{ "resourceType" : "Bundle", "id" : "ExampleBundleHealthRecordSummary", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-health-record-summary-bundle"] }, "language" : "vi", "identifier" : { "system" : "http://fhir.hl7.org.vn/core/sid/so-skdt", "value" : "SOSKDT-079200000123" }, "type" : "document", "timestamp" : "2026-06-02T08:00:00+07:00", "entry" : [{ "fullUrl" : "http://fhir.hl7.org.vn/core/Composition/ExampleCompositionHealthRecordSummary", "resource" : { "resourceType" : "Composition", "id" : "ExampleCompositionHealthRecordSummary", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-record-summary"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Sổ Sức khỏe điện tử — Nguyễn Văn An

Tóm tắt: Tăng huyết áp, Đái tháo đường type 2. Dị ứng Penicillin. Đang điều trị Amlodipine. Phân loại sức khỏe gần nhất: Loại II.

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "60591-5", "display" : "Patient summary Document" }] }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn" }, "date" : "2026-06-02T08:00:00+07:00", "author" : [{ "reference" : "Organization/ExampleOrganizationHealthCheckupFacility" }], "title" : "Sổ Sức khỏe điện tử", "attester" : [{ "mode" : "legal", "party" : { "reference" : "Organization/ExampleOrganizationHealthCheckupFacility" } }], "custodian" : { "reference" : "Organization/ExampleOrganizationHealthCheckupFacility" }, "section" : [{ "title" : "Tiền sử dị ứng", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2", "display" : "Allergies and adverse reactions Document" }] }, "entry" : [{ "reference" : "AllergyIntolerance/ExampleAllergyPenicillin" }] }, { "title" : "Tiền sử bệnh tật", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" }] }, "entry" : [{ "reference" : "Condition/ExampleConditionProblemHypertension" }, { "reference" : "Condition/ExampleConditionDiabetes" }] }, { "title" : "Thuốc điều trị", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }] }, "entry" : [{ "reference" : "MedicationRequest/ExampleMedicationRequestHypertension" }] }, { "title" : "Tiền sử tiêm chủng", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization note" }] }, "entry" : [{ "reference" : "Immunization/ExampleImmunizationTCMR" }] }, { "title" : "Kết quả xét nghiệm", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data note" }] }, "entry" : [{ "reference" : "Observation/ExampleObservationLabGlucose" }, { "reference" : "Observation/ExampleObservationLabHbA1c" }] }, { "title" : "Phẫu thuật, thủ thuật", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "47519-4", "display" : "History of Procedures Document" }] }, "entry" : [{ "reference" : "Procedure/ExampleProcedureAppendectomy" }] }, { "title" : "Chỉ số theo dõi chính", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8716-3", "display" : "Vital signs note" }] }, "entry" : [{ "reference" : "Observation/ExampleObservationVitalBP" }, { "reference" : "Observation/ExampleObservationVitalBMI" }] }, { "title" : "Khám sức khỏe định kỳ", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "34117-2", "display" : "History and physical note" }] }, "text" : { "status" : "generated", "div" : "
Khám sức khỏe định kỳ gần nhất: phân loại sức khỏe Loại I (Rất khoẻ). Hồ sơ Khám sức khỏe đầy đủ được lưu dưới dạng tài liệu KSK riêng (VNCoreCompositionHealthCheckup).
" } }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn", "resource" : { "resourceType" : "Patient", "id" : "ExamplePatientNguyenVanAn", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient ExamplePatientNguyenVanAn

Profile: Bệnh nhân VN Core — VN Core Patient Profile

Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)

