VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam
0.1.0 - STU1 Draft
VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam
0.1.0 - STU1 Draft
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
{
"resourceType" : "ExplanationOfBenefit",
"id" : "ExampleExplanationOfBenefitBHYT",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit ExampleExplanationOfBenefitBHYT</b></p><a name=\"ExampleExplanationOfBenefitBHYT\"> </a><a name=\"hcExampleExplanationOfBenefitBHYT\"> </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-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\">₫73,500</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>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyen Van An</a></p><p><b>created</b>: 2026-03-19</p><p><b>insurer</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Bao hiem xa hoi Viet Nam</a></p><p><b>provider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Benh vien Cho Ray</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 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>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-ExampleCoverageBHYTNew.html\">Coverage: extension = Người lao động trong doanh nghiệp,->Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#001085012345; status = active; type = ; period = 2025-08-01 --> 2026-07-31</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:\">Kham chuyen khoa</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>120000</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 8}\">Thuốc, dịch truyền</span></p><p><b>productOrService</b>: <span title=\"Codes:\">Amoxicillin 500mg</span></p><p><b>quantity</b>: 21</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>3500</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>73500</td><td>Vietnamese đồng</td></tr></table><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>73500</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>58800</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>14370000</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>10080000</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>10080000</td><td>Vietnamese đồng</td></tr></table></blockquote><p><b>benefitPeriod</b>: 2026-01-01 --> 2026-12-31</p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "totalMedication",
"valueMoney" : {
"value" : 73500,
"currency" : "VND"
}
},
{
"url" : "totalInsurance",
"valueMoney" : {
"value" : 10080000,
"currency" : "VND"
}
},
{
"url" : "totalPatientCopay",
"valueMoney" : {
"value" : 2520000,
"currency" : "VND"
}
},
{
"url" : "totalPatientSelfPay",
"valueMoney" : {
"value" : 1770000,
"currency" : "VND"
}
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
},
{
"extension" : [
{
"url" : "year",
"valueInteger" : 2026
},
{
"url" : "month",
"valueInteger" : 3
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs",
"code" : "1",
"display" : "Phí dịch vụ (FFS)"
}
]
}
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional",
"display" : "Institutional"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyen Van An"
},
"created" : "2026-03-19",
"insurer" : {
🔗 "reference" : "Organization/ExampleOrganizationBHXH",
"display" : "Bao hiem xa hoi Viet Nam"
},
"provider" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay",
"display" : "Benh vien Cho Ray"
},
"outcome" : "complete",
"diagnosis" : [
{
"sequence" : 1,
"diagnosisCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code" : "principal",
"display" : "Principal Diagnosis"
}
]
}
]
}
],
"insurance" : [
{
"focal" : true,
"coverage" : {
🔗 "reference" : "Coverage/ExampleCoverageBHYTNew"
}
}
],
"item" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "1",
"display" : "Khám bệnh"
}
]
},
"productOrService" : {
"text" : "Kham chuyen khoa"
},
"adjudication" : [
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "submitted",
"display" : "Submitted Amount"
}
]
},
"amount" : {
"value" : 150000,
"currency" : "VND"
}
},
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "eligible",
"display" : "Eligible Amount"
}
]
},
"amount" : {
"value" : 150000,
"currency" : "VND"
}
},
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "benefit",
"display" : "Benefit Amount"
}
]
},
"amount" : {
"value" : 120000,
"currency" : "VND"
}
}
]
},
{
"sequence" : 2,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "8",
"display" : "Thuốc, dịch truyền"
}
]
},
"productOrService" : {
"text" : "Amoxicillin 500mg"
},
"quantity" : {
"value" : 21
},
"unitPrice" : {
"value" : 3500,
"currency" : "VND"
},
"net" : {
"value" : 73500,
"currency" : "VND"
},
"adjudication" : [
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "submitted",
"display" : "Submitted Amount"
}
]
},
"amount" : {
"value" : 73500,
"currency" : "VND"
}
},
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "benefit",
"display" : "Benefit Amount"
}
]
},
"amount" : {
"value" : 58800,
"currency" : "VND"
}
}
]
}
],
"total" : [
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "submitted",
"display" : "Submitted Amount"
}
]
},
"amount" : {
"value" : 14370000,
"currency" : "VND"
}
},
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "benefit",
"display" : "Benefit Amount"
}
]
},
"amount" : {
"value" : 10080000,
"currency" : "VND"
}
}
],
"payment" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-paymenttype",
"code" : "complete",
"display" : "Complete"
}
]
},
"amount" : {
"value" : 10080000,
"currency" : "VND"
}
},
"benefitPeriod" : {
"start" : "2026-01-01",
"end" : "2026-12-31"
}
}