HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
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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: AuditEvent truy cập hồ sơ bệnh án

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@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/AuditEvent/ExampleAuditEventPatientAccess> a fhir:AuditEvent ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleAuditEventPatientAccess"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event>
     ]
  ] ;
  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: AuditEvent ExampleAuditEventPatientAccess</b></p><a name=\"ExampleAuditEventPatientAccess\"> </a><a name=\"hcExampleAuditEventPatientAccess\"> </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-audit-event.html\">Nhật ký truy cập dữ liệu VN Core — VN Core AuditEvent Profile</a></p></div><p><b>type</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-audit-event-type.html#audit-event-type-rest\">Audit Event ID: rest</a> (Restful Operation)</p><p><b>subtype</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-restful-interaction.html#restful-interaction-read\">FHIR Restful Interactions: read</a> (read)</p><p><b>action</b>: Read/View/Print</p><p><b>recorded</b>: 2026-03-23 08:45:00+0700</p><p><b>outcome</b>: Success</p><p><b>purposeOfEvent</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs TREAT}\">Khám chữa bệnh</span></p><blockquote><p><b>agent</b></p><p><b>who</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS.CKII Nguyễn Thị Lan</a></p><p><b>requestor</b>: true</p><h3>Networks</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Address</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>10.10.25.14</td><td>IP Address</td></tr></table></blockquote><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Observer</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></td></tr></table><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</a></p><p><b>name</b>: Hồ sơ bệnh nhân Nguyễn Văn An</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"DocumentReference-ExampleDocumentReferenceEMR.html\">DocumentReference: status = current; type = Summary of episode note; category = Medical records; date = 2026-03-17 10:00:00+0700; description = Bệnh án nội trú: Viêm ruột thừa cấp (K35.8), phẫu thuật cắt ruột thừa nội soi, ra viện ngày 17/3/2026 — trạng thái khỏi</a></p><p><b>name</b>: Bệnh án điện tử nội trú</p></blockquote></div>"
  ] ;
  fhir:AuditEvent.type [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/audit-event-type" ] ;
     fhir:Coding.code [ fhir:value "rest" ] ;
     fhir:Coding.display [ fhir:value "Restful Operation" ]
  ] ;
  fhir:AuditEvent.subtype [
     fhir:index -1 ;
     fhir:Coding.system [ fhir:value "http://hl7.org/fhir/restful-interaction" ] ;
     fhir:Coding.code [ fhir:value "read" ] ;
     fhir:Coding.display [ fhir:value "read" ]
  ] ;
  fhir:AuditEvent.action [ fhir:value "R"] ;
  fhir:AuditEvent.recorded [ fhir:value "2026-03-23T08:45:00+07:00"^^xsd:dateTime] ;
  fhir:AuditEvent.outcome [ fhir:value "0"] ;
  fhir:AuditEvent.purposeOfEvent [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs" ] ;
       fhir:Coding.code [ fhir:value "TREAT" ] ;
       fhir:Coding.display [ fhir:value "Khám chữa bệnh" ]
     ]
  ] ;
  fhir:AuditEvent.agent [
     fhir:index -1 ;
     fhir:AuditEvent.agent.who [
       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:AuditEvent.agent.requestor [ fhir:value "true"^^xsd:boolean ] ;
     fhir:AuditEvent.agent.network [
       fhir:AuditEvent.agent.network.address [ fhir:value "10.10.25.14" ] ;
       fhir:AuditEvent.agent.network.type [ fhir:value "2" ]
     ]
  ] ;
  fhir:AuditEvent.source [
     fhir:AuditEvent.source.observer [
       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:AuditEvent.entity [
     fhir:index -1 ;
     fhir:AuditEvent.entity.what [
       fhir:link <http://hl7.org/fhir/Patient/ExamplePatientNguyenVanAn> ;
       fhir:Reference.reference [ fhir:value "Patient/ExamplePatientNguyenVanAn" ]
     ] ;
     fhir:AuditEvent.entity.name [ fhir:value "Hồ sơ bệnh nhân Nguyễn Văn An" ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.entity.what [
       fhir:link <http://hl7.org/fhir/DocumentReference/ExampleDocumentReferenceEMR> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/ExampleDocumentReferenceEMR" ]
     ] ;
     fhir:AuditEvent.entity.name [ fhir:value "Bệnh án điện tử nội trú" ]
  ] .

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

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

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

<http://hl7.org/fhir/DocumentReference/ExampleDocumentReferenceEMR> a fhir:DocumentReference .

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

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