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: HbA1c — Kiểm soát đường huyết dài hạn

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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/Observation/ExampleObservationLabHbA1c> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleObservationLabHbA1c"] ;
  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 ExampleObservationLabHbA1c</b></p><a name=\"ExampleObservationLabHbA1c\"> </a><a name=\"hcExampleObservationLabHbA1c\"> </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 4548-4}\">HbA1c (Hemoglobin glycated)</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 09:30:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>value</b>: 7.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><p><b>note</b>: </p><blockquote><div><p>HbA1c 7.2% — kiểm soát đường huyết chưa đạt mục tiêu (&lt; 7.0% cho BN ĐTĐ theo ADA 2026). Tương đương đường huyết trung bình ~8.6 mmol/L. Cần điều chỉnh phác đồ điều trị: xem xét tăng liều Metformin hoặc bổ sung thuốc nhóm GLP-1 RA / SGLT-2i. Tư vấn chế độ ăn, tăng cường vận động. Tái xét nghiệm HbA1c sau 3 tháng.</p>\n</div></blockquote><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 5.7 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>text</b>: &lt; 5.7% (bình thường)</p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 5.7 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>high</b>: 6.4 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>text</b>: 5.7 – 6.4% (tiền đái tháo đường)</p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 6.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>text</b>: ≥ 6.5% (đái tháo đường)</p></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:4548-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "4548-4" ] ;
       fhir:Coding.display [ fhir:value "Hemoglobin A1c/Hemoglobin.total in Blood" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "HbA1c (Hemoglobin glycated)" ]
  ] ;
  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 "2026-04-20T09:30:00+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.valueQuantity [
     fhir:Quantity.value [ fhir:value "7.2"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "%" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "%" ]
  ] ;
  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 "H" ] ;
       fhir:Coding.display [ fhir:value "High" ]
     ]
  ] ;
  fhir:Observation.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "HbA1c 7.2% — kiểm soát đường huyết chưa đạt mục tiêu (< 7.0% cho BN ĐTĐ theo ADA 2026). Tương đương đường huyết trung bình ~8.6 mmol/L. Cần điều chỉnh phác đồ điều trị: xem xét tăng liều Metformin hoặc bổ sung thuốc nhóm GLP-1 RA / SGLT-2i. Tư vấn chế độ ăn, tăng cường vận động. Tái xét nghiệm HbA1c sau 3 tháng." ]
  ] ;
  fhir:Observation.referenceRange [
     fhir:index -1 ;
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "5.7"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "%" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "%" ]
     ] ;
     fhir:Observation.referenceRange.text [ fhir:value "< 5.7% (bình thường)" ]
  ], [
     fhir:index -1 ;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "5.7"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "%" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "%" ]
     ] ;
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "6.4"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "%" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "%" ]
     ] ;
     fhir:Observation.referenceRange.text [ fhir:value "5.7 – 6.4% (tiền đái tháo đường)" ]
  ], [
     fhir:index -1 ;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "6.5"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "%" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "%" ]
     ] ;
     fhir:Observation.referenceRange.text [ fhir:value "≥ 6.5% (đái tháo đường)" ]
  ] .

<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 .

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

<http://hl7.org/fhir/Observation/ExampleObservationLabHbA1c.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/ExampleObservationLabHbA1c.ttl> .