HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
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: Ví dụ: Bundle hồ sơ thanh toán BHYT tử vong

Bản thô xml | Tải xuống


<Bundle xmlns="http://hl7.org/fhir">
  <id value="ExampleBHYTSubmissionDeathCertificate"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bhyt-submission-bundle"/>
  </meta>
  <language value="vi"/>
  <identifier>
    <type>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
        <code value="MA_LK"/>
        <display value="Mã liên kết hồ sơ BHYT"/>
      </coding>
    </type>
    <system value="http://fhir.hl7.org.vn/core/sid/ma-lk"/>
    <value value="LK-2026-TV-000003"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2026-04-11T05:30:00+07:00"/>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/Patient/InlinePatientBHYTSubmissionDeath"/>
    <resource>
      <Patient>
        <id value="InlinePatientBHYTSubmissionDeath"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_InlinePatientBHYTSubmissionDeath"> </a><p class="res-header-id"><b>Generated Narrative: Patient InlinePatientBHYTSubmissionDeath</b></p><a name="InlinePatientBHYTSubmissionDeath"> </a><a name="hcInlinePatientBHYTSubmissionDeath"> </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-patient.html">Bệnh nhân VN Core — VN Core Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Phạm Văn Bình Male, DoB: 1968-11-21 ( Căn cước công dân: VNCCCD#079185001111)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>false</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">2026-04-11 03:20:00+0700</td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Thẻ bảo hiểm y tế/9185001111</li><li>Mã bệnh nhân nội bộ/TV-CR-2026-0003</li></ul></td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="CCCD"/>
              <display value="Căn cước công dân"/>
            </coding>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/cccd"/>
          <value value="079185001111"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="BHYT"/>
              <display value="Thẻ bảo hiểm y tế"/>
            </coding>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/bhyt"/>
          <value value="9185001111"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="MRN"/>
              <display value="Mã bệnh nhân nội bộ"/>
            </coding>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/mrn"/>
          <value value="TV-CR-2026-0003"/>
        </identifier>
        <active value="false"/>
        <name>
          <text value="Phạm Văn Bình"/>
          <family value="Phạm"/>
          <given value="Văn"/>
          <given value="Bình"/>
        </name>
        <gender value="male"/>
        <birthDate value="1968-11-21"/>
        <deceasedDateTime value="2026-04-11T03:20:00+07:00"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/Coverage/InlineCoverageBHYTSubmissionDeath"/>
    <resource>
      <Coverage>
        <id value="InlineCoverageBHYTSubmissionDeath"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_InlineCoverageBHYTSubmissionDeath"> </a><p class="res-header-id"><b>Generated Narrative: Coverage InlineCoverageBHYTSubmissionDeath</b></p><a name="InlineCoverageBHYTSubmissionDeath"> </a><a name="hcInlineCoverageBHYTSubmissionDeath"> </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-coverage.html">Thẻ BHYT VN Core — VN Core Coverage Profile</a></p></div><p><b>Loại đối tượng BHYT — Vietnam BHYT Card Type Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs DN}">Người lao động trong doanh nghiệp</span></p><p><b>Nơi đăng ký KCB ban đầu — Vietnam Primary Care Facility Extension</b>: <a href="Organization-ExampleOrganizationChoRay.html">Organization Bệnh viện Chợ Rẫy</a></p><p><b>identifier</b>: <a href="NamingSystem-vn-bhyt-ns.html" title="Hệ thống định danh MÃ SỐ Bảo hiểm Y tế, do BHXH Việt Nam cấp.
