{
  "resourceType" : "Bundle",
  "id" : "ExampleBundleReferralUpward",
  "meta" : {
    "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"]
  },
  "language" : "vi",
  "type" : "collection",
  "timestamp" : "2026-04-08T15:00:00+07:00",
  "entry" : [{
    "fullUrl" : "http://fhir.hl7.org.vn/core/Patient/InlinePatientTranThiMai",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "InlinePatientTranThiMai",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_InlinePatientTranThiMai\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient InlinePatientTranThiMai</b></p><a name=\"InlinePatientTranThiMai\"> </a><a name=\"hcInlinePatientTranThiMai\"> </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-patient.html\">Bệnh nhân VN Core — VN Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Trần Thị Mai Female, DoB: 1964-08-20 ( Căn cước công dân: VNCCCD#075162034567)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\">Thẻ bảo hiểm y tế/075162034567</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Xã Tân Phú, Đồng Nai</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận dân tộc của bệnh nhân theo danh mục 54 dân tộc Việt Nam\n(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.\nCăn cứ: Hiến pháp 2013 Điều 5, Luật Căn cước 2023.\"><a href=\"StructureDefinition-vn-ext-ethnicity.html\">Dân tộc — Vietnam Ethnicity Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs 01}\">Kinh</span></td></tr></table></div>"
      },
      "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"
          }]
        }
      }],
      "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" : "075162034567"
      },
      {
        "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" : "075162034567"
      }],
      "name" : [{
        "text" : "Trần Thị Mai",
        "family" : "Trần",
        "given" : ["Thị Mai"]
      }],
      "gender" : "female",
      "birthDate" : "1964-08-20",
      "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" : "75",
            "display" : "Tỉnh Đồng Nai"
          }
        },
        {
          "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward",
          "valueCoding" : {
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs",
            "code" : "26116",
            "display" : "Xã Tân Phú"
          }
        }],
        "text" : "Xã Tân Phú, Đồng Nai",
        "state" : "Đồng Nai",
        "country" : "VN"
      }]
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationTramYTe",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ExampleOrganizationTramYTe",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"]
      },
      "language" : "vi",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleOrganizationTramYTe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleOrganizationTramYTe</b></p><a name=\"ExampleOrganizationTramYTe\"> </a><a name=\"hcExampleOrganizationTramYTe\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs TYT}\">Trạm y tế</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs XA}\">Xã</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs NOT_APPLICABLE}\">Không áp dụng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs BAN_DAU}\">Cấp ban đầu</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/01500</p><p><b>active</b>: true</p><p><b>name</b>: Trạm Y tế phường Ngọc Hà</p><p><b>address</b>: Phường Ngọc Hà, Thành phố Hà Nội</p></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs",
            "code" : "TYT",
            "display" : "Trạm y tế"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs",
            "code" : "XA",
            "display" : "Xã"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs",
            "code" : "NOT_APPLICABLE",
            "display" : "Không áp dụng"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs",
            "code" : "BAN_DAU",
            "display" : "Cấp ban đầu"
          }]
        }
      }],
      "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" : "01500"
      }],
      "active" : true,
      "name" : "Trạm Y tế phường Ngọc Hà",
      "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" : "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, Thành phố Hà Nội",
        "state" : "Thành phố Hà Nội",
        "country" : "VN"
      }]
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/Organization/InlineOrganizationBVTinhDongNai",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "InlineOrganizationBVTinhDongNai",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"]
      },
      "language" : "vi",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_InlineOrganizationBVTinhDongNai\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization InlineOrganizationBVTinhDongNai</b></p><a name=\"InlineOrganizationBVTinhDongNai\"> </a><a name=\"hcInlineOrganizationBVTinhDongNai\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs BV}\">Bệnh viện</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs TINH}\">Tỉnh</span></p><p><b>Hạng cơ sở khám bệnh, chữa bệnh — Vietnam KCB Facility Rank Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs I}\">Hạng I</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs RANKED}\">Đã xếp hạng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs CO_BAN}\">Cấp cơ bản</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/75001</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Bệnh viện Đa khoa Đồng Nai</p></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs",
            "code" : "BV",
            "display" : "Bệnh viện"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs",
            "code" : "TINH",
            "display" : "Tỉnh"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs",
            "code" : "I",
            "display" : "Hạng I"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs",
            "code" : "RANKED",
