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: Y lệnh Cefotaxime nội trú

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{
  "resourceType" : "MedicationRequest",
  "id" : "ExampleMedicationRequestCefotaximeInpatient",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request"
    ]
  },
  "language" : "vi",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest ExampleMedicationRequestCefotaximeInpatient</b></p><a name=\"ExampleMedicationRequestCefotaximeInpatient\"> </a><a name=\"hcExampleMedicationRequestCefotaximeInpatient\"> </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-medication-request.html\">Đơn thuốc VN Core — VN Core MedicationRequest Profile</a></p></div><p><b>Số đăng ký thuốc (Visa) — Medication Registration Number</b>: VD-18422-16</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.whocc.no/atc J01DD01}\">Cefotaxime 1g bột pha tiêm</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleEncounterInpatient.html\">Encounter: extension = Đúng tuyến,Khỏi; identifier = Mã lượt khám chữa bệnh: VNMaLuotKCB#LK-2026-03-10-NTRU-0042; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-03-10 14:00:00+0700 --&gt; 2026-03-17 10:00:00+0700; reasonCode = </a></p><p><b>authoredOn</b>: 2026-03-16 08:00:00+0700</p><p><b>requester</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 K35.8}\">Kháng sinh hậu phẫu cắt ruột thừa</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Tiêm tĩnh mạch Cefotaxime 1g mỗi 8 giờ</p><p><b>timing</b>: 3 per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Tiêm tĩnh mạch</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number",
      "valueString" : "VD-18422-16"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }
      ]
    }
  ],
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.whocc.no/atc",
        "code" : "J01DD01",
        "display" : "Cefotaxime"
      }
    ],
    "text" : "Cefotaxime 1g bột pha tiêm"
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
    "display" : "Nguyễn Văn An"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/ExampleEncounterInpatient"
  },
  "authoredOn" : "2026-03-16T08:00:00+07:00",
  "requester" : {
    🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
    "display" : "BS CKII Nguyễn Thị Lan"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "K35.8",
          "display" : "Acute appendicitis, other and unspecified"
        }
      ],
      "text" : "Kháng sinh hậu phẫu cắt ruột thừa"
    }
  ],
  "dosageInstruction" : [
    {
      "sequence" : 1,
      "text" : "Tiêm tĩnh mạch Cefotaxime 1g mỗi 8 giờ",
      "timing" : {
        "repeat" : {
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route"
          }
        ],
        "text" : "Tiêm tĩnh mạch"
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 1,
            "unit" : "g",
            "system" : "http://unitsofmeasure.org",
            "code" : "g"
          }
        }
      ]
    }
  ]
}