@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://fhir.hl7.org.vn/core/Claim/ExampleClaimMultiService> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleClaimMultiService"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim>
     ] )
  ] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleClaimMultiService</b></p><a name=\"ExampleClaimMultiService\"> </a><a name=\"hcExampleClaimMultiService\"> </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>totalInsurance: <span title=\"Vietnamese Dong\">₫10.080.000</span> (VND)</li><li>totalPatientCopay: <span title=\"Vietnamese Dong\">₫3.144.000</span> (VND)</li><li>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫2.496.000</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-2026-000102</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}\">Viêm ruột thừa cấp</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}\">Cắt ruột thừa qua nội soi</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 tiêu hoá</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>Khoa thực hiện — Claim Item Department Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs K47}\">Khoa Xét nghiệm</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>: 3</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:{http://loinc.org 58410-2}\">Xét nghiệm huyết học + sinh hóa (CBC, CRP, Procalcitonin, BMP)</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>850000</td><td>Vietnamese đồng</td></tr></table></blockquote><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 K39}\">Khoa Chẩn đoán hình ảnh</span></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 4}\">Chẩn đoán hình ảnh</span></p><p><b>productOrService</b>: <span title=\"Codes:\">Siêu âm bụng + CT scan bụng chậu có cản quang</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><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 K22}\">Khoa Ngoại tiêu hoá</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>: 5</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 cắt ruột thừa (ICD-9-CM 47.01)</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>: 6</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}\">Cefazolin IV, Metronidazole IV, Paracetamol IV, dịch truyền NaCl 0.9% (7 ngày)</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>15720000</td><td>Vietnamese đồng</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "totalInsurance"^^xsd:anyURI ;
         fhir:l fhir:totalInsurance
       ] ;
       fhir:value [
         a fhir:Money ;
         fhir:value [ fhir:v "10080000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:url [
         fhir:v "totalPatientCopay"^^xsd:anyURI ;
         fhir:l fhir:totalPatientCopay
       ] ;
       fhir:value [
         a fhir:Money ;
         fhir:value [ fhir:v "3144000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:url [
         fhir:v "totalPatientSelfPay"^^xsd:anyURI ;
         fhir:l fhir:totalPatientSelfPay
       ] ;
       fhir:value [
         a fhir:Money ;
         fhir:value [ fhir:v "2496000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "year"^^xsd:anyURI ;
         fhir:l fhir:year
       ] ;
       fhir:value [
         a fhir:Integer ;
         fhir:v 2026
       ]
     ] [
       fhir:url [
         fhir:v "month"^^xsd:anyURI ;
         fhir:l fhir:month
       ] ;
       fhir:value [
         a fhir:Integer ;
         fhir:v 3
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period>
     ]
  ] [
     fhir:url [
       fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs>
         ] ;
         fhir:code [ fhir:v "1" ] ;
         fhir:display [ fhir:v "Phí dịch vụ (FFS)" ]
       ] )
     ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>
         ] ;
         fhir:code [ fhir:v "MA_LK" ] ;
         fhir:display [ fhir:v "Mã liên kết hồ sơ BHYT" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "http://fhir.hl7.org.vn/core/sid/ma-lk"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/sid/ma-lk>
     ] ;
     fhir:value [ fhir:v "LK-2026-000102" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>
       ] ;
       fhir:code [ fhir:v "institutional" ] ;
       fhir:display [ fhir:v "Institutional" ]
     ] )
  ] ; # 
  fhir:subType [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs>
       ] ;
       fhir:code [ fhir:v "1.1" ] ;
       fhir:display [ fhir:v "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
     fhir:l <http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn> ;
     fhir:reference [ fhir:v "Patient/ExamplePatientNguyenVanAn" ] ;
     fhir:display [ fhir:v "Nguyễn Văn An" ]
