Bundle |
id : bundle-document-example-r5-fixed-with-outpatient |
identifier |
system : http://my-hospital.vn/documents |
value : doc-id-98765-v2 |
type : document |
timestamp : 2025-07-16T15:50:00+07:00 |
entry |
fullUrl : urn:uuid:d1b2c3a4-f5e6-4890-a234-567890abcdef |
resource |
id : 1 |
text |
status : generated |
status : final |
type |
text : Hồ Sơ Sức Khỏe Tổng Hợp |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
date : 2025-07-16T15:50:00+07:00 |
author |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
title : Hồ Sơ Sức Khỏe - Nguyễn Văn An |
custodian |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
section |
title : Tóm tắt đợt điều trị nội trú (10/07/2025 - 14/07/2025) |
entry |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
entry |
reference : urn:uuid:c5c6d7e8-f9a0-41c2-b3e4-567890abcdef |
entry |
reference : urn:uuid:d6d7e8f9-a0b1-42d3-b4f5-67890abcdefa |
section |
title : Thông tin khám ngoại trú (Ngày 2025-07-16) |
entry |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
entry |
reference : urn:uuid:f2a3b4c5-d6e7-8901-f2a3-b4c5d6e78901 |
entry |
reference : urn:uuid:a1b2c3d4-e5f6-7890-a1b2-c3d4e5f67890 |
entry |
reference : urn:uuid:d4e5f6a7-b8c9-0123-d4e5-f6a7b8c90123 |
entry |
reference : urn:uuid:e5f6a7b8-c9d0-1234-e5f6-a7b8c9d01234 |
entry |
reference : urn:uuid:b2c3d4e5-f6a7-8901-b2c3-d4e5f6a78901 |
entry |
reference : urn:uuid:c3d4e5f6-a7b8-9012-c3d4-e5f6a7b89012 |
entry |
fullUrl : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
resource |
id : e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b4 |
text |
status : generated |
identifier |
use : official |
system : http://my-hospital.vn/fhir/encounter-ids |
value : ENCOUNTER-OUT-2025-4567 |
identifier |
use : usual |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : VN |
display : Visit number |
text : Số lần khám |
system : http://hospital.example.org/encounter-number |
value : ENC-2025-001234 |
period |
start : 2025-07-15T08:00:00+07:00 |
identifier |
use : secondary |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : ACSN |
display : Accession ID |
system : http://radiology.example.org/accession |
value : ACC-2025-789456 |
status : completed |
class |
type |
coding |
system : http://snomed.info/sct |
code : 185349003 |
display : Encounter for check up |
text : Khám theo lịch hẹn |
serviceType |
coding |
system : http://snomed.info/sct |
code : 394802001 |
display : General medicine |
text : Khám Nội tổng quát |
priority |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ActPriority |
code : R |
display : Routine |
text : Thường |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
participant |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ParticipationType |
code : PPRF |
display : primary performer |
individual |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
period |
start : 2025-07-16T09:00:00+07:00 |
end : 2025-07-16T09:30:00+07:00 |
length |
value : 30 |
unit : minutes |
system : http://unitsofmeasure.org |
code : min |
diagnosis |
condition |
use |
rank : 1 |
diagnosis |
condition |
use |
rank : 1 |
location |
location |
display : Phòng khám Nội tổng quát - Lầu 2 |
status : active |
serviceProvider |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
entry |
fullUrl : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
resource |
id : 2 |
text |
status : extensions |
extension |
url : http://my-hospital.vn/fhir/StructureDefinition/patient-ethnicity |
value |
coding |
system : http://my-hospital.vn/fhir/CodeSystem/ethnic-groups-vn |
code : kinh |
display : Kinh |
text : Kinh |
extension |
url : http://my-hospital.vn/fhir/StructureDefinition/patient-occupation |
value : Lập trình viên |
identifier |
use : usual |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : NI |
display : National Indentify |
text : Mã số căn cước công dân |
system : http://my-hospital.vn/fhir/patient-ids |
value : 232707812903 |
identifier |
use : usual |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : MR |
display : Medical Record Number |
text : Mã số bệnh nhân |
system : http://my-hospital.vn/fhir/patient-ids |
value : BN230216384 |
identifier |
use : usual |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : SS |
display : Medical Record Number |
text : BHYT |
system : http://my-hospital.vn/fhir/patient-ids |
value : H939213102 |
active : True |
name |
use : official |
family : Trang |
given : Vũ |
given : Thị |
given : Huyền |
telecom |
system : phone |
