Ví dụ: Yêu cầu thanh toán BHYT nội trú - TTL Representation - VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam v0.1.0

VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: Ví dụ: Yêu cầu thanh toán BHYT nội trú - TTL Representation

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@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 -------------------------------------------------------------------

 a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleClaimBHYT"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleClaimBHYT</b></p><a name=\"ExampleClaimBHYT\"> </a><a name=\"hcExampleClaimBHYT\"> </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.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>totalMedication: <span title=\"Vietnamese Dong\">₫3,200,000</span> (VND)</li><li>totalInsurance: <span title=\"Vietnamese Dong\">₫10,080,000</span> (VND)</li><li>totalPatientCopay: <span title=\"Vietnamese Dong\">₫2,520,000</span> (VND)</li><li>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫1,770,000</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>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}\">Acute appendicitis, other and unspecified</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://hl7.org/fhir/sid/icd-9-cm 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</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>sequence</b>: 3</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://hl7.org/fhir/sid/icd-9-cm 47.01}\">Cắt ruột thừa qua nội soi</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>: 4</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}\">Thuốc kháng sinh + giảm đau hậu phẫu</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>14370000</td><td>Vietnamese đồng</td></tr></table></div>"^^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 "3200000"^^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 "10080000"^^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 "2520000"^^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 "1770000"^^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 <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary>     ]
  ] [
    ( 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 <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period>     ]
  ] [
fhir:url [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method>     ] ;
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 <http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs>         ] ;
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 <http://terminology.hl7.org/CodeSystem/claim-type>       ] ;
fhir:code [ fhir:v "institutional" ] ;
fhir:display [ fhir:v "Institutional" ]     ] )
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [
fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs>       ] ;
fhir:code [ fhir:v "1.1" ] ;
fhir:display [ fhir:v "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
fhir:l fhir:Patient/ExamplePatientNguyenVanAn ;
fhir:reference [ fhir:v "Patient/ExamplePatientNguyenVanAn" ] ;
fhir:display [ fhir:v "Nguyễn Văn An" ]
  ] ; # 
  fhir:created [ fhir:v "2026-03-17"^^xsd:date] ; # 
  fhir:provider [
fhir:l fhir:Organization/ExampleOrganizationChoRay ;
fhir:reference [ fhir:v "Organization/ExampleOrganizationChoRay" ] ;
fhir:display [ fhir:v "Bệnh viện Chợ Rẫy" ]
  ] ; # 
  fhir:priority [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/processpriority>       ] ;
fhir:code [ fhir:v "normal" ] ;
fhir:display [ fhir:v "Normal" ]     ] )
  ] ; # 
  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 <http://hl7.org/fhir/sid/icd-10>         ] ;
fhir:code [ fhir:v "K35.8" ] ;
fhir:display [ fhir:v "Acute appendicitis, other and unspecified" ]       ] )     ] ;
    ( fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosistype>         ] ;
fhir:code [ fhir:v "principal" ] ;
fhir:display [ fhir:v "Principal Diagnosis" ]       ] )     ] )
  ] ) ; # 
  fhir:procedure ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:procedure [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-9-cm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-9-cm>         ] ;
fhir:code [ fhir:v "47.01" ] ;
fhir:display [ fhir:v "Cắt ruột thừa qua nội soi" ]       ] )     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:l fhir:Coverage/ExampleCoverageBHYTNew ;
fhir:reference [ fhir:v "Coverage/ExampleCoverageBHYTNew" ] ;
fhir:display [ fhir:v "BHYT Nguyễn Văn An — DN 80%" ]     ]
  ] ) ; # 
  fhir:item ( [
    ( fhir:extension [
fhir:url [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department>       ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [
fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs>           ] ;
fhir:code [ fhir:v "K01" ] ;
fhir:display [ fhir:v "Khoa Khám bệnh" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [
fhir:v "scope"^^xsd:anyURI ;
fhir:l fhir:scope         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [
fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs>             ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Trong phạm vi hưởng BHYT" ]           ] )         ]       ] [
fhir:url [
fhir:v "paymentRatio"^^xsd:anyURI ;
fhir:l fhir:paymentRatio         ] ;
fhir:value [
a fhir:Decimal ;
fhir:v "100"^^xsd:decimal         ]       ] [
fhir:url [
fhir:v "benefitLevel"^^xsd:anyURI ;
fhir:l fhir:benefitLevel         ] ;
fhir:value [
a fhir:Decimal ;
fhir:v "80"^^xsd:decimal         ]       ] ) ;
fhir:url [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info>       ]     ] ) ;
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 <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>         ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Khám bệnh" ]       ] )     ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>         ] ;
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Unknown" ]       ] ) ;
fhir:text [ fhir:v "Khám chuyên khoa Ngoại" ]     ] ;
fhir:net [
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 <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>         ] ;
fhir:code [ fhir:v "2.2" ] ;
fhir:display [ fhir:v "Ngày giường điều trị nội trú" ]       ] )     ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>         ] ;
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Unknown" ]       ] ) ;
fhir:text [ fhir:v "Giường BHYT hạng I — 7 ngày" ]     ] ;
fhir:quantity [
fhir:value [ fhir:v "7"^^xsd:decimal ]     ] ;
fhir:unitPrice [
fhir:value [ fhir:v "360000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "VND" ]     ] ;
fhir:net [
fhir:value [ fhir:v "2520000"^^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 <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>         ] ;
fhir:code [ fhir:v "6" ] ;
fhir:display [ fhir:v "Phẫu thuật, thủ thuật" ]       ] )     ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-9-cm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-9-cm>         ] ;
fhir:code [ fhir:v "47.01" ] ;
fhir:display [ fhir:v "Cắt ruột thừa qua nội soi" ]       ] )     ] ;
fhir:net [
fhir:value [ fhir:v "8500000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "VND" ]     ]
  ] [
fhir:sequence [ fhir:v "4"^^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 <http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs>         ] ;
fhir:code [ fhir:v "8" ] ;
fhir:display [ fhir:v "Thuốc, dịch truyền" ]       ] )     ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>         ] ;
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Unknown" ]       ] ) ;
fhir:text [ fhir:v "Thuốc kháng sinh + giảm đau hậu phẫu" ]     ] ;
fhir:net [
fhir:value [ fhir:v "3200000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "VND" ]     ]
  ] ) ; # 
  fhir:total [
fhir:value [ fhir:v "14370000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "VND" ]
  ] . #