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
<Encounter xmlns="http://hl7.org/fhir">
<id value="ExampleEncounterYHCT"/>
<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 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 --> 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>
</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-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-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-2026-03-22-0087"/>
</valueIdentifier>
</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="2"/>
<display value="Đỡ"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</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 ngoại trú kết hợp YHCT"/>
</type>
<subject>🔗
<reference value="Patient/ExamplePatientNguyenVanAn"/>
</subject>
<period>
<start value="2026-03-22T08:00:00+07:00"/>
<end value="2026-03-22T10:30:00+07:00"/>
</period>
<reasonCode>
<text value="Đau lưng tăng khi trời lạnh, hạn chế vận động"/>
</reasonCode>
<diagnosis>
<condition>
<display value="M54.5 — Đau thắt lưng (Tây y)"/>
</condition>
<use>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="AD"/>
<display value="Admission diagnosis"/>
</coding>
</use>
<rank value="1"/>
</diagnosis>
<diagnosis>
<condition>
<display value="U62.392.5.01 — Yêu thống: Thể hàn thấp (YHCT)"/>
</condition>
<use>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="AD"/>
<display value="Admission diagnosis"/>
</coding>
</use>
<rank value="2"/>
</diagnosis>
<serviceProvider>🔗
<reference value="Organization/ExampleOrganizationChoRay"/>
</serviceProvider>
</Encounter>