Other Ids:
  • Thẻ bảo hiểm y tế/001085012345
  • Mã bệnh nhân nội bộ/BV-CR-2026-001234
  • Mã số bảo hiểm xã hội/0791234567
Contact Detail
  • ph: 0901234567(Mobile)
  • an.nguyen@email.vn
  • Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh
Dân tộc — Vietnam Ethnicity ExtensionKinh
Patient Birth PlacePhường Ngọc Hà, Hà Nội
Nghề nghiệp — Vietnam Occupation ExtensionNhà phân tích hệ thống
Patient ReligionCông giáo
Patient Citizenship:
  • code: Viet Nam
" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs", "code" : "01", "display" : "Kinh" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/patient-religion", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs", "code" : "02", "display" : "Công giáo" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation", "code" : "1041", "display" : "Roman Catholic Church" }], "text" : "Công giáo" } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs", "code" : "2511", "display" : "Nhà phân tích hệ thống" }] } }, { "extension" : [{ "url" : "code", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "VN", "display" : "Viet Nam" }] } }], "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship" }, { "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace", "valueAddress" : { "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province", "valueCoding" : { "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs", "code" : "01", "display" : "Thành phố Hà Nội" } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward", "valueCoding" : { "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs", "code" : "00008", "display" : "Phường Ngọc Hà" } }], "text" : "Phường Ngọc Hà, Hà Nội", "state" : "Hà Nội", "country" : "VN" } }], "identifier" : [{ "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "CCCD", "display" : "Căn cước công dân" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/cccd", "value" : "001085012345" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "BHYT", "display" : "Thẻ bảo hiểm y tế" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/bhyt", "value" : "001085012345" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "MRN", "display" : "Mã bệnh nhân nội bộ" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/mrn", "value" : "BV-CR-2026-001234" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "BHXH", "display" : "Mã số bảo hiểm xã hội" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/bhxh", "value" : "0791234567" }], "name" : [{ "text" : "Nguyễn Văn An", "family" : "Nguyễn", "given" : ["Văn", "An"] }], "telecom" : [{ "system" : "phone", "value" : "0901234567", "use" : "mobile" }, { "system" : "email", "value" : "an.nguyen@email.vn" }], "gender" : "male", "birthDate" : "1985-03-15", "address" : [{ "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province", "valueCoding" : { "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs", "code" : "79", "display" : "Thành phố Hồ Chí Minh" } }, { "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward", "valueCoding" : { "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs", "code" : "26743", "display" : "Phường Bến Thành" } }], "text" : "Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh", "line" : ["Số 123 Nguyễn Huệ"], "state" : "Thành phố Hồ Chí Minh", "country" : "VN" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationHealthCheckupFacility", "resource" : { "resourceType" : "Organization", "id" : "ExampleOrganizationHealthCheckupFacility", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization ExampleOrganizationHealthCheckupFacility

Profile: Cơ sở y tế VN Core — VN Core Organization Profile

identifier: Mã cơ sở khám chữa bệnh/01234, Mã định danh cơ sở KCB 13 ký tự/8930000000019

active: true

name: Trung tâm Y tế khu vực Cầu Giấy

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "CSKCB", "display" : "Mã cơ sở khám chữa bệnh" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/ma-cskcb", "value" : "01234" }, { "type" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs", "code" : "CSKCB13", "display" : "Mã định danh cơ sở KCB 13 ký tự" }] }, "system" : "http://fhir.hl7.org.vn/core/sid/ma-gtin-cskcb", "value" : "8930000000019" }], "active" : true, "name" : "Trung tâm Y tế khu vực Cầu Giấy" } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/AllergyIntolerance/ExampleAllergyPenicillin", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "ExampleAllergyPenicillin", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-allergy-intolerance", "http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance ExampleAllergyPenicillin

Profiles: Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile, AllergyIntolerance (IPS)

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Dị ứng Penicillin

patient: Nguyễn Văn An

recordedDate: 2025-06-15

reaction

substance: Penicillin

manifestation: Ban đỏ da, Phù nề

severity: Severe

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed", "display" : "Confirmed" }] }, "type" : "allergy", "category" : ["medication"], "criticality" : "high", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "91936005", "display" : "Allergy to penicillin" }], "text" : "Dị ứng Penicillin" }, "patient" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "recordedDate" : "2025-06-15", "reaction" : [{ "substance" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "764146007", "display" : "Penicillin" }], "text" : "Penicillin" }, "manifestation" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "271807003" }], "text" : "Ban đỏ da" }, { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "267038008", "display" : "Interstitial edema" }], "text" : "Phù nề" }], "severity" : "severe" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Condition/ExampleConditionProblemHypertension", "resource" : { "resourceType" : "Condition", "id" : "ExampleConditionProblemHypertension", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition", "http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition ExampleConditionProblemHypertension