  ] ; # 
  fhir:created [ fhir:v "2026-03-17"^^xsd:date] ; # 
  fhir:provider [
     fhir:l <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationChoRay> ;
     fhir:reference [ fhir:v "Organization/ExampleOrganizationChoRay" ] ;
     fhir:display [ fhir:v "Bệnh viện Chợ Rẫy" ]
  ] ; # 
  fhir:priority [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/processpriority>
       ] ;
       fhir:code [ fhir:v "normal" ] ;
       fhir:display [ fhir:v "Normal" ]
     ] )
  ] ; # 
  fhir:diagnosis ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:diagnosis [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/sid/icd-10>
         ] ;
         fhir:code [ fhir:v "K35.8" ] ;
         fhir:display [ fhir:v "Acute appendicitis, other and unspecified" ]
       ] ) ;
       fhir:text [ fhir:v "Viêm ruột thừa cấp" ]
     ] ;
     fhir:type ( [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosistype>
         ] ;
         fhir:code [ fhir:v "principal" ] ;
         fhir:display [ fhir:v "Principal Diagnosis" ]
       ] )
     ] )
  ] ) ; # 
  fhir:procedure ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:procedure [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs>
         ] ;
         fhir:code [ fhir:v "47.01" ] ;
         fhir:display [ fhir:v "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa" ]
       ] ) ;
       fhir:text [ fhir:v "Cắt ruột thừa qua nội soi" ]
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:l <http://fhir.hl7.org.vn/core/Coverage/ExampleCoverageBHYTNew> ;
       fhir:reference [ fhir:v "Coverage/ExampleCoverageBHYTNew" ] ;
       fhir:display [ fhir:v "BHYT Nguyễn Văn An — DN 80%" ]
     ]
  ] ) ; # 
  fhir:item ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"^^xsd:anyURI ;
             fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs>
           ] ;
           fhir:code [ fhir:v "K01" ] ;
           fhir:display [ fhir:v "Khoa Khám bệnh" ]
         ] )
       ]
     ] [
       fhir:extension ( [
         fhir:url [
           fhir:v "scope"^^xsd:anyURI ;
           fhir:l fhir:scope
         ] ;
         fhir:value [
           a fhir:CodeableConcept ;
           fhir:coding ( [
             fhir:system [
               fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs"^^xsd:anyURI ;
               fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs>
             ] ;
             fhir:code [ fhir:v "1" ] ;
             fhir:display [ fhir:v "Trong phạm vi hưởng BHYT" ]
           ] )
         ]
       ] [
         fhir:url [
           fhir:v "paymentRatio"^^xsd:anyURI ;
           fhir:l fhir:paymentRatio
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "100"^^xsd:decimal
         ]
       ] [
         fhir:url [
           fhir:v "benefitLevel"^^xsd:anyURI ;
           fhir:l fhir:benefitLevel
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "80"^^xsd:decimal
         ]
       ] ) ;
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info>
       ]
     ] ) ;
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "1" ] ;
         fhir:display [ fhir:v "Khám bệnh" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>
         ] ;
         fhir:code [ fhir:v "unknown" ] ;
         fhir:display [ fhir:v "Unknown" ]
       ] ) ;
       fhir:text [ fhir:v "Khám chuyên khoa Ngoại tiêu hoá" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "150000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "2.2" ] ;
         fhir:display [ fhir:v "Ngày giường điều trị nội trú" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>
         ] ;
         fhir:code [ fhir:v "unknown" ] ;
         fhir:display [ fhir:v "Unknown" ]
       ] ) ;
       fhir:text [ fhir:v "Giường BHYT hạng I — 7 ngày" ]
     ] ;
     fhir:quantity [
       fhir:value [ fhir:v "7"^^xsd:decimal ]
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "360000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "2520000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"^^xsd:anyURI ;
             fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs>
           ] ;
           fhir:code [ fhir:v "K47" ] ;
           fhir:display [ fhir:v "Khoa Xét nghiệm" ]
         ] )
       ]
     ] [
       fhir:extension ( [
         fhir:url [
           fhir:v "scope"^^xsd:anyURI ;
           fhir:l fhir:scope
         ] ;
         fhir:value [
           a fhir:CodeableConcept ;
           fhir:coding ( [
             fhir:system [
               fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs"^^xsd:anyURI ;
               fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs>
             ] ;
             fhir:code [ fhir:v "1" ] ;
             fhir:display [ fhir:v "Trong phạm vi hưởng BHYT" ]
           ] )
         ]
       ] [
         fhir:url [
           fhir:v "paymentRatio"^^xsd:anyURI ;
           fhir:l fhir:paymentRatio
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "100"^^xsd:decimal
         ]
       ] [
         fhir:url [
           fhir:v "benefitLevel"^^xsd:anyURI ;
           fhir:l fhir:benefitLevel
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "80"^^xsd:decimal
         ]
       ] ) ;
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info>
       ]
     ] ) ;
     fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "3" ] ;
         fhir:display [ fhir:v "Xét nghiệm" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:coding ( [
         a loinc:58410-2 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "58410-2" ] ;
         fhir:display [ fhir:v "CBC panel - Blood by Automated count" ]
       ] ) ;
       fhir:text [ fhir:v "Xét nghiệm huyết học + sinh hóa (CBC, CRP, Procalcitonin, BMP)" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "850000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"^^xsd:anyURI ;
             fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs>
           ] ;
           fhir:code [ fhir:v "K39" ] ;
           fhir:display [ fhir:v "Khoa Chẩn đoán hình ảnh" ]
         ] )
       ]
     ] ) ;
     fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "4" ] ;
         fhir:display [ fhir:v "Chẩn đoán hình ảnh" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:text [ fhir:v "Siêu âm bụng + CT scan bụng chậu có cản quang" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "500000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"^^xsd:anyURI ;
             fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs>
           ] ;
           fhir:code [ fhir:v "K22" ] ;
           fhir:display [ fhir:v "Khoa Ngoại tiêu hoá" ]
         ] )
       ]
     ] [
       fhir:extension ( [
         fhir:url [
           fhir:v "scope"^^xsd:anyURI ;
           fhir:l fhir:scope
         ] ;
         fhir:value [
           a fhir:CodeableConcept ;
           fhir:coding ( [
             fhir:system [
               fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs"^^xsd:anyURI ;
               fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs>
             ] ;
             fhir:code [ fhir:v "1" ] ;
             fhir:display [ fhir:v "Trong phạm vi hưởng BHYT" ]
           ] )
         ]
       ] [
         fhir:url [
           fhir:v "paymentRatio"^^xsd:anyURI ;
           fhir:l fhir:paymentRatio
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "100"^^xsd:decimal
         ]
       ] [
         fhir:url [
           fhir:v "benefitLevel"^^xsd:anyURI ;
           fhir:l fhir:benefitLevel
         ] ;
         fhir:value [
           a fhir:Decimal ;
           fhir:v "80"^^xsd:decimal
         ]
       ] ) ;
       fhir:url [
         fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"^^xsd:anyURI ;
         fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info>
       ]
     ] ) ;
     fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "6" ] ;
         fhir:display [ fhir:v "Phẫu thuật, thủ thuật" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs>
         ] ;
         fhir:code [ fhir:v "47.01" ] ;
         fhir:display [ fhir:v "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa" ]
       ] ) ;
       fhir:text [ fhir:v "Phẫu thuật nội soi cắt ruột thừa (ICD-9-CM 47.01)" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "8500000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:sequence [ fhir:v "6"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"^^xsd:anyURI ;
           fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>
         ] ;
         fhir:code [ fhir:v "8" ] ;
         fhir:display [ fhir:v "Thuốc, dịch truyền" ]
       ] )
     ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>
         ] ;
         fhir:code [ fhir:v "unknown" ] ;
         fhir:display [ fhir:v "Unknown" ]
       ] ) ;
       fhir:text [ fhir:v "Cefazolin IV, Metronidazole IV, Paracetamol IV, dịch truyền NaCl 0.9% (7 ngày)" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "3200000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v "15720000"^^xsd:decimal ] ;
     fhir:currency [ fhir:v "VND" ]
  ] . # 

# -------------------------------------------------------------------------------------