HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review Viet Nam cờ

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ví dụ: Truy cập thực tế sau quyết định căn cứ pháp lý — Actual Access After a Legal-Basis Decision

Bản thô xml | Tải xuống


<AuditEvent xmlns="http://hl7.org/fhir">
  <id value="ExampleAuditEventEmergencyAccess"/>
  <meta>
    <profile
             value="http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-audit-event"/>
  </meta>
  <language value="vi"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: AuditEvent ExampleAuditEventEmergencyAccess</b></p><a name="ExampleAuditEventEmergencyAccess"> </a><a name="hcExampleAuditEventEmergencyAccess"> </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-audit-event.html">Nhật ký truy cập dữ liệu VN Core — VN Core AuditEvent Profile</a></p></div><p><b>Căn cứ xử lý không cần đồng ý — Processing Legal Basis Extension</b>: <span title="Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-processing-legal-basis-cs emergency-vital}">Cấp bách — bảo vệ tính mạng, sức khỏe</span></p><p><b>type</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-audit-event-type.html#audit-event-type-rest">Audit Event ID: rest</a> (RESTful Operation)</p><p><b>subtype</b>: <a href="CodeSystem-vn-audit-event-subtype-cs.html#vn-audit-event-subtype-cs-legal-basis-access">Phân loại AuditEvent về căn cứ pháp lý — VN Legal-Basis AuditEvent Subtype CodeSystem: legal-basis-access</a> (Truy cập/tiết lộ theo căn cứ pháp lý)</p><p><b>action</b>: Read/View/Print</p><p><b>recorded</b>: 2026-04-20 20:32:00+0700</p><p><b>outcome</b>: Success</p><p><b>outcomeDesc</b>: Đọc thành công sau quyết định permit / Successful read after permit decision</p><p><b>purposeOfEvent</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason BTG}">break the glass</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType IRCP}">information recipient</span></p><p><b>who</b>: <a href="Practitioner-ExamplePractitionerBSCKII.html">BS CKII Nguyễn Thị Lan — bác sĩ trực cấp cứu</a></p><p><b>requestor</b>: true</p><p><b>policy</b>: urn:vn-law:91-2025-qh15#dieu-19-khoan-1-diem-a, urn:vn-policy:cho-ray:emergency-access:version-3</p><h3>Networks</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Address</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>10.20.30.41</td><td>IP Address</td></tr></table><p><b>purposeOfUse</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason BTG}">break the glass</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType AUT}">author (originator)</span></p><p><b>who</b>: <a href="Device-ExampleDevicePolicyDecisionPoint.html">PDP kiểm soát truy cập cấp cứu Chợ Rẫy</a></p><p><b>requestor</b>: false</p></blockquote><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Observer</b></td></tr><tr><td style="display: none">*</td><td><a href="Device-ExampleDevicePolicyDecisionPoint.html">PDP kiểm soát truy cập cấp cứu Chợ Rẫy</a></td></tr></table><blockquote><p><b>entity</b></p><p><b>what</b>: <a href="Patient-ExamplePatientNguyenVanAn.html">Nguyễn Văn An</a></p><p><b>type</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-1">Audit event entity type: 1</a> (Person)</p><p><b>role</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-1">AuditEventEntityRole: 1</a> (Patient)</p><p><b>name</b>: Chủ thể dữ liệu / Data subject</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href="DocumentReference-ExampleDocumentReferenceEMR.html">Bệnh án điện tử của Nguyễn Văn An</a></p><p><b>type</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-2">Audit event entity type: 2</a> (System Object)</p><p><b>role</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-3">AuditEventEntityRole: 3</a> (Report)</p><p><b>name</b>: Bệnh án đã đọc / Record actually read</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href="AuditEvent-ExampleAuditEventEmergencyLegalBasisDecision.html">Quyết định căn cứ pháp lý cho lần truy cập</a></p><p><b>type</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-2">Audit event entity type: 2</a> (System Object)</p><p><b>role</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-13">AuditEventEntityRole: 13</a> (Security Resource)</p><p><b>description</b>: Liên kết tới authorization decision đã permit / Link to the permitting authorization decision</p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href="Encounter-ExampleEncounterEmergency.html">Lượt cấp cứu tai nạn giao thông</a></p><p><b>type</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-audit-entity-type.html#audit-entity-type-2">Audit event entity type: 2</a> (System Object)</p><p><b>role</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-object-role.html#object-role-4">AuditEventEntityRole: 4</a> (Domain Resource)</p><p><b>description</b>: Encounter cấp cứu liên quan trực tiếp đến lần truy cập / Emergency Encounter directly associated with the access</p></blockquote></div>
