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

• Nội dung narrative
• XML
• JSON
• TTL

: Ví dụ: Lượt nội trú tim mạch — Nhồi máu cơ tim cấp

Bản thô xml | Tải xuống

<Encounter xmlns="http://hl7.org/fhir">
  <id value="ExampleEncounterCardiacInpatient"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"/>
  </meta>
  <language value="vi"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Encounter ExampleEncounterCardiacInpatient</b></p><a name="ExampleEncounterCardiacInpatient"> </a><a name="hcExampleEncounterCardiacInpatient"> </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 1}">Đúng tuyến</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 1}">Khỏi</span></p><p><b>identifier</b>: Mã lượt khám chữa bệnh/LK-2026-03-18-TM-0088</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-IMP">v3 Code System ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href="Patient-ExamplePatientNguyenVanAn.html">Nguyễn Văn An</a></p><p><b>period</b>: 2026-03-18 10:00:00+0700 --&gt; 2026-03-26 09:00:00+0700</p><p><b>reasonCode</b>: <span title="Codes:">Đau ngực dữ dội sau xương ức, vã mồ hôi, khó thở khi gắng sức</span></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="Condition-ExampleConditionMyocardialInfarction.html">Nhồi máu cơ tim cấp thành trước (I21.0)</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}">Admission diagnosis</span></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs 1}">Ra viện</span></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ExampleOrganizationChoRay.html">Bệnh viện Chợ Rẫy</a></p></div>
  </text>
  <extension
             url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-insurance-visit-type-cs"/>
        <code value="1"/>
        <display value="Đúng tuyến"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-treatment-outcome-cs"/>
        <code value="1"/>
        <display value="Khỏi"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <identifier>
    <type>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs"/>
        <code value="MA_LUOT_KCB"/>
        <display value="Mã lượt khám chữa bệnh"/>
      </coding>
    </type>
    <system value="http://fhir.hl7.org.vn/core/sid/ma-luot-kcb"/>
    <value value="LK-2026-03-18-TM-0088"/>
  </identifier>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
    <display value="inpatient encounter"/>
  </class>
  <subject>🔗 
    <reference value="Patient/ExamplePatientNguyenVanAn"/>
    <display value="Nguyễn Văn An"/>
  </subject>
  <period>
    <start value="2026-03-18T10:00:00+07:00"/>
    <end value="2026-03-26T09:00:00+07:00"/>
  </period>
  <reasonCode>
    <text
          value="Đau ngực dữ dội sau xương ức, vã mồ hôi, khó thở khi gắng sức"/>
  </reasonCode>
  <diagnosis>
    <condition>🔗 
      <reference value="Condition/ExampleConditionMyocardialInfarction"/>
      <display value="Nhồi máu cơ tim cấp thành trước (I21.0)"/>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
        <code value="AD"/>
        <display value="Admission diagnosis"/>
      </coding>
    </use>
  </diagnosis>
  <hospitalization>
    <dischargeDisposition>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-discharge-disposition-cs"/>
        <code value="1"/>
        <display value="Ra viện"/>
      </coding>
    </dischargeDisposition>
  </hospitalization>
  <serviceProvider>🔗 
    <reference value="Organization/ExampleOrganizationChoRay"/>
    <display value="Bệnh viện Chợ Rẫy"/>
  </serviceProvider>
</Encounter>