HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review Viet Nam cờ

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ví dụ: Quyết định break-glass theo căn cứ cấp bách — Emergency Legal-Basis Break-Glass Decision

Bản thô ttl | Tải xuống


@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/ExampleAuditEventEmergencyLegalBasisDecision> a fhir:AuditEvent ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleAuditEventEmergencyLegalBasisDecision"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event-legal-basis-decision" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event-legal-basis-decision>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "vi"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AuditEvent ExampleAuditEventEmergencyLegalBasisDecision</b></p><a name=\"ExampleAuditEventEmergencyLegalBasisDecision\"> </a><a name=\"hcExampleAuditEventEmergencyLegalBasisDecision\"> </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-legal-basis-decision.html\">Quyết định xử lý dựa trên căn cứ pháp lý — VN Core Legal-Basis Decision AuditEvent</a></p></div><p><b>Căn cứ xử lý không cần đồng ý — Processing Legal Basis Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-processing-legal-basis-cs emergency-vital}\">Cấp bách — bảo vệ tính mạng, sức khỏe</span></p><p><b>type</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-110113\">DICOM: 110113</a> (Security Alert)</p><p><b>subtype</b>: <a href=\"CodeSystem-vn-audit-event-subtype-cs.html#vn-audit-event-subtype-cs-legal-basis-authorization\">Phân loại AuditEvent về căn cứ pháp lý — VN Legal-Basis AuditEvent Subtype CodeSystem: legal-basis-authorization</a> (Quyết định xử lý theo căn cứ pháp lý (không qua đồng ý))</p><p><b>action</b>: Execute</p><p><b>recorded</b>: 2026-04-20 20:31:00+0700</p><p><b>outcome</b>: Success</p><p><b>outcomeDesc</b>: Permit — PDP cho phép override để xử trí cấp cứu / PDP permitted the emergency override</p><p><b>purposeOfEvent</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason BTG}\">break the glass</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType IRCP}\">information recipient</span></p><p><b>who</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan — bác sĩ trực cấp cứu</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>10.20.30.41</td><td>IP Address</td></tr></table><p><b>purposeOfUse</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason BTG}\">break the glass</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType AUT}\">author (originator)</span></p><p><b>who</b>: <a href=\"Device-ExampleDevicePolicyDecisionPoint.html\">PDP kiểm soát truy cập cấp cứu Chợ Rẫy</a></p><p><b>requestor</b>: false</p><p><b>policy</b>: urn:vn-law:91-2025-qh15#dieu-19-khoan-1-diem-a, urn:vn-policy:cho-ray:emergency-access:version-3</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType RESP}\">responsible party</span></p><p><b>who</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</a></p><p><b>requestor</b>: false</p></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=\"Device-ExampleDevicePolicyDecisionPoint.html\">PDP kiểm soát truy cập cấp cứu Chợ Rẫy</a></td></tr></table><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-1\">Audit event entity type: 1</a> (Person)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-1\">AuditEventEntityRole: 1</a> (Patient)</p><p><b>name</b>: Chủ thể dữ liệu / Data subject</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"DocumentReference-ExampleDocumentReferenceEMR.html\">Bệnh án điện tử của Nguyễn Văn An</a></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-2\">Audit event entity type: 2</a> (System Object)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-3\">AuditEventEntityRole: 3</a> (Report)</p><p><b>name</b>: Tập dữ liệu cần truy cập / Dataset requested for access</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Encounter-ExampleEncounterEmergency.html\">Lượt cấp cứu tai nạn giao thông</a></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-4\">Audit event