HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review Viet Nam cờ

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ví dụ: CT lồng ngực ngoại trú

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{
  "resourceType" : "ImagingStudy",
  "id" : "ExampleImagingStudyChestCT",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-imaging-study"
    ]
  },
  "language" : "vi",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy ExampleImagingStudyChestCT</b></p><a name=\"ExampleImagingStudyChestCT\"> </a><a name=\"hcExampleImagingStudyChestCT\"> </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-imaging-study.html\">Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/\">DICOM Unique Id</a>/urn:oid:1.2.840.113619.2.55.3.604688433.20260420.91500.1, Accession ID/CDHA-20260420-CT-0001</p><p><b>status</b>: Available</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>started</b>: 2026-04-20 09:15:00+0700</p><p><b>basedOn</b>: <a href=\"ServiceRequest-example-servicerequest-chest-ct.html\">Chỉ định CT lồng ngực ngoại trú</a></p><p><b>referrer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>interpreter</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>procedureCode</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 87.41}\">CT lồng ngực</span></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 R05}\">Ho kéo dài, loại trừ tổn thương phổi</span></p><h3>Series</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>Number</b></td><td><b>Modality</b></td><td><b>Description</b></td><td><b>NumberOfInstances</b></td><td><b>BodySite</b></td><td><b>Started</b></td></tr><tr><td style=\"display: none\">*</td><td>1.2.840.113619.2.55.3.604688433.20260420.91500.1.1</td><td>1</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</td><td>CT lồng ngực không tiêm thuốc cản quang</td><td>128</td><td><a href=\"http://snomed.info/id/51185008\">SNOMED CT: 51185008</a> (Thorax)</td><td>2026-04-20 09:15:00+0700</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "urn:dicom:uid",
      "value" : "urn:oid:1.2.840.113619.2.55.3.604688433.20260420.91500.1"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ]
      },
      "system" : "http://fhir.hl7.org.vn/core/sid/imaging-accession-number",
      "value" : "CDHA-20260420-CT-0001"
    }
  ],
  "status" : "available",
  "modality" : [
    {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "CT",
      "display" : "Computed Tomography"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
    "display" : "Nguyễn Văn An"
  },
  "started" : "2026-04-20T09:15:00+07:00",
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/example-servicerequest-chest-ct",
      "display" : "Chỉ định CT lồng ngực ngoại trú"
    }
  ],
  "referrer" : {
    🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
    "display" : "BS CKII Nguyễn Thị Lan"
  },
  "interpreter" : [
    {
      🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
      "display" : "BS CKII Nguyễn Thị Lan"
    }
  ],
  "procedureCode" : [
    {
      "coding" : [
        {
          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs",
          "code" : "87.41",
          "display" : "Chụp cắt lớp vi tính lồng ngực"
        }
      ],
      "text" : "CT lồng ngực"
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "R05",
          "display" : "Cough"
        }
      ],
      "text" : "Ho kéo dài, loại trừ tổn thương phổi"
    }
  ],
  "series" : [
    {
      "uid" : "1.2.840.113619.2.55.3.604688433.20260420.91500.1.1",
      "number" : 1,
      "modality" : {
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "CT",
        "display" : "Computed Tomography"
      },
      "description" : "CT lồng ngực không tiêm thuốc cản quang",
      "numberOfInstances" : 128,
      "bodySite" : {
        "system" : "http://snomed.info/sct",
        "code" : "51185008"
      },
      "started" : "2026-04-20T09:15:00+07:00"
    }
  ]
}