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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ExampleBundleInpatientDischarge"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"/>
</meta>
<language value="vi"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:9a419a2b-56f8-4ec6-96d0-c0b4b0a1c001"/>
</identifier>
<type value="document"/>
<timestamp value="2026-04-13T10:00:00+07:00"/>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Composition/InlineCompositionDischargeSummary"/>
<resource>
<Composition>
<id value="InlineCompositionDischargeSummary"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://fhir.hl7.org.vn/core/sid/document-number"/>
<value value="BA-NKH-2026-00087"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18842-5"/>
<display value="Discharge summary"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<date value="2026-04-13T09:30:00+07:00"/>
<author>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
</author>
<title value="Tóm tắt xuất viện — Phẫu thuật cắt ruột thừa"/>
<confidentiality value="R"/>
<custodian>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
</custodian>
<section>
<title value="Lý do nhập viện"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10154-3"/>
<display value="Chief complaint Narrative - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
</section>
<section>
<title value="Chẩn đoán"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29548-5"/>
<display value="Diagnosis Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference
value="http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute"/>
</entry>
</section>
<section>
<title value="Phẫu thuật đã thực hiện"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="47519-4"/>
<display value="History of Procedures Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference value="Procedure/InlineProcedureAppendectomy"/>
</entry>
</section>
<section>
<title value="Thuốc điều trị"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference
value="http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone"/>
</entry>
</section>
<section>
<title value="Khám thực thể trước xuất viện"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29545-1"/>
<display value="Physical findings note"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference
value="http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge"/>
</entry>
</section>
<section>
<title value="Tóm tắt ra viện"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18842-5"/>
<display value="Discharge summary"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference
value="http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn"/>
<resource>
<Patient>
<id value="ExamplePatientNguyenVanAn"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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
(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.
Căn 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).
Căn cứ: QĐ 34/2020/QĐ-TTg (20/11/2020) — Ban hành Danh mục nghề nghiệp Việt Nam.
1.516 mã, 5 cấp phân loại, tương thích ISCO-08 (ILO).
FHIR base Patient không có element nghề nghiệp chuẩn — cần extension.
Nghề 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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs"/>
<code value="01"/>
<display value="Kinh"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-religion">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-religion-cs"/>
<code value="02"/>
<display value="Công giáo"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"/>
<code value="1041"/>
<display value="Roman Catholic Church"/>
</coding>
<text value="Công giáo"/>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-occupation">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-occupation-cs"/>
<code value="2511"/>
<display value="Nhà phân tích hệ thống"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
<extension url="code">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="VN"/>
<display value="Viet Nam"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
<code value="01"/>
<display value="Thành phố Hà Nội"/>
</valueCoding>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
<code value="00008"/>
<display value="Phường Ngọc Hà"/>
</valueCoding>
</extension>
<text value="Phường Ngọc Hà, Hà Nội"/>
<state value="Hà Nội"/>
<country value="VN"/>
</valueAddress>
</extension>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="CCCD"/>
<display value="Căn cước công dân"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/cccd"/>
<value value="001085012345"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="BHYT"/>
<display value="Thẻ bảo hiểm y tế"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/bhyt"/>
<value value="001085012345"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="MRN"/>
<display value="Mã bệnh nhân nội bộ"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/mrn"/>
<value value="BV-CR-2026-001234"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="BHXH"/>
<display value="Mã số bảo hiểm xã hội"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/bhxh"/>
<value value="0791234567"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="VNEID"/>
<display value="Tài khoản định danh điện tử VNeID"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/vneid"/>
<value value="VNEID-001085012345"/>
</identifier>
<name>
<text value="Nguyễn Văn An"/>
<family value="Nguyễn"/>