value : 0905123456 |
use : mobile |
telecom |
system : email |
value : an.nguyenvan@email.com |
use : home |
gender : female |
birthDate : 1991-09-26 |
address |
use : home |
type : physical |
text : Tỉnh Phú Thọ |
line : Khu 4, Thị trấn Thanh Ba, Huyện Thanh Ba, Tỉnh Phú Thọ |
city : Huyện Thanh Ba |
district : Thị trấn Thanh Ba |
country : VN |
maritalStatus |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-MaritalStatus |
code : M |
display : Married |
text : Đã kết hôn |
communication |
language |
coding |
system : urn:ietf:bcp:47 |
code : vi |
display : Vietnamese |
text : Tiếng Việt |
preferred : True |
managingOrganization |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
entry |
fullUrl : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
resource |
id : 3 |
text |
status : generated |
identifier |
use : official |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : MD |
display : Medical License number |
text : Số chứng chỉ hành nghề |
system : http://moh.gov.vn/fhir/practitioner-ids |
value : CCHN456789 |
active : True |
name |
use : official |
family : Trần |
given : Thị |
given : Bích |
telecom |
system : phone |
value : 0912987654 |
use : work |
telecom |
system : email |
value : bich.tran@my-hospital.vn |
use : work |
address |
use : work |
text : Khoa Nội, Bệnh viện Đa khoa ABC, TP. Hồ Chí Minh |
city : TP. Hồ Chí Minh |
country : VN |
gender : female |
birthDate : 1980-10-20 |
qualification |
identifier |
system : http://dhyd.edu.vn/bang-cap |
value : BCK12345 |
code |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0360/2.7 |
code : MD |
display : Doctor of Medicine |
text : Bác sĩ Y khoa |
period |
start : 2000-09-01 |
end : 2006-07-30 |
issuer |
display : Đại học Y Dược TP. Hồ Chí Minh |
communication |
entry |
fullUrl : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
resource |
id : 5 |
text |
status : generated |
identifier |
use : official |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : XX |
display : Organization Identifier |
text : Mã số đăng ký kinh doanh |
system : http://dichvukinhdoanh.gov.vn/fhir/organization-ids |
value : MSDN-987654 |
active : True |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/organization-type |
code : prov |
display : Healthcare Provider |
text : Cơ sở cung cấp dịch vụ y tế |
name : Bệnh viện Đa khoa Trung ương |
telecom |
system : phone |
value : 02838123456 |
use : work |
telecom |
system : fax |
value : 02838123457 |
use : work |
telecom |
system : email |
value : info@benhvienabc.vn |
use : work |
telecom |
system : url |
value : http://www.benhvienabc.vn |
use : work |
address |
use : work |
type : both |
text : 456 Đường XYZ, Phường 4, Quận 3, TP. Hồ Chí Minh |
line : 456 Đường XYZ |
city : TP. Hồ Chí Minh |
district : Quận 3 |
country : VN |
contact |
purpose |
coding |
system : http://terminology.hl7.org/CodeSystem/contactentity-type |
code : ADMIN |
display : Administrative |
name |
text : Phòng Hành chính |
telecom |
system : phone |
value : 02838123458 |
use : work |
entry |
fullUrl : urn:uuid:c5c6d7e8-f9a0-41c2-b3e4-567890abcdef |
resource |
id : 6 |
text |
status : generated |
clinicalStatus |
coding |
system : http://terminology.hl7.org/CodeSystem/condition-clinical |
code : resolved |
code |
text : Viêm ruột thừa cấp |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
entry |
fullUrl : urn:uuid:d6d7e8f9-a0b1-42d3-b4f5-67890abcdefa |
resource |
id : 8 |
text |
status : generated |
identifier |
use : official |
system : http://my-hospital.vn/fhir/procedure-ids |
value : PROC-12345 |
status : completed |
category |
coding |
system : http://snomed.info/sct |
code : 387713003 |
display : Surgical procedure |
text : Thủ thuật ngoại khoa |
code |
coding |
system : http://snomed.info/sct |
code : 80146002 |
display : Appendectomy |
text : Phẫu thuật cắt ruột thừa |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
performed |
start : 2025-07-10T14:00:00+07:00 |
end : 2025-07-10T15:30:00+07:00 |
performer |
function |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ParticipationType |
code : PPRF |
display : primary performer |
text : Bác sĩ phẫu thuật chính |
actor |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
location |
display : Phòng mổ số 2, Bệnh viện Đa khoa ABC |
bodySite |
coding |
system : http://snomed.info/sct |
code : 66754008 |
display : Appendix structure |
text : Ruột thừa |
outcome |
text : Phẫu thuật thành công, không có biến chứng tức thì. |
followUp |
