Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.3.0 - STU1 Draft
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ExampleBundleInpatientDischarge",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"
]
},
"language" : "vi",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:9a419a2b-56f8-4ec6-96d0-c0b4b0a1c001"
},
"type" : "document",
"timestamp" : "2026-04-13T10:00:00+07:00",
"entry" : [
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Composition/InlineCompositionDischargeSummary",
"resource" : {
"resourceType" : "Composition",
"id" : "InlineCompositionDischargeSummary",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_InlineCompositionDischargeSummary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition InlineCompositionDischargeSummary</b></p><a name=\"InlineCompositionDischargeSummary\"> </a><a name=\"hcInlineCompositionDischargeSummary\"> </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-composition.html\">Bệnh án điện tử VN Core — VN Core Composition Profile</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-vn-document-number-ns.html\" title=\"Namespace khuyến nghị cho mã tài liệu lâm sàng nội bộ do cơ sở y tế phát sinh, dùng cho Composition.identifier và DocumentReference.identifier khi chưa có NamingSystem riêng của từng cơ sở.\">VNDocumentNumber</a>/BA-NKH-2026-00087</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 18842-5}\">Discharge summary</span></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>date</b>: 2026-04-13 09:30:00+0700</p><p><b>author</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">Practitioner Nguyễn Thị Lan</a></p><p><b>title</b>: Tóm tắt xuất viện — Phẫu thuật cắt ruột thừa</p><p><b>confidentiality</b>: restricted</p><p><b>custodian</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Organization Bệnh viện Chợ Rẫy</a></p></div>"
},
"identifier" : {
"system" : "http://fhir.hl7.org.vn/core/sid/document-number",
"value" : "BA-NKH-2026-00087"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"date" : "2026-04-13T09:30:00+07:00",
"author" : [
{
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII"
}
],
"title" : "Tóm tắt xuất viện — Phẫu thuật cắt ruột thừa",
"confidentiality" : "R",
"custodian" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay"
},
"section" : [
{
"title" : "Lý do nhập viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10154-3",
"display" : "Chief complaint Narrative - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Đau bụng vùng hố chậu phải dữ dội 6 giờ, kèm sốt 38.5°C, buồn nôn. Khám: phản ứng thành bụng (+), McBurney (+).</div>"
}
},
{
"title" : "Chẩn đoán",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29548-5",
"display" : "Diagnosis Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chẩn đoán xác định: K35.8 — Viêm ruột thừa cấp (ICD-10 VN per QĐ 4469/QĐ-BYT). Siêu âm: ruột thừa sưng to 12mm, có dịch quanh ruột thừa.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute"
}
]
},
{
"title" : "Phẫu thuật đã thực hiện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Phẫu thuật cắt ruột thừa nội soi ngày 10/4/2026. Gây mê toàn thân. Thời gian mổ 45 phút. Ruột thừa viêm mủ, chưa vỡ. Không biến chứng.</div>"
},
"entry" : [
{
"reference" : "Procedure/InlineProcedureAppendectomy"
}
]
},
{
"title" : "Thuốc điều trị",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ceftriaxone 2g tiêm tĩnh mạch 1 lần/ngày × 3 ngày (10–12/4). Paracetamol 500mg uống khi đau (PRN). Không phản ứng thuốc.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone"
}
]
},
{
"title" : "Khám thực thể trước xuất viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29545-1",
"display" : "Physical findings note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Huyết áp 120/75 mmHg, mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Sinh hiệu ổn định trước xuất viện.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge"
}
]
},
{
"title" : "Tóm tắt ra viện",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Tình trạng xuất viện:</b> Ổn định. Vết mổ khô, sạch, không nhiễm trùng. Bụng mềm, nhu động ruột (+). Sinh hiệu ổn định: HA 120/75, mạch 76, nhiệt độ 36.7°C.<br/><b>Hướng dẫn:</b> Ăn mềm 3 ngày. Vệ sinh vết mổ bằng Betadine. Tái khám cắt chỉ sau 7 ngày (20/4/2026). Tái khám ngay nếu sốt >38°C hoặc đau bụng tăng.</div>"
},
"entry" : [
{
"reference" : "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp"
}
]
}
]
}
},
{