Namespace này nhận đúng 2 format THẺ (0.8.0 — hậu kiểm toán Codex, thu hẹp từ 3):
- Mã số BHYT 10 chữ số (hiện hành, từ 01/4/2021) — TRÙNG GIÁ TRỊ với mã số BHXH
- Format cũ 15 ký tự (2 chữ cái + 13 chữ số): trước 01/4/2021 (legacy)
CCCD/số định danh cá nhân KHÔNG thuộc namespace này: NĐ 188/2025/NĐ-CP (Mẫu số 3) tách cột
'Mã số BHYT' và 'Số CCCD' riêng — CCCD chỉ là KHÓA TRA CỨU/XUẤT TRÌNH thay thẻ khi KCB,
biểu diễn bằng Patient.identifier[CCCD] (sid/cccd); trộn CCCD vào sid/bhyt gây nguy cơ
matching sai giữa hai trục định danh.
QUAN HỆ VỚI sid/bhxh: giá trị 10 chữ số của mã số BHYT trùng mã số BHXH — hai namespace
tồn tại song song theo NGỮ CẢNH NGHIỆP VỤ: số thẻ/quyền lợi BHYT (Coverage) dùng sid/bhyt;
sổ/quá trình tham gia BHXH dùng sid/bhxh (xem vn-bhxh-ns). Không suy diễn tự động hai chiều
khi chưa xác minh qua Cổng BHXH (NĐ 164/2025/NĐ-CP).
Căn cứ:
- **Luật 51/2024/QH15** — 27/11/2024 — sửa đổi Luật BHYT, hiệu lực 01/7/2025
- **NĐ 188/2025/NĐ-CP** — ban hành 01/7/2025, hiệu lực 15/8/2025 — hướng dẫn thi hành Luật BHYT; Mẫu số 3 tách cột Mã số BHYT / Số CCCD
- **NĐ 164/2025/NĐ-CP** — 29/6/2025 — giao dịch điện tử BHXH, tra cứu thẻ theo CCCD
- **QĐ 3176/QĐ-BYT** — 29/10/2024 — chuẩn dữ liệu đầu ra KCB phục vụ BHXH
- Luật BHYT 2008 sửa đổi 2014 — nền tảng lịch sử.">VNBHYT</a>/9185001111</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/insurance-coverage-type medical}">Bảo hiểm y tế</span></p><p><b>beneficiary</b>: <a href="Bundle-ExampleBHYTSubmissionDeathCertificate.html#Patient_InlinePatientBHYTSubmissionDeath">Phạm Văn Bình Male, DoB: 1968-11-21 ( Căn cước công dân: VNCCCD#079185001111)</a></p><p><b>period</b>: 2026-01-01 --&gt; 2026-12-31</p><p><b>payor</b>: <a href="Organization-ExampleOrganizationBHXH.html">Organization Bảo hiểm xã hội Việt Nam</a></p></div>
        </text>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-bhyt-card-type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs"/>
              <code value="DN"/>
              <display value="Người lao động trong doanh nghiệp"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-primary-care-facility">
          <valueReference>🔗 
            <reference value="Organization/ExampleOrganizationChoRay"/>
            <identifier>
              <system value="http://fhir.hl7.org.vn/core/sid/ma-cskcb"/>
              <value value="79001"/>
            </identifier>
          </valueReference>
        </extension>
        <identifier>
          <system value="http://fhir.hl7.org.vn/core/sid/bhyt"/>
          <value value="9185001111"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/insurance-coverage-type"/>
            <code value="medical"/>
            <display value="Medical"/>
          </coding>
          <text value="Bảo hiểm y tế"/>
        </type>
        <beneficiary>
          <reference value="Patient/InlinePatientBHYTSubmissionDeath"/>
        </beneficiary>
        <period>
          <start value="2026-01-01"/>
          <end value="2026-12-31"/>
        </period>
        <payor>🔗 
          <reference value="Organization/ExampleOrganizationBHXH"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationChoRay"/>
    <resource>
      <Organization>
        <id value="ExampleOrganizationChoRay"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ExampleOrganizationChoRay"> </a><p class="res-header-id"><b>Generated Narrative: Organization ExampleOrganizationChoRay</b></p><a name="ExampleOrganizationChoRay"> </a><a name="hcExampleOrganizationChoRay"> </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-organization.html">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs BV}">Bệnh viện</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs TW}">Trung ương</span></p><p><b>Hạng cơ sở khám bệnh, chữa bệnh — Vietnam KCB Facility Rank Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs DB}">Đặc biệt</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs RANKED}">Đã xếp hạng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs CHUYEN_SAU}">Cấp chuyên sâu</span></p><p><b>Dải điểm chất lượng cơ sở KCB — Quality Score Band Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs GT70}">Trên 70 điểm</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/79001</p><p><b>active</b>: true</p><p><b>name</b>: Bệnh viện Chợ Rẫy</p><p><b>telecom</b>: ph: 028 3855 4137</p><p><b>address</b>: 201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh</p></div>
        </text>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs"/>
              <code value="BV"/>
              <display value="Bệnh viện"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs"/>
              <code value="TW"/>
              <display value="Trung ương"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs"/>
              <code value="DB"/>
              <display value="Đặc biệt"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs"/>
