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: Siêu âm bụng tổng quát

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    {
      "resourceType" : "ImagingStudy",
      "id" : "ExampleImagingStudyAbdominalUS",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-imaging-study"
        ]
      },
      "language" : "vi",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy ExampleImagingStudyAbdominalUS</b></p><a name=\"ExampleImagingStudyAbdominalUS\"> </a><a name=\"hcExampleImagingStudyAbdominalUS\"> </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-imaging-study.html\">Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/\">DICOM Unique Id</a>/urn:oid:1.2.840.113619.2.55.3.604688433.20260421.101500.1, Accession ID/CDHA-20260421-US-0007</p><p><b>status</b>: Available</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-US\">DICOM: US</a> (Ultrasound)</p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>started</b>: 2026-04-21 10:15:00+0700</p><p><b>basedOn</b>: <a href=\"ServiceRequest-example-servicerequest-abdominal-us.html\">Chỉ định siêu âm bụng tổng quát</a></p><p><b>referrer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>interpreter</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>procedureCode</b>: <span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs 88.76}\">Siêu âm bụng tổng quát</span></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 R10.4}\">Đau bụng chưa rõ nguyên nhân</span></p><h3>Series</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>Number</b></td><td><b>Modality</b></td><td><b>Description</b></td><td><b>NumberOfInstances</b></td><td><b>BodySite</b></td><td><b>Started</b></td></tr><tr><td style=\"display: none\">*</td><td>1.2.840.113619.2.55.3.604688433.20260421.101500.1.1</td><td>1</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-US\">DICOM: US</a> (Ultrasound)</td><td>Siêu âm bụng tổng quát</td><td>24</td><td><a href=\"http://snomed.info/id/818983003\">SNOMED CT: 818983003</a> (Abdomen)</td><td>2026-04-21 10:15:00+0700</td></tr></table></div>"
      },
      "identifier" : [
        {
          "system" : "urn:dicom:uid",
          "value" : "urn:oid:1.2.840.113619.2.55.3.604688433.20260421.101500.1"
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN",
                "display" : "Accession ID"
              }
            ]
          },
          "system" : "http://fhir.hl7.org.vn/core/sid/imaging-accession-number",
          "value" : "CDHA-20260421-US-0007"
        }
      ],
      "status" : "available",
      "modality" : [
        {
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "US",
          "display" : "Ultrasound"
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
        "display" : "Nguyễn Văn An"
      },
      "started" : "2026-04-21T10:15:00+07:00",
      "basedOn" : [
        {
          🔗 "reference" : "ServiceRequest/example-servicerequest-abdominal-us",
          "display" : "Chỉ định siêu âm bụng tổng quát"
        }
      ],
      "referrer" : {
        🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
        "display" : "BS CKII Nguyễn Thị Lan"
      },
      "interpreter" : [
        {
          🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
          "display" : "BS CKII Nguyễn Thị Lan"
        }
      ],
      "procedureCode" : [
        {
          "coding" : [
            {
              "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-icd9-cm-cs",
              "code" : "88.76",
              "display" : "Siêu âm chẩn đoán ổ bụng và/hoặc sau phúc mạc"
            }
          ],
          "text" : "Siêu âm bụng tổng quát"
        }
      ],
      "reasonCode" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "R10.4",
              "display" : "Other and unspecified abdominal pain"
            }
          ],
          "text" : "Đau bụng chưa rõ nguyên nhân"
        }
      ],
      "series" : [
        {
          "uid" : "1.2.840.113619.2.55.3.604688433.20260421.101500.1.1",
          "number" : 1,
          "modality" : {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "US",
            "display" : "Ultrasound"
          },
          "description" : "Siêu âm bụng tổng quát",
          "numberOfInstances" : 24,
          "bodySite" : {
            "system" : "http://snomed.info/sct",
            "code" : "818983003"
          },
          "started" : "2026-04-21T10:15:00+07:00"
        }
      ]
    }