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" : "ExampleBundleInpatientDischarge",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"
]
},
"language" : "vi",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:9a419a2b-56f8-4ec6-96d0-c0b4b0a1c001"
},
"type" : "document",
"timestamp" : "2026-04-13T10:00:00+07:00",
"entry" : [
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Composition/InlineCompositionDischargeSummary",
"resource" : {
"resourceType" : "Composition",
"id" : "InlineCompositionDischargeSummary",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_InlineCompositionDischargeSummary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition InlineCompositionDischargeSummary</b></p><a name=\"InlineCompositionDischargeSummary\"> </a><a name=\"hcInlineCompositionDischargeSummary\"> </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-composition.html\">Bệnh án điện tử VN Core — VN Core Composition 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\ntự quản lý nên khóa uniqueness là system+value; một URI quốc gia dùng chung KHÔNG bảo đảm uniqueness.\nKhuyến nghị chính: mỗi cơ sở tự công bố URI riêng; URI scheme này chỉ dùng khi chưa có URI riêng,\nkhi đó assigner là bắt buộc nghiệp vụ (khuyến nghị bổ sung, không phải cơ chế uniqueness chính).\nNamespace 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>/BA-NKH-2026-00087</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 18842-5}\">Discharge summary</span></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>date</b>: 2026-04-13 09:30:00+0700</p><p><b>author</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">Practitioner Nguyễn Thị Lan</a></p><p><b>title</b>: Tóm tắt xuất viện — Phẫu thuật cắt ruột thừa</p><p><b>confidentiality</b>: restricted</p><p><b>custodian</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Organization Bệnh viện Chợ Rẫy</a></p></div>"
},
"identifier" : {
"system" : "http://fhir.hl7.org.vn/core/sid/document-number",
"value" : "BA-NKH-2026-00087"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"date" : "2026-04-13T09:30:00+07:00",
"author" : [
{
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII"
}
],
"title" : "Tóm tắt xuất viện — Phẫu thuật cắt ruột thừa",
"confidentiality" : "R",
"custodian" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay"
},
"section" : [
{
"title" : "Lý do nhập viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10154-3",
"display" : "Chief complaint Narrative - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Đau bụng vùng hố chậu phải dữ dội 6 giờ, kèm sốt 38.5°C, buồn nôn. Khám: phản ứng thành bụng (+), McBurney (+).</div>"
}
},
{
"title" : "Chẩn đoán",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29548-5",
"display" : "Diagnosis Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chẩn đoán xác định: K35.8 — Viêm ruột thừa cấp (ICD-10 VN theo QĐ 4469/QĐ-BYT). Siêu âm: ruột thừa sưng to 12mm, có dịch quanh ruột thừa.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute"
}
]
},
{
"title" : "Phẫu thuật đã thực hiện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Phẫu thuật cắt ruột thừa nội soi ngày 10/4/2026. Gây mê toàn thân. Thời gian mổ 45 phút. Ruột thừa viêm mủ, chưa vỡ. Không biến chứng.</div>"
},
"entry" : [
{
"reference" : "Procedure/InlineProcedureAppendectomy"
}
]
},
{
"title" : "Thuốc điều trị",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ceftriaxone 2g tiêm tĩnh mạch 1 lần/ngày × 3 ngày (10–12/4). Paracetamol 500mg uống khi đau (PRN). Không phản ứng thuốc.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone"
}
]
},
{
"title" : "Khám thực thể trước xuất viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29545-1",
"display" : "Physical findings note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Huyết áp 120/75 mmHg, mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Sinh hiệu ổn định trước xuất viện.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge"
}
]
},
{
"title" : "Tóm tắt ra viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Tình trạng xuất viện:</b> Ổn định. Vết mổ khô, sạch, không nhiễm trùng. Bụng mềm, nhu động ruột (+). Sinh hiệu ổn định: HA 120/75, mạch 76, nhiệt độ 36.7°C.<br/><b>Hướng dẫn:</b> Ăn mềm 3 ngày. Vệ sinh vết mổ bằng Betadine. Tái khám cắt chỉ sau 7 ngày (20/4/2026). Tái khám ngay nếu sốt >38°C hoặc đau bụng tăng.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp"
}
]
}
]
}
},
{
