@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/ClaimResponse/ExampleClaimResponseBHYT> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleClaimResponseBHYT"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-response"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-response>
     ] )
  ] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse ExampleClaimResponseBHYT</b></p><a name=\"ExampleClaimResponseBHYT\"> </a><a name=\"hcExampleClaimResponseBHYT\"> </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-response.html\">Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile</a></p></div><p><b>identifier</b>: Mã phản hồi XML1 của Cổng tiếp nhận BHYT/XML1-20260319-000001</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>created</b>: 2026-03-19</p><p><b>insurer</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Bảo hiểm xã hội Việt Nam</a></p><p><b>request</b>: <a href=\"Claim-ExampleClaimBHYT.html\">Claim: extension = ,,Phí dịch vụ (FFS); identifier = Mã liên kết hồ sơ BHYT: VNMALK#LK-2026-000101; status = active; type = Institutional; subType = KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu; use = claim; created = 2026-03-17; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>30000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>120000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>504000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>2016000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 3</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>7500000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>1500000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>6000000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 4</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>2430000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>486000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>1944000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>12600000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>10080000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}\">Complete</span></p><h3>Amounts</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>10080000</td><td>Vietnamese đồng</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  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 "BHYT_XML1_ID" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "http://fhir.hl7.org.vn/core/sid/bhyt-gateway-response-id"^^xsd:anyURI ;
       fhir:l <http://fhir.hl7.org.vn/core/sid/bhyt-gateway-response-id>
     ] ;
     fhir:value [ fhir:v "XML1-20260319-000001" ]
  ] ) ; # 
  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: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 "2026-03-19"^^xsd:date] ; # 
  fhir:insurer [
     fhir:l <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationBHXH> ;
     fhir:reference [ fhir:v "Organization/ExampleOrganizationBHXH" ] ;
     fhir:display [ fhir:v "Bảo hiểm xã hội Việt Nam" ]
  ] ; # 
  fhir:request [
     fhir:l <http://fhir.hl7.org.vn/core/Claim/ExampleClaimBHYT> ;
     fhir:reference [ fhir:v "Claim/ExampleClaimBHYT" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:item ( [
     fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "150000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "150000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "copay" ] ;
           fhir:display [ fhir:v "CoPay" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "30000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "benefit" ] ;
           fhir:display [ fhir:v "Benefit Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "120000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] )
  ] [
     fhir:itemSequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "2520000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "2520000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "copay" ] ;
           fhir:display [ fhir:v "CoPay" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "504000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "benefit" ] ;
           fhir:display [ fhir:v "Benefit Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "2016000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] )
  ] [
     fhir:itemSequence [ fhir:v "3"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "8500000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "7500000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "copay" ] ;
           fhir:display [ fhir:v "CoPay" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "1500000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "benefit" ] ;
           fhir:display [ fhir:v "Benefit Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "6000000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] )
  ] [
     fhir:itemSequence [ fhir:v "4"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "3200000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "2430000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "copay" ] ;
           fhir:display [ fhir:v "CoPay" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "486000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
           ] ;
           fhir:code [ fhir:v "benefit" ] ;
           fhir:display [ fhir:v "Benefit Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "1944000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "VND" ]
       ]
     ] )
  ] ) ; # 
  fhir:total ( [
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
         ] ;
         fhir:code [ fhir:v "submitted" ] ;
         fhir:display [ fhir:v "Submitted Amount" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "14370000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
         ] ;
         fhir:code [ fhir:v "eligible" ] ;
         fhir:display [ fhir:v "Eligible Amount" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "12600000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
         ] ;
         fhir:code [ fhir:v "copay" ] ;
         fhir:display [ fhir:v "CoPay" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "2520000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] [
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>
         ] ;
         fhir:code [ fhir:v "benefit" ] ;
         fhir:display [ fhir:v "Benefit Amount" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "10080000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] ) ; # 
  fhir:payment [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/ex-paymenttype"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/ex-paymenttype>
         ] ;
         fhir:code [ fhir:v "complete" ] ;
         fhir:display [ fhir:v "Complete" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "10080000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "VND" ]
     ]
  ] . # 

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