            "display" : "Đã xếp hạng"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs",
            "code" : "CO_BAN",
            "display" : "Cấp cơ bản"
          }]
        }
      }],
      "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" : "75001"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "prov",
          "display" : "Healthcare Provider"
        }]
      }],
      "name" : "Bệnh viện Đa khoa Đồng Nai"
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "InlineEncounterPrimaryXa",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"]
      },
      "language" : "vi",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_InlineEncounterPrimaryXa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter InlineEncounterPrimaryXa</b></p><a name=\"InlineEncounterPrimaryXa\"> </a><a name=\"hcInlineEncounterPrimaryXa\"> </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-encounter.html\">Lượt khám/nhập viện VN Core — VN Core Encounter Profile</a></p></div><p><b>Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs 5}\">Khám chữa bệnh ban đầu</span></p><p><b>Hình thức chuyển tuyến — Referral Mode Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs 2}\">Chuyển đến từ tuyến dưới</span></p><p><b>Kết quả điều trị — Vietnam Treatment Outcome Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs 7}\">Chưa xác định</span></p><p><b>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-TYT-2026-04-08-001</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 01}\">Khám cấp cứu tại trạm y tế xã</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>period</b>: 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleReferralUpward.html#Condition_InlineConditionSuspectedMI\">I21.9 — Nhồi máu cơ tim cấp (nghi ngờ)</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs",
            "code" : "5",
            "display" : "Khám chữa bệnh ban đầu"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs",
            "code" : "2",
            "display" : "Chuyển đến từ tuyến dưới"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs",
            "code" : "7",
            "display" : "Chưa xác định"
          }]
        }
      },
      {
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code",
        "valueIdentifier" : {
          "type" : {
            "coding" : [{
              "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
              "code" : "MA_LUOT_KCB",
              "display" : "Mã lượt khám chữa bệnh"
            }]
          },
          "system" : "http://fhir.hl7.org.vn/core/sid/ma-luot-kcb",
          "value" : "LK-TYT-2026-04-08-001"
        }
      }],
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "AMB",
        "display" : "ambulatory"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs",
          "code" : "01",
          "display" : "Khám bệnh"
        }],
        "text" : "Khám cấp cứu tại trạm y tế xã"
      }],
      "subject" : {
        "reference" : "Patient/InlinePatientTranThiMai",
        "display" : "Trần Thị Mai"
      },
      "period" : {
        "start" : "2026-04-08T14:00:00+07:00",
        "end" : "2026-04-08T14:45:00+07:00"
      },
      "diagnosis" : [{
        "condition" : {
          "reference" : "Condition/InlineConditionSuspectedMI",
          "display" : "I21.9 — Nhồi máu cơ tim cấp (nghi ngờ)"
        },
        "use" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
            "code" : "AD",
            "display" : "Admission diagnosis"
          }]
        }
      }],
      "serviceProvider" : {
        "reference" : "Organization/ExampleOrganizationTramYTe",
        "display" : "Trạm Y tế xã Tân Phú"
      }
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionSuspectedMI",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "InlineConditionSuspectedMI",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_InlineConditionSuspectedMI\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition InlineConditionSuspectedMI</b></p><a name=\"InlineConditionSuspectedMI\"> </a><a name=\"hcInlineConditionSuspectedMI\"> </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-condition.html\">Chẩn đoán VN Core — VN Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}\">Provisional</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I21.9}\">Nhồi máu cơ tim cấp, không đặc hiệu (chẩn đoán sơ bộ)</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Encounter_InlineEncounterPrimaryXa\">Encounter: extension = Khám chữa bệnh ban đầu,Chuyển đến từ tuyến dưới,Chưa xác định,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-TYT-2026-04-08-001; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</a></p><p><b>onset</b>: 2026-04-08 13:30:00+0700</p><p><b>recordedDate</b>: 2026-04-08</p><p><b>note</b>: </p><blockquote><div><p>Đau ngực trái đột ngột lan ra cánh tay trái, vã mồ hôi, khó thở. Tiền sử tăng huyết áp không kiểm soát. ECG tại trạm y tế: ST chênh lên ở DII, DIII, aVF. Nghi STEMI thành dưới.</p>\n</div></blockquote></div>"
      },
      "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" : "provisional",
          "display" : "Provisional"
        }]
      },
      "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" : "I21.9",
          "display" : "Acute myocardial infarction, unspecified"
        }],
        "text" : "Nhồi máu cơ tim cấp, không đặc hiệu (chẩn đoán sơ bộ)"
      },
      "subject" : {
        "reference" : "Patient/InlinePatientTranThiMai",
        "display" : "Trần Thị Mai"
      },
      "encounter" : {
        "reference" : "Encounter/InlineEncounterPrimaryXa"
      },
      "onsetDateTime" : "2026-04-08T13:30:00+07:00",
      "recordedDate" : "2026-04-08",
      "note" : [{
        "text" : "Đau ngực trái đột ngột lan ra cánh tay trái, vã mồ hôi, khó thở. Tiền sử tăng huyết áp không kiểm soát. ECG tại trạm y tế: ST chênh lên ở DII, DIII, aVF. Nghi STEMI thành dưới."