<given value="Văn"/>
<given value="An"/>
</name>
<telecom>
<system value="phone"/>
<value value="0901234567"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="[email protected]"/>
</telecom>
<gender value="male"/>
<birthDate value="1985-03-15"/>
<address>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
<code value="79"/>
<display value="Thành phố Hồ Chí Minh"/>
</valueCoding>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
<code value="26743"/>
<display value="Phường Bến Thành"/>
</valueCoding>
</extension>
<text
value="Số 123 Nguyễn Huệ, Phường Bến Thành, Thành phố Hồ Chí Minh"/>
<line value="Số 123 Nguyễn Huệ"/>
<state value="Thành phố Hồ Chí Minh"/>
<country value="VN"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Practitioner/ExamplePractitionerBSCKII"/>
<resource>
<Practitioner>
<id value="ExamplePractitionerBSCKII"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="CCCD"/>
<display value="Căn cước công dân"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/cccd"/>
<value value="079175001234"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="GPHN"/>
<display value="Giấy phép hành nghề"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/gphn"/>
<value value="79/GPHN-BYT-0001234"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="CCHN"/>
<display value="Chứng chỉ hành nghề"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/cchn"/>
<value value="HCM-001234/BYT-CCHN"/>
</identifier>
<name>
<text value="Nguyễn Thị Lan"/>
<family value="Nguyễn"/>
<given value="Thị"/>
<given value="Lan"/>
</name>
<gender value="female"/>
<qualification>
<code>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-qualification-cs"/>
<code value="BS-CKII"/>
<display value="Bác sĩ Chuyên khoa II"/>
</coding>
<text value="Bác sĩ Chuyên khoa II — Nội khoa"/>
</code>
<issuer>
<display value="Bộ Y tế"/>
</issuer>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationChoRay"/>
<resource>
<Organization>
<id value="ExampleOrganizationChoRay"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs"/>
<code value="BV"/>
<display value="Bệnh viện"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs"/>
<code value="TW"/>
<display value="Trung ương"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs"/>
<code value="DB"/>
<display value="Đặc biệt"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs"/>
<code value="RANKED"/>
<display value="Đã xếp hạng"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs"/>
<code value="CHUYEN_SAU"/>
<display value="Cấp chuyên sâu"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-quality-score-band">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-quality-score-band-cs"/>
<code value="GT70"/>
<display value="Trên 70 điểm"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="CSKCB"/>
<display value="Mã cơ sở khám chữa bệnh"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/ma-cskcb"/>
<value value="79001"/>
</identifier>
<active value="true"/>
<name value="Bệnh viện Chợ Rẫy"/>
<telecom>
<system value="phone"/>
<value value="028 3855 4137"/>
</telecom>
<address>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"/>
<code value="79"/>
<display value="Thành phố Hồ Chí Minh"/>
</valueCoding>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward">
<valueCoding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"/>
<code value="27343"/>
<display value="Phường Chợ Lớn"/>
</valueCoding>
</extension>
<text
value="201B Nguyễn Chí Thanh, Phường Chợ Lớn, Thành phố Hồ Chí Minh"/>
<line value="201B Nguyễn Chí Thanh"/>
<district value="Quận 5"/>
<state value="Thành phố Hồ Chí Minh"/>
<country value="VN"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Encounter/InlineEncounterInpatientAppendectomy"/>
<resource>
<Encounter>
<id value="InlineEncounterInpatientAppendectomy"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs"/>
<code value="2"/>
<display value="Cấp cứu"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs"/>
<code value="1"/>
<display value="Đến khám"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs"/>
<code value="1"/>
<display value="Khỏi"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code">
<valueIdentifier>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
<code value="MA_LUOT_KCB"/>
<display value="Mã lượt khám chữa bệnh"/>
</coding>
</type>
<system value="http://fhir.hl7.org.vn/core/sid/ma-luot-kcb"/>
<value value="LK-2026-04-10-NKH-0087"/>
</valueIdentifier>
</extension>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs"/>
<code value="03"/>
<display value="Điều trị nội trú"/>
</coding>
<text value="Nội trú phẫu thuật cấp cứu"/>
</type>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<participant>
<individual>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan"/>
</individual>
</participant>
<period>
<start value="2026-04-10T15:30:00+07:00"/>
<end value="2026-04-13T09:00:00+07:00"/>
</period>
<diagnosis>
<condition>
<reference value="Condition/InlineConditionAppendicitisAcute"/>
<display value="K35.8 — Viêm ruột thừa cấp"/>
</condition>
<use>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="AD"/>
<display value="Admission diagnosis"/>
</coding>
</use>
</diagnosis>
<hospitalization>
<dischargeDisposition>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs"/>
<code value="1"/>
<display value="Ra viện"/>
</coding>
</dischargeDisposition>
</hospitalization>
<serviceProvider>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