              <code value="RANKED"/>
              <display value="Đã xếp hạng"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs"/>
              <code value="CHUYEN_SAU"/>
              <display value="Cấp chuyên sâu"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-quality-score-band">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs"/>
              <code value="GT70"/>
              <display value="Trên 70 điểm"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="CSKCB"/>
              <display value="Mã cơ sở khám chữa bệnh"/>
            </coding>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/ma-cskcb"/>
          <value value="79001"/>
        </identifier>
        <active value="true"/>
        <name value="Bệnh viện Chợ Rẫy"/>
        <telecom>
          <system value="phone"/>
          <value value="028 3855 4137"/>
        </telecom>
        <address>
          <extension
                     url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
            <valueCoding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
              <code value="79"/>
              <display value="Thành phố Hồ Chí Minh"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
            <valueCoding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
              <code value="27343"/>
              <display value="Phường Chợ Lớn"/>
            </valueCoding>
          </extension>
          <text
                value="201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh"/>
          <line value="201B Nguyễn Chí Thanh"/>
          <district value="Quận 5"/>
          <state value="Thành phố Hồ Chí Minh"/>
          <country value="VN"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationBHXH"/>
    <resource>
      <Organization>
        <id value="ExampleOrganizationBHXH"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ExampleOrganizationBHXH"> </a><p class="res-header-id"><b>Generated Narrative: Organization ExampleOrganizationBHXH</b></p><a name="ExampleOrganizationBHXH"> </a><a name="hcExampleOrganizationBHXH"> </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-organization.html">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>identifier</b>: Mã cơ quan BHXH Việt Nam (mã quy ước)/00000</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}">Cơ quan bảo hiểm xã hội</span></p><p><b>name</b>: Bảo hiểm xã hội Việt Nam</p><p><b>address</b>: Số 7 Tràng Thi, Hoàn Kiếm, Hà Nội</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="CSKCB"/>
              <display value="Mã cơ sở khám chữa bệnh"/>
            </coding>
            <text value="Mã cơ quan BHXH Việt Nam (mã quy ước)"/>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/ma-cskcb"/>
          <value value="00000"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="ins"/>
            <display value="Insurance Company"/>
          </coding>
          <text value="Cơ quan bảo hiểm xã hội"/>
        </type>
        <name value="Bảo hiểm xã hội Việt Nam"/>
        <address>
          <extension
                     url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
            <valueCoding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
              <code value="01"/>
              <display value="Thành phố Hà Nội"/>
            </valueCoding>
          </extension>
          <text value="Số 7 Tràng Thi, Hoàn Kiếm, Hà Nội"/>
          <state value="Thành phố Hà Nội"/>
          <country value="VN"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/Claim/InlineClaimBHYTSubmissionDeath"/>
    <resource>
      <Claim>
        <id value="InlineClaimBHYTSubmissionDeath"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_InlineClaimBHYTSubmissionDeath"> </a><p class="res-header-id"><b>Generated Narrative: Claim InlineClaimBHYTSubmissionDeath</b></p><a name="InlineClaimBHYTSubmissionDeath"> </a><a name="hcInlineClaimBHYTSubmissionDeath"> </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><p><b>identifier</b>: Mã liên kết hồ sơ BHYT/LK-2026-TV-000003</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 2}">Cấp cứu</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Bundle-ExampleBHYTSubmissionDeathCertificate.html#Patient_InlinePatientBHYTSubmissionDeath">Phạm Văn Bình</a></p><p><b>created</b>: 2026-04-11</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 stat}">Immediate</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 A41.9}">Sepsis, 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>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="Bundle-ExampleBHYTSubmissionDeathCertificate.html#Coverage_InlineCoverageBHYTSubmissionDeath">Coverage: extension = Người lao động trong doanh nghiệp,-&gt;Organization Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#9185001111; status = active; type = Medical; period = 2026-01-01 --&gt; 2026-12-31</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 K48}">Khoa Hồi sức tích cực</span></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 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 K48.HSTC}">Ngày giường hồi sức tích cực</span></p><p><b>quantity</b>: 1</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>2500000</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>2500000</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>2500000</td><td>Vietnamese đồng</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
