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: Báo cáo X-quang ngực thẳng (bình thường)

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/DiagnosticReport/ExampleDiagnosticReportImaging> a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleDiagnosticReportImaging"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-imaging" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-imaging>
     ]
  ] ;
  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: DiagnosticReport ExampleDiagnosticReportImaging</b></p><a name=\"ExampleDiagnosticReportImaging\"> </a><a name=\"hcExampleDiagnosticReportImaging\"> </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-diagnostic-report-imaging.html\">Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport</a></p></div><h2><span title=\"Codes:{http://loinc.org 36643-5}\">X-quang ngực hai tư thế</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>, <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 4}\">Chẩn đoán hình ảnh</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</td></tr><tr><td>Relevant Time</td><td>2026-04-20 09:15:00+0700</td></tr><tr><td>Reported</td><td>2026-04-20 11:00:00+0700</td></tr><tr><td>Performer</td><td> <a href=\"Organization-ExampleOrganizationChoRay.html\">Khoa Chẩn đoán hình ảnh — BV Chợ Rẫy</a></td></tr></table><p><b>Report Details</b></p><p>Phổi 2 bên sáng, không thâm nhiễm. Tim bóng bình thường, CTR &lt; 0.5. Góc sườn hoành 2 bên rõ. Trung thất không giãn. Không thấy tổn thương phổi, xương sườn, cơ hoành.</p></div>"
  ] ;
  fhir:DiagnosticReport.status [ fhir:value "final"] ;
  fhir:DiagnosticReport.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ] ;
       fhir:Coding.code [ fhir:value "RAD" ] ;
       fhir:Coding.display [ fhir:value "Radiology" ]
     ]
  ], [
     fhir:index -1 ;
     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 "4" ] ;
       fhir:Coding.display [ fhir:value "Chẩn đoán hình ảnh" ]
     ]
  ] ;
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:36643-5 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "36643-5" ] ;
       fhir:Coding.display [ fhir:value "XR Chest 2 Views" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "X-quang ngực hai tư thế" ]
  ] ;
  fhir:DiagnosticReport.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:DiagnosticReport.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/ExampleEncounterEmergency> ;
     fhir:Reference.reference [ fhir:value "Encounter/ExampleEncounterEmergency" ]
  ] ;
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2026-04-20T09:15:00+07:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.issued [ fhir:value "2026-04-20T11:00:00+07:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Organization/ExampleOrganizationChoRay> ;
     fhir:Reference.reference [ fhir:value "Organization/ExampleOrganizationChoRay" ] ;
     fhir:Reference.display [ fhir:value "Khoa Chẩn đoán hình ảnh — BV Chợ Rẫy" ]
  ] ;
  fhir:DiagnosticReport.resultsInterpreter [
     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:DiagnosticReport.imagingStudy [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/ImagingStudy/ExampleImagingStudyChestCT> ;
     fhir:Reference.reference [ fhir:value "ImagingStudy/ExampleImagingStudyChestCT" ] ;
     fhir:Reference.display [ fhir:value "DICOM Study CT lồng ngực — ExampleImagingStudyChestCT (tham chiếu minh họa)" ]
  ] ;
  fhir:DiagnosticReport.conclusion [ fhir:value "Phổi 2 bên sáng, không thâm nhiễm. Tim bóng bình thường, CTR < 0.5. Góc sườn hoành 2 bên rõ. Trung thất không giãn. Không thấy tổn thương phổi, xương sườn, cơ hoành."] ;
  fhir:DiagnosticReport.presentedForm [
     fhir:index -1 ;
     fhir:Attachment.contentType [ fhir:value "application/pdf" ] ;
     fhir:Attachment.language [ fhir:value "vi" ] ;
     fhir:Attachment.title [ fhir:value "XQ-Nguc-Thang-NguyenVanAn-20260420.pdf" ] ;
     fhir:Attachment.creation [ fhir:value "2026-04-20T11:00:00+07:00"^^xsd:dateTime ]
  ] .

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

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

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

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

<http://hl7.org/fhir/ImagingStudy/ExampleImagingStudyChestCT> a fhir:ImagingStudy .

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

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