      }]
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationECGAbnormal",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "InlineObservationECGAbnormal",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InlineObservationECGAbnormal\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineObservationECGAbnormal</b></p><a name=\"InlineObservationECGAbnormal\"> </a><a name=\"hcInlineObservationECGAbnormal\"> </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>: Preliminary</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 11524-6}\">Điện tâm đồ (ECG)</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Khám ban đầu tại Trạm Y tế xã Tân Phú</a></p><p><b>effective</b>: 2026-04-08 14:15:00+0700</p><p><b>performer</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>value</b>: Nhịp xoang 92 lần/phút. ST chênh lên 3mm ở DII, DIII, aVF. Nghi STEMI thành dưới.</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Bất thường — nghi ngờ nhồi máu cơ tim cấp</span></p></div>"
      },
      "status" : "preliminary",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11524-6",
          "display" : "EKG study"
        }],
        "text" : "Điện tâm đồ (ECG)"
      },
      "subject" : {
        "reference" : "Patient/InlinePatientTranThiMai",
        "display" : "Trần Thị Mai"
      },
      "encounter" : {
        "reference" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa",
        "display" : "Khám ban đầu tại Trạm Y tế xã Tân Phú"
      },
      "effectiveDateTime" : "2026-04-08T14:15:00+07:00",
      "performer" : [{
        "reference" : "Organization/ExampleOrganizationTramYTe",
        "display" : "Trạm Y tế xã Tân Phú"
      }],
      "valueString" : "Nhịp xoang 92 lần/phút. ST chênh lên 3mm ở DII, DIII, aVF. Nghi STEMI thành dưới.",
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "A",
          "display" : "Abnormal"
        }],
        "text" : "Bất thường — nghi ngờ nhồi máu cơ tim cấp"
      }]
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestReferralUpward",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "InlineServiceRequestReferralUpward",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request"]
      },
      "language" : "vi",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_InlineServiceRequestReferralUpward\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest InlineServiceRequestReferralUpward</b></p><a name=\"InlineServiceRequestReferralUpward\"> </a><a name=\"hcInlineServiceRequestReferralUpward\"> </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-service-request.html\">Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile</a></p></div><p><b>Hình thức chuyển tuyến — Referral Mode Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs 2}\">Chuyển đến từ tuyến dưới</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs KHAM}\">Khám chuyên khoa</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:\">Chuyển tuyến cấp cứu — nghi nhồi máu cơ tim cấp I21.9</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Encounter: extension = Khám chữa bệnh ban đầu,Chuyển đến từ tuyến dưới,Chưa xác định,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-TYT-2026-04-08-001; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</a></p><p><b>authoredOn</b>: 2026-04-08 14:30:00+0700</p><p><b>requester</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>performer</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Organization_InlineOrganizationBVTinhDongNai\">Bệnh viện Đa khoa Đồng Nai</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I21.9}\">Nghi nhồi máu cơ tim cấp — cần PCI cấp cứu, vượt quá khả năng trạm y tế</span></p><p><b>note</b>: </p><blockquote><div><p>Chuyển tuyến LÊN (xã → tỉnh). Đã sơ cứu: Aspirin 300mg nhai, NTG 0.5mg ngậm dưới lưỡi × 1 lần. HA 100/60 mmHg. Chuyển cấp cứu bằng xe cứu thương.</p>\n</div></blockquote></div>"
      },
      "extension" : [{
