HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Ví dụ: Bundle chuyển tuyến từ xã lên tỉnh

Bản thô ttl | Tải xuống

    @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:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ExampleBundleReferralUpward"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-bundle>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:type [ fhir:v "collection"] ; #
      fhir:timestamp [ fhir:v "2026-04-08T15:00:00+07:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Patient/InlinePatientTranThiMai"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Patient/InlinePatientTranThiMai>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Patient/InlinePatientTranThiMai> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationTramYTe"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationTramYTe>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationTramYTe> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Organization/InlineOrganizationBVTinhDongNai"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Organization/InlineOrganizationBVTinhDongNai>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Organization/InlineOrganizationBVTinhDongNai> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Condition/InlineConditionSuspectedMI"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Condition/InlineConditionSuspectedMI>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Condition/InlineConditionSuspectedMI> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/Observation/InlineObservationECGAbnormal"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/Observation/InlineObservationECGAbnormal>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/Observation/InlineObservationECGAbnormal> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestReferralUpward"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestReferralUpward>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestReferralUpward> )
      ] [
    fhir:fullUrl [
    fhir:v "http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceReferralLetter"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceReferralLetter>     ] ;
        ( fhir:resource <http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceReferralLetter> )
      ] ) . #

    <http://fhir.hl7.org.vn/core/Patient/InlinePatientTranThiMai> a fhir:Patient ;
      fhir:id [ fhir:v "InlinePatientTranThiMai"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_InlinePatientTranThiMai\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient InlinePatientTranThiMai</b></p><a name=\"InlinePatientTranThiMai\"> </a><a name=\"hcInlinePatientTranThiMai\"> </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-patient.html\">Bệnh nhân VN Core — VN Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Trần Thị Mai Female, DoB: 1964-08-20 ( Căn cước công dân: VNCCCD#075162034567)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\">Thẻ bảo hiểm y tế/075162034567</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Xã Tân Phú, Đồng Nai</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mở rộng ghi nhận dân tộc của bệnh nhân theo danh mục 54 dân tộc Việt Nam#xA;(Tổng cục Thống kê). FHIR base chỉ có US Race/Ethnicity — không phù hợp cho Việt Nam.#xA;Căn cứ: Hiến pháp 2013 Điều 5, Luật Căn cước 2023.\"><a href=\"StructureDefinition-vn-ext-ethnicity.html\">Dân tộc — Vietnam Ethnicity Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs 01}\">Kinh</span></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ethnicity>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-ethnicity-cs>         ] ;
    fhir:code [ fhir:v "01" ] ;
    fhir:display [ fhir:v "Kinh" ]       ] )     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>         ] ;
    fhir:code [ fhir:v "CCCD" ] ;
    fhir:display [ fhir:v "Căn cước công dân" ]       ] )     ] ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/sid/cccd"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/sid/cccd>     ] ;
    fhir:value [ fhir:v "075162034567" ]
      ] [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>         ] ;
    fhir:code [ fhir:v "BHYT" ] ;
    fhir:display [ fhir:v "Thẻ bảo hiểm y tế" ]       ] )     ] ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/sid/bhyt"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/sid/bhyt>     ] ;
    fhir:value [ fhir:v "075162034567" ]
      ] ) ; #
      fhir:name ( [
    fhir:text [ fhir:v "Trần Thị Mai" ] ;
    fhir:family [ fhir:v "Trần" ] ;
        ( fhir:given [ fhir:v "Thị Mai" ] )
      ] ) ; #
      fhir:gender [ fhir:v "female"] ; #
      fhir:birthDate [ fhir:v "1964-08-20"^^xsd:date] ; #
      fhir:address ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs>         ] ;
    fhir:code [ fhir:v "75" ] ;
    fhir:display [ fhir:v "Tỉnh Đồng Nai" ]       ]     ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs>         ] ;
