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: Công thức máu toàn phần (CBC)

Bản thô ttl | Tải xuống


@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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/Observation/ExampleObservationLabCBC> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleObservationLabCBC"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "vi"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleObservationLabCBC</b></p><a name=\"ExampleObservationLabCBC\"> </a><a name=\"hcExampleObservationLabCBC\"> </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-lab.html\">Xét nghiệm VN Core — VN Core Observation Laboratory Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 58410-2}\">Công thức máu (CBC)</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleEncounterEmergency.html\">Encounter: extension = Cấp cứu,Cấp cứu,Đỡ; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-20-CC-0015; status = finished; class = emergency (ActCode#EMER); type = Khám bệnh; period = 2026-04-20 20:30:00+0700 --&gt; 2026-04-21 06:00:00+0700; reasonCode = </a></p><p><b>effective</b>: 2026-04-20 07:45:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Abnormal</span></p><p><b>note</b>: </p><blockquote><div><p>WBC 12.8 × 10⁹/L — tăng cao (ref: 4.0–10.0). Nghi ngờ nhiễm trùng cấp tính. Cần theo dõi lâm sàng, cân nhắc cấy máu nếu sốt &gt; 38.5°C. Các chỉ số huyết học khác trong giới hạn bình thường.</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Specimen-ExampleSpecimenWholeBloodCBC.html\">Mẫu máu toàn phần chống đông EDTA</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6690-2}\">Bạch cầu (WBC)</span></p><p><b>value</b>: 12.8 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>4 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>10 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>4.0 – 10.0 × 10⁹/L</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 789-8}\">Hồng cầu (RBC)</span></p><p><b>value</b>: 4.6 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>4 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>5.5 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>4.0 – 5.5 × 10¹²/L (nam)</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 718-7}\">Hemoglobin (Hgb)</span></p><p><b>value</b>: 138 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>130 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>170 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>130 – 170 g/L (nam)</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 777-3}\">Tiểu cầu (PLT)</span></p><p><b>value</b>: 220 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>150 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>400 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>150 – 400 × 10⁹/L</td></tr></table></blockquote></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:58410-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "58410-2" ] ;
       fhir:Coding.display [ fhir:value "CBC panel - Blood by Automated count" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Công thức máu (CBC)" ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/ExamplePatientNguyenVanAn> ;
     fhir:Reference.reference [ fhir:value "Patient/ExamplePatientNguyenVanAn" ] ;
     fhir:Reference.display [ fhir:value "Nguyễn Văn An" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/ExampleEncounterEmergency> ;
     fhir:Reference.reference [ fhir:value "Encounter/ExampleEncounterEmergency" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-04-20T07:45:00+07:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Practitioner/ExamplePractitionerBSCKII> ;
     fhir:Reference.reference [ fhir:value "Practitioner/ExamplePractitionerBSCKII" ] ;
     fhir:Reference.display [ fhir:value "BS CKII Nguyễn Thị Lan" ]
  ] ;
  fhir:Observation.interpretation [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
       fhir:Coding.code [ fhir:value "A" ] ;
       fhir:Coding.display [ fhir:value "Abnormal" ]
     ]
  ] ;
  fhir:Observation.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "WBC 12.8 × 10⁹/L — tăng cao (ref: 4.0–10.0). Nghi ngờ nhiễm trùng cấp tính. Cần theo dõi lâm sàng, cân nhắc cấy máu nếu sốt > 38.5°C. Các chỉ số huyết học khác trong giới hạn bình thường." ]
  ] ;
  fhir:Observation.specimen [
     fhir:link <http://hl7.org/fhir/Specimen/ExampleSpecimenWholeBloodCBC> ;
     fhir:Reference.reference [ fhir:value "Specimen/ExampleSpecimenWholeBloodCBC" ] ;
     fhir:Reference.display [ fhir:value "Mẫu máu toàn phần chống đông EDTA" ]
  ] ;
  fhir:Observation.component [
     fhir:index -1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:6690-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "6690-2" ] ;
         fhir:Coding.display [ fhir:value "Leukocytes [#/volume] in Blood by Automated count" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Bạch cầu (WBC)" ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "12.8"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "10*9/L" ]