"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/Practitioner/ExamplePractitionerBSCKII",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ExamplePractitionerBSCKII",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ExamplePractitionerBSCKII\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ExamplePractitionerBSCKII</b></p><a name=\"ExamplePractitionerBSCKII\"> </a><a name=\"hcExamplePractitionerBSCKII\"> </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-practitioner.html\">Nhân viên y tế VN Core — VN Core Practitioner Profile</a></p></div><p><b>identifier</b>: Căn cước công dân/079175001234, Giấy phép hành nghề/001234/BYT-GPHN, Chứng chỉ hành nghề/HCM-001234/BYT-CCHN</p><p><b>name</b>: Nguyễn Thị Lan</p><p><b>gender</b>: Female</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Issuer</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-qualification-cs BS-CKII}\">Bác sĩ Chuyên khoa II — Nội khoa</span></td><td>Bộ Y tế</td></tr></table></div>"
},
"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" : "079175001234"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "GPHN",
"display" : "Giấy phép hành nghề"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/gphn",
"value" : "001234/BYT-GPHN"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "CCHN",
"display" : "Chứng chỉ hành nghề"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/cchn",
"value" : "HCM-001234/BYT-CCHN"
}
],
"name" : [
{
"text" : "Nguyễn Thị Lan",
"family" : "Nguyễn",
"given" : [
"Thị",
"Lan"
]
}
],
"gender" : "female",
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-qualification-cs",
"code" : "BS-CKII",
"display" : "Bác sĩ Chuyên khoa II"
}
],
"text" : "Bác sĩ Chuyên khoa II — Nội khoa"
},
"issuer" : {
"display" : "Bộ Y tế"
}
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationChoRay",
"resource" : {
"resourceType" : "Organization",
"id" : "ExampleOrganizationChoRay",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<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>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs",
"code" : "BV",
"display" : "Bệnh viện"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs",
"code" : "TW",
"display" : "Trung ương"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs",
"code" : "DB",
"display" : "Đặc biệt"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs",
"code" : "RANKED",
"display" : "Đã xếp hạng"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs",
"code" : "CHUYEN_SAU",
"display" : "Cấp chuyên sâu"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-quality-score-band",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs",
"code" : "GT70",
"display" : "Trên 70 điểm"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "CSKCB",
"display" : "Mã cơ sở khám chữa bệnh"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb",
"value" : "79001"
}
],
"active" : true,
"name" : "Bệnh viện Chợ Rẫy",
"telecom" : [
{
"system" : "phone",
"value" : "028 3855 4137"
}
],
"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" : "27343",
"display" : "Phường Chợ Lớn"
}
}
],
"text" : "201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh",
"line" : [
"201B Nguyễn Chí Thanh"
],
"district" : "Quận 5",
"state" : "Thành phố Hồ Chí Minh",
"country" : "VN"
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterInpatientAppendectomy",
"resource" : {
"resourceType" : "Encounter",
"id" : "InlineEncounterInpatientAppendectomy",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_InlineEncounterInpatientAppendectomy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter InlineEncounterInpatientAppendectomy</b></p><a name=\"InlineEncounterInpatientAppendectomy\"> </a><a name=\"hcInlineEncounterInpatientAppendectomy\"> </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-encounter.html\">Lượt khám/nhập viện VN Core — VN Core Encounter Profile</a></p></div><p><b>Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs 2}\">Cấp cứu</span></p><p><b>Hình thức chuyển tuyến — Referral Mode Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs 1}\">Đến khám</span></p><p><b>Kết quả điều trị — Vietnam Treatment Outcome Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs 1}\">Khỏi</span></p><p><b>identifier</b>: Mã lượt khám chữa bệnh/LK-2026-04-10-NKH-0087</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 03}\">Nội trú phẫu thuật cấp cứu</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></td></tr></table><p><b>period</b>: 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleInpatientDischarge.html#Condition_InlineConditionAppendicitisAcute\">K35.8 — Viêm ruột thừa cấp</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs 1}\">Ra viện</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs",
"code" : "2",
"display" : "Cấp cứu"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs",
"code" : "1",
"display" : "Đến khám"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs",
"code" : "1",
"display" : "Khỏi"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "MA_LUOT_KCB",
