Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.3.0 - STU1 Draft
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ExampleBHYTSubmissionMissingMaLK"/>
<language value="vi"/>
<type value="collection"/>
<timestamp value="2026-04-05T10:45:00+07:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/ExamplePatientNguyenVanAn"/>
<resource>
<Patient>
<id value="ExamplePatientNguyenVanAn"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_ExamplePatientNguyenVanAn"> </a><p class="res-header-id"><b>Generated Narrative: Patient ExamplePatientNguyenVanAn</b></p><a name="ExamplePatientNguyenVanAn"> </a><a name="hcExamplePatientNguyenVanAn"> </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;">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Thẻ bảo hiểm y tế/001085012345</li><li>Mã bệnh nhân nội bộ/BV-CR-2026-001234</li><li>Mã số bảo hiểm xã hội/0791234567</li><li>Tài khoản định danh điện tử VNeID/VNEID-001085012345</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0901234567(Mobile)</li><li><a href="mailto:[email protected]">[email protected]</a></li><li>Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Mở rộng ghi nhận dân tộc của bệnh nhân theo danh mục 54 dân tộc Việt Nam
(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.
Căn cứ: Hiến pháp 2013 Điều 5, Luật Căn cước 2023."><a href="StructureDefinition-vn-ext-ethnicity.html">Dân tộc — Vietnam Ethnicity Extension</a></td><td colspan="3"><span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs 01}">Kinh</span></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Phường Ngọc Hà, Hà Nội</td></tr><tr><td style="background-color: #f3f5da" title="Mở rộng ghi nhận nghề nghiệp của bệnh nhân theo Danh mục Nghề nghiệp Việt Nam (VSCO 2020).
Căn cứ: QĐ 34/2020/QĐ-TTg (20/11/2020) — Ban hành Danh mục nghề nghiệp Việt Nam.
1.516 mã, 5 cấp phân loại, tương thích ISCO-08 (ILO).
FHIR base Patient không có element nghề nghiệp chuẩn — cần extension.
Nghề nghiệp ảnh hưởng đánh giá nguy cơ sức khỏe nghề nghiệp (TT 28/2016/TT-BYT)."><a href="StructureDefinition-vn-ext-occupation.html">Nghề nghiệp — Vietnam Occupation Extension</a></td><td colspan="3"><span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs 2511}">Nhà phân tích hệ thống</span></td></tr><tr><td style="background-color: #f3f5da" title="The patient's professed religious affiliations."><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-religion.html">Patient Religion</a></td><td colspan="3"><span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs 02}, {http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation 1041}">Công giáo</span></td></tr><tr><td style="background-color: #f3f5da" title="The patient's legal status as citizen of a country.">Patient Citizenship:</td><td colspan="3"><ul><li>code: <span title="Codes:{urn:iso:std:iso:3166 VN}">Viet Nam</span></li></ul></td></tr></table></div>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs"/>
<code value="01"/>
<display value="Kinh"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-religion">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs"/>
<code value="02"/>
<display value="Công giáo"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"/>
<code value="1041"/>
<display value="Roman Catholic Church"/>
</coding>
<text value="Công giáo"/>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs"/>
<code value="2511"/>
<display value="Nhà phân tích hệ thống"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
<extension url="code">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="VN"/>
<display value="Viet Nam"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
<code value="01"/>
<display value="Thành phố Hà Nội"/>
</valueCoding>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
<code value="00008"/>
<display value="Phường Ngọc Hà"/>
</valueCoding>
</extension>
<text value="Phường Ngọc Hà, Hà Nội"/>
<state value="Hà Nội"/>
<country value="VN"/>
</valueAddress>
</extension>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="CCCD"/>
<display value="Căn cước công dân"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/cccd"/>
<value value="001085012345"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="BHYT"/>
<display value="Thẻ bảo hiểm y tế"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/bhyt"/>
<value value="001085012345"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="MRN"/>
<display value="Mã bệnh nhân nội bộ"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/mrn"/>
<value value="BV-CR-2026-001234"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="BHXH"/>
<display value="Mã số bảo hiểm xã hội"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/bhxh"/>
