{ "resourceType" : "Bundle", "id" : "ExampleBundleOutpatientBHYT", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"] }, "language" : "vi", "type" : "collection", "timestamp" : "2026-04-05T11:00:00+07:00", "entry" : [{ "fullUrl" : "http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn", "resource" : { "resourceType" : "Patient", "id" : "ExamplePatientNguyenVanAn", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient ExamplePatientNguyenVanAn

Profile: Bệnh nhân VN Core — VN Core Patient Profile

Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)

Other Ids:
  • Thẻ bảo hiểm y tế/001085012345
  • Mã bệnh nhân nội bộ/BV-CR-2026-001234
  • Mã số bảo hiểm xã hội/0791234567
Contact Detail
  • ph: 0901234567(Mobile)
  • an.nguyen@email.vn
  • Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh
Dân tộc — Vietnam Ethnicity ExtensionKinh
Patient Birth PlacePhường Ngọc Hà, Hà Nội
Nghề nghiệp — Vietnam Occupation ExtensionNhà phân tích hệ thống
Patient ReligionCông giáo
Patient Citizenship:
  • code: Viet Nam
" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs", "code" : "01", "display" : "Kinh" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/patient-religion", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs", "code" : "02", "display" : "Công giáo" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation", "code" : "1041", "display" : "Roman Catholic Church" }], "text" : "Công giáo" } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs", "code" : "2511", "display" : "Nhà phân tích hệ thống" }] } }, { "extension" : [{ "url" : "code", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "VN", "display" : "Viet Nam" }] } }], "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship" }, { "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace", "valueAddress" : { "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" } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward", "valueCoding" : { "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs", "code" : "00008", "display" : "Phường Ngọc Hà" } }], "text" : "Phường Ngọc Hà, Hà Nội", "state" : "Hà Nội", "country" : "VN" } }], "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" : "001085012345" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "BHYT", "display" : "Thẻ bảo hiểm y tế" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/bhyt", "value" : "001085012345" }, { "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-2026-001234" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "BHXH", "display" : "Mã số bảo hiểm xã hội" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/bhxh", "value" : "0791234567" }], "name" : [{ "text" : "Nguyễn Văn An", "family" : "Nguyễn", "given" : ["Văn", "An"] }], "telecom" : [{ "system" : "phone", "value" : "0901234567", "use" : "mobile" }, { "system" : "email", "value" : "an.nguyen@email.vn" }], "gender" : "male", "birthDate" : "1985-03-15", "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" : "26743", "display" : "Phường Bến Thành" } }], "text" : "Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh", "line" : ["Số 123 Nguyễn Huệ"], "state" : "Thành phố Hồ Chí Minh", "country" : "VN" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Coverage/ExampleCoverageBHYTNew", "resource" : { "resourceType" : "Coverage", "id" : "ExampleCoverageBHYTNew", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Coverage ExampleCoverageBHYTNew

Profile: Thẻ BHYT VN Core — VN Core Coverage Profile

Loại đối tượng BHYT — Vietnam BHYT Card Type Extension: Người lao động trong doanh nghiệp

Nơi đăng ký KCB ban đầu — Vietnam Primary Care Facility Extension: Bệnh viện Chợ Rẫy

identifier: VNBHYT/001085012345

status: Active

type: Bảo hiểm y tế

subscriber: Nguyễn Văn An

beneficiary: Nguyễn Văn An

relationship: Self

period: 2025-08-01 --> 2026-07-31

payor: Bảo hiểm Xã hội Việt Nam

" }, "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" }, "display" : "Bệnh viện Chợ Rẫy" } }], "identifier" : [{ "system" : "http://fhir.hl7.org.vn/core/sid/bhyt", "value" : "001085012345" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/insurance-coverage-type", "code" : "medical", "display" : "Medical" }], "text" : "Bảo hiểm y tế" }, "subscriber" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "beneficiary" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self", "display" : "Self" }] }, "period" : { "start" : "2025-08-01", "end" : "2026-07-31" }, "payor" : [{ "display" : "Bảo hiểm Xã hội Việt Nam" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterOutpatientGastritis", "resource" : { "resourceType" : "Encounter", "id" : "InlineEncounterOutpatientGastritis", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Encounter InlineEncounterOutpatientGastritis

