HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review Viet Nam cờ

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ví dụ: Bảng kê chi phí KCB đổi mức hưởng trong cùng đợt — Example: Itemized healthcare cost claim with a mid-encounter benefit change

Bản thô xml | Tải xuống


<Claim xmlns="http://hl7.org/fhir">
  <id value="ExampleClaimItemizedMultiStage"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-itemized-healthcare-cost-claim"/>
  </meta>
  <language value="vi"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim ExampleClaimItemizedMultiStage</b></p><a name="ExampleClaimItemizedMultiStage"> </a><a name="hcExampleClaimItemizedMultiStage"> </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-itemized-healthcare-cost-claim.html">Yêu cầu bảng kê chi phí KCB chi tiết — VN Core Itemized Healthcare Cost Claim</a></p></div><p><b>identifier</b>: Mã liên kết hồ sơ BHYT/LK-ITEMIZED-2026-0001</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>use</b>: Claim</p><p><b>patient</b>: <a href="Patient-ExamplePatientNguyenVanAn.html">Nguyễn Văn An</a></p><p><b>billablePeriod</b>: 2026-03-01 --&gt; 2026-03-07</p><p><b>created</b>: 2026-03-10</p><p><b>insurer</b>: <a href="Organization-ExampleOrganizationBHXH.html">Bảo hiểm xã hội Việt Nam</a></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><blockquote><p><b>insurance</b></p><blockquote><p><b>Giai đoạn hưởng bảo hiểm — Coverage Benefit Stage</b></p><ul><li>sequence: 1</li><li>period: 2026-03-01 --&gt; 2026-03-04</li><li>benefitLevel: 80</li></ul></blockquote><blockquote><p><b>Giai đoạn hưởng bảo hiểm — Coverage Benefit Stage</b></p><ul><li>sequence: 2</li><li>period: 2026-03-05 --&gt; 2026-03-07</li><li>benefitLevel: 100</li></ul></blockquote><p><b>sequence</b>: 1</p><p><b>focal</b>: true</p><p><b>coverage</b>: <a href="Coverage-ExampleCoverageBHYTNew.html">Thẻ BHYT Nguyễn Văn An được giám định</a></p></blockquote><blockquote><p><b>item</b></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><li>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫200.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫200.000</span> (VND)</li></ul></blockquote><p><b>Liên kết dòng chi phí với giai đoạn hưởng — Item Benefit Stage Sequence</b>: 1</p><blockquote><p><b>Phân bổ nguồn thanh toán theo dòng — Line Payment Allocation</b></p><ul><li>insuranceFund: <span title="Vietnamese Dong">₫160.000</span> (VND)</li><li>patientCopay: <span title="Vietnamese Dong">₫40.000</span> (VND)</li><li>otherSource: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>patientSelfPay: <span title="Vietnamese Dong">₫0</span> (VND)</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://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs 10.22}">Khám chuyên khoa Ngoại tiêu hóa</span></p><p><b>serviced</b>: 2026-03-02</p><p><b>quantity</b>: 1 lần</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>200000</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>200000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>item</b></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><li>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫300.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫300.000</span> (VND)</li></ul></blockquote><p><b>Liên kết dòng chi phí với giai đoạn hưởng — Item Benefit Stage Sequence</b>: 1</p><blockquote><p><b>Phân bổ nguồn thanh toán theo dòng — Line Payment Allocation</b></p><ul><li>insuranceFund: <span title="Vietnamese Dong">₫240.000</span> (VND)</li><li>patientCopay: <span title="Vietnamese Dong">₫60.000</span> (VND)</li><li>otherSource: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>patientSelfPay: <span title="Vietnamese Dong">₫0</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 3}">Xét nghiệm</span></p><p><b>productOrService</b>: <span title="Codes:">Xét nghiệm công thức máu toàn phần</span></p><p><b>serviced</b>: 2026-03-04</p><p><b>quantity</b>: 1 lần</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>300000</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>300000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>item</b></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: 100</li><li>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫1.000.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫1.000.000</span> (VND)</li></ul></blockquote><p><b>Liên kết dòng chi phí với giai đoạn hưởng — Item Benefit Stage Sequence</b>: 2</p><blockquote><p><b>Phân bổ nguồn thanh toán theo dòng — Line Payment Allocation</b></p><ul><li>insuranceFund: <span title="Vietnamese Dong">₫1.000.000</span> (VND)</li><li>patientCopay: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>otherSource: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>patientSelfPay: <span title="Vietnamese Dong">₫0</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 9}">Thiết bị y tế</span></p><p><b>productOrService</b>: <span title="Codes:">Gói thiết bị y tế can thiệp mạch</span></p><p><b>serviced</b>: 2026-03-05</p><p><b>quantity</b>: 1 lần</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>1000000</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>1000000</td><td>Vietnamese đồng</td></tr></table><blockquote><p><b>detail</b></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>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫800.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫800.000</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:">Stent mạch vành</span></p><p><b>quantity</b>: 1 cái</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>800000</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>800000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>detail</b></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>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫200.