text : Tái khám sau 1 tuần. |
note |
text : Sử dụng phương pháp phẫu thuật nội soi. |
entry |
fullUrl : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
resource |
id : e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
text |
status : generated |
contained |
id : or-02 |
name : Phòng mổ 02 - Khu Phẫu thuật Ngoại Tổng quát |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
code : OR |
display : Operating room |
identifier |
use : usual |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v2-0203 |
code : VN |
display : Visit number |
text : Số lần khám |
system : http://hospital.example.org/encounter-number |
value : ENC-2025-001234 |
assigner |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
display : Bệnh viện Đa khoa Trung ương |
status : planned |
class |
type |
coding |
system : http://snomed.info/sct |
code : 185349003 |
display : Encounter for check up |
text : Khám theo lịch hẹn |
serviceType |
priority |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ActPriority |
code : URG |
display : urgent |
text : Cấp cứu |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
episodeOfCare |
reference : urn:uuid:d4e5f6g7-h8i9-0123-4567-89abcdef0123 |
display : Đợt điều trị viêm ruột thừa cấp |
basedOn |
reference : urn:uuid:e5f6g7h8-i9j0-1234-5678-9abcdef01234 |
display : Yêu cầu nhập viện từ khoa Cấp cứu |
participant |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ParticipationType |
code : PPRF |
display : primary performer |
text : Bác sĩ phẫu thuật chính |
participant |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ParticipationType |
code : ATND |
display : attender |
text : Bác sĩ điều trị |
period |
start : 2025-07-15T08:30:00+07:00 |
end : 2025-07-18T10:15:00+07:00 |
length |
value : 3 |
unit : ngày |
system : http://unitsofmeasure.org |
code : d |
diagnosis |
condition |
use |
rank : 1 |
diagnosis |
condition |
use |
rank : 2 |
location |
location |
reference : urn:uuid:o5p6q7r8-s9t0-bcde-f012-3456789abcde |
display : Phòng 502 - Khoa Ngoại Tổng quát |
status : completed |
period |
start : 2025-07-15T09:00:00+07:00 |
end : 2025-07-18T10:15:00+07:00 |
location |
location |
reference : #or-02 |
display : Phòng mổ 02 - Khu Phẫu thuật Ngoại Tổng quát |
status : completed |
period |
start : 2025-07-15T10:55:00+07:00 |
end : 2025-07-15T12:35:00+07:00 |
entry |
fullUrl : urn:uuid:f2a3b4c5-d6e7-8901-f2a3-b4c5d6e78901 |
resource |
id : f2a3b4c5-d6e7-8901-f2a3-b4c5d6e12901 |
text |
status : generated |
clinicalStatus |
coding |
system : http://terminology.hl7.org/CodeSystem/condition-clinical |
code : active |
display : Active |
verificationStatus |
coding |
system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
code : confirmed |
display : Confirmed |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/condition-category |
code : encounter-diagnosis |
display : Encounter Diagnosis |
severity |
coding |
system : http://snomed.info/sct |
code : 6736007 |
display : Moderate |
text : Trung bình |
code |
coding |
system : http://snomed.info/sct |
code : 195662009 |
display : Acute pharyngitis |
text : Viêm họng cấp |
bodySite |
coding |
system : http://snomed.info/sct |
code : 51185008 |
display : Pharyngeal structure |
text : Họng |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
onset : 2025-07-15 |
recordedDate : 2025-07-16T09:20:00+07:00 |
note |
author |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
time : 2025-07-16T09:20:00+07:00 |
text : Bệnh nhân có triệu chứng đau họng, khó nuốt, không sốt. |
entry |
fullUrl : urn:uuid:a1b2c3d4-e5f6-7890-a1b2-c3d4e5f67890 |
resource |
id : 12 |
text |
status : generated |
identifier |
use : official |
system : http://my-hospital.vn/fhir/observation-ids |
value : vitals-2025-9876 |
status : final |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/observation-category |
code : vital-signs |
display : Vital Signs |
code |
coding |
system : http://loinc.org |
code : 85353-1 |
display : Vital signs panel |
text : Dấu hiệu sinh tồn |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
effective : 2025-07-16T09:05:00+07:00 |
issued : 2025-07-16T09:06:30+07:00 |
performer |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
interpretation |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
code : N |
display : Normal |
text : Các chỉ số trong giới hạn bình thường |
device |
display : Máy đo huyết áp và nhiệt kế điện tử Omron |
component |
code |
coding |
system : http://loinc.org |
code : 8480-6 |
display : