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

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    {
      "resourceType" : "Observation",
      "id" : "ExampleObservationVitalTemp",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-body-temperature"
        ]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-observation-body-temperature.html\">Nhiệt độ cơ thể VN Core — VN Core Observation Body Temperature 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>\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>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>"
      },
      "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" : "8310-5",
            "display" : "Body temperature"
          }
        ],
        "text" : "Nhiệt độ cơ thể"
      },
      "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" : 38.5,
        "unit" : "°C",
        "system" : "http://unitsofmeasure.org",
        "code" : "Cel"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "H",
              "display" : "High"
            }
          ]
        }
      ],
      "note" : [
        {
          "text" : "Sốt vừa 38.5°C. Cần tìm nguyên nhân: nhiễm trùng? Viêm? Kết hợp XN WBC, CRP."
        }
      ],
      "referenceRange" : [
        {
          "low" : {
            "value" : 36.1,
            "unit" : "°C",
            "system" : "http://unitsofmeasure.org",
            "code" : "Cel"
          },
          "high" : {
            "value" : 37.2,
            "unit" : "°C",
            "system" : "http://unitsofmeasure.org",
            "code" : "Cel"
          },
          "text" : "36.1–37.2°C (bình thường)"
        }
      ]
    }