{
  "resourceType" : "Bundle",
  "id" : "ExampleBHYTSubmissionEmergencyUnknownIdentity",
  "meta" : {
    "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bhyt-submission-bundle"]
  },
  "language" : "vi",
  "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-ER-000401"
  },
  "type" : "collection",
  "timestamp" : "2026-03-23T09:10:00+07:00",
  "entry" : [{
    "fullUrl" : "http://example.org/fhir/Patient/ExamplePatientUnknown",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "ExamplePatientUnknown",
      "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_ExamplePatientUnknown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ExamplePatientUnknown</b></p><a name=\"ExamplePatientUnknown\"> </a><a name=\"hcExamplePatientUnknown\"> </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;\">Chưa xác định Unknown, DoB:  ( Căn cước công dân: VNCCCD#?ngen-9?)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\">Mã bệnh nhân nội bộ/BV-CR-CC-2026-0042</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận lý do bất khả kháng khi chưa thu thập được số CCCD/số định danh cá nhân trong hồ sơ BHYT. Dùng cho các ca đặc biệt như trẻ sơ sinh hoặc người bệnh mất ý thức.\"><a href=\"StructureDefinition-vn-ext-force-majeure-reason.html\">Lý do bất khả kháng thiếu CCCD — Force Majeure Reason Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-force-majeure-reason-cs UNCONSCIOUS}\">Người bệnh mất ý thức</span></td></tr></table></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-force-majeure-reason",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-force-majeure-reason-cs",
            "code" : "UNCONSCIOUS",
            "display" : "Người bệnh mất ý thức"
          }]
        }
      }],
      "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" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "unknown"
          }]
        }
      },
      {
        "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-CC-2026-0042"
      }],
      "active" : true,
      "name" : [{
        "text" : "Chưa xác định"
      }],
      "gender" : "unknown",
      "_birthDate" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "unknown"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://example.org/fhir/Coverage/InlineCoverageBHYTSubmissionEmergencyUnknown",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "InlineCoverageBHYTSubmissionEmergencyUnknown",
      "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_InlineCoverageBHYTSubmissionEmergencyUnknown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage InlineCoverageBHYTSubmissionEmergencyUnknown</b></p><a name=\"InlineCoverageBHYTSubmissionEmergencyUnknown\"> </a><a name=\"hcInlineCoverageBHYTSubmissionEmergencyUnknown\"> </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\">Organization 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>/DN0791234567890</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>beneficiary</b>: <a href=\"Patient-ExamplePatientUnknown.html\">Chưa xác định Unknown, DoB:  ( Căn cước công dân: VNCCCD#?ngen-9?)</a></p><p><b>period</b>: 2026-01-01 --&gt; 2026-12-31</p><p><b>payor</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Organization Bảo hiểm xã hội Việt Nam</a></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"
          }
        }
      }],
      "identifier" : [{
        "system" : "http://fhir.hl7.org.vn/core/sid/bhyt",
        "value" : "DN0791234567890"
      }],
      "status" : "active",
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/insurance-coverage-type",
          "code" : "medical",
          "display" : "Medical"
        }],
        "text" : "Bảo hiểm y tế"
      },
      "beneficiary" : {
        "reference" : "Patient/ExamplePatientUnknown"
      },
      "period" : {
        "start" : "2026-01-01",
        "end" : "2026-12-31"
      },
      "payor" : [{
        "reference" : "Organization/ExampleOrganizationBHXH"
      }]
    }
  },
  {
    "fullUrl" : "http://example.org/fhir/Organization/ExampleOrganizationChoRay",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ExampleOrganizationChoRay",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"]
      },
      "language" : "vi",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleOrganizationChoRay\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleOrganizationChoRay</b></p><a name=\"ExampleOrganizationChoRay\"> </a><a name=\"hcExampleOrganizationChoRay\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs BV}\">Bệnh viện</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs TW}\">Trung ương</span></p><p><b>Hạng cơ sở khám bệnh, chữa bệnh — Vietnam KCB Facility Rank Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs DB}\">Đặc biệt</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs RANKED}\">Đã xếp hạng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs CHUYEN_SAU}\">Cấp chuyên sâu</span></p><p><b>Dải điểm chất lượng cơ sở KCB — Quality Score Band Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs GT70}\">Trên 70 điểm</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/79001</p><p><b>active</b>: true</p><p><b>name</b>: Bệnh viện Chợ Rẫy</p><p><b>telecom</b>: ph: 028 3855 4137</p><p><b>address</b>: 201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh</p></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs",
            "code" : "BV",
            "display" : "Bệnh viện"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs",
            "code" : "TW",
            "display" : "Trung ương"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs",
            "code" : "DB",
            "display" : "Đặc biệt"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs",
            "code" : "RANKED",
            "display" : "Đã xếp hạng"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs",
            "code" : "CHUYEN_SAU",
            "display" : "Cấp chuyên sâu"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-quality-score-band",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs",
