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
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
<id value="ExampleEOBChildUnder6"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="vi" lang="vi"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit ExampleEOBChildUnder6</b></p><a name="ExampleEOBChildUnder6"> </a><a name="hcExampleEOBChildUnder6"> </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-explanation-of-benefit.html">Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile</a></p></div><blockquote><p><b>Tổng chi phí theo nhóm — Claim Cost Summary Extension</b></p><ul><li>totalMedication: <span title="Vietnamese Dong">₫150.000</span> (VND)</li><li>totalInsurance: <span title="Vietnamese Dong">₫450.000</span> (VND)</li><li>totalPatientCopay: <span title="Vietnamese Dong">₫0</span> (VND)</li><li>totalPatientSelfPay: <span title="Vietnamese Dong">₫0</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>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Patient-ExamplePatientChildDependent.html">Nguyễn Minh Khôi (03 tuổi, DOB: 2023-06-15)</a></p><p><b>created</b>: 2026-03-20</p><p><b>insurer</b>: <a href="Organization-ExampleOrganizationBHXH.html">Bảo hiểm xã hội Việt Nam</a></p><p><b>provider</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy — Khoa Nhi</a></p><p><b>outcome</b>: Processing Complete</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>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><a href="Coverage-ExampleCoverageBHYTDependent.html">Coverage: 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</a></td></tr></table><blockquote><p><b>item</b></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:">Khám chuyên khoa Nhi</span></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 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>150000</td><td>Vietnamese đồng</td></tr></table></blockquote></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 3}">Xét nghiệm</span></p><p><b>productOrService</b>: <span title="Codes:">Công thức máu toàn phần (CBC)</span></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 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>150000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</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:">Amoxicillin 250mg/5ml siro x 1 chai, Paracetamol 120mg/5ml siro x 1 chai</span></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 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>150000</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>450000</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>450000</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>450000</td><td>Vietnamese đồng</td></tr></table></blockquote><p><b>benefitPeriod</b>: 2026-01-01 --> 2026-12-31</p></div>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary">
<extension url="totalMedication">
<valueMoney>
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<currency value="VND"/>
</valueMoney>
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<extension url="totalInsurance">
<valueMoney>
<value value="450000"/>
<currency value="VND"/>
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<extension url="totalPatientCopay">
<valueMoney>
<value value="0"/>
<currency value="VND"/>
</valueMoney>
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<extension url="totalPatientSelfPay">
<valueMoney>
<value value="0"/>
<currency value="VND"/>
</valueMoney>
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<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period">
<extension url="year">
<valueInteger value="2026"/>
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<extension url="month">
<valueInteger value="3"/>
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<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method">
<valueCodeableConcept>
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<code value="1"/>
<display value="Phí dịch vụ (FFS)"/>
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<status value="active"/>
<type>
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<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
<display value="Professional"/>
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<use value="claim"/>
<patient>🔗
<reference value="Patient/ExamplePatientChildDependent"/>
<display value="Nguyễn Minh Khôi (03 tuổi, DOB: 2023-06-15)"/>
</patient>
<created value="2026-03-20"/>
<insurer>🔗
<reference value="Organization/ExampleOrganizationBHXH"/>
<display value="Bảo hiểm xã hội Việt Nam"/>
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<provider>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<display value="Bệnh viện Chợ Rẫy — Khoa Nhi"/>
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<outcome value="complete"/>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="J06.9"/>
<display value="Acute upper respiratory infection, unspecified"/>
</coding>
<text value="Nhiễm trùng đường hô hấp trên cấp tính"/>
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<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
<code value="principal"/>
<display value="Principal Diagnosis"/>
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<insurance>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/ExampleCoverageBHYTDependent"/>
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<item>
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<category>
<coding>
<system
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<code value="1"/>
<display value="Khám bệnh"/>
</coding>
</category>
<productOrService>
<text value="Khám chuyên khoa Nhi"/>
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<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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<adjudication>
<category>
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<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
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<display value="Eligible Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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</adjudication>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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</adjudication>
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<item>
<sequence value="2"/>
<category>
<coding>
<system
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<code value="3"/>
<display value="Xét nghiệm"/>
</coding>
</category>
<productOrService>
<text value="Công thức máu toàn phần (CBC)"/>
</productOrService>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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<item>
<sequence value="3"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
<code value="8"/>
<display value="Thuốc, dịch truyền"/>
</coding>
</category>
<productOrService>
<text
value="Amoxicillin 250mg/5ml siro x 1 chai, Paracetamol 120mg/5ml siro x 1 chai"/>
</productOrService>
<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
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<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
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<amount>
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<currency value="VND"/>
</amount>
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<adjudication>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
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<amount>
<value value="150000"/>
<currency value="VND"/>
</amount>
</adjudication>
</item>
<total>
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<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
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<amount>
<value value="450000"/>
<currency value="VND"/>
</amount>
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<total>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
<display value="Benefit Amount"/>
</coding>
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<amount>
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<currency value="VND"/>
</amount>
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<payment>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"/>
<code value="complete"/>
<display value="Complete"/>
</coding>
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<amount>
<value value="450000"/>
<currency value="VND"/>
</amount>
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<benefitPeriod>
<start value="2026-01-01"/>
<end value="2026-12-31"/>
</benefitPeriod>
</ExplanationOfBenefit>