatientCopay: ₫2.520.000 (VND)
  • totalPatientSelfPay: ₫1.770.000 (VND)
  • totalOtherFund: ₫0 (VND)
  • totalNonCovered: ₫0 (VND)

Kỳ thanh toán — Claim Payment Period Extension

  • year: 2026
  • month: 3

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

status: Active

type: Institutional

use: Claim

patient: Nguyễn Văn An

created: 2026-03-19

insurer: Bảo hiểm xã hội Việt Nam

provider: Bệnh viện Chợ Rẫy

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#001085012345; status = active; type = Medical; relationship = Self; period = 2025-08-01 --> 2026-07-31

item

sequence: 1

category: Khám bệnh

productOrService: Kham chuyen khoa

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*120000Vietnamese đồng

item

sequence: 2

category: Thuốc, dịch truyền

productOrService: Amoxicillin 500mg

quantity: 21

UnitPrices

-ValueCurrency
*3500Vietnamese đồng

Nets

-ValueCurrency
*73500Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*73500Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*58800Vietnamese đồng

total

category: Submitted Amount

Amounts

-ValueCurrency
*14370000Vietnamese đồng

total

category: Eligible Amount

Amounts

-ValueCurrency
*12600000Vietnamese đồng

total

category: CoPay

Amounts

-ValueCurrency
*2520000Vietnamese đồng

total

category: Benefit Amount

Amounts

-ValueCurrency
*10080000Vietnamese đồng

total

category: Người bệnh tự trả

Amounts

-ValueCurrency
*1770000Vietnamese đồng

total

category: Nguồn khác

Amounts

-ValueCurrency
*0Vietnamese đồng

total

category: Ngoài phạm vi/ngoài định suất

Amounts

-ValueCurrency
*0Vietnamese đồng

total

category: Tổng thuốc, dịch truyền

Amounts

-ValueCurrency
*73500Vietnamese đồng

total

category: Tổng vật tư/thiết bị y tế

Amounts

-ValueCurrency
*0Vietnamese đồng

payment

type: Complete

Amounts

-ValueCurrency
*10080000Vietnamese đồng

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