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

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: Ví dụ: Sinh hiệu — Nhiệt độ 38.5°C (Sốt vừa)

Bản thô xml | Tải xuống

<Observation xmlns="http://hl7.org/fhir">
  <id value="ExampleObservationVitalTemp"/>
  <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 ExampleObservationVitalTemp</b></p><a name="ExampleObservationVitalTemp"> </a><a name="hcExampleObservationVitalTemp"> </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 8310-5}">Nhiệt độ cơ thể</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>: 38.5 °C<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeCel = 'Cel')</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>Sốt vừa 38.5°C. Cần tìm nguyên nhân: nhiễm trùng? Viêm? Kết hợp XN WBC, CRP.</p>
</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>36.1 °C<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeCel = 'Cel')</span></td><td>37.2 °C<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeCel = 'Cel')</span></td><td>36.1–37.2°C (bình thường)</td></tr></table></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="8310-5"/>
      <display value="Body temperature"/>
    </coding>
    <text value="Nhiệt độ cơ thể"/>
  </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>
  <valueQuantity>
    <value value="38.5"/>
    <unit value="°C"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="Cel"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="H"/>
      <display value="High"/>
    </coding>
  </interpretation>
  <note>
    <text
          value="Sốt vừa 38.5°C. Cần tìm nguyên nhân: nhiễm trùng? Viêm? Kết hợp XN WBC, CRP."/>
  </note>
  <referenceRange>
    <low>
      <value value="36.1"/>
      <unit value="°C"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="Cel"/>
    </low>
    <high>
      <value value="37.2"/>
      <unit value="°C"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="Cel"/>
    </high>
    <text value="36.1–37.2°C (bình thường)"/>
  </referenceRange>
</Observation>