"display" : "Mã lượt khám chữa bệnh"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/ma-luot-kcb",
"value" : "LK-2026-04-10-NKH-0087"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs",
"code" : "03",
"display" : "Điều trị nội trú"
}
],
"text" : "Nội trú phẫu thuật cấp cứu"
}
],
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
}
],
"period" : {
"start" : "2026-04-10T15:30:00+07:00",
"end" : "2026-04-13T09:00:00+07:00"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/InlineConditionAppendicitisAcute",
"display" : "K35.8 — Viêm ruột thừa cấp"
},
"use" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code" : "AD",
"display" : "Admission diagnosis"
}
]
}
}
],
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs",
"code" : "1",
"display" : "Ra viện"
}
]
}
},
"serviceProvider" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay",
"display" : "Bệnh viện Chợ Rẫy"
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute",
"resource" : {
"resourceType" : "Condition",
"id" : "InlineConditionAppendicitisAcute",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_InlineConditionAppendicitisAcute\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition InlineConditionAppendicitisAcute</b></p><a name=\"InlineConditionAppendicitisAcute\"> </a><a name=\"hcInlineConditionAppendicitisAcute\"> </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-condition.html\">Chẩn đoán VN Core — VN Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K35.8}, {http://snomed.info/sct 85189001}\">Viêm ruột thừa cấp</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>onset</b>: 2026-04-10 09:00:00+0700</p><p><b>recordedDate</b>: 2026-04-10</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "resolved",
"display" : "Resolved"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
},
{
"system" : "http://snomed.info/sct",
"code" : "85189001",
"display" : "Acute appendicitis"
}
],
"text" : "Viêm ruột thừa cấp"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"onsetDateTime" : "2026-04-10T09:00:00+07:00",
"recordedDate" : "2026-04-10"
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Procedure/InlineProcedureAppendectomy",
"resource" : {
"resourceType" : "Procedure",
"id" : "InlineProcedureAppendectomy",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_InlineProcedureAppendectomy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure InlineProcedureAppendectomy</b></p><a name=\"InlineProcedureAppendectomy\"> </a><a name=\"hcInlineProcedureAppendectomy\"> </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-procedure.html\">Thủ thuật/DVKT VN Core — VN Core Procedure Profile</a></p></div><p><b>Ngày y lệnh — Order Date Extension</b>: 2026-04-10 15:45:00+0700</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6025007}, {http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}\">Phẫu thuật cắt ruột thừa nội soi</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>performed</b>: 2026-04-10 17:00:00+0700</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></td></tr></table><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Ruột thừa</span></p><p><b>outcome</b>: <span title=\"Codes:\">Thành công, không biến chứng</span></p></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date",
"valueDateTime" : "2026-04-10T15:45:00+07:00"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6025007",
"display" : "Laparoscopic appendectomy"
},
{
"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"
}
],
"text" : "Phẫu thuật cắt ruột thừa nội soi"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"performedDateTime" : "2026-04-10T17:00:00+07:00",
"performer" : [
{
"actor" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66754008",
"display" : "Appendix"
}
],
"text" : "Ruột thừa"
}
],
"outcome" : {
"text" : "Thành công, không biến chứng"
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "InlineMedicationRequestCeftriaxone",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_InlineMedicationRequestCeftriaxone\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest InlineMedicationRequestCeftriaxone</b></p><a name=\"InlineMedicationRequestCeftriaxone\"> </a><a name=\"hcInlineMedicationRequestCeftriaxone\"> </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-medication-request.html\">Đơn thuốc VN Core — VN Core MedicationRequest Profile</a></p></div><p><b>Số đăng ký thuốc (Visa) — Medication Registration Number</b>: VN-15678-12</p><p><b>Ngày y lệnh — Order Date Extension</b>: 2026-04-10 18:00:00+0700</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.whocc.no/atc J01DD04}\">Ceftriaxone 2g bột pha tiêm</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>authoredOn</b>: 2026-04-10 18:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K35.8}\">Kháng sinh hậu phẫu cắt ruột thừa</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Tiêm tĩnh mạch 2g, 1 lần/ngày, pha trong NaCl 0.9% 100ml, truyền trong 30 phút</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Tiêm tĩnh mạch</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg = 'g')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>3 lọ</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number",