Profiles: Chẩn đoán VN Core — VN Core Condition Profile, Condition (IPS)

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Tăng huyết áp

subject: Nguyễn Văn An

recordedDate: 2026-03-19

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "38341003", "display" : "High blood pressure" }], "text" : "Tăng huyết áp" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "recordedDate" : "2026-03-19" } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Condition/ExampleConditionDiabetes", "resource" : { "resourceType" : "Condition", "id" : "ExampleConditionDiabetes", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition-diagnosis"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition ExampleConditionDiabetes

Profile: Chẩn đoán lượt khám VN Core — VN Core Encounter Diagnosis Condition Profile

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Đái tháo đường type 2, chưa có biến chứng

subject: Nguyễn Văn An

encounter: Encounter: extension = Khám chữa bệnh ban đầu; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-03-19-NGT-0207; status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-03-19 08:30:00+0700 --> 2026-03-19 11:00:00+0700; reasonCode =

onset: 2024-03-15

recordedDate: 2026-03-19

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "E11.9", "display" : "Type 2 diabetes mellitus : Without complications" }, { "system" : "http://snomed.info/sct", "code" : "44054006", "display" : "Diabetes mellitus type II" }], "text" : "Đái tháo đường type 2, chưa có biến chứng" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterOutpatient" }, "onsetDateTime" : "2024-03-15", "recordedDate" : "2026-03-19" } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/MedicationRequest/ExampleMedicationRequestHypertension", "resource" : { "resourceType" : "MedicationRequest", "id" : "ExampleMedicationRequestHypertension", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationRequest ExampleMedicationRequestHypertension

Profile: Đơn thuốc VN Core — VN Core MedicationRequest Profile

Số đăng ký thuốc (Visa) — Medication Registration Number: VD-25123-18

identifier: VNPrescriptionCode/79179000012603

status: Active

intent: Order

category: Outpatient

medication: Medication Amlodipine

subject: Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)

encounter: Encounter: extension = Khám chữa bệnh ban đầu; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-03-19-NGT-0207; status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-03-19 08:30:00+0700 --> 2026-03-19 11:00:00+0700; reasonCode =

authoredOn: 2026-03-22

requester: Practitioner Nguyễn Thị Lan

reasonCode: Tăng huyết áp nguyên phát

dosageInstruction

sequence: 1

text: Uống 1 viên mỗi sáng, trước ăn

timing: Morning, Once per 1 day

route: Uống

DoseAndRates

-Dose[x]
*1 viên

dispenseRequest

numberOfRepeatsAllowed: 0

quantity: 30 viên

ExpectedSupplyDurations

-ValueUnitSystemCode
*30ngàyhttp://unitsofmeasure.orgd

Substitutions

-Allowed[x]
*false
" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number", "valueString" : "VD-25123-18" }], "identifier" : [{ "system" : "http://fhir.hl7.org.vn/core/sid/don-thuoc-quoc-gia", "value" : "79179000012603" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "outpatient", "display" : "Outpatient" }] }], "medicationReference" : { "reference" : "Medication/ExampleMedicationAmlodipine" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn" }, "encounter" : { "reference" : "Encounter/ExampleEncounterOutpatient" }, "authoredOn" : "2026-03-22", "requester" : { "reference" : "Practitioner/ExamplePractitionerBSCKII" }, "reasonCode" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "I10", "display" : "Essential (primary) hypertension" }], "text" : "Tăng huyết áp nguyên phát" }], "dosageInstruction" : [{ "sequence" : 1, "text" : "Uống 1 viên mỗi sáng, trước ăn", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["MORN"] } }, "route" : { "text" : "Uống" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 1, "unit" : "viên" } }] }], "dispenseRequest" : { "numberOfRepeatsAllowed" : 0, "quantity" : { "value" : 30, "unit" : "viên" }, "expectedSupplyDuration" : { "value" : 30, "unit" : "ngày", "system" : "http://unitsofmeasure.org", "code" : "d" } }, "substitution" : { "allowedBoolean" : false } } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Immunization/ExampleImmunizationTCMR", "resource" : { "resourceType" : "Immunization", "id" : "ExampleImmunizationTCMR", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-immunization"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Immunization ExampleImmunizationTCMR

