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

: Ví dụ: Yêu cầu thanh toán BHYT nội trú

Bản thô ttl | Tải xuống

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleClaimBHYT> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleClaimBHYT"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "vi"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<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\">₫10.440.000</span> (VND)</li><li>totalPatientCopay: <span title=\"Vietnamese Dong\">₫2.610.000</span> (VND)</li><li>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫1.000.000</span> (VND)</li><li>totalOtherFund: <span title=\"Vietnamese Dong\">₫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>identifier</b>: Mã liên kết hồ sơ BHYT/LK-2026-000101</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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}\">Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa</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 K22}\">Khoa Ngoại tiêu hoá</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://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs 10.22}\">Khám chuyên khoa Ngoại tiêu hóa</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>Khoa thực hiện — Claim Item Department Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs K22}\">Khoa Ngoại tiêu hoá</span></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://fhir.hl7.org.vn/core/CodeSystem/vn-bed-day-code-cs K22.NG1}\">Ngày giường Ngoại loại 1 — 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://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}\">Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa</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>Nguồn chi trả — Payment Source Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs 1}\">Bảo hiểm y tế</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>: 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://www.whocc.no/atc J01DD04}\">Ceftriaxone 2g bột pha tiêm 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>1430000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Nhóm TBYT theo danh mục BHYT — VN Device Group</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-device-group-cs N04.00.000}\">Ống thông, ống dẫn lưu, ống nối, dây nối, chạc nối, catheter</span></p><p><b>Phạm vi BHYT cho VTYT — Device Insurance Scope Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</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><li>servicePaymentRatio: 100</li><li>insuranceUnitPrice: <span title=\"Vietnamese Dong\">₫150.000</span> (VND)</li><li>insuranceLineAmount: <span title=\"Vietnamese Dong\">₫450.000</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 5</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 9}\">Thiết bị y tế</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason unknown}\">Kim luồn tĩnh mạch an toàn 22G</span></p><p><b>quantity</b>: 3</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>150000</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>450000</td><td>Vietnamese đồng</td></tr></table></blockquote><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 K22}\">Khoa Ngoại tiêu hoá</span></p><p><b>Nguồn chi trả — Payment Source Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs 4}\">Nguồn khác</span></p><p><b>Thông tin thầu — Tender Information Extension</b>: 112/QĐ-BVCR;G2;N2;2025;G2.02</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 2}\">Ngoài phạm vi hưởng BHYT</span></li><li>paymentRatio: 0</li><li>benefitLevel: 0</li></ul></blockquote><blockquote><p><b>Chi tiết nguồn khác chi trả theo dòng — Other Fund Breakdown Extension</b></p><ul><li>stateBudget: <span title=\"Vietnamese Dong\">₫270.000</span> (VND)</li><li>domesticAid: <span title=\"Vietnamese Dong\">₫500.000</span> (VND)</li></ul></blockquote><p><b>sequence</b>: 6</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://www.whocc.no/atc M01AH04}\">Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu (ngoài danh mục BHYT)</span></p><p><b>quantity</b>: 6 lọ</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>295000</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>1770000</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>14820000</td><td>Vietnamese đồng</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalMedication" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "3200000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalInsurance" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "10440000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalPatientCopay" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "2610000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalPatientSelfPay" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "1000000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalOtherFund" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "770000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ] ;
     fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "year" ] ;
       fhir:Extension.valueInteger [ fhir:value "2026"^^xsd:integer ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "month" ] ;
       fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]
     ] ;
     fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "Phí dịch vụ (FFS)" ]
       ]
     ]
  ] ;
  fhir:Claim.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs" ] ;
         fhir:Coding.code [ fhir:value "MA_LK" ] ;