Profile: Lượt khám/nhập viện VN Core — VN Core Encounter Profile

Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension: Khám chữa bệnh ban đầu

Mã lượt khám — Encounter Code Extension: Mã lượt khám chữa bệnh/LK-2026-04-05-0142

status: Finished

class: ActCode: AMB (ambulatory)

type: Khám ngoại trú chuyên khoa Tiêu hóa

subject: Nguyễn Văn An

period: 2026-04-05 08:00:00+0700 --> 2026-04-05 10:30:00+0700

Diagnoses

-ConditionUse
*K29.5 — Viêm dạ dày mạn tínhAdmission diagnosis

serviceProvider: Bệnh viện Chợ Rẫy

" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs", "code" : "5", "display" : "Khám chữa bệnh ban đầu" }] } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code", "valueIdentifier" : { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "MA_LUOT_KCB", "display" : "Mã lượt khám chữa bệnh" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/ma-luot-kcb", "value" : "LK-2026-04-05-0142" } }], "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs", "code" : "01", "display" : "Khám bệnh" }], "text" : "Khám ngoại trú chuyên khoa Tiêu hóa" }], "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "period" : { "start" : "2026-04-05T08:00:00+07:00", "end" : "2026-04-05T10:30:00+07:00" }, "diagnosis" : [{ "condition" : { "reference" : "Condition/InlineConditionGastritis", "display" : "K29.5 — Viêm dạ dày mạn tính" }, "use" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "AD", "display" : "Admission diagnosis" }] } }], "serviceProvider" : { "reference" : "Organization/ExampleOrganizationChoRay", "display" : "Bệnh viện Chợ Rẫy" } } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionGastritis", "resource" : { "resourceType" : "Condition", "id" : "InlineConditionGastritis", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition InlineConditionGastritis

Profile: Chẩn đoán VN Core — VN Core Condition Profile

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Viêm dạ dày mạn tính, không đặc hiệu

subject: Nguyễn Văn An

encounter: Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --> 2026-04-05 10:30:00+0700

recordedDate: 2026-04-05

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "K29.5", "display" : "Chronic gastritis, unspecified" }], "text" : "Viêm dạ dày mạn tính, không đặc hiệu" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/InlineEncounterOutpatientGastritis" }, "recordedDate" : "2026-04-05" } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationGlucoseNormal", "resource" : { "resourceType" : "Observation", "id" : "InlineObservationGlucoseNormal", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation InlineObservationGlucoseNormal

Profile: Xét nghiệm VN Core — VN Core Observation Laboratory Profile

status: Final

category: Laboratory

code: Glucose máu lúc đói

subject: Nguyễn Văn An

encounter: Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --> 2026-04-05 10:30:00+0700

effective: 2026-04-05 08:30:00+0700

performer: BS CKII Nguyễn Thị Lan

value: 5.2 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

ReferenceRanges

-LowHighText
*3.9 mmol/L (Details: UCUM codemmol/L = 'mmol/L')6.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')3.9 – 6.1 mmol/L
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14771-0", "display" : "Fasting glucose [Moles/volume] in Serum or Plasma" }], "text" : "Glucose máu lúc đói" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/InlineEncounterOutpatientGastritis" }, "effectiveDateTime" : "2026-04-05T08:30:00+07:00", "performer" : [{ "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }], "valueQuantity" : { "value" : 5.2, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "referenceRange" : [{ "low" : { "value" : 3.9, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "high" : { "value" : 6.1, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "text" : "3.9 – 6.1 mmol/L" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestOmeprazole", "resource" : { "resourceType" : "MedicationRequest", "id" : "InlineMedicationRequestOmeprazole", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationRequest InlineMedicationRequestOmeprazole

