@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:ClaimResponse ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ExampleClaimResponseSelfPay"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-response"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:language [ fhir:v "vi"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: ClaimResponse ExampleClaimResponseSelfPay

status: Active

type: Professional

use: Claim

patient: John Smith (DOB: 1980-07-15, Passport: A12345678)

created: 2026-04-15

insurer: Bệnh viện Chợ Rẫy

request: Claim: extension = ,,Phí dịch vụ (FFS); identifier = Mã liên kết hồ sơ BHYT: VNMALK#LK-2026-000103; status = active; type = Professional; subType = Người bệnh không KCB BHYT; use = claim; created = 2026-04-15; priority = Normal

outcome: Processing Complete

item

itemSequence: 1

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*300000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*300000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*0Vietnamese đồng

item

itemSequence: 2

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*250000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*250000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*0Vietnamese đồng

total

category: Submitted Amount

Amounts

-ValueCurrency
*550000Vietnamese đồng

total

category: Benefit Amount

Amounts

-ValueCurrency
*0Vietnamese đồng

payment

type: Complete

Amounts

-ValueCurrency
*550000Vietnamese đồng
"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "professional" ] ; fhir:display [ fhir:v "Professional" ] ] ) ] ; # 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:insurer [ fhir:l ; fhir:reference [ fhir:v "Organization/ExampleOrganizationChoRay" ] ; fhir:display [ fhir:v "Bệnh viện Chợ Rẫy" ] ] ; # fhir:request [ fhir:l ; fhir:reference [ fhir:v "Claim/ExampleClaimSelfPay" ] ] ; # 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 ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "300000"^^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 ] ; fhir:code [ fhir:v "eligible" ] ; fhir:display [ fhir:v "Eligible Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "300000"^^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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "0"^^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 ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "250000"^^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 ] ; fhir:code [ fhir:v "eligible" ] ; fhir:display [ fhir:v "Eligible Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "250000"^^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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "0"^^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 ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "550000"^^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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "0"^^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 ] ; fhir:code [ fhir:v "complete" ] ; fhir:display [ fhir:v "Complete" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "550000"^^xsd:decimal ] ; fhir:currency [ fhir:v "VND" ] ] ] . # # -------------------------------------------------------------------------------------