  </text>
  <extension
             url="http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-processing-legal-basis">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://fhir.hl7.org.vn/core/CodeSystem/vn-processing-legal-basis-cs"/>
        <code value="emergency-vital"/>
        <display value="Cấp bách — bảo vệ tính mạng, sức khỏe"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <type>
    <system value="http://terminology.hl7.org/CodeSystem/audit-event-type"/>
    <code value="rest"/>
    <display value="RESTful Operation"/>
  </type>
  <subtype>
    <system
            value="http://fhir.hl7.org.vn/core/CodeSystem/vn-audit-event-subtype-cs"/>
    <code value="legal-basis-access"/>
    <display value="Truy cập/tiết lộ theo căn cứ pháp lý"/>
  </subtype>
  <action value="R"/>
  <recorded value="2026-04-20T20:32:00+07:00"/>
  <outcome value="0"/>
  <outcomeDesc
               value="Đọc thành công sau quyết định permit / Successful read after permit decision"/>
  <purposeOfEvent>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="BTG"/>
      <display value="break the glass"/>
    </coding>
  </purposeOfEvent>
  <agent>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="IRCP"/>
        <display value="information recipient"/>
      </coding>
    </type>
    <who>🔗 
      <reference value="Practitioner/ExamplePractitionerBSCKII"/>
      <display value="BS CKII Nguyễn Thị Lan — bác sĩ trực cấp cứu"/>
    </who>
    <requestor value="true"/>
    <policy value="urn:vn-law:91-2025-qh15#dieu-19-khoan-1-diem-a"/>
    <policy value="urn:vn-policy:cho-ray:emergency-access:version-3"/>
    <network>
      <address value="10.20.30.41"/>
      <type value="2"/>
    </network>
    <purposeOfUse>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="BTG"/>
        <display value="break the glass"/>
      </coding>
    </purposeOfUse>
  </agent>
  <agent>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="AUT"/>
        <display value="author (originator)"/>
      </coding>
    </type>
    <who>🔗 
      <reference value="Device/ExampleDevicePolicyDecisionPoint"/>
      <display value="PDP kiểm soát truy cập cấp cứu Chợ Rẫy"/>
    </who>
    <requestor value="false"/>
  </agent>
  <source>
    <observer>🔗 
      <reference value="Device/ExampleDevicePolicyDecisionPoint"/>
      <display value="PDP kiểm soát truy cập cấp cứu Chợ Rẫy"/>
    </observer>
  </source>
  <entity>
    <what>🔗 
      <reference value="Patient/ExamplePatientNguyenVanAn"/>
      <display value="Nguyễn Văn An"/>
    </what>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
      <code value="1"/>
      <display value="Person"/>
    </type>
    <role>
      <system value="http://terminology.hl7.org/CodeSystem/object-role"/>
      <code value="1"/>
      <display value="Patient"/>
    </role>
    <name value="Chủ thể dữ liệu / Data subject"/>
  </entity>
  <entity>
    <what>🔗 
      <reference value="DocumentReference/ExampleDocumentReferenceEMR"/>
      <display value="Bệnh án điện tử của Nguyễn Văn An"/>
    </what>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
      <code value="2"/>
      <display value="System Object"/>
    </type>
    <role>
      <system value="http://terminology.hl7.org/CodeSystem/object-role"/>
      <code value="3"/>
      <display value="Report"/>
    </role>
    <name value="Bệnh án đã đọc / Record actually read"/>
  </entity>
  <entity>
    <what>🔗 
      <reference
                 value="AuditEvent/ExampleAuditEventEmergencyLegalBasisDecision"/>
      <display value="Quyết định căn cứ pháp lý cho lần truy cập"/>
    </what>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
      <code value="2"/>
      <display value="System Object"/>
    </type>
    <role>
      <system value="http://terminology.hl7.org/CodeSystem/object-role"/>
      <code value="13"/>
      <display value="Security Resource"/>
    </role>
    <description
                 value="Liên kết tới authorization decision đã permit / Link to the permitting authorization decision"/>
  </entity>
  <entity>
    <what>🔗 
      <reference value="Encounter/ExampleEncounterEmergency"/>
      <display value="Lượt cấp cứu tai nạn giao thông"/>
    </what>
    <type>
      <system
              value="http://terminology.hl7.org/CodeSystem/audit-entity-type"/>
      <code value="2"/>
      <display value="System Object"/>
    </type>
    <role>
      <system value="http://terminology.hl7.org/CodeSystem/object-role"/>
      <code value="4"/>
      <display value="Domain Resource"/>
    </role>
    <description
                 value="Encounter cấp cứu liên quan trực tiếp đến lần truy cập / Emergency Encounter directly associated with the access"/>
  </entity>
</AuditEvent>