Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.8.0 - Draft for Community Review
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
{
"resourceType" : "Bundle",
"id" : "ExampleBHYTSubmissionMissingMaLK",
"language" : "vi",
"type" : "collection",
"timestamp" : "2026-04-05T10:45:00+07:00",
"entry" : [
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn",
"resource" : {
"resourceType" : "Patient",
"id" : "ExamplePatientNguyenVanAn",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ExamplePatientNguyenVanAn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ExamplePatientNguyenVanAn</b></p><a name=\"ExamplePatientNguyenVanAn\"> </a><a name=\"hcExamplePatientNguyenVanAn\"> </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;\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</p><hr/><table class=\"grid\"><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/0791234567</li><li>Mã bệnh nhân nội bộ/BV-CR-2026-001234</li><li>Mã số bảo hiểm xã hội/0791234567</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0901234567(Mobile)</li><li><a href=\"mailto:an.nguyen@email.vn\">an.nguyen@email.vn</a></li><li>Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận dân tộc của bệnh nhân theo danh mục 54 dân tộc Việt Nam\n(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.\nCăn cứ: Hiến pháp 2013 Điều 5, Luật Căn cước 2023.\"><a href=\"StructureDefinition-vn-ext-ethnicity.html\">Dân tộc — Vietnam Ethnicity Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs 01}\">Kinh</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Phường Ngọc Hà, Hà Nội</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận nghề nghiệp của bệnh nhân theo Danh mục Nghề nghiệp Việt Nam (VSCO 2020).\nCăn cứ: QĐ 34/2020/QĐ-TTg (26/11/2020) — Ban hành Danh mục nghề nghiệp Việt Nam.\n1.516 mã, 5 cấp phân loại, tương thích ISCO-08 (ILO).\nFHIR base Patient không có element nghề nghiệp chuẩn — cần extension.\nNghề nghiệp ảnh hưởng đánh giá nguy cơ sức khỏe nghề nghiệp (TT 28/2016/TT-BYT).\"><a href=\"StructureDefinition-vn-ext-occupation.html\">Nghề nghiệp — Vietnam Occupation Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs 2511}\">Nhà phân tích hệ thống</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's professed religious affiliations.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-religion.html\">Patient Religion</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs 02}, {http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation 1041}\">Công giáo</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\">Patient Citizenship:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 VN}\">Viet Nam</span></li></ul></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs",
"code" : "01",
"display" : "Kinh"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-religion",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs",
"code" : "02",
"display" : "Công giáo"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation",
"code" : "1041",
"display" : "Roman Catholic Church"
}
],
"text" : "Công giáo"
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs",
"code" : "2511",
"display" : "Nhà phân tích hệ thống"
}
]
}
},
{
"extension" : [
{
"url" : "code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "VN",
"display" : "Viet Nam"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province",
"valueCoding" : {
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs",
"code" : "01",
"display" : "Thành phố Hà Nội"
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward",
"valueCoding" : {
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs",
"code" : "00008",
"display" : "Phường Ngọc Hà"
}
}
],
"text" : "Phường Ngọc Hà, Hà Nội",
"state" : "Hà Nội",
"country" : "VN"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "CCCD",
"display" : "Căn cước công dân"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/cccd",
"value" : "001085012345"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "BHYT",
"display" : "Thẻ bảo hiểm y tế"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/bhyt",
"value" : "0791234567"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "MRN",
"display" : "Mã bệnh nhân nội bộ"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/mrn",
"value" : "BV-CR-2026-001234",
"assigner" : {
"display" : "Bệnh viện Chợ Rẫy — cơ sở cấp mã bệnh nhân"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "BHXH",
"display" : "Mã số bảo hiểm xã hội"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/bhxh",
"value" : "0791234567"
}
],
"name" : [
{
"text" : "Nguyễn Văn An",
"family" : "Nguyễn",
"given" : [
"Văn",
"An"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0901234567",
"use" : "mobile"
},
{
"system" : "email",
"value" : "an.nguyen@email.vn"
}
],
"gender" : "male",
"birthDate" : "1985-03-15",
"address" : [
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province",
"valueCoding" : {
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs",
"code" : "79",
"display" : "Thành phố Hồ Chí Minh"
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward",
"valueCoding" : {
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs",
"code" : "26743",
"display" : "Phường Bến Thành"
}
}
],
"text" : "Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh",
"line" : [
"Số 123 Nguyễn Huệ"