entity type: 4</a> (Other)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-4\">AuditEventEntityRole: 4</a> (Domain Resource)</p><p><b>description</b>: Encounter cấp cứu làm bằng chứng bối cảnh / Emergency Encounter supporting the decision</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Observation-ExampleObservationTriageAcuity.html\">Phân loại cấp cứu mức 2</a></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-4\">Audit event entity type: 4</a> (Other)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-4\">AuditEventEntityRole: 4</a> (Domain Resource)</p><p><b>description</b>: Observation phân loại cấp cứu làm bằng chứng lâm sàng / Triage Observation supporting the decision</p></blockquote></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-processing-legal-basis" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-processing-legal-basis-cs" ] ;
         fhir:Coding.code [ fhir:value "emergency-vital" ] ;
         fhir:Coding.display [ fhir:value "Cấp bách — bảo vệ tính mạng, sức khỏe" ]
       ]
     ]
  ] ;
  fhir:AuditEvent.type [
     fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
     fhir:Coding.code [ fhir:value "110113" ] ;
     fhir:Coding.display [ fhir:value "Security Alert" ]
  ] ;
  fhir:AuditEvent.subtype [
     fhir:index -1 ;
     fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-audit-event-subtype-cs" ] ;
     fhir:Coding.code [ fhir:value "legal-basis-authorization" ] ;
     fhir:Coding.display [ fhir:value "Quyết định xử lý theo căn cứ pháp lý (không qua đồng ý)" ]
  ] ;
  fhir:AuditEvent.action [ fhir:value "E"] ;
  fhir:AuditEvent.recorded [ fhir:value "2026-04-20T20:31:00+07:00"^^xsd:dateTime] ;
  fhir:AuditEvent.outcome [ fhir:value "0"] ;
  fhir:AuditEvent.outcomeDesc [ fhir:value "Permit — PDP cho phép override để xử trí cấp cứu / PDP permitted the emergency override"] ;
  fhir:AuditEvent.purposeOfEvent [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ] ;
       fhir:Coding.code [ fhir:value "BTG" ] ;
       fhir:Coding.display [ fhir:value "break the glass" ]
     ]
  ] ;
  fhir:AuditEvent.agent [
     fhir:index -1 ;
     fhir:AuditEvent.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ] ;
         fhir:Coding.code [ fhir:value "IRCP" ] ;
         fhir:Coding.display [ fhir:value "information recipient" ]
       ]
     ] ;
     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 — bác sĩ trực cấp cứu" ]
     ] ;
     fhir:AuditEvent.agent.requestor [ fhir:value "true"^^xsd:boolean ] ;
     fhir:AuditEvent.agent.network [
       fhir:AuditEvent.agent.network.address [ fhir:value "10.20.30.41" ] ;
       fhir:AuditEvent.agent.network.type [ fhir:value "2" ]
     ] ;
     fhir:AuditEvent.agent.purposeOfUse [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ] ;
         fhir:Coding.code [ fhir:value "BTG" ] ;
         fhir:Coding.display [ fhir:value "break the glass" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ] ;
         fhir:Coding.code [ fhir:value "AUT" ] ;
         fhir:Coding.display [ fhir:value "author (originator)" ]
       ]
     ] ;
     fhir:AuditEvent.agent.who [
       fhir:link <http://hl7.org/fhir/Device/ExampleDevicePolicyDecisionPoint> ;
       fhir:Reference.reference [ fhir:value "Device/ExampleDevicePolicyDecisionPoint" ] ;
       fhir:Reference.display [ fhir:value "PDP kiểm soát truy cập cấp cứu Chợ Rẫy" ]
     ] ;
     fhir:AuditEvent.agent.requestor [ fhir:value "false"^^xsd:boolean ] ;
     fhir:AuditEvent.agent.policy [
       fhir:value "urn:vn-law:91-2025-qh15#dieu-19-khoan-1-diem-a" ;
       fhir:index -1
     ], [
       fhir:value "urn:vn-policy:cho-ray:emergency-access:version-3" ;
       fhir:index -1
     ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ] ;
         fhir:Coding.code [ fhir:value "RESP" ] ;
         fhir:Coding.display [ fhir:value "responsible party" ]
       ]
     ] ;
     fhir:AuditEvent.agent.who [
       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.agent.requestor [ fhir:value "false"^^xsd:boolean ]