    fhir:code [ fhir:v "26116" ] ;
    fhir:display [ fhir:v "Xã Tân Phú" ]       ]     ] ) ;
    fhir:text [ fhir:v "Xã Tân Phú, Đồng Nai" ] ;
    fhir:state [ fhir:v "Đồng Nai" ] ;
    fhir:country [ fhir:v "VN" ]
      ] ) . #

    <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationTramYTe> a fhir:Organization ;
      fhir:id [ fhir:v "ExampleOrganizationTramYTe"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleOrganizationTramYTe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleOrganizationTramYTe</b></p><a name=\"ExampleOrganizationTramYTe\"> </a><a name=\"hcExampleOrganizationTramYTe\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs TYT}\">Trạm y tế</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs XA}\">Xã</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs NOT_APPLICABLE}\">Không áp dụng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs BAN_DAU}\">Cấp ban đầu</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/01500</p><p><b>active</b>: true</p><p><b>name</b>: Trạm Y tế phường Ngọc Hà</p><p><b>address</b>: Phường Ngọc Hà, Thành phố Hà Nội</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs>         ] ;
    fhir:code [ fhir:v "TYT" ] ;
    fhir:display [ fhir:v "Trạm y tế" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs>         ] ;
    fhir:code [ fhir:v "XA" ] ;
    fhir:display [ fhir:v "Xã" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs>         ] ;
    fhir:code [ fhir:v "NOT_APPLICABLE" ] ;
    fhir:display [ fhir:v "Không áp dụng" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs>         ] ;
    fhir:code [ fhir:v "BAN_DAU" ] ;
    fhir:display [ fhir:v "Cấp ban đầu" ]       ] )     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>         ] ;
    fhir:code [ fhir:v "CSKCB" ] ;
    fhir:display [ fhir:v "Mã cơ sở khám chữa bệnh" ]       ] )     ] ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/sid/ma-cskcb"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/sid/ma-cskcb>     ] ;
    fhir:value [ fhir:v "01500" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name [ fhir:v "Trạm Y tế phường Ngọc Hà"] ; #
      fhir:address ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-province>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-province-cs>         ] ;
    fhir:code [ fhir:v "01" ] ;
    fhir:display [ fhir:v "Thành phố Hà Nội" ]       ]     ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-ward>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-ward-cs>         ] ;
    fhir:code [ fhir:v "00008" ] ;
    fhir:display [ fhir:v "Phường Ngọc Hà" ]       ]     ] ) ;
    fhir:text [ fhir:v "Phường Ngọc Hà, Thành phố Hà Nội" ] ;
    fhir:state [ fhir:v "Thành phố Hà Nội" ] ;
    fhir:country [ fhir:v "VN" ]
      ] ) . #

    <http://fhir.hl7.org.vn/core/Organization/InlineOrganizationBVTinhDongNai> a fhir:Organization ;
      fhir:id [ fhir:v "InlineOrganizationBVTinhDongNai"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_InlineOrganizationBVTinhDongNai\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization InlineOrganizationBVTinhDongNai</b></p><a name=\"InlineOrganizationBVTinhDongNai\"> </a><a name=\"hcInlineOrganizationBVTinhDongNai\"> </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-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a></p></div><p><b>Loại hình cơ sở y tế — Vietnam Organization Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs BV}\">Bệnh viện</span></p><p><b>Cấp quản lý hành chính y tế — Vietnam Administrative Health Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs TINH}\">Tỉnh</span></p><p><b>Hạng cơ sở khám bệnh, chữa bệnh — Vietnam KCB Facility Rank Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs I}\">Hạng I</span></p><p><b>Tình trạng xếp hạng cơ sở y tế — Organization Rank Status Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs RANKED}\">Đã xếp hạng</span></p><p><b>Cấp năng lực cơ sở KCB — Facility Care Level Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs CO_BAN}\">Cấp cơ bản</span></p><p><b>identifier</b>: Mã cơ sở khám chữa bệnh/75001</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Bệnh viện Đa khoa Đồng Nai</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-type>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-type-cs>         ] ;
    fhir:code [ fhir:v "BV" ] ;
    fhir:display [ fhir:v "Bệnh viện" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-level>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-healthcare-level-cs>         ] ;
    fhir:code [ fhir:v "TINH" ] ;
    fhir:display [ fhir:v "Tỉnh" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-hospital-rank-cs>         ] ;
    fhir:code [ fhir:v "I" ] ;
    fhir:display [ fhir:v "Hạng I" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-org-rank-status>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-organization-rank-status-cs>         ] ;
