@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:ExplanationOfBenefit ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ExampleEOBChildUnder6"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:language [ fhir:v "vi"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: ExplanationOfBenefit ExampleEOBChildUnder6

Tổng chi phí theo nhóm — Claim Cost Summary Extension

  • totalMedication: ₫150.000 (VND)
  • totalInsurance: ₫450.000 (VND)
  • totalPatientCopay: ₫0 (VND)
  • totalPatientSelfPay: ₫0 (VND)

Kỳ thanh toán — Claim Payment Period Extension

  • year: 2026
  • month: 3

Phương thức thanh toán — Payment Method Extension: Phí dịch vụ (FFS)

status: Active

type: Professional

use: Claim

patient: Nguyễn Minh Khôi (03 tuổi, DOB: 2023-06-15)

created: 2026-03-20

insurer: Bảo hiểm xã hội Việt Nam

provider: Bệnh viện Chợ Rẫy — Khoa Nhi

outcome: Processing Complete

Diagnoses

-SequenceDiagnosis[x]Type
*1Nhiễm trùng đường hô hấp trên cấp tínhPrincipal Diagnosis

Insurances

-FocalCoverage
*trueCoverage: extension = Trẻ em dưới 6 tuổi,->Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#0794120056; status = active; type = Medical; subscriberId = 0794120056; relationship = Self; period = 2023-06-15 --> 2029-06-15

item

sequence: 1

category: Khám bệnh

productOrService: Khám chuyên khoa Nhi

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

item

sequence: 2

category: Xét nghiệm

productOrService: Công thức máu toàn phần (CBC)

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

item

sequence: 3

category: Thuốc, dịch truyền

productOrService: Amoxicillin 250mg/5ml siro x 1 chai, Paracetamol 120mg/5ml siro x 1 chai

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

-ValueCurrency
*150000Vietnamese đồng

total

category: Submitted Amount

Amounts

-ValueCurrency
*450000Vietnamese đồng

total

category: Benefit Amount

Amounts

-ValueCurrency
*450000Vietnamese đồng

payment

type: Complete

Amounts

-ValueCurrency
*450000Vietnamese đồng

benefitPeriod: 2026-01-01 --> 2026-12-31

"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "totalMedication"^^xsd:anyURI ; fhir:l fhir:totalMedication ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "150000"^^xsd:decimal ] ; fhir:currency [ fhir:v "VND" ] ] ] [ fhir:url [ fhir:v "totalInsurance"^^xsd:anyURI ; fhir:l fhir:totalInsurance ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "450000"^^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 "0"^^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 "0"^^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 ] ] [ 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 ] ] [ fhir:url [ fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method"^^xsd:anyURI ; fhir:l ] ; 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 ] ; fhir:code [ fhir:v "1" ] ; fhir:display [ fhir:v "Phí dịch vụ (FFS)" ] ] ) ] ] ) ; # 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:l ; fhir:reference [ fhir:v "Patient/ExamplePatientChildDependent" ] ; fhir:display [ fhir:v "Nguyễn Minh Khôi (03 tuổi, DOB: 2023-06-15)" ] ] ; # fhir:created [ fhir:v "2026-03-20"^^xsd:date] ; # fhir:insurer [ fhir:l ; fhir:reference [ fhir:v "Organization/ExampleOrganizationBHXH" ] ; fhir:display [ fhir:v "Bảo hiểm xã hội Việt Nam" ] ] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Organization/ExampleOrganizationChoRay" ] ; fhir:display [ fhir:v "Bệnh viện Chợ Rẫy — Khoa Nhi" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # 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 ] ; 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 ] ; fhir:code [ fhir:v "principal" ] ; fhir:display [ fhir:v "Principal Diagnosis" ] ] ) ] ) ] ) ; # fhir:insurance ( [ fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:l ; fhir:reference [ fhir:v "Coverage/ExampleCoverageBHYTDependent" ] ] ] ) ; # fhir:item ( [ 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 ] ; fhir:code [ fhir:v "1" ] ; fhir:display [ fhir:v "Khám bệnh" ] ] ) ] ; fhir:productOrService [ fhir:text [ fhir:v "Khám chuyên khoa Nhi" ] ] ; 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 "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 ] ; 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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ 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 ] ; fhir:code [ fhir:v "3" ] ; fhir:display [ fhir:v "Xét nghiệm" ] ] ) ] ; fhir:productOrService [ fhir:text [ fhir:v "Công thức máu toàn phần (CBC)" ] ] ; 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 "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 ] ; 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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "150000"^^xsd:decimal ] ; fhir:currency [ fhir:v "VND" ] ] ] ) ] [ 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 ] ; fhir:code [ fhir:v "8" ] ; fhir:display [ fhir:v "Thuốc, dịch truyền" ] ] ) ] ; fhir:productOrService [ fhir:text [ fhir:v "Amoxicillin 250mg/5ml siro x 1 chai, Paracetamol 120mg/5ml siro x 1 chai" ] ] ; 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 "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 ] ; 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 ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "150000"^^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 "450000"^^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 "450000"^^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 "450000"^^xsd:decimal ] ; fhir:currency [ fhir:v "VND" ] ] ] ; # fhir:benefitPeriod [ fhir:start [ fhir:v "2026-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2026-12-31"^^xsd:date ] ] . # # -------------------------------------------------------------------------------------