  ] ;
  fhir:AuditEvent.source [
     fhir:AuditEvent.source.observer [
       fhir:link <http://hl7.org/fhir/Device/ExampleDevicePolicyDecisionPoint> ;
       fhir:Reference.reference [ fhir:value "Device/ExampleDevicePolicyDecisionPoint" ] ;
       fhir:Reference.display [ fhir:value "PDP kiểm soát truy cập cấp cứu 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:Reference.display [ fhir:value "Nguyễn Văn An" ]
     ] ;
     fhir:AuditEvent.entity.type [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/audit-entity-type" ] ;
       fhir:Coding.code [ fhir:value "1" ] ;
       fhir:Coding.display [ fhir:value "Person" ]
     ] ;
     fhir:AuditEvent.entity.role [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/object-role" ] ;
       fhir:Coding.code [ fhir:value "1" ] ;
       fhir:Coding.display [ fhir:value "Patient" ]
     ] ;
     fhir:AuditEvent.entity.name [ fhir:value "Chủ thể dữ liệu / Data subject" ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.entity.what [
       fhir:link <http://hl7.org/fhir/DocumentReference/ExampleDocumentReferenceEMR> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/ExampleDocumentReferenceEMR" ] ;
       fhir:Reference.display [ fhir:value "Bệnh án điện tử của Nguyễn Văn An" ]
     ] ;
     fhir:AuditEvent.entity.type [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/audit-entity-type" ] ;
       fhir:Coding.code [ fhir:value "2" ] ;
       fhir:Coding.display [ fhir:value "System Object" ]
     ] ;
     fhir:AuditEvent.entity.role [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/object-role" ] ;
       fhir:Coding.code [ fhir:value "3" ] ;
       fhir:Coding.display [ fhir:value "Report" ]
     ] ;
     fhir:AuditEvent.entity.name [ fhir:value "Tập dữ liệu cần truy cập / Dataset requested for access" ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.entity.what [
       fhir:link <http://hl7.org/fhir/Encounter/ExampleEncounterEmergency> ;
       fhir:Reference.reference [ fhir:value "Encounter/ExampleEncounterEmergency" ] ;
       fhir:Reference.display [ fhir:value "Lượt cấp cứu tai nạn giao thông" ]
     ] ;
     fhir:AuditEvent.entity.type [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/audit-entity-type" ] ;
       fhir:Coding.code [ fhir:value "4" ] ;
       fhir:Coding.display [ fhir:value "Other" ]
     ] ;
     fhir:AuditEvent.entity.role [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/object-role" ] ;
       fhir:Coding.code [ fhir:value "4" ] ;
       fhir:Coding.display [ fhir:value "Domain Resource" ]
     ] ;
     fhir:AuditEvent.entity.description [ fhir:value "Encounter cấp cứu làm bằng chứng bối cảnh / Emergency Encounter supporting the decision" ]
  ], [
     fhir:index -1 ;
     fhir:AuditEvent.entity.what [
       fhir:link <http://hl7.org/fhir/Observation/ExampleObservationTriageAcuity> ;
       fhir:Reference.reference [ fhir:value "Observation/ExampleObservationTriageAcuity" ] ;
       fhir:Reference.display [ fhir:value "Phân loại cấp cứu mức 2" ]
     ] ;
     fhir:AuditEvent.entity.type [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/audit-entity-type" ] ;
       fhir:Coding.code [ fhir:value "4" ] ;
       fhir:Coding.display [ fhir:value "Other" ]
     ] ;
     fhir:AuditEvent.entity.role [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/object-role" ] ;
       fhir:Coding.code [ fhir:value "4" ] ;
       fhir:Coding.display [ fhir:value "Domain Resource" ]
     ] ;
     fhir:AuditEvent.entity.description [ fhir:value "Observation phân loại cấp cứu làm bằng chứng lâm sàng / Triage Observation supporting the decision" ]
  ] .

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

<http://hl7.org/fhir/Device/ExampleDevicePolicyDecisionPoint> a fhir:Device .

<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 .

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

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

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

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