    fhir:code [ fhir:v "RANKED" ] ;
    fhir:display [ fhir:v "Đã xếp hạng" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-facility-care-level>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-facility-care-level-cs>         ] ;
    fhir:code [ fhir:v "CO_BAN" ] ;
    fhir:display [ fhir:v "Cấp cơ bản" ]       ] )     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>         ] ;
    fhir:code [ fhir:v "CSKCB" ] ;
    fhir:display [ fhir:v "Mã cơ sở khám chữa bệnh" ]       ] )     ] ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/sid/ma-cskcb"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/sid/ma-cskcb>     ] ;
    fhir:value [ fhir:v "75001" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/organization-type>       ] ;
    fhir:code [ fhir:v "prov" ] ;
    fhir:display [ fhir:v "Healthcare Provider" ]     ] )
      ] ) ; #
      fhir:name [ fhir:v "Bệnh viện Đa khoa Đồng Nai"] . #

    <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa> a fhir:Encounter ;
      fhir:id [ fhir:v "InlineEncounterPrimaryXa"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_InlineEncounterPrimaryXa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter InlineEncounterPrimaryXa</b></p><a name=\"InlineEncounterPrimaryXa\"> </a><a name=\"hcInlineEncounterPrimaryXa\"> </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-encounter.html\">Lượt khám/nhập viện VN Core — VN Core Encounter Profile</a></p></div><p><b>Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs 5}\">Khám chữa bệnh ban đầu</span></p><p><b>Hình thức chuyển tuyến — Referral Mode Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs 2}\">Chuyển đến từ tuyến dưới</span></p><p><b>Kết quả điều trị — Vietnam Treatment Outcome Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs 7}\">Chưa xác định</span></p><p><b>Mã lượt khám — Encounter Code Extension</b>: Mã lượt khám chữa bệnh/LK-TYT-2026-04-08-001</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs 01}\">Khám cấp cứu tại trạm y tế xã</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>period</b>: 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleReferralUpward.html#Condition_InlineConditionSuspectedMI\">I21.9 — Nhồi máu cơ tim cấp (nghi ngờ)</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs>         ] ;
    fhir:code [ fhir:v "5" ] ;
    fhir:display [ fhir:v "Khám chữa bệnh ban đầu" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs>         ] ;
    fhir:code [ fhir:v "2" ] ;
    fhir:display [ fhir:v "Chuyển đến từ tuyến dưới" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs>         ] ;
    fhir:code [ fhir:v "7" ] ;
    fhir:display [ fhir:v "Chưa xác định" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-encounter-code>     ] ;
    fhir:value [
    a fhir:Identifier ;
    fhir:type [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs>           ] ;
    fhir:code [ fhir:v "MA_LUOT_KCB" ] ;
    fhir:display [ fhir:v "Mã lượt khám chữa bệnh" ]         ] )       ] ;
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/sid/ma-luot-kcb"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/sid/ma-luot-kcb>       ] ;
    fhir:value [ fhir:v "LK-TYT-2026-04-08-001" ]     ]
      ] ) ; #
      fhir:status [ fhir:v "finished"] ; #
      fhir:class [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
    fhir:code [ fhir:v "AMB" ] ;
    fhir:display [ fhir:v "ambulatory" ]
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-encounter-type-cs>       ] ;
    fhir:code [ fhir:v "01" ] ;
    fhir:display [ fhir:v "Khám bệnh" ]     ] ) ;
    fhir:text [ fhir:v "Khám cấp cứu tại trạm y tế xã" ]
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/InlinePatientTranThiMai ;
    fhir:reference [ fhir:v "Patient/InlinePatientTranThiMai" ] ;
    fhir:display [ fhir:v "Trần Thị Mai" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2026-04-08T14:00:00+07:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2026-04-08T14:45:00+07:00"^^xsd:dateTime ]
      ] ; #
      fhir:diagnosis ( [
    fhir:condition [
    fhir:l fhir:Condition/InlineConditionSuspectedMI ;
    fhir:reference [ fhir:v "Condition/InlineConditionSuspectedMI" ] ;
    fhir:display [ fhir:v "I21.9 — Nhồi máu cơ tim cấp (nghi ngờ)" ]     ] ;
    fhir:use [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/diagnosis-role>         ] ;
    fhir:code [ fhir:v "AD" ] ;
    fhir:display [ fhir:v "Admission diagnosis" ]       ] )     ]
      ] ) ; #
      fhir:serviceProvider [
    fhir:l fhir:Organization/ExampleOrganizationTramYTe ;
    fhir:reference [ fhir:v "Organization/ExampleOrganizationTramYTe" ] ;
    fhir:display [ fhir:v "Trạm Y tế xã Tân Phú" ]
      ] . #

    <http://fhir.hl7.org.vn/core/Condition/InlineConditionSuspectedMI> a fhir:Condition ;