],
"state" : "Thành phố Hồ Chí Minh",
"country" : "VN"
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Coverage/ExampleCoverageBHYTNew",
"resource" : {
"resourceType" : "Coverage",
"id" : "ExampleCoverageBHYTNew",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_ExampleCoverageBHYTNew\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage ExampleCoverageBHYTNew</b></p><a name=\"ExampleCoverageBHYTNew\"> </a><a name=\"hcExampleCoverageBHYTNew\"> </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\">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.\nNamespace này nhận đúng 2 format THẺ (0.8.0 — hậu kiểm toán Codex, thu hẹp từ 3):\n- Mã số BHYT 10 chữ số (hiện hành, từ 01/4/2021) — TRÙNG GIÁ TRỊ với mã số BHXH\n- Format cũ 15 ký tự (2 chữ cái + 13 chữ số): trước 01/4/2021 (legacy)\nCCCD/số định danh cá nhân KHÔNG thuộc namespace này: NĐ 188/2025/NĐ-CP (Mẫu số 3) tách cột\n'Mã số BHYT' và 'Số CCCD' riêng — CCCD chỉ là KHÓA TRA CỨU/XUẤT TRÌNH thay thẻ khi KCB,\nbiểu diễn bằng Patient.identifier[CCCD] (sid/cccd); trộn CCCD vào sid/bhyt gây nguy cơ\nmatching sai giữa hai trục định danh.\nQUAN HỆ VỚI sid/bhxh: giá trị 10 chữ số của mã số BHYT trùng mã số BHXH — hai namespace\ntồn tại song song theo NGỮ CẢNH NGHIỆP VỤ: số thẻ/quyền lợi BHYT (Coverage) dùng sid/bhyt;\nsổ/quá trình tham gia BHXH dùng sid/bhxh (xem vn-bhxh-ns). Không suy diễn tự động hai chiều\nkhi chưa xác minh qua Cổng BHXH (NĐ 164/2025/NĐ-CP).\nCăn cứ:\n- **Luật 51/2024/QH15** — 27/11/2024 — sửa đổi Luật BHYT, hiệu lực 01/7/2025\n- **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\n- **NĐ 164/2025/NĐ-CP** — 29/6/2025 — giao dịch điện tử BHXH, tra cứu thẻ theo CCCD\n- **QĐ 3176/QĐ-BYT** — 29/10/2024 — chuẩn dữ liệu đầu ra KCB phục vụ BHXH\n- Luật BHYT 2008 sửa đổi 2014 — nền tảng lịch sử.\">VNBHYT</a>/0791234567</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>subscriber</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>beneficiary</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2025-08-01 --> 2026-07-31</p><p><b>payor</b>: Bảo hiểm Xã hội Việt Nam</p></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-bhyt-card-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-card-type-cs",
"code" : "DN",
"display" : "Người lao động trong doanh nghiệp"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-primary-care-facility",
"valueReference" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay",
"identifier" : {
"system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb",
"value" : "79001"
},
"display" : "Bệnh viện Chợ Rẫy"
}
}
],
"identifier" : [
{
"system" : "http://fhir.hl7.org.vn/core/sid/bhyt",
"value" : "0791234567"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/insurance-coverage-type",
"code" : "medical",
"display" : "Medical"
}
],
"text" : "Bảo hiểm y tế"
},
"subscriber" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"beneficiary" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self",
"display" : "Self"
}
]
},
"period" : {
"start" : "2025-08-01",
"end" : "2026-07-31"
},
"payor" : [
{
"display" : "Bảo hiểm Xã hội Việt Nam"
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Claim/ExampleClaimBHYT",
"resource" : {
"resourceType" : "Claim",
"id" : "ExampleClaimBHYT",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-claim"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_ExampleClaimBHYT\"> </a><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>"
},
"extension" : [
{
"extension" : [
{
"url" : "totalMedication",
"valueMoney" : {
"value" : 3200000,
"currency" : "VND"
}
},
{
"url" : "totalInsurance",
"valueMoney" : {
"value" : 10440000,
"currency" : "VND"
}
},
{
"url" : "totalPatientCopay",
"valueMoney" : {
"value" : 2610000,
"currency" : "VND"
}
},
{
"url" : "totalPatientSelfPay",
"valueMoney" : {
"value" : 1000000,
"currency" : "VND"
}
},
{
"url" : "totalOtherFund",
"valueMoney" : {
"value" : 770000,
"currency" : "VND"
}
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"
},
{
"extension" : [
{
"url" : "year",
"valueInteger" : 2026
},
{
"url" : "month",
"valueInteger" : 3
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-method-cs",
"code" : "1",
"display" : "Phí dịch vụ (FFS)"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "MA_LK",
"display" : "Mã liên kết hồ sơ BHYT"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/ma-lk",
"value" : "LK-2026-000101"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional",
"display" : "Institutional"
}
]
},
"subType" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-patient-visit-type-cs",
"code" : "1.1",
"display" : "KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"created" : "2026-03-17",
"provider" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay",
"display" : "Bệnh viện Chợ Rẫy"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal",
"display" : "Normal"
}
]
},
"diagnosis" : [
{
"sequence" : 1,
"diagnosisCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code" : "principal",
"display" : "Principal Diagnosis"
}
]
}
]
}
],
"procedure" : [
{
"sequence" : 1,
"procedureCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs",
"code" : "47.01",
"display" : "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"
}
]
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