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫200.000</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title="Codes:">Bóng nong mạch vành</span></p><p><b>quantity</b>: 1 cái</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>200000</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>200000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></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: 80</li><li>benefitLevel: 100</li><li>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title="Vietnamese Dong">₫50.000</span> (VND)</li><li>insuranceLineAmount: <span title="Vietnamese Dong">₫400.000</span> (VND)</li></ul></blockquote><p><b>Liên kết dòng chi phí với giai đoạn hưởng — Item Benefit Stage Sequence</b>: 2</p><blockquote><p><b>Phân bổ nguồn thanh toán theo dòng — Line Payment Allocation</b></p><ul><li>insuranceFund: <span title="Vietnamese Dong">₫400.000</span> (VND)</li><li>patientCopay: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>otherSource: <span title="Vietnamese Dong">₫50.000</span> (VND)</li><li>patientSelfPay: <span title="Vietnamese Dong">₫50.000</span> (VND)</li></ul></blockquote><blockquote><p><b>Chi tiết nguồn khác chi trả theo dòng — Other Fund Breakdown Extension</b></p><ul><li>stateBudget: <span title="Vietnamese Dong">₫50.000</span> (VND)</li></ul></blockquote><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://www.whocc.no/atc J01DD04}">Ceftriaxone 2 g bột pha tiêm</span></p><p><b>serviced</b>: 2026-03-06</p><p><b>quantity</b>: 10 lọ</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>50000</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>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>2000000</td><td>Vietnamese đồng</td></tr></table></div>
  </text>
  <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-ITEMIZED-2026-0001"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
      <display value="Institutional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>🔗 
    <reference value="Patient/ExamplePatientNguyenVanAn"/>
    <display value="Nguyễn Văn An"/>
  </patient>
  <billablePeriod>
    <start value="2026-03-01"/>
    <end value="2026-03-07"/>
  </billablePeriod>
  <created value="2026-03-10"/>
  <insurer>🔗 
    <reference value="Organization/ExampleOrganizationBHXH"/>
    <display value="Bảo hiểm xã hội Việt Nam"/>
  </insurer>
  <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>
  <insurance>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-coverage-benefit-stage">
      <extension url="sequence">
        <valuePositiveInt value="1"/>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2026-03-01"/>
          <end value="2026-03-04"/>
        </valuePeriod>
      </extension>
      <extension url="benefitLevel">
        <valueDecimal value="80"/>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-coverage-benefit-stage">
      <extension url="sequence">
        <valuePositiveInt value="2"/>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2026-03-05"/>
          <end value="2026-03-07"/>
        </valuePeriod>
      </extension>
      <extension url="benefitLevel">
        <valueDecimal value="100"/>
      </extension>
    </extension>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/ExampleCoverageBHYTNew"/>
      <display value="Thẻ BHYT Nguyễn Văn An được giám định"/>
    </coverage>
  </insurance>
  <item>
    <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 url="servicePaymentRatio">
        <valueDecimal value="100"/>
      </extension>
      <extension url="insuranceUnitPrice">
        <valueMoney>
          <value value="200000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="insuranceLineAmount">
        <valueMoney>
          <value value="200000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-item-benefit-stage-sequence">
      <valuePositiveInt value="1"/>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-line-payment-allocation">
      <extension url="insuranceFund">
        <valueMoney>
          <value value="160000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientCopay">
        <valueMoney>
          <value value="40000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="otherSource">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientSelfPay">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </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://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs"/>
        <code value="10.22"/>
        <display value="Ngoại tiêu hóa"/>
      </coding>
      <text value="Khám chuyên khoa Ngoại tiêu hóa"/>
    </productOrService>
    <servicedDate value="2026-03-02"/>
    <quantity>
      <value value="1"/>
      <unit value="lần"/>
    </quantity>
    <unitPrice>
      <value value="200000"/>
      <currency value="VND"/>
    </unitPrice>
    <net>
      <value value="200000"/>
      <currency value="VND"/>
    </net>
  </item>
  <item>
    <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 url="servicePaymentRatio">
        <valueDecimal value="100"/>
      </extension>
      <extension url="insuranceUnitPrice">
        <valueMoney>
          <value value="300000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="insuranceLineAmount">
        <valueMoney>
          <value value="300000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-item-benefit-stage-sequence">
      <valuePositiveInt value="1"/>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-line-payment-allocation">
      <extension url="insuranceFund">
        <valueMoney>
          <value value="240000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientCopay">
        <valueMoney>
          <value value="60000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="otherSource">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientSelfPay">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <sequence value="2"/>
    <category>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
        <code value="3"/>
        <display value="Xét nghiệm"/>
      </coding>
    </category>
    <productOrService>
      <text value="Xét nghiệm công thức máu toàn phần"/>
