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: Creatinine huyết thanh — Theo dõi chức năng thận

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleObservationLabCreatinine"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab>     ] )
  ] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"vi\" lang=\"vi\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleObservationLabCreatinine</b></p><a name=\"ExampleObservationLabCreatinine\"> </a><a name=\"hcExampleObservationLabCreatinine\"> </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-observation-lab.html\">Xét nghiệm VN Core — VN Core Observation Laboratory Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2160-0}\">Creatinine huyết thanh</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</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><p><b>effective</b>: 2026-04-20 08:30:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>value</b>: 142 µmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><p><b>note</b>: </p><blockquote><div><p>Creatinine tăng 142 µmol/L — eGFR ước tính ~52 mL/phút/1.73m² (CKD giai đoạn 3a theo phân loại KDIGO 2024). Cần theo dõi chức năng thận định kỳ mỗi 3 tháng, xét nghiệm bổ sung: Protein niệu 24h / ACR, siêu âm thận. Cân nhắc giảm liều hoặc ngưng các thuốc thải qua thận (đặc biệt Metformin khi eGFR &lt; 45). Hội chẩn chuyên khoa Thận học nếu eGFR &lt; 45 hoặc có diễn tiến nhanh.</p>\n</div></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>62 µmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></td><td>106 µmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeumol/L = 'umol/L')</span></td><td>62 – 106 µmol/L (nam)</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "laboratory" ] ;
fhir:display [ fhir:v "Laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:2160-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "2160-0" ] ;
fhir:display [ fhir:v "Creatinine [Mass/volume] in Serum or Plasma" ]     ] ) ;
fhir:text [ fhir:v "Creatinine huyết thanh" ]
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/ExamplePatientNguyenVanAn ;
fhir:reference [ fhir:v "Patient/ExamplePatientNguyenVanAn" ] ;
fhir:display [ fhir:v "Nguyễn Văn An" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/ExampleEncounterOutpatient ;
fhir:reference [ fhir:v "Encounter/ExampleEncounterOutpatient" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2026-04-20T08:30:00+07:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/ExamplePractitionerBSCKII ;
fhir:reference [ fhir:v "Practitioner/ExamplePractitionerBSCKII" ] ;
fhir:display [ fhir:v "BS CKII Nguyễn Thị Lan" ]
  ] ) ; # 
  fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "142"^^xsd:decimal ] ;
fhir:unit [ fhir:v "µmol/L" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>     ] ;
fhir:code [ fhir:v "umol/L" ]
  ] ; # 
  fhir:interpretation ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>       ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]     ] )
  ] ) ; # 
  fhir:note ( [
fhir:text [ fhir:v "Creatinine tăng 142 µmol/L — eGFR ước tính ~52 mL/phút/1.73m² (CKD giai đoạn 3a theo phân loại KDIGO 2024). Cần theo dõi chức năng thận định kỳ mỗi 3 tháng, xét nghiệm bổ sung: Protein niệu 24h / ACR, siêu âm thận. Cân nhắc giảm liều hoặc ngưng các thuốc thải qua thận (đặc biệt Metformin khi eGFR < 45). Hội chẩn chuyên khoa Thận học nếu eGFR < 45 hoặc có diễn tiến nhanh." ]
  ] ) ; # 
  fhir:referenceRange ( [
fhir:low [
fhir:value [ fhir:v "62"^^xsd:decimal ] ;
fhir:unit [ fhir:v "µmol/L" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>       ] ;
fhir:code [ fhir:v "umol/L" ]     ] ;
fhir:high [
fhir:value [ fhir:v "106"^^xsd:decimal ] ;
fhir:unit [ fhir:v "µmol/L" ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>       ] ;
fhir:code [ fhir:v "umol/L" ]     ] ;
fhir:text [ fhir:v "62 – 106 µmol/L (nam)" ]
  ] ) . #