HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.8.0 - Draft for Community Review Viet Nam cờ

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.8.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CapabilityStatement: VN Core BHYT Gateway Server CapabilityStatement — Yêu cầu tuân thủ tối thiểu cho máy chủ cổng BHYT (Thử nghiệm)

URL chính thức: http://fhir.hl7.org.vn/core/CapabilityStatement/vn-core-bhyt-gateway-server Phiên bản: 0.8.0
Computable Name: VNBHYTGatewayServerCapabilityStatement
Định danh khác: OID:2.25.161089673617632664299011809196868855799.13.2

Yêu cầu tuân thủ tối thiểu theo từng vai trò triển khai dành cho máy chủ/facade tiếp nhận hồ sơ thanh toán BHYT từ HIS/EMR. Tập trung vào lớp liên thông hồ sơ BHYT, MA_LK, các operation kiểm tra hợp lệ/gửi/thu hồi và các quy tắc định dạng xuất cổng. / Minimum conformance requirements for payer-facing BHYT submission servers.

Raw OpenAPI-Swagger Definition file | Tải xuống

Language: vi

VN Core BHYT Gateway Server CapabilityStatement

  • Implementation Guide Version: 0.8.0
  • FHIR Version: 4.0.1
  • Supported Formats: json, xml
  • Published on: 2026-03-23
  • Published by: Omi HealthTech / VN Core FHIR Community Initiative

Note to Implementers: FHIR Capabilities

Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.

FHIR RESTful Capabilities

Mode: server

Máy chủ cổng/facade nên công bố rõ khả năng kiểm tra hợp lệ hồ sơ, nhận VNCoreBHYTSubmissionBundle, truy vết theo MA_LK và phản hồi lỗi bằng OperationOutcome.

Security
Enable CORS: no
Security services supported: SMART-on-FHIR

Khuyến nghị token máy chủ - máy chủ, danh sách IP cho phép hoặc mTLS theo quy định vận hành, ghi log đầy đủ truy cập và quá trình tiếp nhận hồ sơ BHYT.

Capabilities by Resource/Profile

Summary

The summary table lists the resources that are part of this configuration, and for each resource it lists:

  • The relevant profiles (if any)
  • The interactions supported by each resource (Read, Search, Update, and Create, are always shown, while VRead, Patch, Delete, History on Instance, or History on Type are only present if at least one of the resources has support for them.
  • The required, recommended, and some optional search parameters (if any).
  • The linked resources enabled for _include
  • The other resources enabled for _revinclude
  • The operations on the resource (if any)
Resource TypeProfileRSUCSearches_include_revincludeOperations
Bundlehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bhyt-submission-bundleYYidentifier$validate-bhyt-claim, $submit-bhyt-claim
Claimhttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claimYYYidentifier, vn-ma-lkClaim:patient, Claim:insurer, Claim:provider$reverse-bhyt-claim
Coveragehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverageYYvn-ma-dkbdCoverage:beneficiary, Coverage:payor
CoverageEligibilityRequesthttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-requestYY
CoverageEligibilityResponsehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-responseYYCoverageEligibilityResponse:request
ClaimResponsehttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim-responseYYrequest, status, vn-xml1-idClaimResponse:patient, ClaimResponse:request
Patienthttp://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patientYYvn-cccdCoverage:beneficiary
Base System Profile
Bundle hồ sơ thanh toán BHYT — VN Core BHYT Submission Bundle
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read.
  • SHOULD support create.

Search Parameters
ConformanceParameterTypeDocumentation
SHOULDidentifiertoken
 
Extended Operations
ConformanceOperationDocumentation
SHOULD$validate-bhyt-claim

Validate hồ sơ theo profile và quy tắc của lớp liên thông hồ sơ BHYT (POST Bundle/$validate-bhyt-claim)

SHOULD$submit-bhyt-claim

Tiếp nhận hồ sơ thanh toán BHYT theo VNCoreBHYTSubmissionBundle (POST Bundle/$submit-bhyt-claim)

Base System Profile
Yêu cầu thanh toán KCB VN Core — VN Core Claim Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read, search-type.
  • SHOULD support create.

Search Parameters
ConformanceParameterTypeDocumentation
SHOULDidentifiertoken
SHOULDvn-ma-lktoken
 
Extended Operations
ConformanceOperationDocumentation
SHOULD$reverse-bhyt-claim

Thu hồi hoặc hủy hồ sơ đã gửi (Claim/$reverse-bhyt-claim hoặc Claim/[id]/$reverse-bhyt-claim)

Base System Profile
Thẻ BHYT VN Core — VN Core Coverage Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read, search-type.

Search Parameters
ConformanceParameterTypeDocumentation
SHOULDvn-ma-dkbdtoken
 
Base System Profile
Yêu cầu tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Request Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support create, read.

Documentation

Tra cứu hiệu lực/quyền lợi thẻ BHYT tại tiếp đón (NĐ 164/2025/NĐ-CP)

Base System Profile
Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read.
  • SHOULD support search-type.

Documentation

Phản hồi kết quả tra cứu thẻ BHYT từ Cổng giám định BHXH

Base System Profile
Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read, search-type.

Search Parameters
ConformanceParameterTypeDocumentation
SHOULDrequestreference
SHOULDstatustoken
SHOULDvn-xml1-idtoken
 
Base System Profile
Bệnh nhân VN Core — VN Core Patient Profile
Profile Conformance
SHALL
Reference Policy

Interaction summary
  • SHALL support read, search-type.

Search Parameters
ConformanceParameterTypeDocumentation
SHOULDvn-cccdtoken