# text.div
Generated Narrative: ExplanationOfBenefit ExampleExplanationOfBenefitBHYT

Profile: Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile

Tổng chi phí theo nhóm — Claim Cost Summary Extension

totalMedication: ₫73.500 (VND)

totalSupplies: ₫0 (VND)

totalInsurance: ₫10.080.000 (VND)

totalPatientCopay: ₫2.520.000 (VND)

totalPatientSelfPay: ₫1.770.000 (VND)

totalOtherFund: ₫0 (VND)

totalNonCovered: ₫0 (VND)

Kỳ thanh toán — Claim Payment Period Extension

year: 2026

month: 3

Phương thức thanh toán — Payment Method Extension: Phí dịch vụ (FFS)

status: Active

type: Institutional

use: Claim

patient: Nguyễn Văn An

created: 2026-03-19

insurer: Bảo hiểm xã hội Việt Nam

provider: Bệnh viện Chợ Rẫy

outcome: Processing Complete

Diagnoses

- | Sequence | Diagnosis[x] | Type
* | 1 | Acute appendicitis, other and unspecified | Principal Diagnosis

Insurances

- | Focal | Coverage
* | true | 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 = Medical; relationship = Self; period = 2025-08-01 --> 2026-07-31

item

sequence: 1

category: Khám bệnh

productOrService: Kham chuyen khoa

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 150000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 150000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 120000 | Vietnamese đồng

item

sequence: 2

category: Thuốc, dịch truyền

productOrService: Amoxicillin 500mg

quantity: 21

UnitPrices

- | Value | Currency
* | 3500 | Vietnamese đồng

Nets

- | Value | Currency
* | 73500 | Vietnamese đồng

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 73500 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 58800 | Vietnamese đồng

total

category: Submitted Amount

Amounts

- | Value | Currency
* | 14370000 | Vietnamese đồng

total

category: Eligible Amount

Amounts

- | Value | Currency
* | 12600000 | Vietnamese đồng

total

category: CoPay

Amounts

- | Value | Currency
* | 2520000 | Vietnamese đồng

total

category: Benefit Amount

Amounts

- | Value | Currency
* | 10080000 | Vietnamese đồng

total

category: Người bệnh tự trả

Amounts

- | Value | Currency
* | 1770000 | Vietnamese đồng

total

category: Nguồn khác

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

total

category: Ngoài phạm vi/ngoài định suất

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

total

category: Tổng thuốc, dịch truyền

Amounts

- | Value | Currency
* | 73500 | Vietnamese đồng

total

category: Tổng vật tư/thiết bị y tế

Amounts

- | Value | Currency
* | 0 | Vietnamese đồng

payment

type: Complete

Amounts

- | Value | Currency
* | 10080000 | Vietnamese đồng

benefitPeriod: 2026-01-01 --> 2026-12-31

# diagnosis[].diagnosisCodeableConcept.coding[].display
Acute appendicitis, other and unspecified