         fhir:Coding.display [ fhir:value "Mã liên kết hồ sơ BHYT" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://fhir.hl7.org.vn/core/sid/ma-lk" ] ;
     fhir:Identifier.value [ fhir:value "LK-2026-000101" ]
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "institutional" ] ;
       fhir:Coding.display [ fhir:value "Institutional" ]
     ]
  ] ;
  fhir:Claim.subType [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs" ] ;
       fhir:Coding.code [ fhir:value "1.1" ] ;
       fhir:Coding.display [ fhir:value "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "claim"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/ExamplePatientNguyenVanAn> ;
     fhir:Reference.reference [ fhir:value "Patient/ExamplePatientNguyenVanAn" ] ;
     fhir:Reference.display [ fhir:value "Nguyễn Văn An" ]
  ] ;
  fhir:Claim.created [ fhir:value "2026-03-17"^^xsd:date] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/Organization/ExampleOrganizationChoRay> ;
     fhir:Reference.reference [ fhir:value "Organization/ExampleOrganizationChoRay" ] ;
     fhir:Reference.display [ fhir:value "Bệnh viện Chợ Rẫy" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ;
       fhir:Coding.code [ fhir:value "normal" ] ;
       fhir:Coding.display [ fhir:value "Normal" ]
     ]
  ] ;
  fhir:Claim.diagnosis [
     fhir:index -1 ;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.diagnosis.diagnosisCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
         fhir:Coding.code [ fhir:value "K35.8" ] ;
         fhir:Coding.display [ fhir:value "Acute appendicitis, other and unspecified" ]
       ]
     ] ;
     fhir:Claim.diagnosis.type [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-diagnosistype" ] ;
         fhir:Coding.code [ fhir:value "principal" ] ;
         fhir:Coding.display [ fhir:value "Principal Diagnosis" ]
       ]
     ]
  ] ;
  fhir:Claim.procedure [
     fhir:index -1 ;
     fhir:Claim.procedure.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.procedure.procedureCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs" ] ;
         fhir:Coding.code [ fhir:value "47.01" ] ;
         fhir:Coding.display [ fhir:value "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa" ]
       ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index -1 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/ExampleCoverageBHYTNew> ;
       fhir:Reference.reference [ fhir:value "Coverage/ExampleCoverageBHYTNew" ] ;
       fhir:Reference.display [ fhir:value "BHYT Nguyễn Văn An — DN 80%" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs" ] ;
           fhir:Coding.code [ fhir:value "K22" ] ;
           fhir:Coding.display [ fhir:value "Khoa Ngoại tiêu hoá" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "scope" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs" ] ;
             fhir:Coding.code [ fhir:value "1" ] ;
             fhir:Coding.display [ fhir:value "Trong phạm vi hưởng BHYT" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "paymentRatio" ] ;
         fhir:Extension.valueDecimal [ fhir:value "100"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "benefitLevel" ] ;
         fhir:Extension.valueDecimal [ fhir:value "80"^^xsd:decimal ]
       ] ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "Khám bệnh" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs" ] ;
         fhir:Coding.code [ fhir:value "10.22" ] ;
         fhir:Coding.display [ fhir:value "Ngoại tiêu hóa" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Khám chuyên khoa Ngoại tiêu hóa" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs" ] ;
           fhir:Coding.code [ fhir:value "K22" ] ;
           fhir:Coding.display [ fhir:value "Khoa Ngoại tiêu hoá" ]
         ]
       ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "2.2" ] ;
         fhir:Coding.display [ fhir:value "Ngày giường điều trị nội trú" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bed-day-code-cs" ] ;
         fhir:Coding.code [ fhir:value "K22.NG1" ] ;
         fhir:Coding.display [ fhir:value "Ngày giường Ngoại loại 1 - Khoa Ngoại tiêu hoá" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Ngày giường Ngoại loại 1 — 7 ngày" ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "7"^^xsd:decimal ]
     ] ;
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "360000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "2520000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Claim.item.sequence [ fhir:value "3"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "6" ] ;
         fhir:Coding.display [ fhir:value "Phẫu thuật, thủ thuật" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs" ] ;
         fhir:Coding.code [ fhir:value "47.01" ] ;
         fhir:Coding.display [ fhir:value "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa" ]
       ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "8500000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs" ] ;
           fhir:Coding.code [ fhir:value "1" ] ;
           fhir:Coding.display [ fhir:value "Bảo hiểm y tế" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "scope" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs" ] ;
             fhir:Coding.code [ fhir:value "1" ] ;
             fhir:Coding.display [ fhir:value "Trong phạm vi hưởng BHYT" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "paymentRatio" ] ;
         fhir:Extension.valueDecimal [ fhir:value "100"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "benefitLevel" ] ;