              <code value="MA_LK"/>
              <display value="Mã liên kết hồ sơ BHYT"/>
            </coding>
          </type>
          <system value="http://fhir.hl7.org.vn/core/sid/ma-lk"/>
          <value value="LK-2026-TV-000003"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
            <code value="institutional"/>
            <display value="Institutional"/>
          </coding>
        </type>
        <subType>
          <coding>
            <system
                    value="http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs"/>
            <code value="2"/>
            <display value="Cấp cứu"/>
          </coding>
        </subType>
        <use value="claim"/>
        <patient>
          <reference value="Patient/InlinePatientBHYTSubmissionDeath"/>
          <display value="Phạm Văn Bình"/>
        </patient>
        <created value="2026-04-11"/>
        <provider>🔗 
          <reference value="Organization/ExampleOrganizationChoRay"/>
          <display value="Bệnh viện Chợ Rẫy"/>
        </provider>
        <priority>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/processpriority"/>
            <code value="stat"/>
            <display value="Immediate"/>
          </coding>
        </priority>
        <diagnosis>
          <sequence value="1"/>
          <diagnosisCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/sid/icd-10"/>
              <code value="A41.9"/>
            </coding>
          </diagnosisCodeableConcept>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
              <code value="principal"/>
              <display value="Principal Diagnosis"/>
            </coding>
          </type>
        </diagnosis>
        <insurance>
          <sequence value="1"/>
          <focal value="true"/>
          <coverage>
            <reference value="Coverage/InlineCoverageBHYTSubmissionDeath"/>
          </coverage>
        </insurance>
        <item>
          <extension
                     url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs"/>
                <code value="K48"/>
                <display value="Khoa Hồi sức tích cực"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <sequence value="1"/>
          <category>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs"/>
              <code value="2.2"/>
            </coding>
          </category>
          <productOrService>
            <coding>
              <system
                      value="http://fhir.hl7.org.vn/core/CodeSystem/vn-bed-day-code-cs"/>
              <code value="K48.HSTC"/>
              <display
                       value="Ngày giường Hồi sức tích cực - Khoa Hồi sức tích cực"/>
            </coding>
            <text value="Ngày giường hồi sức tích cực"/>
          </productOrService>
          <quantity>
            <value value="1"/>
          </quantity>
          <unitPrice>
            <value value="2500000"/>
            <currency value="VND"/>
          </unitPrice>
          <net>
            <value value="2500000"/>
            <currency value="VND"/>
          </net>
        </item>
        <total>
          <value value="2500000"/>
          <currency value="VND"/>
        </total>
      </Claim>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceBHYTSubmissionDeath"/>
    <resource>
      <DocumentReference>
        <id value="InlineDocumentReferenceBHYTSubmissionDeath"/>
        <meta>
          <profile
                   value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-document-reference"/>
        </meta>
        <language value="vi"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_InlineDocumentReferenceBHYTSubmissionDeath"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference InlineDocumentReferenceBHYTSubmissionDeath</b></p><a name="InlineDocumentReferenceBHYTSubmissionDeath"> </a><a name="hcInlineDocumentReferenceBHYTSubmissionDeath"> </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-document-reference.html">Tài liệu y tế VN Core — VN Core DocumentReference Profile</a></p></div><p><b>identifier</b>: <a href="NamingSystem-vn-document-number-ns.html" title="SCHEME DÙNG TẠM per-facility — 0.8.0 hạ cấp (hậu kiểm toán Codex): định danh này do TỪNG cơ sở
tự quản lý nên khóa uniqueness là system+value; một URI quốc gia dùng chung KHÔNG bảo đảm uniqueness.