        "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs",
            "code" : "2",
            "display" : "Chuyển đến từ tuyến dưới"
          }]
        }
      }],
      "status" : "active",
      "intent" : "order",
      "category" : [{
        "coding" : [{
          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs",
          "code" : "KHAM",
          "display" : "Khám chuyên khoa"
        }]
      }],
      "priority" : "urgent",
      "code" : {
        "text" : "Chuyển tuyến cấp cứu — nghi nhồi máu cơ tim cấp I21.9"
      },
      "subject" : {
        "reference" : "Patient/InlinePatientTranThiMai",
        "display" : "Trần Thị Mai"
      },
      "encounter" : {
        "reference" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa"
      },
      "authoredOn" : "2026-04-08T14:30:00+07:00",
      "requester" : {
        "reference" : "Organization/ExampleOrganizationTramYTe",
        "display" : "Trạm Y tế xã Tân Phú"
      },
      "performer" : [{
        "reference" : "Organization/InlineOrganizationBVTinhDongNai",
        "display" : "Bệnh viện Đa khoa Đồng Nai"
      }],
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "I21.9",
          "display" : "Acute myocardial infarction, unspecified"
        }],
        "text" : "Nghi nhồi máu cơ tim cấp — cần PCI cấp cứu, vượt quá khả năng trạm y tế"
      }],
      "note" : [{
        "text" : "Chuyển tuyến LÊN (xã → tỉnh). Đã sơ cứu: Aspirin 300mg nhai, NTG 0.5mg ngậm dưới lưỡi × 1 lần. HA 100/60 mmHg. Chuyển cấp cứu bằng xe cứu thương."
      }]
    }
  },
  {
    "fullUrl" : "http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceReferralLetter",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "InlineDocumentReferenceReferralLetter",
      "meta" : {
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-document-reference"]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_InlineDocumentReferenceReferralLetter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference InlineDocumentReferenceReferralLetter</b></p><a name=\"InlineDocumentReferenceReferralLetter\"> </a><a name=\"hcInlineDocumentReferenceReferralLetter\"> </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-document-reference.html\">Tài liệu y tế VN Core — VN Core DocumentReference Profile</a></p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 57133-1}\">Giấy chuyển viện</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>date</b>: 2026-04-08 14:35:00+0700</p><p><b>author</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>description</b>: Giấy chuyển viện — chuyển tuyến lên BV Đa khoa Đồng Nai. Lý do: nghi nhồi máu cơ tim cấp, cần can thiệp mạch vành.</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td>Giay-chuyen-vien-TranThiMai-20260408.pdf</td><td>2026-04-08 14:35:00+0700</td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Khám ban đầu tại Trạm Y tế xã Tân Phú</a></td></tr></table></div>"
      },
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "57133-1",
          "display" : "Referral note"
        }],
        "text" : "Giấy chuyển viện"
      },
      "subject" : {
        "reference" : "Patient/InlinePatientTranThiMai",
        "display" : "Trần Thị Mai"
      },
      "date" : "2026-04-08T14:35:00+07:00",
      "author" : [{
        "reference" : "Organization/ExampleOrganizationTramYTe",
        "display" : "Trạm Y tế xã Tân Phú"
      }],
      "description" : "Giấy chuyển viện — chuyển tuyến lên BV Đa khoa Đồng Nai. Lý do: nghi nhồi máu cơ tim cấp, cần can thiệp mạch vành.",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "title" : "Giay-chuyen-vien-TranThiMai-20260408.pdf",
          "creation" : "2026-04-08T14:35:00+07:00"
        }
      }],
      "context" : {
        "encounter" : [{
          "reference" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa",
          "display" : "Khám ban đầu tại Trạm Y tế xã Tân Phú"
        }]
      }
    }
  }]
}