         fhir:Extension.valueDecimal [ fhir:value "80"^^xsd:decimal ]
       ] ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "4"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "8" ] ;
         fhir:Coding.display [ fhir:value "Thuốc, dịch truyền" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://www.whocc.no/atc" ] ;
         fhir:Coding.code [ fhir:value "J01DD04" ] ;
         fhir:Coding.display [ fhir:value "Ceftriaxone" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Ceftriaxone 2g bột pha tiêm hậu phẫu" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "1430000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-device-group" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-device-group-cs" ] ;
           fhir:Coding.code [ fhir:value "N04.00.000" ] ;
           fhir:Coding.display [ fhir:value "Ống thông, ống dẫn lưu, ống nối, dây nối, chạc nối, catheter" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-device-insurance-scope" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs" ] ;
           fhir:Coding.code [ fhir:value "1" ] ;
           fhir:Coding.display [ fhir:value "Trong phạm vi hưởng BHYT" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "scope" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs" ] ;
             fhir:Coding.code [ fhir:value "1" ] ;
             fhir:Coding.display [ fhir:value "Trong phạm vi hưởng BHYT" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "paymentRatio" ] ;
         fhir:Extension.valueDecimal [ fhir:value "100"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "benefitLevel" ] ;
         fhir:Extension.valueDecimal [ fhir:value "80"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "servicePaymentRatio" ] ;
         fhir:Extension.valueDecimal [ fhir:value "100"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "insuranceUnitPrice" ] ;
         fhir:Extension.valueMoney [
           fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "insuranceLineAmount" ] ;
         fhir:Extension.valueMoney [
           fhir:Money.value [ fhir:value "450000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ]
       ] ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "5"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "9" ] ;
         fhir:Coding.display [ fhir:value "Thiết bị y tế" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ] ;
         fhir:Coding.code [ fhir:value "unknown" ] ;
         fhir:Coding.display [ fhir:value "Unknown" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Kim luồn tĩnh mạch an toàn 22G" ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ]
     ] ;
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "450000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs" ] ;
           fhir:Coding.code [ fhir:value "K22" ] ;
           fhir:Coding.display [ fhir:value "Khoa Ngoại tiêu hoá" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs" ] ;
           fhir:Coding.code [ fhir:value "4" ] ;
           fhir:Coding.display [ fhir:value "Nguồn khác" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info" ] ;
       fhir:Extension.valueString [ fhir:value "112/QĐ-BVCR;G2;N2;2025;G2.02" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "scope" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs" ] ;
             fhir:Coding.code [ fhir:value "2" ] ;
             fhir:Coding.display [ fhir:value "Ngoài phạm vi hưởng BHYT" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "paymentRatio" ] ;
         fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "benefitLevel" ] ;
         fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ]
       ] ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "stateBudget" ] ;
         fhir:Extension.valueMoney [
           fhir:Money.value [ fhir:value "270000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "domesticAid" ] ;
         fhir:Extension.valueMoney [
           fhir:Money.value [ fhir:value "500000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ]
       ] ;
       fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-other-fund-breakdown" ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "6"^^xsd:positiveInteger ] ;
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs" ] ;
         fhir:Coding.code [ fhir:value "8" ] ;
         fhir:Coding.display [ fhir:value "Thuốc, dịch truyền" ]
       ]
     ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://www.whocc.no/atc" ] ;
         fhir:Coding.code [ fhir:value "M01AH04" ] ;
         fhir:Coding.display [ fhir:value "Parecoxib" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu (ngoài danh mục BHYT)" ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "6"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "lọ" ]
     ] ;
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "295000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "1770000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ] ;
  fhir:Claim.total [
     fhir:Money.value [ fhir:value "14820000"^^xsd:decimal ] ;
     fhir:Money.currency [ fhir:value "VND" ]
  ] .

<http://hl7.org/fhir/Patient/ExamplePatientNguyenVanAn> a fhir:Patient .

<http://hl7.org/fhir/Organization/ExampleOrganizationChoRay> a fhir:Organization .

<http://hl7.org/fhir/Coverage/ExampleCoverageBHYTNew> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleClaimBHYT.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/ExampleClaimBHYT.ttl> .