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: Giải trình quyền lợi 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/ExplanationOfBenefit/ExampleExplanationOfBenefitBHYT> a fhir:ExplanationOfBenefit ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleExplanationOfBenefitBHYT"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit>
     ]
  ] ;
  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: ExplanationOfBenefit ExampleExplanationOfBenefitBHYT</b></p><a name=\"ExampleExplanationOfBenefitBHYT\"> </a><a name=\"hcExampleExplanationOfBenefitBHYT\"> </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-explanation-of-benefit.html\">Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit 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\">₫73.500</span> (VND)</li><li>totalSupplies: <span title=\"Vietnamese Dong\">₫0</span> (VND)</li><li>totalInsurance: <span title=\"Vietnamese Dong\">₫9.280.000</span> (VND)</li><li>totalPatientCopay: <span title=\"Vietnamese Dong\">₫2.320.000</span> (VND)</li><li>totalPatientSelfPay: <span title=\"Vietnamese Dong\">₫1.770.000</span> (VND)</li><li>totalOtherFund: <span title=\"Vietnamese Dong\">₫0</span> (VND)</li><li>totalNonCovered: <span title=\"Vietnamese Dong\">₫1.770.000</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>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</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>: 2026-03-19</p><p><b>insurer</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Bảo hiểm xã hội Việt Nam</a></p><p><b>provider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p><p><b>outcome</b>: Processing Complete</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>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Coverage-ExampleCoverageBHYTNew.html\">Coverage: extension = Người lao động trong doanh nghiệp,-&gt;Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#0791234567; status = active; type = Medical; relationship = Self; period = 2025-08-01 --&gt; 2026-07-31</a></td></tr></table><blockquote><p><b>item</b></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 1}\">Khám bệnh</span></p><p><b>productOrService</b>: <span title=\"Codes:\">Kham chuyen khoa</span></p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>120000</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></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 8}\">Thuốc, dịch truyền</span></p><p><b>productOrService</b>: <span title=\"Codes:\">Amoxicillin 500mg</span></p><p><b>quantity</b>: 21</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>3500</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>73500</td><td>Vietnamese đồng</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>73500</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>58800</td><td>Vietnamese đồng</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>14370000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>11600000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</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>2320000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</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>9280000</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs patient-self-pay}\">Người bệnh tự trả</span></p><h3>Amounts</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><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs other-fund}\">Nguồn khác</span></p><h3>Amounts</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>0</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs non-covered}\">Ngoài phạm vi/ngoài định suất</span></p><h3>Amounts</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><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs medication-subtotal}\">Tổng thuốc, dịch truyền</span></p><h3>Amounts</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>73500</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs supplies-subtotal}\">Tổng vật tư/thiết bị y tế</span></p><h3>Amounts</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>0</td><td>Vietnamese đồng</td></tr></table></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}\">Complete</span></p><h3>Amounts</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>9280000</td><td>Vietnamese đồng</td></tr></table></blockquote><p><b>benefitPeriod</b>: 2026-01-01 --&gt; 2026-12-31</p></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 "73500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalSupplies" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "0"^^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 "9280000"^^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 "2320000"^^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 "1770000"^^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 "0"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "totalNonCovered" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "1770000"^^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:ExplanationOfBenefit.status [ fhir:value "active"] ;
  fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.use [ fhir:value "claim"] ;
  fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.created [ fhir:value "2026-03-19"^^xsd:date] ;
  fhir:ExplanationOfBenefit.insurer [
     fhir:link <http://hl7.org/fhir/Organization/ExampleOrganizationBHXH> ;
     fhir:Reference.reference [ fhir:value "Organization/ExampleOrganizationBHXH" ] ;
     fhir:Reference.display [ fhir:value "Bảo hiểm xã hội Việt Nam" ]
  ] ;
  fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.outcome [ fhir:value "complete"] ;
  fhir:ExplanationOfBenefit.diagnosis [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.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:ExplanationOfBenefit.insurance [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:ExplanationOfBenefit.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/ExampleCoverageBHYTNew> ;