Profile: Tiêm chủng — VN Core Immunization

Loại chương trình tiêm chủng — Vietnam Immunization Program Type Extension: tcmr

status: Completed

vaccineCode: Vaccine phối hợp DPT-VGB-Hib mũi 1

patient: Nguyễn Minh Khôi

occurrence: 2026-08-15 09:00:00+0700

primarySource: true

lotNumber: TCMR-DPTVGBHIB-2026-001

performer

actor: Trạm Y tế phường Bến Thành

performer

actor: Trần Văn Minh

fundingSource: Ngân sách nhà nước

protocolApplied

series: DPT-VGB-Hib 3-dose primary series

targetDisease: Bạch hầu, Ho gà, Uốn ván, Viêm gan B, Bệnh do Hib

doseNumber: 1

" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-immunization-program-type", "valueCode" : "tcmr" }], "status" : "completed", "vaccineCode" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "dpt", "display" : "Bạch hầu-Ho gà-Uốn ván" }], "text" : "Vaccine phối hợp DPT-VGB-Hib mũi 1" }, "patient" : { "reference" : "Patient/ExamplePatientChildDependent", "display" : "Nguyễn Minh Khôi" }, "occurrenceDateTime" : "2026-08-15T09:00:00+07:00", "primarySource" : true, "lotNumber" : "TCMR-DPTVGBHIB-2026-001", "performer" : [{ "actor" : { "reference" : "Organization/ExampleOrganizationTramYTe", "display" : "Trạm Y tế phường Bến Thành" } }, { "actor" : { "reference" : "Practitioner/ExamplePractitionerMinimal", "display" : "Trần Văn Minh" } }], "fundingSource" : { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-immunization-funding-source-cs", "code" : "ngan-sach", "display" : "Ngân sách nhà nước" }] }, "protocolApplied" : [{ "series" : "DPT-VGB-Hib 3-dose primary series", "targetDisease" : [{ "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "diphtheria", "display" : "Bạch hầu" }] }, { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "pertussis", "display" : "Ho gà" }] }, { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "tetanus", "display" : "Uốn ván" }] }, { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "hep-b", "display" : "Viêm gan B" }] }, { "coding" : [{ "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-vaccine-type-cs", "code" : "hib", "display" : "Bệnh do Hib" }] }], "doseNumberPositiveInt" : 1 }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/ExampleObservationLabGlucose", "resource" : { "resourceType" : "Observation", "id" : "ExampleObservationLabGlucose", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ExampleObservationLabGlucose

Profile: Xét nghiệm VN Core — VN Core Observation Laboratory Profile

basedOn: Yêu cầu xét nghiệm đường huyết lúc đói

status: Final

category: Laboratory

code: Glucose máu lúc đói

subject: Nguyễn Văn An

encounter: Encounter: extension = Khám chữa bệnh ban đầu; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-03-19-NGT-0207; status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-03-19 08:30:00+0700 --> 2026-03-19 11:00:00+0700; reasonCode =

effective: 2026-03-19 09:20:00+0700

performer: BS CKII Nguyễn Thị Lan

value: 6.8 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

interpretation: High

specimen: Mẫu huyết thanh xét nghiệm sinh hóa

ReferenceRanges

-LowHighText
*3.9 mmol/L (Details: UCUM codemmol/L = 'mmol/L')6.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')3.9 - 6.1 mmol/L
" }, "basedOn" : [{ "reference" : "ServiceRequest/ExampleServiceRequestLabGlucose", "display" : "Yêu cầu xét nghiệm đường huyết lúc đói" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "14771-0", "display" : "Fasting glucose [Moles/volume] in Serum or Plasma" }], "text" : "Glucose máu lúc đói" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterOutpatient" }, "effectiveDateTime" : "2026-03-19T09:20:00+07:00", "performer" : [{ "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }], "valueQuantity" : { "value" : 6.8, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "specimen" : { "reference" : "Specimen/ExampleSpecimenSerumChemistry", "display" : "Mẫu huyết thanh xét nghiệm sinh hóa" }, "referenceRange" : [{ "low" : { "value" : 3.9, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "high" : { "value" : 6.1, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "text" : "3.9 - 6.1 mmol/L" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/ExampleObservationLabHbA1c", "resource" : { "resourceType" : "Observation", "id" : "ExampleObservationLabHbA1c", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ExampleObservationLabHbA1c