     ] ;
     fhir:Observation.component.interpretation [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
         fhir:Coding.code [ fhir:value "H" ] ;
         fhir:Coding.display [ fhir:value "High" ]
       ]
     ] ;
     fhir:Observation.component.referenceRange [
       fhir:index -1 ;
       fhir:Observation.referenceRange.low [
         fhir:Quantity.value [ fhir:value "4"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*9/L" ]
       ] ;
       fhir:Observation.referenceRange.high [
         fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*9/L" ]
       ] ;
       fhir:Observation.referenceRange.text [ fhir:value "4.0 – 10.0 × 10⁹/L" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:789-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "789-8" ] ;
         fhir:Coding.display [ fhir:value "Erythrocytes [#/volume] in Blood by Automated count" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Hồng cầu (RBC)" ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "4.6"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "10^12/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "10*12/L" ]
     ] ;
     fhir:Observation.component.interpretation [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
         fhir:Coding.code [ fhir:value "N" ] ;
         fhir:Coding.display [ fhir:value "Normal" ]
       ]
     ] ;
     fhir:Observation.component.referenceRange [
       fhir:index -1 ;
       fhir:Observation.referenceRange.low [
         fhir:Quantity.value [ fhir:value "4"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^12/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*12/L" ]
       ] ;
       fhir:Observation.referenceRange.high [
         fhir:Quantity.value [ fhir:value "5.5"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^12/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*12/L" ]
       ] ;
       fhir:Observation.referenceRange.text [ fhir:value "4.0 – 5.5 × 10¹²/L (nam)" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:718-7 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "718-7" ] ;
         fhir:Coding.display [ fhir:value "Hemoglobin [Mass/volume] in Blood" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Hemoglobin (Hgb)" ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "138"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "g/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "g/L" ]
     ] ;
     fhir:Observation.component.interpretation [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
         fhir:Coding.code [ fhir:value "N" ] ;
         fhir:Coding.display [ fhir:value "Normal" ]
       ]
     ] ;
     fhir:Observation.component.referenceRange [
       fhir:index -1 ;
       fhir:Observation.referenceRange.low [
         fhir:Quantity.value [ fhir:value "130"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "g/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "g/L" ]
       ] ;
       fhir:Observation.referenceRange.high [
         fhir:Quantity.value [ fhir:value "170"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "g/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "g/L" ]
       ] ;
       fhir:Observation.referenceRange.text [ fhir:value "130 – 170 g/L (nam)" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:777-3 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "777-3" ] ;
         fhir:Coding.display [ fhir:value "Platelets [#/volume] in Blood by Automated count" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Tiểu cầu (PLT)" ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "220"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "10*9/L" ]
     ] ;
     fhir:Observation.component.interpretation [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
         fhir:Coding.code [ fhir:value "N" ] ;
         fhir:Coding.display [ fhir:value "Normal" ]
       ]
     ] ;
     fhir:Observation.component.referenceRange [
       fhir:index -1 ;
       fhir:Observation.referenceRange.low [
         fhir:Quantity.value [ fhir:value "150"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*9/L" ]
       ] ;
       fhir:Observation.referenceRange.high [
         fhir:Quantity.value [ fhir:value "400"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "10^9/L" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "10*9/L" ]
       ] ;
       fhir:Observation.referenceRange.text [ fhir:value "150 – 400 × 10⁹/L" ]
     ]
  ] .

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

<http://hl7.org/fhir/Encounter/ExampleEncounterEmergency> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/ExamplePractitionerBSCKII> a fhir:Practitioner .

<http://hl7.org/fhir/Specimen/ExampleSpecimenWholeBloodCBC> a fhir:Specimen .

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

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