@prefix fhir: <http://hl7.org/fhir/> .
@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/ExampleClaimSelfPay> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleClaimSelfPay"] ; # 
  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 ExampleClaimSelfPay</b></p><a name=\"ExampleClaimSelfPay\"> </a><a name=\"hcExampleClaimSelfPay\"> </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>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫550.000</span> (VND)</li></ul></blockquote><blockquote><p><b>Kỳ thanh toán — Claim Payment Period Extension</b></p><ul><li>year: 2026</li><li>month: 4</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-2026-000103</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>subType</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs 9}\">Người bệnh không KCB BHYT</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: John Smith (DOB: 1980-07-15, Passport: A12345678)</p><p><b>created</b>: 2026-04-15</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 J06.9}\">Nhiễm trùng đường hô hấp trên cấp tính</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosistype principal}\">Principal Diagnosis</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td>Tự chi trả (No Insurance)</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><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 bệnh tổng quát (giá dịch vụ — nước ngoài)</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>300000</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 8}\">Thuốc, dịch truyền</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}\">Amoxicillin 500mg x 10 viên, Paracetamol 500mg x 10 viên</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>250000</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>550000</td><td>Vietnamese đồng</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "totalPatientSelfPay"^^xsd:anyURI ;
         fhir:l fhir:totalPatientSelfPay
       ] ;
       fhir:value [
         a fhir:Money ;
         fhir:value [ fhir:v "550000"^^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 4
       ]
     ] ) ;
     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-2026-000103" ]
  ] ) ; # 
  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 "professional" ] ;
       fhir:display [ fhir:v "Professional" ]
     ] )
  ] ; # 
  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 "9" ] ;
       fhir:display [ fhir:v "Người bệnh không KCB BHYT" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
     fhir:display [ fhir:v "John Smith (DOB: 1980-07-15, Passport: A12345678)" ]
  ] ; # 
  fhir:created [ fhir:v "2026-04-15"^^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 "J06.9" ] ;
         fhir:display [ fhir:v "Acute upper respiratory infection, unspecified" ]
       ] ) ;
       fhir:text [ fhir:v "Nhiễm trùng đường hô hấp trên cấp tính" ]
     ] ;
     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:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:display [ fhir:v "Tự chi trả (No Insurance)" ]
     ]
  ] ) ; # 
  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: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 bệnh tổng quát (giá dịch vụ — nước ngoài)" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "300000"^^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 "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 "Amoxicillin 500mg x 10 viên, Paracetamol 500mg x 10 viên" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "250000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v "550000"^^xsd:decimal ] ;
     fhir:currency [ fhir:v "VND" ]
  ] . # 

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