            "code" : "GT70",
            "display" : "Trên 70 điểm"
          }]
        }
      }],
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
            "code" : "CSKCB",
            "display" : "Mã cơ sở khám chữa bệnh"
          }]
        },
        "system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb",
        "value" : "79001"
      }],
      "active" : true,
      "name" : "Bệnh viện Chợ Rẫy",
      "telecom" : [{
        "system" : "phone",
        "value" : "028 3855 4137"
      }],
      "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" : "27343",
            "display" : "Phường Chợ Lớn"
          }
        }],
        "text" : "201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh",
        "line" : ["201B Nguyễn Chí Thanh"],
        "district" : "Quận 5",
        "state" : "Thành phố Hồ Chí Minh",
        "country" : "VN"
      }]
    }
  },
  {
    "fullUrl" : "http://example.org/fhir/Organization/ExampleOrganizationBHXH",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ExampleOrganizationBHXH",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleOrganizationBHXH\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleOrganizationBHXH</b></p><a name=\"ExampleOrganizationBHXH\"> </a><a name=\"hcExampleOrganizationBHXH\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>identifier</b>: Mã cơ quan BHXH Việt Nam (mã quy ước)/00000</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Cơ quan bảo hiểm xã hội</span></p><p><b>name</b>: Bảo hiểm xã hội Việt Nam</p><p><b>address</b>: Số 7 Tràng Thi, Hoàn Kiếm, Hà Nội</p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
            "code" : "CSKCB",
            "display" : "Mã cơ sở khám chữa bệnh"
          }],
          "text" : "Mã cơ quan BHXH Việt Nam (mã quy ước)"
        },
        "system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb",
        "value" : "00000"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "ins",
          "display" : "Insurance Company"
        }],
        "text" : "Cơ quan bảo hiểm xã hội"
      }],
      "name" : "Bảo hiểm xã hội Việt Nam",
      "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" : "01",
            "display" : "Thành phố Hà Nội"
          }
        }],
        "text" : "Số 7 Tràng Thi, Hoàn Kiếm, Hà Nội",
        "state" : "Thành phố Hà Nội",
        "country" : "VN"
      }]
    }
  },
  {
    "fullUrl" : "http://example.org/fhir/Claim/InlineClaimBHYTSubmissionEmergencyUnknown",
    "resource" : {
      "resourceType" : "Claim",
      "id" : "InlineClaimBHYTSubmissionEmergencyUnknown",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_InlineClaimBHYTSubmissionEmergencyUnknown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim InlineClaimBHYTSubmissionEmergencyUnknown</b></p><a name=\"InlineClaimBHYTSubmissionEmergencyUnknown\"> </a><a name=\"hcInlineClaimBHYTSubmissionEmergencyUnknown\"> </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><p><b>identifier</b>: Mã liên kết hồ sơ BHYT/LK-2026-ER-000401</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 2}\">Cấp cứu</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-ExamplePatientUnknown.html\">Chưa xác định Unknown, DoB:  ( Căn cước công dân: VNCCCD#?ngen-9?)</a></p><p><b>created</b>: 2026-03-23</p><p><b>provider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Organization Bệnh viện Chợ Rẫy</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority stat}\">Immediate</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 R40.2}\">Coma, 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>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=\"Bundle-ExampleBHYTSubmissionEmergencyUnknownIdentity.html#Coverage_InlineCoverageBHYTSubmissionEmergencyUnknown\">Coverage: extension = Người lao động trong doanh nghiệp,-&gt;Organization Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#DN0791234567890; status = active; type = Medical; period = 2026-01-01 --&gt; 2026-12-31</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:{http://fhir.hl7.org.vn/core/CodeSystem/vn-example-bhyt-service-catalog-cs EX-BHYT-CAPCUU-BANDAU}\">Tiếp nhận, hồi sức cấp cứu ban đầu</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>500000</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>500000</td><td>Vietnamese đồng</td></tr></table></div>"
      },
      "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-ER-000401"
      }],
      "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" : "2",
          "display" : "Cấp cứu"
        }]
      },
      "use" : "claim",
      "patient" : {
        "reference" : "Patient/ExamplePatientUnknown"
      },
      "created" : "2026-03-23",
      "provider" : {
        "reference" : "Organization/ExampleOrganizationChoRay"
      },
      "priority" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
          "code" : "stat",
          "display" : "Immediate"
        }]
      },
      "diagnosis" : [{
        "sequence" : 1,
        "diagnosisCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/sid/icd-10",
            "code" : "R40.2",
            "display" : "Coma, unspecified"
          }]
        },
        "type" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
            "code" : "principal",
            "display" : "Principal Diagnosis"
          }]
        }]
      }],
      "insurance" : [{
        "sequence" : 1,
        "focal" : true,
        "coverage" : {
          "reference" : "Coverage/InlineCoverageBHYTSubmissionEmergencyUnknown"
        }
      }],
      "item" : [{
        "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-example-bhyt-service-catalog-cs",
            "code" : "EX-BHYT-CAPCUU-BANDAU",
            "display" : "Tiếp nhận, hồi sức cấp cứu ban đầu"
          }],
          "text" : "Tiếp nhận, hồi sức cấp cứu ban đầu"
        },
        "net" : {
          "value" : 500000,
          "currency" : "VND"
        }
      }],
      "total" : {
        "value" : 500000,
        "currency" : "VND"
      }
    }
  }]
}