       fhir:Reference.reference [ fhir:value "Coverage/ExampleCoverageBHYTNew" ]
     ]
  ] ;
  fhir:ExplanationOfBenefit.item [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.item.productOrService [
       fhir:CodeableConcept.text [ fhir:value "Kham chuyen khoa" ]
     ] ;
     fhir:ExplanationOfBenefit.item.adjudication [
       fhir:index -1 ;
       fhir:ExplanationOfBenefit.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "submitted" ] ;
           fhir:Coding.display [ fhir:value "Submitted Amount" ]
         ]
       ] ;
       fhir:ExplanationOfBenefit.item.adjudication.amount [
         fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ExplanationOfBenefit.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "eligible" ] ;
           fhir:Coding.display [ fhir:value "Eligible Amount" ]
         ]
       ] ;
       fhir:ExplanationOfBenefit.item.adjudication.amount [
         fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ExplanationOfBenefit.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "benefit" ] ;
           fhir:Coding.display [ fhir:value "Benefit Amount" ]
         ]
       ] ;
       fhir:ExplanationOfBenefit.item.adjudication.amount [
         fhir:Money.value [ fhir:value "120000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
     fhir:ExplanationOfBenefit.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:ExplanationOfBenefit.item.productOrService [
       fhir:CodeableConcept.text [ fhir:value "Amoxicillin 500mg" ]
     ] ;
     fhir:ExplanationOfBenefit.item.quantity [
       fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ]
     ] ;
     fhir:ExplanationOfBenefit.item.unitPrice [
       fhir:Money.value [ fhir:value "3500"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ] ;
     fhir:ExplanationOfBenefit.item.net [
       fhir:Money.value [ fhir:value "73500"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ] ;
     fhir:ExplanationOfBenefit.item.adjudication [
       fhir:index -1 ;
       fhir:ExplanationOfBenefit.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "submitted" ] ;
           fhir:Coding.display [ fhir:value "Submitted Amount" ]
         ]
       ] ;
       fhir:ExplanationOfBenefit.item.adjudication.amount [
         fhir:Money.value [ fhir:value "73500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ExplanationOfBenefit.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "benefit" ] ;
           fhir:Coding.display [ fhir:value "Benefit Amount" ]
         ]
       ] ;
       fhir:ExplanationOfBenefit.item.adjudication.amount [
         fhir:Money.value [ fhir:value "58800"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "VND" ]
       ]
     ]
  ] ;
  fhir:ExplanationOfBenefit.total [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
         fhir:Coding.code [ fhir:value "submitted" ] ;
         fhir:Coding.display [ fhir:value "Submitted Amount" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "14370000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
         fhir:Coding.code [ fhir:value "eligible" ] ;
         fhir:Coding.display [ fhir:value "Eligible Amount" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "11600000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
         fhir:Coding.code [ fhir:value "copay" ] ;
         fhir:Coding.display [ fhir:value "CoPay" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "2320000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
         fhir:Coding.code [ fhir:value "benefit" ] ;
         fhir:Coding.display [ fhir:value "Benefit Amount" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "9280000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs" ] ;
         fhir:Coding.code [ fhir:value "patient-self-pay" ] ;
         fhir:Coding.display [ fhir:value "Người bệnh tự trả" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "1770000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs" ] ;
         fhir:Coding.code [ fhir:value "other-fund" ] ;
         fhir:Coding.display [ fhir:value "Nguồn khác" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs" ] ;
         fhir:Coding.code [ fhir:value "non-covered" ] ;
         fhir:Coding.display [ fhir:value "Ngoài phạm vi/ngoài định suất" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "1770000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs" ] ;
         fhir:Coding.code [ fhir:value "medication-subtotal" ] ;
         fhir:Coding.display [ fhir:value "Tổng thuốc, dịch truyền" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "73500"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ExplanationOfBenefit.total.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-bhyt-adjudication-category-cs" ] ;
         fhir:Coding.code [ fhir:value "supplies-subtotal" ] ;
         fhir:Coding.display [ fhir:value "Tổng vật tư/thiết bị y tế" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.total.amount [
       fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ] ;
  fhir:ExplanationOfBenefit.payment [
     fhir:ExplanationOfBenefit.payment.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-paymenttype" ] ;
         fhir:Coding.code [ fhir:value "complete" ] ;
         fhir:Coding.display [ fhir:value "Complete" ]
       ]
     ] ;
     fhir:ExplanationOfBenefit.payment.amount [
       fhir:Money.value [ fhir:value "9280000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "VND" ]
     ]
  ] ;
  fhir:ExplanationOfBenefit.benefitPeriod [
     fhir:Period.start [ fhir:value "2026-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2026-12-31"^^xsd:date ]
  ] .

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

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

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

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

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

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