"valueString" : "VN-15678-12"
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date",
"valueDateTime" : "2026-04-10T18:00:00+07:00"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "J01DD04",
"display" : "Ceftriaxone"
}
],
"text" : "Ceftriaxone 2g bột pha tiêm"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"authoredOn" : "2026-04-10T18:00:00+07:00",
"requester" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
}
],
"text" : "Kháng sinh hậu phẫu cắt ruột thừa"
}
],
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "Tiêm tĩnh mạch 2g, 1 lần/ngày, pha trong NaCl 0.9% 100ml, truyền trong 30 phút",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 3,
"unit" : "ngày",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route"
}
],
"text" : "Tiêm tĩnh mạch"
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 2,
"unit" : "g",
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 3,
"unit" : "lọ"
}
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge",
"resource" : {
"resourceType" : "Observation",
"id" : "InlineObservationVitalSignsDischarge",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InlineObservationVitalSignsDischarge\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineObservationVitalSignsDischarge</b></p><a name=\"InlineObservationVitalSignsDischarge\"> </a><a name=\"hcInlineObservationVitalSignsDischarge\"> </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-observation-vital-signs.html\">Sinh hiệu VN Core — VN Core Observation Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Huyết áp lúc xuất viện</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>effective</b>: 2026-04-13 08:00:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>note</b>: </p><blockquote><div><p>Sinh hiệu ổn định. Mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Đủ điều kiện xuất viện.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Huyết áp tâm thu</span></p><p><b>value</b>: 120 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Huyết áp tâm trương</span></p><p><b>value</b>: 75 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
],
"text" : "Huyết áp lúc xuất viện"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"effectiveDateTime" : "2026-04-13T08:00:00+07:00",
"performer" : [
{
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
],
"note" : [
{
"text" : "Sinh hiệu ổn định. Mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Đủ điều kiện xuất viện."
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
],
"text" : "Huyết áp tâm thu"
},
"valueQuantity" : {
"value" : 120,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
],
"text" : "Huyết áp tâm trương"
},
"valueQuantity" : {
"value" : 75,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "InlineServiceRequestFollowUp",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_InlineServiceRequestFollowUp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest InlineServiceRequestFollowUp</b></p><a name=\"InlineServiceRequestFollowUp\"> </a><a name=\"hcInlineServiceRequestFollowUp\"> </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-service-request.html\">Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs KHAM}\">Khám chuyên khoa</span></p><p><b>code</b>: <span title=\"Codes:\">Tái khám sau phẫu thuật cắt ruột thừa — kiểm tra vết mổ, cắt chỉ</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>occurrence</b>: 2026-04-20 08:00:00+0700</p><p><b>authoredOn</b>: 2026-04-13 09:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>note</b>: </p><blockquote><div><p>Tái khám kiểm tra vết mổ, cắt chỉ khâu da. Nếu sốt hoặc đau bụng tăng, tái khám ngay.</p>\n</div></blockquote></div>"
},
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs",
"code" : "KHAM",
"display" : "Khám chuyên khoa"
}
]
}
],
"code" : {
"text" : "Tái khám sau phẫu thuật cắt ruột thừa — kiểm tra vết mổ, cắt chỉ"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"occurrenceDateTime" : "2026-04-20T08:00:00+07:00",
"authoredOn" : "2026-04-13T09:00:00+07:00",
"requester" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
},
"note" : [
{
"text" : "Tái khám kiểm tra vết mổ, cắt chỉ khâu da. Nếu sốt hoặc đau bụng tăng, tái khám ngay."
}
]
}
}
]
}