Profile: Xét nghiệm VN Core — VN Core Observation Laboratory Profile

status: Final

category: Laboratory

code: HbA1c (Hemoglobin glycated)

subject: Nguyễn Văn An

encounter: Encounter: extension = Cấp cứu,Cấp cứu,Đỡ; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-20-CC-0015; status = finished; class = emergency (v3 Code System ActCode#EMER); type = Khám bệnh; period = 2026-04-20 20:30:00+0700 --> 2026-04-21 06:00:00+0700; reasonCode =

effective: 2026-04-20 09:30:00+0700

performer: BS CKII Nguyễn Thị Lan

value: 7.2 % (Details: UCUM code% = '%')

interpretation: High

note:

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.

\n

referenceRange

high: 5.7 % (Details: UCUM code% = '%')

text: < 5.7% (bình thường)

referenceRange

low: 5.7 % (Details: UCUM code% = '%')

high: 6.4 % (Details: UCUM code% = '%')

text: 5.7 – 6.4% (tiền đái tháo đường)

referenceRange

low: 6.5 % (Details: UCUM code% = '%')

text: ≥ 6.5% (đái tháo đường)

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "4548-4", "display" : "Hemoglobin A1c/Hemoglobin.total in Blood" }], "text" : "HbA1c (Hemoglobin glycated)" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterEmergency" }, "effectiveDateTime" : "2026-04-20T09:30:00+07:00", "performer" : [{ "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }], "valueQuantity" : { "value" : 7.2, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "note" : [{ "text" : "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." }], "referenceRange" : [{ "high" : { "value" : 5.7, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "< 5.7% (bình thường)" }, { "low" : { "value" : 5.7, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "high" : { "value" : 6.4, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "5.7 – 6.4% (tiền đái tháo đường)" }, { "low" : { "value" : 6.5, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "≥ 6.5% (đái tháo đường)" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Procedure/ExampleProcedureAppendectomy", "resource" : { "resourceType" : "Procedure", "id" : "ExampleProcedureAppendectomy", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure"] }, "language" : "vi", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Procedure ExampleProcedureAppendectomy

Profile: Thủ thuật/DVKT VN Core — VN Core Procedure Profile

Ngày y lệnh — Order Date Extension: 2026-03-12 07:30:00+0700

status: Completed

code: Phẫu thuật cắt ruột thừa nội soi

subject: Nguyễn Văn An

encounter: Encounter: extension = Đúng tuyến,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-03-10-NTRU-0042; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-03-10 14:00:00+0700 --> 2026-03-17 10:00:00+0700; reasonCode =

performed: 2026-03-12 09:00:00+0700

bodySite: Ruột thừa

" }, "extension" : [{ "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date", "valueDateTime" : "2026-03-12T07:30:00+07:00" }], "status" : "completed", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "6025007", "display" : "Laparoscopic appendectomy" }], "text" : "Phẫu thuật cắt ruột thừa nội soi" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterInpatient" }, "performedDateTime" : "2026-03-12T09:00:00+07:00", "bodySite" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "66754008", "display" : "Appendix" }], "text" : "Ruột thừa" }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/ExampleObservationVitalBP", "resource" : { "resourceType" : "Observation", "id" : "ExampleObservationVitalBP", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-blood-pressure"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ExampleObservationVitalBP

Profile: Huyết áp VN Core — VN Core Observation Blood Pressure Profile

status: Final

category: Vital Signs

code: Huyết áp

subject: Nguyễn Văn An

encounter: Encounter: extension = Cấp cứu,Cấp cứu,Đỡ; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-20-CC-0015; status = finished; class = emergency (v3 Code System ActCode#EMER); type = Khám bệnh; period = 2026-04-20 20:30:00+0700 --> 2026-04-21 06:00:00+0700; reasonCode =

effective: 2026-04-20 08:00:00+0700

performer: BS CKII Nguyễn Thị Lan

note:

THA độ 1 (ESC 2023). Cần theo dõi HA tại nhà 7 ngày trước khi quyết định dùng thuốc.

