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 — SpO2 94% (Thấp, cần theo dõi)

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{
  "resourceType" : "Observation",
  "id" : "ExampleObservationVitalSpO2",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs"
    ]
  },
  "language" : "vi",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"vi\" lang=\"vi\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleObservationVitalSpO2</b></p><a name=\"ExampleObservationVitalSpO2\"> </a><a name=\"hcExampleObservationVitalSpO2\"> </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 2708-6}\">Bão hòa oxy mao mạch (SpO2)</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>value</b>: 94 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><p><b>note</b>: </p><blockquote><div><p>SpO2 94% — dưới ngưỡng bình thường. Cần theo dõi sát, cân nhắc thở oxy nếu SpO2 &lt; 92% hoặc có triệu chứng khó thở.</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>95 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>95–100% (bình thường)</td></tr></table></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "2708-6",
        "display" : "Oxygen saturation in Arterial blood"
      }
    ],
    "text" : "Bão hòa oxy mao mạch (SpO2)"
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
    "display" : "Nguyễn Văn An"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/ExampleEncounterOutpatient"
  },
  "effectiveDateTime" : "2026-04-20T08:00:00+07:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
      "display" : "BS CKII Nguyễn Thị Lan"
    }
  ],
  "valueQuantity" : {
    "value" : 94,
    "unit" : "%",
    "system" : "http://unitsofmeasure.org",
    "code" : "%"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }
      ]
    }
  ],
  "note" : [
    {
      "text" : "SpO2 94% — dưới ngưỡng bình thường. Cần theo dõi sát, cân nhắc thở oxy nếu SpO2 < 92% hoặc có triệu chứng khó thở."
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 95,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      },
      "high" : {
        "value" : 100,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      },
      "text" : "95–100% (bình thường)"
    }
  ]
}