<value value="0791234567"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="VNEID"/>
<display value="Tài khoản định danh điện tử VNeID"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/vneid"/>
<value value="VNEID-001085012345"/>
</identifier>
<name>
<text value="Nguyễn Văn An"/>
<family value="Nguyễn"/>
<given value="Văn"/>
<given value="An"/>
</name>
<telecom>
<system value="phone"/>
<value value="0901234567"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="[email protected]"/>
</telecom>
<gender value="male"/>
<birthDate value="1985-03-15"/>
<address>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
<code value="79"/>
<display value="Thành phố Hồ Chí Minh"/>
</valueCoding>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
<code value="26743"/>
<display value="Phường Bến Thành"/>
</valueCoding>
</extension>
<text
value="Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh"/>
<line value="Số 123 Nguyễn Huệ"/>
<state value="Thành phố Hồ Chí Minh"/>
<country value="VN"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Coverage/ExampleCoverageBHYTNew"/>
<resource>
<Coverage>
<id value="ExampleCoverageBHYTNew"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_ExampleCoverageBHYTNew"> </a><p class="res-header-id"><b>Generated Narrative: Coverage ExampleCoverageBHYTNew</b></p><a name="ExampleCoverageBHYTNew"> </a><a name="hcExampleCoverageBHYTNew"> </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">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.
Hỗ trợ 3 format (hiện duy trì song song):
- CCCD 12 chữ số: hỗ trợ từ 15/8/2025 (NĐ 188/2025/NĐ-CP, hiệu lực 15/8/2025)
- Mã số BHXH 10 chữ số: từ 01/4/2021
- Format cũ 15 ký tự (2 chữ cái + 13 chữ số): trước 01/4/2021
Bên triển khai cần xác minh chính sách BHXH hiện hành trước khi coi CCCD là mã BHYT duy nhất.
Căn cứ: Luật BHYT 2008 sửa đổi 2014, NĐ 188/2025/NĐ-CP, QĐ 3176/QĐ-BYT (29/10/2024).">VNBHYT</a>/001085012345</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-ExamplePatientNguyenVanAn.html">Nguyễn Văn An</a></p><p><b>period</b>: 2025-08-01 --> 2026-07-31</p><p><b>payor</b>: Bảo hiểm Xã hội Việt Nam</p></div>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-bhyt-card-type">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs"/>
<code value="DN"/>
<display value="Người lao động trong doanh nghiệp"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-primary-care-facility">
<valueReference>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<identifier>
<system value="http://fhir.hl7.org.vn/core/sid/ma-cskcb"/>
<value value="79001"/>
</identifier>
<display value="Bệnh viện Chợ Rẫy"/>
</valueReference>
</extension>
<identifier>
<system value="http://fhir.hl7.org.vn/core/sid/bhyt"/>
<value value="001085012345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/insurance-coverage-type"/>
<code value="medical"/>
<display value="Medical"/>
</coding>
<text value="Bảo hiểm y tế"/>
</type>
<beneficiary>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</beneficiary>
<period>
<start value="2025-08-01"/>
<end value="2026-07-31"/>
</period>
<payor>
<display value="Bảo hiểm Xã hội Việt Nam"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Claim/ExampleClaimBHYT"/>
<resource>
<Claim>
<id value="ExampleClaimBHYT"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_ExampleClaimBHYT"> </a><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>identifier</b>: Mã liên kết hồ sơ BHYT/LK-2026-000101</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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}">Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa</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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}">Phẫu thuật nội soi ổ bụng cắt bỏ 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><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>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="MA_LK"/>
<display value="Mã liên kết hồ sơ BHYT"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/ma-lk"/>
<value value="LK-2026-000101"/>
</identifier>
<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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"/>
<code value="47.01"/>
<display value="Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"/>
</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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"/>
<code value="47.01"/>
<display value="Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"/>
</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>
</resource>
</entry>
</Bundle>