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 — Lượt khám YHCT tích hợp (Yêu thống)

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{
  "resourceType" : "Encounter",
  "id" : "ExampleEncounterYHCT",
  "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\" xml:lang=\"vi\" lang=\"vi\"><p class=\"res-header-id\"><b>Generated Narrative: Encounter ExampleEncounterYHCT</b></p><a name=\"ExampleEncounterYHCT\"> </a><a name=\"hcExampleEncounterYHCT\"> </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>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>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-2026-03-22-0087</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 2}\">Đỡ</span></p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 01}\">Khám ngoại trú kết hợp YHCT</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</a></p><p><b>period</b>: 2026-03-22 08:00:00+0700 --&gt; 2026-03-22 10:30:00+0700</p><p><b>reasonCode</b>: <span title=\"Codes:\">Đau lưng tăng khi trời lạnh, hạn chế vận động</span></p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: M54.5 — Đau thắt lưng (Tây y)</p><p><b>use</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></p><p><b>rank</b>: 1</p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: U62.392.5.01 — Yêu thống: Thể hàn thấp (YHCT)</p><p><b>use</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></p><p><b>rank</b>: 2</p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationChoRay.html\">Organization 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" : "5",
            "display" : "Khám chữa bệnh ban đầu"
          }
        ]
      }
    },
    {
      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs",
            "code" : "1",
            "display" : "Đến khám"
          }
        ]
      }
    },
    {
      "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-2026-03-22-0087"
      }
    },
    {
      "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" : "2",
            "display" : "Đỡ"
          }
        ]
      }
    }
  ],
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "AMB",
    "display" : "ambulatory"
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs",
          "code" : "01",
          "display" : "Khám bệnh"
        }
      ],
      "text" : "Khám ngoại trú kết hợp YHCT"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn"
  },
  "period" : {
    "start" : "2026-03-22T08:00:00+07:00",
    "end" : "2026-03-22T10:30:00+07:00"
  },
  "reasonCode" : [
    {
      "text" : "Đau lưng tăng khi trời lạnh, hạn chế vận động"
    }
  ],
  "diagnosis" : [
    {
      "condition" : {
        "display" : "M54.5 — Đau thắt lưng (Tây y)"
      },
      "use" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
            "code" : "AD",
            "display" : "Admission diagnosis"
          }
        ]
      },
      "rank" : 1
    },
    {
      "condition" : {
        "display" : "U62.392.5.01 — Yêu thống: Thể hàn thấp (YHCT)"
      },
      "use" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
            "code" : "AD",
            "display" : "Admission diagnosis"
          }
        ]
      },
      "rank" : 2
    }
  ],
  "serviceProvider" : {
    🔗 "reference" : "Organization/ExampleOrganizationChoRay"
  }
}