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: Cấp phát Amlodipine ngoại trú BHYT

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{
  "resourceType" : "MedicationDispense",
  "id" : "ExampleMedicationDispenseOutpatientBHYT",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-dispense"
    ]
  },
  "language" : "vi",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense ExampleMedicationDispenseOutpatientBHYT</b></p><a name=\"ExampleMedicationDispenseOutpatientBHYT\"> </a><a name=\"hcExampleMedicationDispenseOutpatientBHYT\"> </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-medication-dispense.html\">Cấp phát thuốc VN Core — VN Core Medication Dispense Profile</a></p></div><blockquote><p><b>Thông tin chi phí BHYT — Insurance Cost Info Extension</b></p><ul><li>scope: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs 1}\">Trong phạm vi hưởng BHYT</span></li><li>paymentRatio: 100</li><li>benefitLevel: 80</li></ul></blockquote><p><b>Số đăng ký thuốc (Visa) — Medication Registration Number</b>: VD-25123-18</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.whocc.no/atc C08CA01}\">Amlodipine 5mg viên nén</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>context</b>: <a href=\"Encounter-ExampleEncounterOutpatient.html\">Encounter: extension = Khám chữa bệnh ban đầu; status = finished; class = ambulatory (ActCode#AMB); period = 2026-03-19 08:30:00+0700 --&gt; 2026-03-19 11:00:00+0700; reasonCode = </a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Organization-ExampleOrganizationChoRay.html\">Khoa Dược — Bệnh viện Chợ Rẫy</a></td></tr></table><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-ExampleMedicationRequestHypertension.html\">Đơn thuốc tăng huyết áp — Amlodipine 5mg</a></p><p><b>quantity</b>: 30 viên</p><p><b>daysSupply</b>: 30 ngày<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p><p><b>whenHandedOver</b>: 2026-03-22 10:00:00+0700</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Uống 1 viên mỗi sáng, trước ăn</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:\">Uống</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 viên</td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "scope",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-scope-cs",
                "code" : "1",
                "display" : "Trong phạm vi hưởng BHYT"
              }
            ]
          }
        },
        {
          "url" : "paymentRatio",
          "valueDecimal" : 100
        },
        {
          "url" : "benefitLevel",
          "valueDecimal" : 80
        }
      ],
      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info"
    },
    {
      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number",
      "valueString" : "VD-25123-18"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category",
        "code" : "outpatient",
        "display" : "Outpatient"
      }
    ]
  },
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.whocc.no/atc",
        "code" : "C08CA01",
        "display" : "Amlodipine"
      }
    ],
    "text" : "Amlodipine 5mg viên nén"
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
    "display" : "Nguyễn Văn An"
  },
  "context" : {
    🔗 "reference" : "Encounter/ExampleEncounterOutpatient"
  },
  "performer" : [
    {
      "actor" : {
        🔗 "reference" : "Organization/ExampleOrganizationChoRay",
        "display" : "Khoa Dược — Bệnh viện Chợ Rẫy"
      }
    }
  ],
  "authorizingPrescription" : [
    {
      🔗 "reference" : "MedicationRequest/ExampleMedicationRequestHypertension",
      "display" : "Đơn thuốc tăng huyết áp — Amlodipine 5mg"
    }
  ],
  "quantity" : {
    "value" : 30,
    "unit" : "viên"
  },
  "daysSupply" : {
    "value" : 30,
    "unit" : "ngày",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"
  },
  "whenHandedOver" : "2026-03-22T10:00:00+07:00",
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Uống 1 viên mỗi sáng, trước ăn",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "text" : "Uống"
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 1,
            "unit" : "viên"
          }
        }
      ]
    }
  ]
}