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: Công thức máu toàn phần (CBC)

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:Observation ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ExampleObservationLabCBC"] ; #
      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\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleObservationLabCBC</b></p><a name=\"ExampleObservationLabCBC\"> </a><a name=\"hcExampleObservationLabCBC\"> </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>: 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 58410-2}\">Công thức máu (CBC)</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 07:45:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Abnormal</span></p><p><b>note</b>: </p><blockquote><div><p>WBC 12.8 × 10⁹/L — tăng cao (ref: 4.0–10.0). Nghi ngờ nhiễm trùng cấp tính. Cần theo dõi lâm sàng, cân nhắc cấy máu nếu sốt &gt; 38.5°C. Các chỉ số huyết học khác trong giới hạn bình thường.</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Specimen-ExampleSpecimenWholeBloodCBC.html\">Mẫu máu toàn phần chống đông EDTA</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6690-2}\">Bạch cầu (WBC)</span></p><p><b>value</b>: 12.8 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</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>4 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>10 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>4.0 – 10.0 × 10⁹/L</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 789-8}\">Hồng cầu (RBC)</span></p><p><b>value</b>: 4.6 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</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>4 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>5.5 10^12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>4.0 – 5.5 × 10¹²/L (nam)</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 718-7}\">Hemoglobin (Hgb)</span></p><p><b>value</b>: 138 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</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>130 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>170 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>130 – 170 g/L (nam)</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 777-3}\">Tiểu cầu (PLT)</span></p><p><b>value</b>: 220 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</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>150 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>400 10^9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>150 – 400 × 10⁹/L</td></tr></table></blockquote></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:58410-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "58410-2" ] ;
    fhir:display [ fhir:v "CBC panel - Blood by Automated count" ]     ] ) ;
    fhir:text [ fhir:v "Công thức máu (CBC)" ]
      ] ; #
      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 "2026-04-20T07:45:00+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: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:note ( [
    fhir:text [ fhir:v "WBC 12.8 × 10⁹/L — tăng cao (ref: 4.0–10.0). Nghi ngờ nhiễm trùng cấp tính. Cần theo dõi lâm sàng, cân nhắc cấy máu nếu sốt > 38.5°C. Các chỉ số huyết học khác trong giới hạn bình thường." ]
      ] ) ; #
      fhir:specimen [
    fhir:l fhir:Specimen/ExampleSpecimenWholeBloodCBC ;
    fhir:reference [ fhir:v "Specimen/ExampleSpecimenWholeBloodCBC" ] ;
    fhir:display [ fhir:v "Mẫu máu toàn phần chống đông EDTA" ]
      ] ; #
      fhir:component ( [
    fhir:code [
          ( fhir:coding [
    a loinc:6690-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "6690-2" ] ;
    fhir:display [ fhir:v "Leukocytes [#/volume] in Blood by Automated count" ]       ] ) ;
    fhir:text [ fhir:v "Bạch cầu (WBC)" ]     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v 12.8 ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "10*9/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:referenceRange [
    fhir:low [
    fhir:value [ fhir:v "4"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*9/L" ]       ] ;
    fhir:high [
    fhir:value [ fhir:v "10"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*9/L" ]       ] ;
    fhir:text [ fhir:v "4.0 – 10.0 × 10⁹/L" ]     ] )
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:789-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "789-8" ] ;
    fhir:display [ fhir:v "Erythrocytes [#/volume] in Blood by Automated count" ]       ] ) ;
    fhir:text [ fhir:v "Hồng cầu (RBC)" ]     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v 4.6 ] ;
    fhir:unit [ fhir:v "10^12/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "10*12/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 "N" ] ;
    fhir:display [ fhir:v "Normal" ]       ] )     ] ) ;
        ( fhir:referenceRange [
    fhir:low [
    fhir:value [ fhir:v "4"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^12/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*12/L" ]       ] ;
    fhir:high [
    fhir:value [ fhir:v 5.5 ] ;
    fhir:unit [ fhir:v "10^12/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*12/L" ]       ] ;
    fhir:text [ fhir:v "4.0 – 5.5 × 10¹²/L (nam)" ]     ] )
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:718-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "718-7" ] ;
    fhir:display [ fhir:v "Hemoglobin [Mass/volume] in Blood" ]       ] ) ;
    fhir:text [ fhir:v "Hemoglobin (Hgb)" ]     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "138"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "g/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "g/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 "N" ] ;
    fhir:display [ fhir:v "Normal" ]       ] )     ] ) ;
        ( fhir:referenceRange [
    fhir:low [
    fhir:value [ fhir:v "130"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "g/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "g/L" ]       ] ;
    fhir:high [
    fhir:value [ fhir:v "170"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "g/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "g/L" ]       ] ;
    fhir:text [ fhir:v "130 – 170 g/L (nam)" ]     ] )
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:777-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "777-3" ] ;
    fhir:display [ fhir:v "Platelets [#/volume] in Blood by Automated count" ]       ] ) ;
    fhir:text [ fhir:v "Tiểu cầu (PLT)" ]     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "220"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "10*9/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 "N" ] ;
    fhir:display [ fhir:v "Normal" ]       ] )     ] ) ;
        ( fhir:referenceRange [
    fhir:low [
    fhir:value [ fhir:v "150"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*9/L" ]       ] ;
    fhir:high [
    fhir:value [ fhir:v "400"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "10^9/L" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "10*9/L" ]       ] ;
    fhir:text [ fhir:v "150 – 400 × 10⁹/L" ]     ] )
      ] ) . #