    </productOrService>
    <servicedDate value="2026-03-04"/>
    <quantity>
      <value value="1"/>
      <unit value="lần"/>
    </quantity>
    <unitPrice>
      <value value="300000"/>
      <currency value="VND"/>
    </unitPrice>
    <net>
      <value value="300000"/>
      <currency value="VND"/>
    </net>
  </item>
  <item>
    <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="100"/>
      </extension>
      <extension url="servicePaymentRatio">
        <valueDecimal value="100"/>
      </extension>
      <extension url="insuranceUnitPrice">
        <valueMoney>
          <value value="1000000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="insuranceLineAmount">
        <valueMoney>
          <value value="1000000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-item-benefit-stage-sequence">
      <valuePositiveInt value="2"/>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-line-payment-allocation">
      <extension url="insuranceFund">
        <valueMoney>
          <value value="1000000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientCopay">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="otherSource">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientSelfPay">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <sequence value="3"/>
    <category>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
        <code value="9"/>
        <display value="Thiết bị y tế"/>
      </coding>
    </category>
    <productOrService>
      <text value="Gói thiết bị y tế can thiệp mạch"/>
    </productOrService>
    <servicedDate value="2026-03-05"/>
    <quantity>
      <value value="1"/>
      <unit value="lần"/>
    </quantity>
    <unitPrice>
      <value value="1000000"/>
      <currency value="VND"/>
    </unitPrice>
    <net>
      <value value="1000000"/>
      <currency value="VND"/>
    </net>
    <detail>
      <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="servicePaymentRatio">
          <valueDecimal value="100"/>
        </extension>
        <extension url="insuranceUnitPrice">
          <valueMoney>
            <value value="800000"/>
            <currency value="VND"/>
          </valueMoney>
        </extension>
        <extension url="insuranceLineAmount">
          <valueMoney>
            <value value="800000"/>
            <currency value="VND"/>
          </valueMoney>
        </extension>
      </extension>
      <sequence value="1"/>
      <productOrService>
        <text value="Stent mạch vành"/>
      </productOrService>
      <quantity>
        <value value="1"/>
        <unit value="cái"/>
      </quantity>
      <unitPrice>
        <value value="800000"/>
        <currency value="VND"/>
      </unitPrice>
      <net>
        <value value="800000"/>
        <currency value="VND"/>
      </net>
    </detail>
    <detail>
      <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="servicePaymentRatio">
          <valueDecimal value="100"/>
        </extension>
        <extension url="insuranceUnitPrice">
          <valueMoney>
            <value value="200000"/>
            <currency value="VND"/>
          </valueMoney>
        </extension>
        <extension url="insuranceLineAmount">
          <valueMoney>
            <value value="200000"/>
            <currency value="VND"/>
          </valueMoney>
        </extension>
      </extension>
      <sequence value="2"/>
      <productOrService>
        <text value="Bóng nong mạch vành"/>
      </productOrService>
      <quantity>
        <value value="1"/>
        <unit value="cái"/>
      </quantity>
      <unitPrice>
        <value value="200000"/>
        <currency value="VND"/>
      </unitPrice>
      <net>
        <value value="200000"/>
        <currency value="VND"/>
      </net>
    </detail>
  </item>
  <item>
    <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="80"/>
      </extension>
      <extension url="benefitLevel">
        <valueDecimal value="100"/>
      </extension>
      <extension url="servicePaymentRatio">
        <valueDecimal value="100"/>
      </extension>
      <extension url="insuranceUnitPrice">
        <valueMoney>
          <value value="50000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="insuranceLineAmount">
        <valueMoney>
          <value value="400000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-item-benefit-stage-sequence">
      <valuePositiveInt value="2"/>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-line-payment-allocation">
      <extension url="insuranceFund">
        <valueMoney>
          <value value="400000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientCopay">
        <valueMoney>
          <value value="0"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="otherSource">
        <valueMoney>
          <value value="50000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
      <extension url="patientSelfPay">
        <valueMoney>
          <value value="50000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <extension
               url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-other-fund-breakdown">
      <extension url="stateBudget">
        <valueMoney>
          <value value="50000"/>
          <currency value="VND"/>
        </valueMoney>
      </extension>
    </extension>
    <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://www.whocc.no/atc"/>
        <code value="J01DD04"/>
        <display value="Ceftriaxone"/>
      </coding>
      <text value="Ceftriaxone 2 g bột pha tiêm"/>
    </productOrService>
    <servicedDate value="2026-03-06"/>
    <quantity>
      <value value="10"/>
      <unit value="lọ"/>
    </quantity>
    <unitPrice>
      <value value="50000"/>
      <currency value="VND"/>
    </unitPrice>
    <net>
      <value value="500000"/>
      <currency value="VND"/>
    </net>
  </item>
  <total>
    <value value="2000000"/>
    <currency value="VND"/>
  </total>
</Claim>