\n

component

code: Huyết áp tâm thu

value: 145 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

interpretation: High

ReferenceRanges

-LowHighText
*90 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')140 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')90–140 mmHg (bình thường)

component

code: Huyết áp tâm trương

value: 92 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

interpretation: High

ReferenceRanges

-LowHighText
*60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')90 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')60–90 mmHg (bình thường)
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood pressure panel with all children optional" }], "text" : "Huyết áp" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterEmergency" }, "effectiveDateTime" : "2026-04-20T08:00:00+07:00", "performer" : [{ "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }], "note" : [{ "text" : "THA độ 1 (ESC 2023). Cần theo dõi HA tại nhà 7 ngày trước khi quyết định dùng thuốc." }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic blood pressure" }], "text" : "Huyết áp tâm thu" }, "valueQuantity" : { "value" : 145, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "referenceRange" : [{ "low" : { "value" : 90, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "high" : { "value" : 140, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "text" : "90–140 mmHg (bình thường)" }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic blood pressure" }], "text" : "Huyết áp tâm trương" }, "valueQuantity" : { "value" : 92, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "referenceRange" : [{ "low" : { "value" : 60, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "high" : { "value" : 90, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" }, "text" : "60–90 mmHg (bình thường)" }] }] } }, { "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/ExampleObservationVitalBMI", "resource" : { "resourceType" : "Observation", "id" : "ExampleObservationVitalBMI", "meta" : { "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"] }, "language" : "vi", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ExampleObservationVitalBMI

Profile: Sinh hiệu VN Core — VN Core Observation Vital Signs Profile

status: Final

category: Vital Signs

code: Chỉ số khối cơ thể (BMI)

subject: Nguyễn Văn An

encounter: Encounter: extension = Cấp cứu,Cấp cứu,Đỡ; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-20-CC-0015; status = finished; class = emergency (v3 Code System ActCode#EMER); type = Khám bệnh; period = 2026-04-20 20:30:00+0700 --> 2026-04-21 06:00:00+0700; reasonCode =

effective: 2026-04-20 08:15:00+0700

performer: BS CKII Nguyễn Thị Lan

value: 26.3 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

interpretation: High

note:

BMI 26.3 — béo phì độ I theo tiêu chuẩn WHO khu vực Châu Á-Thái Bình Dương (ngưỡng VN: ≥ 23 thừa cân, ≥ 25 béo phì). Khuyến cáo giảm cân.

\n

ReferenceRanges

-HighText
*22.9 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')< 23.0 kg/m² (bình thường — tiêu chuẩn Châu Á)
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "39156-5", "display" : "Body mass index (BMI) [Ratio]" }], "text" : "Chỉ số khối cơ thể (BMI)" }, "subject" : { "reference" : "Patient/ExamplePatientNguyenVanAn", "display" : "Nguyễn Văn An" }, "encounter" : { "reference" : "Encounter/ExampleEncounterEmergency" }, "effectiveDateTime" : "2026-04-20T08:15:00+07:00", "performer" : [{ "reference" : "Practitioner/ExamplePractitionerBSCKII", "display" : "BS CKII Nguyễn Thị Lan" }], "valueQuantity" : { "value" : 26.3, "unit" : "kg/m2", "system" : "http://unitsofmeasure.org", "code" : "kg/m2" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "note" : [{ "text" : "BMI 26.3 — béo phì độ I theo tiêu chuẩn WHO khu vực Châu Á-Thái Bình Dương (ngưỡng VN: ≥ 23 thừa cân, ≥ 25 béo phì). Khuyến cáo giảm cân." }], "referenceRange" : [{ "high" : { "value" : 22.9, "unit" : "kg/m2", "system" : "http://unitsofmeasure.org", "code" : "kg/m2" }, "text" : "< 23.0 kg/m² (bình thường — tiêu chuẩn Châu Á)" }] } }] }