      fhir:id [ fhir:v "InlineConditionSuspectedMI"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_InlineConditionSuspectedMI\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition InlineConditionSuspectedMI</b></p><a name=\"InlineConditionSuspectedMI\"> </a><a name=\"hcInlineConditionSuspectedMI\"> </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-condition.html\">Chẩn đoán VN Core — VN Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}\">Provisional</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I21.9}\">Nhồi máu cơ tim cấp, không đặc hiệu (chẩn đoán sơ bộ)</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Encounter_InlineEncounterPrimaryXa\">Encounter: extension = Khám chữa bệnh ban đầu,Chuyển đến từ tuyến dưới,Chưa xác định,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-TYT-2026-04-08-001; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</a></p><p><b>onset</b>: 2026-04-08 13:30:00+0700</p><p><b>recordedDate</b>: 2026-04-08</p><p><b>note</b>: </p><blockquote><div><p>Đau ngực trái đột ngột lan ra cánh tay trái, vã mồ hôi, khó thở. Tiền sử tăng huyết áp không kiểm soát. ECG tại trạm y tế: ST chênh lên ở DII, DIII, aVF. Nghi STEMI thành dưới.</p>\n</div></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
    fhir:code [ fhir:v "active" ] ;
    fhir:display [ fhir:v "Active" ]     ] )
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
    fhir:code [ fhir:v "provisional" ] ;
    fhir:display [ fhir:v "Provisional" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
    fhir:code [ fhir:v "encounter-diagnosis" ] ;
    fhir:display [ fhir:v "Encounter Diagnosis" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
    fhir:code [ fhir:v "I21.9" ] ;
    fhir:display [ fhir:v "Acute myocardial infarction, unspecified" ]     ] ) ;
    fhir:text [ fhir:v "Nhồi máu cơ tim cấp, không đặc hiệu (chẩn đoán sơ bộ)" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/InlinePatientTranThiMai ;
    fhir:reference [ fhir:v "Patient/InlinePatientTranThiMai" ] ;
    fhir:display [ fhir:v "Trần Thị Mai" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/InlineEncounterPrimaryXa ;
    fhir:reference [ fhir:v "Encounter/InlineEncounterPrimaryXa" ]
      ] ; #
      fhir:onset [
    a fhir:DateTime ;
    fhir:v "2026-04-08T13:30:00+07:00"^^xsd:dateTime
      ] ; #
      fhir:recordedDate [ fhir:v "2026-04-08"^^xsd:date] ; #
      fhir:note ( [
    fhir:text [ fhir:v "Đau ngực trái đột ngột lan ra cánh tay trái, vã mồ hôi, khó thở. Tiền sử tăng huyết áp không kiểm soát. ECG tại trạm y tế: ST chênh lên ở DII, DIII, aVF. Nghi STEMI thành dưới." ]
      ] ) . #

    <http://fhir.hl7.org.vn/core/Observation/InlineObservationECGAbnormal> a fhir:Observation ;
      fhir:id [ fhir:v "InlineObservationECGAbnormal"] ; #
      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\"><a name=\"Observation_InlineObservationECGAbnormal\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineObservationECGAbnormal</b></p><a name=\"InlineObservationECGAbnormal\"> </a><a name=\"hcInlineObservationECGAbnormal\"> </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-observation-lab.html\">Xét nghiệm VN Core — VN Core Observation Laboratory Profile</a></p></div><p><b>status</b>: Preliminary</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 11524-6}\">Điện tâm đồ (ECG)</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Khám ban đầu tại Trạm Y tế xã Tân Phú</a></p><p><b>effective</b>: 2026-04-08 14:15:00+0700</p><p><b>performer</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>value</b>: Nhịp xoang 92 lần/phút. ST chênh lên 3mm ở DII, DIII, aVF. Nghi STEMI thành dưới.</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Bất thường — nghi ngờ nhồi máu cơ tim cấp</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "preliminary"] ; #
      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:11524-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "11524-6" ] ;
    fhir:display [ fhir:v "EKG study" ]     ] ) ;
    fhir:text [ fhir:v "Điện tâm đồ (ECG)" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/InlinePatientTranThiMai ;
    fhir:reference [ fhir:v "Patient/InlinePatientTranThiMai" ] ;
    fhir:display [ fhir:v "Trần Thị Mai" ]
      ] ; #
      fhir:encounter [
    fhir:l <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa> ;
    fhir:reference [ fhir:v "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa" ] ;
    fhir:display [ fhir:v "Khám ban đầu tại Trạm Y tế xã Tân Phú" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2026-04-08T14:15:00+07:00"^^xsd:dateTime
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Organization/ExampleOrganizationTramYTe ;
    fhir:reference [ fhir:v "Organization/ExampleOrganizationTramYTe" ] ;
    fhir:display [ fhir:v "Trạm Y tế xã Tân Phú" ]
      ] ) ; #
      fhir:value [
    a fhir:String ;
    fhir:v "Nhịp xoang 92 lần/phút. ST chênh lên 3mm ở DII, DIII, aVF. Nghi STEMI thành dưới."
