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

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: Ví dụ: Khám từ xa (Telemedicine) — Tái khám tăng huyết áp

Bản thô xml | Tải xuống

<Encounter xmlns="http://hl7.org/fhir">
  <id value="ExampleEncounterTelehealth"/>
  <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" xml:lang="vi" lang="vi"><p class="res-header-id"><b>Generated Narrative: Encounter ExampleEncounterTelehealth</b></p><a name="ExampleEncounterTelehealth"> </a><a name="hcExampleEncounterTelehealth"> </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-encounter.html">Lượt khám/nhập viện VN Core — VN Core Encounter Profile</a></p></div><p><b>Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs 5}">Khám chữa bệnh ban đầu</span></p><p><b>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-TH-2026-04-22-001</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-VR">ActCode: VR</a> (virtual)</p><p><b>type</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 01}">Khám từ xa (telemedicine) — tái khám tăng huyết áp</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 CK II Trần Văn Hùng</a></td></tr></table><p><b>period</b>: 2026-04-22 09:00:00+0700 --&gt; 2026-04-22 09:30:00+0700</p><p><b>reasonCode</b>: <span title="Codes:">Tái khám tăng huyết áp, đánh giá huyết áp đo tại nhà</span></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>Tăng huyết áp nguyên phát (I10) — theo dõi, đang kiểm soát tốt</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}">Chief complaint</span></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy — Phòng khám Nội tim mạch</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="5"/>
        <display value="Khám chữa bệnh ban đầu"/>
      </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-TH-2026-04-22-001"/>
    </valueIdentifier>
  </extension>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="VR"/>
    <display value="virtual"/>
  </class>
  <type>
    <coding>
      <system
              value="http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs"/>
      <code value="01"/>
      <display value="Khám bệnh"/>
    </coding>
    <text value="Khám từ xa (telemedicine) — tái khám tăng huyết áp"/>
  </type>
  <subject>🔗 
    <reference value="Patient/ExamplePatientNguyenVanAn"/>
    <display value="Nguyễn Văn An"/>
  </subject>
  <participant>
    <individual>🔗 
      <reference value="Practitioner/ExamplePractitionerBSCKII"/>
      <display value="BS CK II Trần Văn Hùng"/>
    </individual>
  </participant>
  <period>
    <start value="2026-04-22T09:00:00+07:00"/>
    <end value="2026-04-22T09:30:00+07:00"/>
  </period>
  <reasonCode>
    <text value="Tái khám tăng huyết áp, đánh giá huyết áp đo tại nhà"/>
  </reasonCode>
  <diagnosis>
    <condition>
      <display
               value="Tăng huyết áp nguyên phát (I10) — theo dõi, đang kiểm soát tốt"/>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
        <code value="CC"/>
        <display value="Chief complaint"/>
      </coding>
    </use>
  </diagnosis>
  <serviceProvider>🔗 
    <reference value="Organization/ExampleOrganizationChoRay"/>
    <display value="Bệnh viện Chợ Rẫy — Phòng khám Nội tim mạch"/>
  </serviceProvider>
</Encounter>