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ExamplePatientNguyenVanAn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ExamplePatientNguyenVanAn</b></p><a name=\"ExamplePatientNguyenVanAn\"> </a><a name=\"hcExamplePatientNguyenVanAn\"> </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;\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Thẻ bảo hiểm y tế/001085012345</li><li>Mã bệnh nhân nội bộ/BV-CR-2026-001234</li><li>Mã số bảo hiểm xã hội/0791234567</li><li>Tài khoản định danh điện tử VNeID/VNEID-001085012345</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0901234567(Mobile)</li><li><a href=\"mailto:[email protected]\">[email protected]</a></li><li>Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh</li></ul></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><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Phường Ngọc Hà, Hà Nội</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận nghề nghiệp của bệnh nhân theo Danh mục Nghề nghiệp Việt Nam (VSCO 2020).\nCăn cứ: QĐ 34/2020/QĐ-TTg (20/11/2020) — Ban hành Danh mục nghề nghiệp Việt Nam.\n1.516 mã, 5 cấp phân loại, tương thích ISCO-08 (ILO).\nFHIR base Patient không có element nghề nghiệp chuẩn — cần extension.\nNghề nghiệp ảnh hưởng đánh giá nguy cơ sức khỏe nghề nghiệp (TT 28/2016/TT-BYT).\"><a href=\"StructureDefinition-vn-ext-occupation.html\">Nghề nghiệp — Vietnam Occupation Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs 2511}\">Nhà phân tích hệ thống</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's professed religious affiliations.\"><a href=\"http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-religion.html\">Patient Religion</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs 02}, {http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation 1041}\">Công giáo</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\">Patient Citizenship:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 VN}\">Viet Nam</span></li></ul></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"
}
]
}
},
{
"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"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "VNEID",
"display" : "Tài khoản định danh điện tử VNeID"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/vneid",
"value" : "VNEID-001085012345"
}
],
"name" : [
{
"text" : "Nguyễn Văn An",
"family" : "Nguyễn",
"given" : [
"Văn",
"An"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0901234567",
"use" : "mobile"
},
{
"system" : "email",
"value" : "[email protected]"
}
],
"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/Practitioner/ExamplePractitionerBSCKII",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ExamplePractitionerBSCKII",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ExamplePractitionerBSCKII\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ExamplePractitionerBSCKII</b></p><a name=\"ExamplePractitionerBSCKII\"> </a><a name=\"hcExamplePractitionerBSCKII\"> </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-practitioner.html\">Nhân viên y tế VN Core — VN Core Practitioner Profile</a></p></div><p><b>identifier</b>: Căn cước công dân/079175001234, Giấy phép hành nghề/79/GPHN-BYT-0001234, Chứng chỉ hành nghề/HCM-001234/BYT-CCHN</p><p><b>name</b>: Nguyễn Thị Lan</p><p><b>gender</b>: Female</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Issuer</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-qualification-cs BS-CKII}\">Bác sĩ Chuyên khoa II — Nội khoa</span></td><td>Bộ Y tế</td></tr></table></div>"
},
"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" : "079175001234"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "GPHN",
"display" : "Giấy phép hành nghề"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/gphn",
"value" : "79/GPHN-BYT-0001234"
},
{
"type" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs",
"code" : "CCHN",
"display" : "Chứng chỉ hành nghề"
}
]
},
"system" : "http://fhir.hl7.org.vn/core/sid/cchn",
"value" : "HCM-001234/BYT-CCHN"
}
],
"name" : [
{
"text" : "Nguyễn Thị Lan",
"family" : "Nguyễn",
"given" : [
"Thị",
"Lan"
]
}
],
"gender" : "female",
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-qualification-cs",
"code" : "BS-CKII",
"display" : "Bác sĩ Chuyên khoa II"
}
],
"text" : "Bác sĩ Chuyên khoa II — Nội khoa"
},
"issuer" : {
"display" : "Bộ Y tế"
}
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationChoRay",
"resource" : {
"resourceType" : "Organization",
"id" : "ExampleOrganizationChoRay",
