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

Bản thô xml | Tải xuống


<ImagingStudy xmlns="http://hl7.org/fhir">
  <id value="ExampleImagingStudyChestCT"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-imaging-study"/>
  </meta>
  <language value="vi"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="urn:dicom:uid"/>
    <value value="urn:oid:1.2.840.113619.2.55.3.604688433.20260420.91500.1"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
    </type>
    <system value="http://fhir.hl7.org.vn/core/sid/imaging-accession-number"/>
    <value value="CDHA-20260420-CT-0001"/>
  </identifier>
  <status value="available"/>
  <modality>
    <system value="http://dicom.nema.org/resources/ontology/DCM"/>
    <code value="CT"/>
    <display value="Computed Tomography"/>
  </modality>
  <subject>🔗 
    <reference value="Patient/ExamplePatientNguyenVanAn"/>
    <display value="Nguyễn Văn An"/>
  </subject>
  <started value="2026-04-20T09:15:00+07:00"/>
  <basedOn>🔗 
    <reference value="ServiceRequest/example-servicerequest-chest-ct"/>
    <display value="Chỉ định CT lồng ngực ngoại trú"/>
  </basedOn>
  <referrer>🔗 
    <reference value="Practitioner/ExamplePractitionerBSCKII"/>
    <display value="BS CKII Nguyễn Thị Lan"/>
  </referrer>
  <interpreter>🔗 
    <reference value="Practitioner/ExamplePractitionerBSCKII"/>
    <display value="BS CKII Nguyễn Thị Lan"/>
  </interpreter>
  <procedureCode>
    <coding>
      <system value="http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs"/>
      <code value="87.41"/>
      <display value="Chụp cắt lớp vi tính lồng ngực"/>
    </coding>
    <text value="CT lồng ngực"/>
  </procedureCode>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10"/>
      <code value="R05"/>
      <display value="Cough"/>
    </coding>
    <text value="Ho kéo dài, loại trừ tổn thương phổi"/>
  </reasonCode>
  <series>
    <uid value="1.2.840.113619.2.55.3.604688433.20260420.91500.1.1"/>
    <number value="1"/>
    <modality>
      <system value="http://dicom.nema.org/resources/ontology/DCM"/>
      <code value="CT"/>
      <display value="Computed Tomography"/>
    </modality>
    <description value="CT lồng ngực không tiêm thuốc cản quang"/>
    <numberOfInstances value="128"/>
    <bodySite>
      <system value="http://snomed.info/sct"/>
      <code value="51185008"/>
    </bodySite>
    <started value="2026-04-20T09:15:00+07:00"/>
  </series>
</ImagingStudy>