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 xét nghiệm sinh hóa

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@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/ExampleDiagnosticReportLab> a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleDiagnosticReportLab"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-lab" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-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: DiagnosticReport ExampleDiagnosticReportLab</b></p><a name=\"ExampleDiagnosticReportLab\"> </a><a name=\"hcExampleDiagnosticReportLab\"> </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-lab.html\">Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport</a></p></div><h2><span title=\"Codes:{http://loinc.org 24323-8}\">Xét nghiệm sinh hóa máu</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>, <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs 3}\">Xét nghiệm</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>2026-03-19 08:30:00+0700</td></tr><tr><td>Reported</td><td>2026-03-19 14:00:00+0700</td></tr><tr><td>Performer</td><td> <a href=\"Organization-ExampleOrganizationChoRay.html\">Khoa Xét nghiệm — BV Chợ Rẫy</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href=\"Observation-ExampleObservationLabGlucose.html\"><span title=\"Codes:{http://loinc.org 14771-0}\">Glucose máu lúc đói</span></a></td><td>6.8 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>3.9 - 6.1 mmol/L</td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2026-03-19 09:20:00+0700</td></tr></table><p>Glucose tăng nhẹ (6.8 mmol/L, ref: 3.9–6.1). Cần theo dõi HbA1c. Creatinine trong giới hạn bình thường.</p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 R73.0}\">Tăng glucose máu</span></li></ul></div>"
  ] ;
  fhir:DiagnosticReport.basedOn [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/ServiceRequest/ExampleServiceRequestLabGlucose> ;
     fhir:Reference.reference [ fhir:value "ServiceRequest/ExampleServiceRequestLabGlucose" ] ;
     fhir:Reference.display [ fhir:value "Yêu cầu xét nghiệm đường huyết lúc đói" ]
  ] ;
  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 "LAB" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ], [
     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 "3" ] ;
       fhir:Coding.display [ fhir:value "Xét nghiệm" ]
     ]
  ] ;
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:24323-8 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "24323-8" ] ;
       fhir:Coding.display [ fhir:value "Comprehensive metabolic 2000 panel - Serum or Plasma" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Xét nghiệm sinh hóa máu" ]
  ] ;
  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/ExampleEncounterOutpatient> ;
     fhir:Reference.reference [ fhir:value "Encounter/ExampleEncounterOutpatient" ]
  ] ;
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2026-03-19T08:30:00+07:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.issued [ fhir:value "2026-03-19T14:00:00+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 Xét nghiệm — BV Chợ Rẫy" ]
  ] ;
  fhir:DiagnosticReport.specimen [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Specimen/ExampleSpecimenSerumChemistry> ;
     fhir:Reference.reference [ fhir:value "Specimen/ExampleSpecimenSerumChemistry" ] ;
     fhir:Reference.display [ fhir:value "Mẫu huyết thanh xét nghiệm sinh hóa" ]
  ] ;
  fhir:DiagnosticReport.result [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Observation/ExampleObservationLabGlucose> ;
     fhir:Reference.reference [ fhir:value "Observation/ExampleObservationLabGlucose" ] ;
     fhir:Reference.display [ fhir:value "Glucose máu: 6.8 mmol/L" ]
  ] ;
  fhir:DiagnosticReport.conclusion [ fhir:value "Glucose tăng nhẹ (6.8 mmol/L, ref: 3.9–6.1). Cần theo dõi HbA1c. Creatinine trong giới hạn bình thường."] ;
  fhir:DiagnosticReport.conclusionCode [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:Coding.code [ fhir:value "R73.0" ] ;
       fhir:Coding.display [ fhir:value "Abnormal glucose tolerance test" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Tăng glucose máu" ]
  ] .

<http://hl7.org/fhir/ServiceRequest/ExampleServiceRequestLabGlucose> a fhir:ServiceRequest .

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

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

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

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

<http://hl7.org/fhir/Observation/ExampleObservationLabGlucose> a fhir:Observation .

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

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