"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_ExampleOrganizationChoRay\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleOrganizationChoRay</b></p><a name=\"ExampleOrganizationChoRay\"> </a><a name=\"hcExampleOrganizationChoRay\"> </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 TW}\">Trung ương</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 DB}\">Đặc biệt</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 CHUYEN_SAU}\">Cấp chuyên sâu</span></p><p><b>Dải điểm chất lượng cơ sở KCB — Quality Score Band Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs GT70}\">Trên 70 điểm</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/79001</p><p><b>active</b>: true</p><p><b>name</b>: Bệnh viện Chợ Rẫy</p><p><b>telecom</b>: ph: 028 3855 4137</p><p><b>address</b>: 201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh</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" : "TW",
"display" : "Trung ương"
}
]
}
},
{
"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" : "DB",
"display" : "Đặc biệt"
}
]
}
},
{
"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" : "CHUYEN_SAU",
"display" : "Cấp chuyên sâu"
}
]
}
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-quality-score-band",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs",
"code" : "GT70",
"display" : "Trên 70 điểm"
}
]
}
}
],
"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" : "79001"
}
],
"active" : true,
"name" : "Bệnh viện Chợ Rẫy",
"telecom" : [
{
"system" : "phone",
"value" : "028 3855 4137"
}
],
"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" : "27343",
"display" : "Phường Chợ Lớn"
}
}
],
"text" : "201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh",
"line" : [
"201B Nguyễn Chí Thanh"
],
"district" : "Quận 5",
"state" : "Thành phố Hồ Chí Minh",
"country" : "VN"
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterInpatientAppendectomy",
"resource" : {
"resourceType" : "Encounter",
"id" : "InlineEncounterInpatientAppendectomy",
"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_InlineEncounterInpatientAppendectomy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter InlineEncounterInpatientAppendectomy</b></p><a name=\"InlineEncounterInpatientAppendectomy\"> </a><a name=\"hcInlineEncounterInpatientAppendectomy\"> </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 2}\">Cấp cứu</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 1}\">Đến khám</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 1}\">Khỏi</span></p><p><b>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-2026-04-10-NKH-0087</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-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 03}\">Nội trú phẫu thuật cấp cứu</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></td></tr></table><p><b>period</b>: 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+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-ExampleBundleInpatientDischarge.html#Condition_InlineConditionAppendicitisAcute\">K35.8 — Viêm ruột thừa cấp</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs 1}\">Ra viện</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Bệnh viện Chợ Rẫy</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" : "2",
"display" : "Cấp cứu"
}
]
}
},
{
"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" : "1",
"display" : "Đến khám"
}
]
}
},
{
"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" : "1",
"display" : "Khỏi"
}
]
}
},
{
"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-2026-04-10-NKH-0087"
}
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs",
"code" : "03",
"display" : "Điều trị nội trú"
}
],
"text" : "Nội trú phẫu thuật cấp cứu"
}
],
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
}
],
"period" : {
"start" : "2026-04-10T15:30:00+07:00",
"end" : "2026-04-13T09:00:00+07:00"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/InlineConditionAppendicitisAcute",
"display" : "K35.8 — Viêm ruột thừa cấp"
},
"use" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code" : "AD",
"display" : "Admission diagnosis"
}
]
}
}
],
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs",
"code" : "1",
"display" : "Ra viện"
}
]
}
},
"serviceProvider" : {
🔗 "reference" : "Organization/ExampleOrganizationChoRay",
"display" : "Bệnh viện Chợ Rẫy"
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute",
"resource" : {
"resourceType" : "Condition",
"id" : "InlineConditionAppendicitisAcute",