<display value="Bệnh viện Chợ Rẫy"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Condition/InlineConditionAppendicitisAcute"/>
<resource>
<Condition>
<id value="InlineConditionAppendicitisAcute"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
<display value="Resolved"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="K35.8"/>
<display value="Acute appendicitis, other and unspecified"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="85189001"/>
<display value="Acute appendicitis"/>
</coding>
<text value="Viêm ruột thừa cấp"/>
</code>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<onsetDateTime value="2026-04-10T09:00:00+07:00"/>
<recordedDate value="2026-04-10"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Procedure/InlineProcedureAppendectomy"/>
<resource>
<Procedure>
<id value="InlineProcedureAppendectomy"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date">
<valueDateTime value="2026-04-10T15:45:00+07:00"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="6025007"/>
<display value="Laparoscopic appendectomy"/>
</coding>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"/>
<code value="47.01"/>
<display value="Phẫu thuật nội soi ổ bụng cắt bỏ ruột thừa"/>
</coding>
<text value="Phẫu thuật cắt ruột thừa nội soi"/>
</code>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<performedDateTime value="2026-04-10T17:00:00+07:00"/>
<performer>
<actor>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan"/>
</actor>
</performer>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66754008"/>
<display value="Appendix"/>
</coding>
<text value="Ruột thừa"/>
</bodySite>
<outcome>
<text value="Thành công, không biến chứng"/>
</outcome>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/MedicationRequest/InlineMedicationRequestCeftriaxone"/>
<resource>
<MedicationRequest>
<id value="InlineMedicationRequestCeftriaxone"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"/>
</meta>
<language value="vi"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number">
<valueString value="VN-15678-12"/>
</extension>
<extension
url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date">
<valueDateTime value="2026-04-10T18:00:00+07:00"/>
</extension>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J01DD04"/>
<display value="Ceftriaxone"/>
</coding>
<text value="Ceftriaxone 2g bột pha tiêm"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<authoredOn value="2026-04-10T18:00:00+07:00"/>
<requester>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan"/>
</requester>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="K35.8"/>
<display value="Acute appendicitis, other and unspecified"/>
</coding>
<text value="Kháng sinh hậu phẫu cắt ruột thừa"/>
</reasonCode>
<dosageInstruction>
<sequence value="1"/>
<text
value="Tiêm tĩnh mạch 2g, 1 lần/ngày, pha trong NaCl 0.9% 100ml, truyền trong 30 phút"/>
<timing>
<repeat>
<boundsDuration>
<value value="3"/>
<unit value="ngày"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route"/>
</coding>
<text value="Tiêm tĩnh mạch"/>
</route>
<doseAndRate>
<doseQuantity>
<value value="2"/>
<unit value="g"/>
<system value="http://unitsofmeasure.org"/>
<code value="g"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="3"/>
<unit value="lọ"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/Observation/InlineObservationVitalSignsDischarge"/>
<resource>
<Observation>
<id value="InlineObservationVitalSignsDischarge"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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>
</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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
<display value="Blood pressure panel with all children optional"/>
</coding>
<text value="Huyết áp lúc xuất viện"/>
</code>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<effectiveDateTime value="2026-04-13T08:00:00+07:00"/>
<performer>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan"/>
</performer>
<note>
<text
value="Sinh hiệu ổn định. Mạch 76 lần/phút, nhiệt độ 36.7°C, SpO2 98%. Đủ điều kiện xuất viện."/>
</note>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
<text value="Huyết áp tâm thu"/>
</code>
<valueQuantity>
<value value="120"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
<text value="Huyết áp tâm trương"/>
</code>
<valueQuantity>
<value value="75"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestFollowUp"/>
<resource>
<ServiceRequest>
<id value="InlineServiceRequestFollowUp"/>
<meta>
<profile
value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request"/>
</meta>
<language value="vi"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs"/>
<code value="KHAM"/>
<display value="Khám chuyên khoa"/>
</coding>
</category>
<code>
<text
value="Tái khám sau phẫu thuật cắt ruột thừa — kiểm tra vết mổ, cắt chỉ"/>
</code>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
<display value="Nguyễn Văn An"/>
</subject>
<encounter>
<reference value="Encounter/InlineEncounterInpatientAppendectomy"/>
</encounter>
<occurrenceDateTime value="2026-04-20T08:00:00+07:00"/>
<authoredOn value="2026-04-13T09:00:00+07:00"/>
<requester>🔗
<reference value="Practitioner/ExamplePractitionerBSCKII"/>
<display value="BS CKII Nguyễn Thị Lan"/>
</requester>
<note>
<text
value="Tái khám kiểm tra vết mổ, cắt chỉ khâu da. Nếu sốt hoặc đau bụng tăng, tái khám ngay."/>
</note>
</ServiceRequest>
</resource>
</entry>
</Bundle>