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Generated Narrative: ClaimResponse ExampleClaimResponseSelfPay

Profile: Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile

status: Active

type: Professional

use: Claim

patient: John Smith (DOB: 1980-07-15, Passport: A12345678)

created: 2026-04-15

insurer: Bệnh viện Chợ Rẫy

request: Claim: extension = ,,Phí dịch vụ (FFS); identifier = Mã liên kết hồ sơ BHYT: VNMALK#LK-2026-000103; status = active; type = Professional; subType = Người bệnh không KCB BHYT; use = claim; created = 2026-04-15; priority = Normal

outcome: Processing Complete

item

itemSequence: 1

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 300000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 300000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

item

itemSequence: 2

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 250000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 250000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

total

category: Submitted Amount

Amounts

- | Value | Currency
* | 550000 | Vietnamese đồng

total

category: Benefit Amount

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

payment

type: Complete

Amounts

- | Value | Currency
* | 550000 | Vietnamese đồng