"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_InlineConditionAppendicitisAcute\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition InlineConditionAppendicitisAcute</b></p><a name=\"InlineConditionAppendicitisAcute\"> </a><a name=\"hcInlineConditionAppendicitisAcute\"> </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 resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</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 K35.8}, {http://snomed.info/sct 85189001}\">Viêm ruột thừa cấp</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>onset</b>: 2026-04-10 09:00:00+0700</p><p><b>recordedDate</b>: 2026-04-10</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "resolved",
"display" : "Resolved"
}
]
},
"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" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
},
{
"system" : "http://snomed.info/sct",
"code" : "85189001",
"display" : "Acute appendicitis"
}
],
"text" : "Viêm ruột thừa cấp"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"onsetDateTime" : "2026-04-10T09:00:00+07:00",
"recordedDate" : "2026-04-10"
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Procedure/InlineProcedureAppendectomy",
"resource" : {
"resourceType" : "Procedure",
"id" : "InlineProcedureAppendectomy",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_InlineProcedureAppendectomy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure InlineProcedureAppendectomy</b></p><a name=\"InlineProcedureAppendectomy\"> </a><a name=\"hcInlineProcedureAppendectomy\"> </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-procedure.html\">Thủ thuật/DVKT VN Core — VN Core Procedure Profile</a></p></div><p><b>Ngày y lệnh — Order Date Extension</b>: 2026-04-10 15:45:00+0700</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6025007}, {http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 47.01}\">Phẫu thuật cắt ruột thừa nội soi</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>performed</b>: 2026-04-10 17:00:00+0700</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></td></tr></table><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Ruột thừa</span></p><p><b>outcome</b>: <span title=\"Codes:\">Thành công, không biến chứng</span></p></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date",
"valueDateTime" : "2026-04-10T15:45:00+07:00"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6025007",
"display" : "Laparoscopic appendectomy"
},
{
"system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs",
"code" : "47.01",
"display" : "Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"
}
],
"text" : "Phẫu thuật cắt ruột thừa nội soi"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"performedDateTime" : "2026-04-10T17:00:00+07:00",
"performer" : [
{
"actor" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "66754008",
"display" : "Appendix"
}
],
"text" : "Ruột thừa"
}
],
"outcome" : {
"text" : "Thành công, không biến chứng"
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "InlineMedicationRequestCeftriaxone",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"
]
},
"language" : "vi",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_InlineMedicationRequestCeftriaxone\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest InlineMedicationRequestCeftriaxone</b></p><a name=\"InlineMedicationRequestCeftriaxone\"> </a><a name=\"hcInlineMedicationRequestCeftriaxone\"> </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-medication-request.html\">Đơn thuốc VN Core — VN Core MedicationRequest Profile</a></p></div><p><b>Số đăng ký thuốc (Visa) — Medication Registration Number</b>: VN-15678-12</p><p><b>Ngày y lệnh — Order Date Extension</b>: 2026-04-10 18:00:00+0700</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.whocc.no/atc J01DD04}\">Ceftriaxone 2g bột pha tiêm</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>authoredOn</b>: 2026-04-10 18:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K35.8}\">Kháng sinh hậu phẫu cắt ruột thừa</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Tiêm tĩnh mạch 2g, 1 lần/ngày, pha trong NaCl 0.9% 100ml, truyền trong 30 phút</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Tiêm tĩnh mạch</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg = 'g')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>3 lọ</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number",
"valueString" : "VN-15678-12"
},
{
"url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date",
"valueDateTime" : "2026-04-10T18:00:00+07:00"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "J01DD04",
"display" : "Ceftriaxone"
}
],
"text" : "Ceftriaxone 2g bột pha tiêm"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"authoredOn" : "2026-04-10T18:00:00+07:00",