      ] ; #
      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 "A" ] ;
    fhir:display [ fhir:v "Abnormal" ]     ] ) ;
    fhir:text [ fhir:v "Bất thường — nghi ngờ nhồi máu cơ tim cấp" ]
      ] ) . #

    <http://fhir.hl7.org.vn/core/ServiceRequest/InlineServiceRequestReferralUpward> a fhir:ServiceRequest ;
      fhir:id [ fhir:v "InlineServiceRequestReferralUpward"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-service-request>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_InlineServiceRequestReferralUpward\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest InlineServiceRequestReferralUpward</b></p><a name=\"InlineServiceRequestReferralUpward\"> </a><a name=\"hcInlineServiceRequestReferralUpward\"> </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-service-request.html\">Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile</a></p></div><p><b>Hình thức chuyển tuyến — Referral Mode Extension</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs 2}\">Chuyển đến từ tuyến dưới</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs KHAM}\">Khám chuyên khoa</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:\">Chuyển tuyến cấp cứu — nghi nhồi máu cơ tim cấp I21.9</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Encounter: extension = Khám chữa bệnh ban đầu,Chuyển đến từ tuyến dưới,Chưa xác định,Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-TYT-2026-04-08-001; status = finished; class = ambulatory (ActCode#AMB); type = Khám bệnh; period = 2026-04-08 14:00:00+0700 --&gt; 2026-04-08 14:45:00+0700</a></p><p><b>authoredOn</b>: 2026-04-08 14:30:00+0700</p><p><b>requester</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>performer</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Organization_InlineOrganizationBVTinhDongNai\">Bệnh viện Đa khoa Đồng Nai</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I21.9}\">Nghi nhồi máu cơ tim cấp — cần PCI cấp cứu, vượt quá khả năng trạm y tế</span></p><p><b>note</b>: </p><blockquote><div><p>Chuyển tuyến LÊN (xã → tỉnh). Đã sơ cứu: Aspirin 300mg nhai, NTG 0.5mg ngậm dưới lưỡi × 1 lần. HA 100/60 mmHg. Chuyển cấp cứu bằng xe cứu thương.</p>\n</div></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-referral-mode-cs>         ] ;
    fhir:code [ fhir:v "2" ] ;
    fhir:display [ fhir:v "Chuyển đến từ tuyến dưới" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs>       ] ;
    fhir:code [ fhir:v "KHAM" ] ;
    fhir:display [ fhir:v "Khám chuyên khoa" ]     ] )
      ] ) ; #
      fhir:priority [ fhir:v "urgent"] ; #
      fhir:code [
    fhir:text [ fhir:v "Chuyển tuyến cấp cứu — nghi nhồi máu cơ tim cấp I21.9" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/InlinePatientTranThiMai ;
    fhir:reference [ fhir:v "Patient/InlinePatientTranThiMai" ] ;
    fhir:display [ fhir:v "Trần Thị Mai" ]
      ] ; #
      fhir:encounter [
    fhir:l <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa> ;
    fhir:reference [ fhir:v "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa" ]
      ] ; #
      fhir:authoredOn [ fhir:v "2026-04-08T14:30:00+07:00"^^xsd:dateTime] ; #
      fhir:requester [
    fhir:l fhir:Organization/ExampleOrganizationTramYTe ;
    fhir:reference [ fhir:v "Organization/ExampleOrganizationTramYTe" ] ;
    fhir:display [ fhir:v "Trạm Y tế xã Tân Phú" ]
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Organization/InlineOrganizationBVTinhDongNai ;
    fhir:reference [ fhir:v "Organization/InlineOrganizationBVTinhDongNai" ] ;
    fhir:display [ fhir:v "Bệnh viện Đa khoa Đồng Nai" ]
      ] ) ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