Profile: Đơn thuốc VN Core — VN Core MedicationRequest Profile

Số đăng ký thuốc (Visa) — Medication Registration Number: VD-25123-18

Ngày y lệnh — Order Date Extension: 2026-04-05 10:00:00+0700

Thông tin chi phí BHYT — Insurance Cost Info Extension

status: Active

intent: Order

category: Outpatient

medication: Omeprazole 20mg viên nang

subject: Nguyễn Văn An

encounter: Encounter: extension = Khám chữa bệnh ban đầu,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-05-0142; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-05 08:00:00+0700 --> 2026-04-05 10:30:00+0700

authoredOn: 2026-04-05 10:00:00+0700

requester: BS CKII Nguyễn Thị Lan

reasonCode: Viêm dạ dày mạn tính

dosageInstruction

sequence: 1

text: Uống 1 viên 20mg, 1 lần/ngày, trước ăn sáng 30 phút

timing: before breakfast, Once per 1 day

route: Uống

DoseAndRates

-Dose[x]
*20 mg (Details: UCUM codemg = 'mg')

dispenseRequest

numberOfRepeatsAllowed: 0

quantity: 14 viên

ExpectedSupplyDurations

-ValueUnitSystemCode
*14ngàyhttp://unitsofmeasure.orgd
" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number", "valueString" : "VD-25123-18" }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date", "valueDateTime" : "2026-04-05T10:00:00+07:00" }, { "extension" : [{ "url" : "scope", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs", "code" : "1", "display" : "Trong phạm vi hưởng BHYT" }] } }, { "url" : "paymentRatio", "valueDecimal" : 100 }, { "url" : "benefitLevel", "valueDecimal" : 80 }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "outpatient", "display" : "Outpatient" }] }], "medicationCodeableConcept" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "A02BC01", "display" : "Omeprazole" }], "text" : "Omeprazole 20mg viên nang" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/InlineEncounterOutpatientGastritis" }, "authoredOn" : "2026-04-05T10:00:00+07:00", "requester" : { "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }, "reasonCode" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "K29.5", "display" : "Chronic gastritis, unspecified" }], "text" : "Viêm dạ dày mạn tính" }], "dosageInstruction" : [{ "sequence" : 1, "text" : "Uống 1 viên 20mg, 1 lần/ngày, trước ăn sáng 30 phút", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["ACM"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }], "text" : "Uống" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 20, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }], "dispenseRequest" : { "numberOfRepeatsAllowed" : 0, "quantity" : { "value" : 14, "unit" : "viên" }, "expectedSupplyDuration" : { "value" : 14, "unit" : "ngày", "system" : "http://unitsofmeasure.org", "code" : "d" } } } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Claim/InlineClaimOutpatientBHYT", "resource" : { "resourceType" : "Claim", "id" : "InlineClaimOutpatientBHYT", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Claim InlineClaimOutpatientBHYT

Profile: Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile

Tổng chi phí theo nhóm — Claim Cost Summary Extension

Kỳ thanh toán — Claim Payment Period Extension

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

identifier: Mã liên kết hồ sơ BHYT/LK-2026-OUT-000201

status: Active

type: Professional

subType: KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu

use: Claim

patient: Nguyễn Văn An

created: 2026-04-05

provider: Bệnh viện Chợ Rẫy

priority: Normal

Diagnoses

-SequenceDiagnosis[x]Type
*1Viêm dạ dày mạn tínhPrincipal Diagnosis

Insurances

-SequenceFocalCoverage
*1trueBHYT Nguyễn Văn An — DN 80%

item

Khoa thực hiện — Claim Item Department Extension: Khoa Nội tiêu hoá

Thông tin chi phí BHYT — Insurance Cost Info Extension

  • scope: Trong phạm vi hưởng BHYT
  • paymentRatio: 100
  • benefitLevel: 80

sequence: 1

category: Khám bệnh

productOrService: Khám chuyên khoa Nội tiêu hóa

quantity: 1

UnitPrices

-ValueCurrency
*150000Vietnamese đồng

Nets

-ValueCurrency
*150000Vietnamese đồng

item

Khoa thực hiện — Claim Item Department Extension: Khoa Xét nghiệm

Thông tin chi phí BHYT — Insurance Cost Info Extension

  • scope: Trong phạm vi hưởng BHYT
  • paymentRatio: 100
  • benefitLevel: 80

sequence: 2

category: Xét nghiệm

productOrService: Định lượng Glucose máu (lúc đói)