Khuyến nghị chính: mỗi cơ sở tự công bố URI riêng; URI scheme này chỉ dùng khi chưa có URI riêng,
khi đó assigner là bắt buộc nghiệp vụ (khuyến nghị bổ sung, không phải cơ chế uniqueness chính).
Namespace khuyến nghị cho mã tài liệu lâm sàng nội bộ do cơ sở y tế phát sinh, dùng cho Composition.identifier và DocumentReference.identifier khi chưa có NamingSystem riêng của từng cơ sở.">VNDocumentNumber</a>/GBT-2026-000003</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:">Giấy báo tử</span></p><p><b>subject</b>: <a href="Bundle-ExampleBHYTSubmissionDeathCertificate.html#Patient_InlinePatientBHYTSubmissionDeath">Phạm Văn Bình</a></p><p><b>date</b>: 2026-04-11 05:00:00+0700</p><p><b>author</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy</a></p><p><b>custodian</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy</a></p><p><b>description</b>: Nguyên nhân tử vong: sốc nhiễm khuẩn trên nền viêm phổi nặng. Nơi tử vong: Khoa Hồi sức tích cực.</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/pdf</td><td>Vietnamese</td><td>GiayBaoTu-PhamVanBinh-20260411.pdf</td><td>2026-04-11 05:00:00+0700</td></tr></table></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td>2026-04-11 03:20:00+0700 --&gt; 2026-04-11 03:20:00+0700</td></tr></table></div>
        </text>
        <identifier>
          <system value="http://fhir.hl7.org.vn/core/sid/document-number"/>
          <value value="GBT-2026-000003"/>
        </identifier>
        <status value="current"/>
        <type>
          <text value="Giấy báo tử"/>
        </type>
        <subject>
          <reference value="Patient/InlinePatientBHYTSubmissionDeath"/>
          <display value="Phạm Văn Bình"/>
        </subject>
        <date value="2026-04-11T05:00:00+07:00"/>
        <author>🔗 
          <reference value="Organization/ExampleOrganizationChoRay"/>
          <display value="Bệnh viện Chợ Rẫy"/>
        </author>
        <custodian>🔗 
          <reference value="Organization/ExampleOrganizationChoRay"/>
          <display value="Bệnh viện Chợ Rẫy"/>
        </custodian>
        <description
                     value="Nguyên nhân tử vong: sốc nhiễm khuẩn trên nền viêm phổi nặng. Nơi tử vong: Khoa Hồi sức tích cực."/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <language value="vi"/>
            <title value="GiayBaoTu-PhamVanBinh-20260411.pdf"/>
            <creation value="2026-04-11T05:00:00+07:00"/>
          </attachment>
        </content>
        <context>
          <period>
            <start value="2026-04-11T03:20:00+07:00"/>
            <end value="2026-04-11T03:20:00+07:00"/>
          </period>
        </context>
      </DocumentReference>
    </resource>
  </entry>
</Bundle>