HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.3.0 - STU1 Draft Viet Nam cờ

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

: Ví dụ (Đa bệnh): Bệnh thận mãn tính giai đoạn 3 N18.3

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Condition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleConditionMultiCKD"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition>     ] )
  ] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"vi\" lang=\"vi\"><p class=\"res-header-id\"><b>Generated Narrative: Condition ExampleConditionMultiCKD</b></p><a name=\"ExampleConditionMultiCKD\"> </a><a name=\"hcExampleConditionMultiCKD\"> </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\">Language: vi</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-condition.html\">Chẩn đoán VN Core — VN Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status 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 N18.3}, {http://snomed.info/sct 433144002}\">Bệnh thận mãn tính giai đoạn 3 (eGFR 42 mL/phút/1.73m²)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 64033007}\">Thận</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleEncounterOutpatient.html\">Encounter: extension = Khám chữa bệnh ban đầu; status = finished; class = ambulatory (ActCode#AMB); period = 2026-03-19 08:30:00+0700 --&gt; 2026-03-19 11:00:00+0700; reasonCode = </a></p><p><b>onset</b>: 2025-09-01</p><p><b>recordedDate</b>: 2026-03-19</p><p><b>note</b>: </p><blockquote><div><p>CKD giai đoạn 3 là hậu quả của HTN (I10, từ 2020) và ĐTĐ type 2 (E11.9, từ 2022) kiểm soát chưa tốt. eGFR hiện tại: 42 mL/phút/1.73m². Protein niệu (+). Cần hội chẩn chuyên khoa thận. Điều chỉnh liều thuốc thải qua thận (Metformin: tạm ngừng khi eGFR &lt; 30).</p>\n</div></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
fhir:code [ fhir:v "encounter-diagnosis" ] ;
fhir:display [ fhir:v "Encounter Diagnosis" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
fhir:code [ fhir:v "N18.3" ] ;
fhir:display [ fhir:v "Chronic kidney disease, stage 3" ]     ] [
a sct:433144002 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "433144002" ] ;
fhir:display [ fhir:v "Chronic kidney disease stage 3" ]     ] ) ;
fhir:text [ fhir:v "Bệnh thận mãn tính giai đoạn 3 (eGFR 42 mL/phút/1.73m²)" ]
  ] ; # 
  fhir:bodySite ( [
    ( fhir:coding [
a sct:64033007 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "64033007" ] ;
fhir:display [ fhir:v "Kidney" ]     ] ) ;
fhir:text [ fhir:v "Thận" ]
  ] ) ; # 
  fhir:subject [
fhir:l fhir:Patient/ExamplePatientNguyenVanAn ;
fhir:reference [ fhir:v "Patient/ExamplePatientNguyenVanAn" ] ;
fhir:display [ fhir:v "Nguyễn Văn An" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/ExampleEncounterOutpatient ;
fhir:reference [ fhir:v "Encounter/ExampleEncounterOutpatient" ]
  ] ; # 
  fhir:onset [
a fhir:DateTime ;
fhir:v "2025-09-01"^^xsd:date
  ] ; # 
  fhir:recordedDate [ fhir:v "2026-03-19"^^xsd:date] ; # 
  fhir:note ( [
fhir:text [ fhir:v "CKD giai đoạn 3 là hậu quả của HTN (I10, từ 2020) và ĐTĐ type 2 (E11.9, từ 2022) kiểm soát chưa tốt. eGFR hiện tại: 42 mL/phút/1.73m². Protein niệu (+). Cần hội chẩn chuyên khoa thận. Điều chỉnh liều thuốc thải qua thận (Metformin: tạm ngừng khi eGFR < 30)." ]
  ] ) . #