quantity: 1

UnitPrices

-ValueCurrency
*80000Vietnamese đồng

Nets

-ValueCurrency
*80000Vietnamese đồng

item

Thông tin chi phí BHYT — Insurance Cost Info Extension

  • scope: Trong phạm vi hưởng BHYT
  • paymentRatio: 100
  • benefitLevel: 80

sequence: 3

category: Thuốc, dịch truyền

productOrService: Omeprazole 20mg viên nang × 14

quantity: 14

UnitPrices

-ValueCurrency
*12000Vietnamese đồng

Nets

-ValueCurrency
*168000Vietnamese đồng

Totals

-ValueCurrency
*398000Vietnamese đồng
" }, "extension" : [{ "extension" : [{ "url" : "totalMedication", "valueMoney" : { "value" : 168000, "currency" : "VND" } }, { "url" : "totalInsurance", "valueMoney" : { "value" : 318400, "currency" : "VND" } }, { "url" : "totalPatientCopay", "valueMoney" : { "value" : 79600, "currency" : "VND" } }, { "url" : "totalPatientSelfPay", "valueMoney" : { "value" : 0, "currency" : "VND" } }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary" }, { "extension" : [{ "url" : "year", "valueInteger" : 2026 }, { "url" : "month", "valueInteger" : 4 }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period" }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs", "code" : "1", "display" : "Phí dịch vụ (FFS)" }] } }], "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-OUT-000201" }], "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" : "1.1", "display" : "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu" }] }, "use" : "claim", "patient" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "created" : "2026-04-05", "provider" : { "reference" : "Organization/ExampleOrganizationChoRay", "display" : "Bệnh viện Chợ Rẫy" }, "priority" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/processpriority", "code" : "normal", "display" : "Normal" }] }, "diagnosis" : [{ "sequence" : 1, "diagnosisCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "K29.5", "display" : "Chronic gastritis, unspecified" }], "text" : "Viêm dạ dày mạn tính" }, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype", "code" : "principal", "display" : "Principal Diagnosis" }] }] }], "insurance" : [{ "sequence" : 1, "focal" : true, "coverage" : { "reference" : "Coverage/ExampleCoverageBHYTNew", "display" : "BHYT Nguyễn Văn An — DN 80%" } }], "item" : [{ "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs", "code" : "K05", "display" : "Khoa Nội tiêu hoá" }] } }, { "extension" : [{ "url" : "scope", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs", "code" : "1", "display" : "Trong phạm vi hưởng BHYT" }] } }, { "url" : "paymentRatio", "valueDecimal" : 100 }, { "url" : "benefitLevel", "valueDecimal" : 80 }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" }], "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-examination-code-cs", "code" : "02.05", "display" : "Nội tiêu hóa" }], "text" : "Khám chuyên khoa Nội tiêu hóa" }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 150000, "currency" : "VND" }, "net" : { "value" : 150000, "currency" : "VND" } }, { "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs", "code" : "K47", "display" : "Khoa Xét nghiệm" }] } }, { "extension" : [{ "url" : "scope", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs", "code" : "1", "display" : "Trong phạm vi hưởng BHYT" }] } }, { "url" : "paymentRatio", "valueDecimal" : 100 }, { "url" : "benefitLevel", "valueDecimal" : 80 }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" }], "sequence" : 2, "category" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs", "code" : "3", "display" : "Xét nghiệm" }] }, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }], "text" : "Định lượng Glucose máu (lúc đói)" }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 80000, "currency" : "VND" }, "net" : { "value" : 80000, "currency" : "VND" } }, { "extension" : [{ "extension" : [{ "url" : "scope", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs", "code" : "1", "display" : "Trong phạm vi hưởng BHYT" }] } }, { "url" : "paymentRatio", "valueDecimal" : 100 }, { "url" : "benefitLevel", "valueDecimal" : 80 }], "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" }], "sequence" : 3, "category" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs", "code" : "8", "display" : "Thuốc, dịch truyền" }] }, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }], "text" : "Omeprazole 20mg viên nang × 14" }, "quantity" : { "value" : 14 }, "unitPrice" : { "value" : 12000, "currency" : "VND" }, "net" : { "value" : 168000, "currency" : "VND" } }], "total" : { "value" : 398000, "currency" : "VND" } } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/ClaimResponse/InlineClaimResponseOutpatientBHYT", "resource" : { "resourceType" : "ClaimResponse", "id" : "InlineClaimResponseOutpatientBHYT", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-response"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: ClaimResponse InlineClaimResponseOutpatientBHYT

