Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review
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
<AuditEvent xmlns="http://hl7.org/fhir">
<id value="ExampleAuditEventEmergencyLegalBasisDecision"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event-legal-basis-decision"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-processing-legal-basis">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-processing-legal-basis-cs"/>
<code value="emergency-vital"/>
<display value="Cấp bách — bảo vệ tính mạng, sức khỏe"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="110113"/>
<display value="Security Alert"/>
</type>
<subtype>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-audit-event-subtype-cs"/>
<code value="legal-basis-authorization"/>
<display value="Quyết định xử lý theo căn cứ pháp lý (không qua đồng ý)"/>
</subtype>
<action value="E"/>
<recorded value="2026-04-20T20:31:00+07:00"/>
<outcome value="0"/>
<outcomeDesc
value="Permit — PDP cho phép override để xử trí cấp cứu / PDP permitted the emergency override"/>
<purposeOfEvent>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="BTG"/>
<display value="break the glass"/>
</coding>
</purposeOfEvent>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="IRCP"/>
<display value="information recipient"/>
</coding>
</type>
<who>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan — bác sĩ trực cấp cứu"/>
</who>
<requestor value="true"/>
<network>
<address value="10.20.30.41"/>
<type value="2"/>
</network>
<purposeOfUse>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="BTG"/>
<display value="break the glass"/>
</coding>
</purposeOfUse>
</agent>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="AUT"/>
<display value="author (originator)"/>
</coding>
</type>
<who>🔗
<reference value="Device/ExampleDevicePolicyDecisionPoint"/>
<display value="PDP kiểm soát truy cập cấp cứu Chợ Rẫy"/>
</who>
<requestor value="false"/>
<policy value="urn:vn-law:91-2025-qh15#dieu-19-khoan-1-diem-a"/>
<policy value="urn:vn-policy:cho-ray:emergency-access:version-3"/>
</agent>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="RESP"/>
<display value="responsible party"/>
</coding>
</type>
<who>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<display value="Bệnh viện Chợ Rẫy"/>
</who>
<requestor value="false"/>
</agent>
<source>
<observer>🔗
<reference value="Device/ExampleDevicePolicyDecisionPoint"/>
<display value="PDP kiểm soát truy cập cấp cứu Chợ Rẫy"/>
</observer>
</source>
<entity>
<what>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</what>
<type>
<system
value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
<code value="1"/>
<display value="Person"/>
</type>
<role>
<system value="http://terminology.hl7.org/CodeSystem/object-role"/>
<code value="1"/>
<display value="Patient"/>
</role>
<name value="Chủ thể dữ liệu / Data subject"/>
</entity>
<entity>
<what>🔗
<reference value="DocumentReference/ExampleDocumentReferenceEMR"/>
<display value="Bệnh án điện tử của Nguyễn Văn An"/>
</what>
<type>
<system
value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
<code value="2"/>
<display value="System Object"/>
</type>
<role>
<system value="http://terminology.hl7.org/CodeSystem/object-role"/>
<code value="3"/>
<display value="Report"/>
</role>
<name value="Tập dữ liệu cần truy cập / Dataset requested for access"/>
</entity>
<entity>
<what>🔗
<reference value="Encounter/ExampleEncounterEmergency"/>
<display value="Lượt cấp cứu tai nạn giao thông"/>
</what>
<type>
<system
value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
<code value="4"/>
<display value="Other"/>
</type>
<role>
<system value="http://terminology.hl7.org/CodeSystem/object-role"/>
<code value="4"/>
<display value="Domain Resource"/>
</role>
<description
value="Encounter cấp cứu làm bằng chứng bối cảnh / Emergency Encounter supporting the decision"/>
</entity>
<entity>
<what>🔗
<reference value="Observation/ExampleObservationTriageAcuity"/>
<display value="Phân loại cấp cứu mức 2"/>
</what>
<type>
<system
value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
<code value="4"/>
<display value="Other"/>
</type>
<role>
<system value="http://terminology.hl7.org/CodeSystem/object-role"/>
<code value="4"/>
<display value="Domain Resource"/>
</role>
<description
value="Observation phân loại cấp cứu làm bằng chứng lâm sàng / Triage Observation supporting the decision"/>
</entity>
</AuditEvent>