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: Sinh hiệu — Huyết áp 145/92 mmHg (THA độ 1)

Bản thô xml | Tải xuống


<Observation xmlns="http://hl7.org/fhir">
  <id value="ExampleObservationVitalBP"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"/>
  </meta>
  <language value="vi"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="vi" lang="vi"><p class="res-header-id"><b>Generated Narrative: Observation ExampleObservationVitalBP</b></p><a name="ExampleObservationVitalBP"> </a><a name="hcExampleObservationVitalBP"> </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-vital-signs.html">Sinh hiệu VN Core — VN Core Observation Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 85354-9}">Huyết áp</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 08:00:00+0700</p><p><b>performer</b>: <a href="Practitioner-ExamplePractitionerBSCKII.html">BS CKII Nguyễn Thị Lan</a></p><p><b>note</b>: </p><blockquote><div><p>THA độ 1 (ESC 2023). Cần theo dõi HA tại nhà 7 ngày trước khi quyết định dùng thuốc.</p>
</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">Huyết áp tâm thu</span></p><p><b>value</b>: 145 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></p><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>90 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>140 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>90–140 mmHg (bình thường)</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Huyết áp tâm trương</span></p><p><b>value</b>: 92 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></p><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>60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>90 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>60–90 mmHg (bình thường)</td></tr></table></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
      <display value="Vital Signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="85354-9"/>
      <display value="Blood pressure panel with all children optional"/>
    </coding>
    <text value="Huyết áp"/>
  </code>
  <subject>🔗 
    <reference value="Patient/ExamplePatientNguyenVanAn"/>
    <display value="Nguyễn Văn An"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/ExampleEncounterOutpatient"/>
  </encounter>
  <effectiveDateTime value="2026-04-20T08:00:00+07:00"/>
  <performer>🔗 
    <reference value="Practitioner/ExamplePractitionerBSCKII"/>
    <display value="BS CKII Nguyễn Thị Lan"/>
  </performer>
  <note>
    <text
          value="THA độ 1 (ESC 2023). Cần theo dõi HA tại nhà 7 ngày trước khi quyết định dùng thuốc."/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8480-6"/>
        <display value="Systolic blood pressure"/>
      </coding>
      <text value="Huyết áp tâm thu"/>
    </code>
    <valueQuantity>
      <value value="145"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="H"/>
        <display value="High"/>
      </coding>
    </interpretation>
    <referenceRange>
      <low>
        <value value="90"/>
        <unit value="mmHg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mm[Hg]"/>
      </low>
      <high>
        <value value="140"/>
        <unit value="mmHg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mm[Hg]"/>
      </high>
      <text value="90–140 mmHg (bình thường)"/>
    </referenceRange>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8462-4"/>
        <display value="Diastolic blood pressure"/>
      </coding>
      <text value="Huyết áp tâm trương"/>
    </code>
    <valueQuantity>
      <value value="92"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="H"/>
        <display value="High"/>
      </coding>
    </interpretation>
    <referenceRange>
      <low>
        <value value="60"/>
        <unit value="mmHg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mm[Hg]"/>
      </low>
      <high>
        <value value="90"/>
        <unit value="mmHg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mm[Hg]"/>
      </high>
      <text value="60–90 mmHg (bình thường)"/>
    </referenceRange>
  </component>
</Observation>