"requester" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K35.8",
"display" : "Acute appendicitis, other and unspecified"
}
],
"text" : "Kháng sinh hậu phẫu cắt ruột thừa"
}
],
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "Tiêm tĩnh mạch 2g, 1 lần/ngày, pha trong NaCl 0.9% 100ml, truyền trong 30 phút",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 3,
"unit" : "ngày",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route"
}
],
"text" : "Tiêm tĩnh mạch"
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 2,
"unit" : "g",
"system" : "http://unitsofmeasure.org",
"code" : "g"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 3,
"unit" : "lọ"
}
}
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge",
"resource" : {
"resourceType" : "Observation",
"id" : "InlineObservationVitalSignsDischarge",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InlineObservationVitalSignsDischarge\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineObservationVitalSignsDischarge</b></p><a name=\"InlineObservationVitalSignsDischarge\"> </a><a name=\"hcInlineObservationVitalSignsDischarge\"> </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-vital-signs.html\">Sinh hiệu VN Core — VN Core Observation Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Huyết áp lúc xuất viện</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>effective</b>: 2026-04-13 08:00:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>note</b>: </p><blockquote><div><p>Sinh hiệu ổn định. Mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Đủ điều kiện xuất viện.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Huyết áp tâm thu</span></p><p><b>value</b>: 120 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Huyết áp tâm trương</span></p><p><b>value</b>: 75 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"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 lúc xuất viện"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"effectiveDateTime" : "2026-04-13T08:00:00+07:00",
"performer" : [
{
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
}
],
"note" : [
{
"text" : "Sinh hiệu ổn định. Mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Đủ điều kiện xuất viện."
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
],
"text" : "Huyết áp tâm thu"
},
"valueQuantity" : {
"value" : 120,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
],
"text" : "Huyết áp tâm trương"
},
"valueQuantity" : {
"value" : 75,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "InlineServiceRequestFollowUp",
"meta" : {
"profile" : [
🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request"
]
},
"language" : "vi",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_InlineServiceRequestFollowUp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest InlineServiceRequestFollowUp</b></p><a name=\"InlineServiceRequestFollowUp\"> </a><a name=\"hcInlineServiceRequestFollowUp\"> </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>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>code</b>: <span title=\"Codes:\">Tái khám sau phẫu thuật cắt ruột thừa — kiểm tra vết mổ, cắt chỉ</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleInpatientDischarge.html#Encounter_InlineEncounterInpatientAppendectomy\">Encounter: extension = Cấp cứu,Đến khám,Khỏi,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-04-10-NKH-0087; status = finished; class = inpatient encounter (ActCode#IMP); type = Điều trị nội trú; period = 2026-04-10 15:30:00+0700 --> 2026-04-13 09:00:00+0700</a></p><p><b>occurrence</b>: 2026-04-20 08:00:00+0700</p><p><b>authoredOn</b>: 2026-04-13 09:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>note</b>: </p><blockquote><div><p>Tái khám kiểm tra vết mổ, cắt chỉ khâu da. Nếu sốt hoặc đau bụng tăng, tái khám ngay.</p>\n</div></blockquote></div>"
},
"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"
}
]
}
],
"code" : {
"text" : "Tái khám sau phẫu thuật cắt ruột thừa — kiểm tra vết mổ, cắt chỉ"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
"display" : "Nguyễn Văn An"
},
"encounter" : {
"reference" : "Encounter/InlineEncounterInpatientAppendectomy"
},
"occurrenceDateTime" : "2026-04-20T08:00:00+07:00",
"authoredOn" : "2026-04-13T09:00:00+07:00",
"requester" : {
🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
"display" : "BS CKII Nguyễn Thị Lan"
},
"note" : [
{
"text" : "Tái khám kiểm tra vết mổ, cắt chỉ khâu da. Nếu sốt hoặc đau bụng tăng, tái khám ngay."
}
]
}
}
]
}