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