HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.6.0 - Draft for Community Review Viet Nam cờ

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ví dụ: Sổ Sức khỏe điện tử (Patient Summary) — Nguyễn Văn An

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@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:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleCompositionHealthRecordSummary"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-record-summary"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-record-summary>     ] )
  ] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Sổ Sức khỏe điện tử — Nguyễn Văn An</h1><p>Tóm tắt: Tăng huyết áp, Đái tháo đường type 2. Dị ứng Penicillin. Đang điều trị Amlodipine. Phân loại sức khỏe gần nhất: Loại II.</p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:60591-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "60591-5" ] ;
fhir:display [ fhir:v "Patient summary Document" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/ExamplePatientNguyenVanAn ;
fhir:reference [ fhir:v "Patient/ExamplePatientNguyenVanAn" ]
  ] ; # 
  fhir:date [ fhir:v "2026-06-02T08:00:00+07:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:l fhir:Organization/ExampleOrganizationHealthCheckupFacility ;
fhir:reference [ fhir:v "Organization/ExampleOrganizationHealthCheckupFacility" ]
  ] ) ; # 
  fhir:title [ fhir:v "Sổ Sức khỏe điện tử"] ; # 
  fhir:attester ( [
fhir:mode [ fhir:v "legal" ] ;
fhir:party [
fhir:l fhir:Organization/ExampleOrganizationHealthCheckupFacility ;
fhir:reference [ fhir:v "Organization/ExampleOrganizationHealthCheckupFacility" ]     ]
  ] ) ; # 
  fhir:custodian [
fhir:l fhir:Organization/ExampleOrganizationHealthCheckupFacility ;
fhir:reference [ fhir:v "Organization/ExampleOrganizationHealthCheckupFacility" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Tiền sử dị ứng" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:AllergyIntolerance/ExampleAllergyPenicillin ;
fhir:reference [ fhir:v "AllergyIntolerance/ExampleAllergyPenicillin" ]     ] )
  ] [
fhir:title [ fhir:v "Tiền sử bệnh tật" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11450-4" ] ;
fhir:display [ fhir:v "Problem list - Reported" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:Condition/ExampleConditionProblemHypertension ;
fhir:reference [ fhir:v "Condition/ExampleConditionProblemHypertension" ]     ] [
fhir:l fhir:Condition/ExampleConditionDiabetes ;
fhir:reference [ fhir:v "Condition/ExampleConditionDiabetes" ]     ] )
  ] [
fhir:title [ fhir:v "Thuốc điều trị" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "10160-0" ] ;
fhir:display [ fhir:v "History of Medication use Narrative" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:MedicationRequest/ExampleMedicationRequestHypertension ;
fhir:reference [ fhir:v "MedicationRequest/ExampleMedicationRequestHypertension" ]     ] )
  ] [
fhir:title [ fhir:v "Tiền sử tiêm chủng" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11369-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11369-6" ] ;
fhir:display [ fhir:v "History of Immunization note" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:Immunization/ExampleImmunizationTCMR ;
fhir:reference [ fhir:v "Immunization/ExampleImmunizationTCMR" ]     ] )
  ] [
fhir:title [ fhir:v "Kết quả xét nghiệm" ] ;
fhir:code [
      ( fhir:coding [
a loinc:30954-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "30954-2" ] ;
fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data note" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:Observation/ExampleObservationLabGlucose ;
fhir:reference [ fhir:v "Observation/ExampleObservationLabGlucose" ]     ] [
fhir:l fhir:Observation/ExampleObservationLabHbA1c ;
fhir:reference [ fhir:v "Observation/ExampleObservationLabHbA1c" ]     ] )
  ] [
fhir:title [ fhir:v "Phẫu thuật, thủ thuật" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47519-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "47519-4" ] ;
fhir:display [ fhir:v "History of Procedures Document" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:Procedure/ExampleProcedureAppendectomy ;
fhir:reference [ fhir:v "Procedure/ExampleProcedureAppendectomy" ]     ] )
  ] [
fhir:title [ fhir:v "Chỉ số theo dõi chính" ] ;
fhir:code [
      ( fhir:coding [
a loinc:8716-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "8716-3" ] ;
fhir:display [ fhir:v "Vital signs note" ]       ] )     ] ;
    ( fhir:entry [
fhir:l fhir:Observation/ExampleObservationVitalBP ;
fhir:reference [ fhir:v "Observation/ExampleObservationVitalBP" ]     ] [
fhir:l fhir:Observation/ExampleObservationVitalBMI ;
fhir:reference [ fhir:v "Observation/ExampleObservationVitalBMI" ]     ] )
  ] [
fhir:title [ fhir:v "Khám sức khỏe định kỳ" ] ;
fhir:code [
      ( fhir:coding [
a loinc:34117-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "34117-2" ] ;
fhir:display [ fhir:v "History and physical note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Khám sức khỏe định kỳ gần nhất: phân loại sức khỏe Loại I (Rất khoẻ). Hồ sơ Khám sức khỏe đầy đủ được lưu dưới dạng tài liệu KSK riêng (VNCoreCompositionHealthCheckup).</div>"^^rdf:XMLLiteral ]     ]
  ] ) . #