🔗 "reference" : "Coverage/ExampleCoverageBHYTNew",
"display" : "BHYT Nguyễn Văn An — DN 80%"
}
}
],
"item" : [
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs",
"code" : "K22",
"display" : "Khoa Ngoại tiêu hoá"
}
]
}
},
{
"extension" : [
{
"url" : "scope",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
"code" : "1",
"display" : "Trong phạm vi hưởng BHYT"
}
]
}
},
{
"url" : "paymentRatio",
"valueDecimal" : 100
},
{
"url" : "benefitLevel",
"valueDecimal" : 80
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
}
],
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "1",
"display" : "Khám bệnh"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-examination-code-cs",
"code" : "10.22",
"display" : "Ngoại tiêu hóa"
}
],
"text" : "Khám chuyên khoa Ngoại tiêu hóa"
},
"net" : {
"value" : 150000,
"currency" : "VND"
}
},
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs",
"code" : "K22",
"display" : "Khoa Ngoại tiêu hoá"
}
]
}
}
],
"sequence" : 2,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "2.2",
"display" : "Ngày giường điều trị nội trú"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-bed-day-code-cs",
"code" : "K22.NG1",
"display" : "Ngày giường Ngoại loại 1 - Khoa Ngoại tiêu hoá"
}
],
"text" : "Ngày giường Ngoại loại 1 — 7 ngày"
},
"quantity" : {
"value" : 7
},
"unitPrice" : {
"value" : 360000,
"currency" : "VND"
},
"net" : {
"value" : 2520000,
"currency" : "VND"
}
},
{
"sequence" : 3,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "6",
"display" : "Phẫu thuật, thủ thuật"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs",
"code" : "47.01",
"display" : "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"
}
]
},
"net" : {
"value" : 8500000,
"currency" : "VND"
}
},
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs",
"code" : "1",
"display" : "Bảo hiểm y tế"
}
]
}
},
{
"extension" : [
{
"url" : "scope",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
"code" : "1",
"display" : "Trong phạm vi hưởng BHYT"
}
]
}
},
{
"url" : "paymentRatio",
"valueDecimal" : 100
},
{
"url" : "benefitLevel",
"valueDecimal" : 80
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
}
],
"sequence" : 4,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "8",
"display" : "Thuốc, dịch truyền"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "J01DD04",
"display" : "Ceftriaxone"
}
],
"text" : "Ceftriaxone 2g bột pha tiêm hậu phẫu"
},
"net" : {
"value" : 1430000,
"currency" : "VND"
}
},
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-device-group",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-device-group-cs",
"code" : "N04.00.000",
"display" : "Ống thông, ống dẫn lưu, ống nối, dây nối, chạc nối, catheter"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-device-insurance-scope",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
"code" : "1",
"display" : "Trong phạm vi hưởng BHYT"
}
]
}
},
{
"extension" : [
{
"url" : "scope",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
"code" : "1",
"display" : "Trong phạm vi hưởng BHYT"
}
]
}
},
{
"url" : "paymentRatio",
"valueDecimal" : 100
},
{
"url" : "benefitLevel",
"valueDecimal" : 80
},
{
"url" : "servicePaymentRatio",
"valueDecimal" : 100
},
{
"url" : "insuranceUnitPrice",
"valueMoney" : {
"value" : 150000,
"currency" : "VND"
}
},
{
"url" : "insuranceLineAmount",
"valueMoney" : {
"value" : 450000,
"currency" : "VND"
}
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
}
],
"sequence" : 5,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "9",
"display" : "Thiết bị y tế"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "unknown",
"display" : "Unknown"
}
],
"text" : "Kim luồn tĩnh mạch an toàn 22G"
},
"quantity" : {
"value" : 3
},
"unitPrice" : {
"value" : 150000,
"currency" : "VND"
},
"net" : {
"value" : 450000,
"currency" : "VND"
}
},
{
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-item-department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-department-cs",
"code" : "K22",
"display" : "Khoa Ngoại tiêu hoá"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-payment-source-cs",
"code" : "4",
"display" : "Nguồn khác"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info",
"valueString" : "112/QĐ-BVCR;G2;N2;2025;G2.02"
},
{
"extension" : [
{
"url" : "scope",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
"code" : "2",
"display" : "Ngoài phạm vi hưởng BHYT"
}
]
}
},
{
"url" : "paymentRatio",
"valueDecimal" : 0
},
{
"url" : "benefitLevel",
"valueDecimal" : 0
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
},
{
"extension" : [
{
"url" : "stateBudget",
"valueMoney" : {
"value" : 270000,
"currency" : "VND"
}
},
{
"url" : "domesticAid",
"valueMoney" : {
"value" : 500000,
"currency" : "VND"
}
}
],
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-other-fund-breakdown"
}
],
"sequence" : 6,
"category" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs",
"code" : "8",
"display" : "Thuốc, dịch truyền"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "M01AH04",
"display" : "Parecoxib"
}
],
"text" : "Parecoxib 40mg bột pha tiêm — giảm đau hậu phẫu (ngoài danh mục BHYT)"
},
"quantity" : {
"value" : 6,
"unit" : "lọ"
},
"unitPrice" : {
"value" : 295000,
"currency" : "VND"
},
"net" : {
"value" : 1770000,
"currency" : "VND"
}
}
],
"total" : {
"value" : 14820000,
"currency" : "VND"
}
}
}
]
}