Profile: Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile

status: Active

type: Professional

use: Claim

patient: Nguyễn Văn An

created: 2026-04-05

insurer: Bảo hiểm xã hội Việt Nam

request: Yêu cầu thanh toán BHYT ngoại trú

outcome: Processing Complete

item

itemSequence: 1

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

itemSequence: 2

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*80000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*80000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*16000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*64000Vietnamese đồng

item

itemSequence: 3

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*168000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*168000Vietnamese đồng

adjudication

category: CoPay

Amounts

-ValueCurrency
*33600Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*134400Vietnamese đồng

total

category: Submitted Amount

Amounts

-ValueCurrency
*398000Vietnamese đồng

total

category: Eligible Amount

Amounts

-ValueCurrency
*398000Vietnamese đồng

total

category: CoPay

Amounts

-ValueCurrency
*79600Vietnamese đồng

total

category: Benefit Amount

Amounts

-ValueCurrency
*318400Vietnamese đồng

payment

type: Complete

Amounts

-ValueCurrency
*318400Vietnamese đồng
" }, "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "professional", "display" : "Professional" }] }, "use" : "claim", "patient" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "created" : "2026-04-05", "insurer" : { "reference" : "Organization/ExampleOrganizationBHXH", "display" : "Bảo hiểm xã hội Việt Nam" }, "request" : { "reference" : "http://fhir.hl7.org.vn/core/Claim/InlineClaimOutpatientBHYT", "display" : "Yêu cầu thanh toán BHYT ngoại trú" }, "outcome" : "complete", "item" : [{ "itemSequence" : 1, "adjudication" : [{ "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "submitted", "display" : "Submitted Amount" }] }, "amount" : { "value" : 150000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "eligible", "display" : "Eligible Amount" }] }, "amount" : { "value" : 150000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "copay", "display" : "CoPay" }] }, "amount" : { "value" : 30000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "benefit", "display" : "Benefit Amount" }] }, "amount" : { "value" : 120000, "currency" : "VND" } }] }, { "itemSequence" : 2, "adjudication" : [{ "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "submitted", "display" : "Submitted Amount" }] }, "amount" : { "value" : 80000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "eligible", "display" : "Eligible Amount" }] }, "amount" : { "value" : 80000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "copay", "display" : "CoPay" }] }, "amount" : { "value" : 16000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "benefit", "display" : "Benefit Amount" }] }, "amount" : { "value" : 64000, "currency" : "VND" } }] }, { "itemSequence" : 3, "adjudication" : [{ "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "submitted", "display" : "Submitted Amount" }] }, "amount" : { "value" : 168000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "eligible", "display" : "Eligible Amount" }] }, "amount" : { "value" : 168000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "copay", "display" : "CoPay" }] }, "amount" : { "value" : 33600, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "benefit", "display" : "Benefit Amount" }] }, "amount" : { "value" : 134400, "currency" : "VND" } }] }], "total" : [{ "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "submitted", "display" : "Submitted Amount" }] }, "amount" : { "value" : 398000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "eligible", "display" : "Eligible Amount" }] }, "amount" : { "value" : 398000, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "copay", "display" : "CoPay" }] }, "amount" : { "value" : 79600, "currency" : "VND" } }, { "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "benefit", "display" : "Benefit Amount" }] }, "amount" : { "value" : 318400, "currency" : "VND" } }], "payment" : { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-paymenttype", "code" : "complete", "display" : "Complete" }] }, "amount" : { "value" : 318400, "currency" : "VND" } } } }] }