    fhir:code [ fhir:v "I21.9" ] ;
    fhir:display [ fhir:v "Acute myocardial infarction, unspecified" ]     ] ) ;
    fhir:text [ fhir:v "Nghi nhồi máu cơ tim cấp — cần PCI cấp cứu, vượt quá khả năng trạm y tế" ]
      ] ) ; #
      fhir:note ( [
    fhir:text [ fhir:v "Chuyển tuyến LÊN (xã → tỉnh). Đã sơ cứu: Aspirin 300mg nhai, NTG 0.5mg ngậm dưới lưỡi × 1 lần. HA 100/60 mmHg. Chuyển cấp cứu bằng xe cứu thương." ]
      ] ) . #

    <http://fhir.hl7.org.vn/core/DocumentReference/InlineDocumentReferenceReferralLetter> a fhir:DocumentReference ;
      fhir:id [ fhir:v "InlineDocumentReferenceReferralLetter"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-document-reference"^^xsd:anyURI ;
    fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-document-reference>     ] )
      ] ; #
      fhir:language [ fhir:v "vi"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_InlineDocumentReferenceReferralLetter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference InlineDocumentReferenceReferralLetter</b></p><a name=\"InlineDocumentReferenceReferralLetter\"> </a><a name=\"hcInlineDocumentReferenceReferralLetter\"> </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-document-reference.html\">Tài liệu y tế VN Core — VN Core DocumentReference Profile</a></p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 57133-1}\">Giấy chuyển viện</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleBundleReferralUpward.html#Patient_InlinePatientTranThiMai\">Trần Thị Mai</a></p><p><b>date</b>: 2026-04-08 14:35:00+0700</p><p><b>author</b>: <a href=\"Organization-ExampleOrganizationTramYTe.html\">Trạm Y tế xã Tân Phú</a></p><p><b>description</b>: Giấy chuyển viện — chuyển tuyến lên BV Đa khoa Đồng Nai. Lý do: nghi nhồi máu cơ tim cấp, cần can thiệp mạch vành.</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td>Giay-chuyen-vien-TranThiMai-20260408.pdf</td><td>2026-04-08 14:35:00+0700</td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ExampleBundleReferralUpward.html#http-//fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa\">Khám ban đầu tại Trạm Y tế xã Tân Phú</a></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "current"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:57133-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "57133-1" ] ;
    fhir:display [ fhir:v "Referral note" ]     ] ) ;
    fhir:text [ fhir:v "Giấy chuyển viện" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/InlinePatientTranThiMai ;
    fhir:reference [ fhir:v "Patient/InlinePatientTranThiMai" ] ;
    fhir:display [ fhir:v "Trần Thị Mai" ]
      ] ; #
      fhir:date [ fhir:v "2026-04-08T14:35:00+07:00"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:l fhir:Organization/ExampleOrganizationTramYTe ;
    fhir:reference [ fhir:v "Organization/ExampleOrganizationTramYTe" ] ;
    fhir:display [ fhir:v "Trạm Y tế xã Tân Phú" ]
      ] ) ; #
      fhir:description [ fhir:v "Giấy chuyển viện — chuyển tuyến lên BV Đa khoa Đồng Nai. Lý do: nghi nhồi máu cơ tim cấp, cần can thiệp mạch vành."] ; #
      fhir:content ( [
    fhir:attachment [
    fhir:contentType [ fhir:v "application/pdf" ] ;
    fhir:title [ fhir:v "Giay-chuyen-vien-TranThiMai-20260408.pdf" ] ;
    fhir:creation [ fhir:v "2026-04-08T14:35:00+07:00"^^xsd:dateTime ]     ]
      ] ) ; #
      fhir:context [
        ( fhir:encounter [
    fhir:l <http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa> ;
    fhir:reference [ fhir:v "http://fhir.hl7.org.vn/core/Encounter/InlineEncounterPrimaryXa" ] ;
    fhir:display [ fhir:v "Khám ban đầu tại Trạm Y tế xã Tân Phú" ]     ] )
      ] . #