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

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: Phạm vi hưởng BHYT — Vietnam Insurance Scope CodeSystem - TTL Representation

Draft as of 2026-03-21

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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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "vn-insurance-scope-cs"] ; # 
  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: CodeSystem vn-insurance-scope-cs</b></p><a name=\"vn-insurance-scope-cs\"> </a><a name=\"hcvn-insurance-scope-cs\"> </a><p>This case-sensitive code system <code>http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>English (English, en)</b></td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"vn-insurance-scope-cs-1\"> </a></td><td>Trong phạm vi hưởng BHYT</td><td>Thuốc/DVKT/VTYT nằm trong danh mục được quỹ BHYT chi trả. Mức hưởng tùy đối tượng (80-100%). Per QĐ 3176/QĐ-BYT, PHAM_VI = 1.</td><td>Within insurance coverage (in formulary)</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"vn-insurance-scope-cs-2\"> </a></td><td>Ngoài phạm vi hưởng BHYT</td><td>Thuốc/DVKT/VTYT nằm ngoài danh mục BHYT — người bệnh tự chi trả 100%. Per QĐ 3176/QĐ-BYT, PHAM_VI = 2.</td><td>Outside insurance coverage (not in formulary)</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"vn-insurance-scope-cs-3\"> </a></td><td>Ngoài danh mục nhưng được BHYT chi trả theo NĐ 70/2015</td><td>Thuốc/DVKT ngoài danh mục thông thường nhưng được BHYT chi trả cho đối tượng quân đội, công an, cơ yếu theo NĐ 70/2015/NĐ-CP, NĐ 74/2025/NĐ-CP. Per QĐ 3176/QĐ-BYT, PHAM_VI = 3.</td><td>Outside formulary but covered for military/police/cipher per Decree 70/2015</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
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:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "VNInsuranceScopeCS"] ; # 
  fhir:title [ fhir:v "Phạm vi hưởng BHYT — Vietnam Insurance Scope CodeSystem"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-03-21"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 Vietnam"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Vietnam" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://hl7.org.vn" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@hl7.org.vn" ]     ] )
  ] [
fhir:name [ fhir:v "Omi HealthTech (OmiGroup)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://omihealthtech.vn" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://omigroup.vn" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "healthtech@omigroup.vn" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Danh mục phạm vi hưởng bảo hiểm y tế (trường PHAM_VI).\nXác định thuốc/DVKT/VTYT nằm trong hay ngoài danh mục do quỹ BHYT chi trả.\nCăn cứ: QĐ 130/QĐ-BYT (18/01/2023), sửa đổi bởi QĐ 4750/QĐ-BYT (29/12/2023) và QĐ 3176/QĐ-BYT (29/10/2024).\nTham chiếu: NĐ 70/2015/NĐ-CP, NĐ 74/2025/NĐ-CP.\nNguồn dữ liệu: OHP Data Processor (production mapping)."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "VN" ] ;
fhir:display [ fhir:v "Viet Nam" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Bộ Y tế Việt Nam — QĐ 3176/QĐ-BYT (29/10/2024). Trường PHAM_VI."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "3"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Trong phạm vi hưởng BHYT" ] ;
fhir:definition [ fhir:v "Thuốc/DVKT/VTYT nằm trong danh mục được quỹ BHYT chi trả. Mức hưởng tùy đối tượng (80-100%). Per QĐ 3176/QĐ-BYT, PHAM_VI = 1." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "en" ] ;
fhir:value [ fhir:v "Within insurance coverage (in formulary)" ]     ] )
  ] [
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Ngoài phạm vi hưởng BHYT" ] ;
fhir:definition [ fhir:v "Thuốc/DVKT/VTYT nằm ngoài danh mục BHYT — người bệnh tự chi trả 100%. Per QĐ 3176/QĐ-BYT, PHAM_VI = 2." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "en" ] ;
fhir:value [ fhir:v "Outside insurance coverage (not in formulary)" ]     ] )
  ] [
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "Ngoài danh mục nhưng được BHYT chi trả theo NĐ 70/2015" ] ;
fhir:definition [ fhir:v "Thuốc/DVKT ngoài danh mục thông thường nhưng được BHYT chi trả cho đối tượng quân đội, công an, cơ yếu theo NĐ 70/2015/NĐ-CP, NĐ 74/2025/NĐ-CP. Per QĐ 3176/QĐ-BYT, PHAM_VI = 3." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "en" ] ;
fhir:value [ fhir:v "Outside formulary but covered for military/police/cipher per Decree 70/2015" ]     ] )
  ] ) . #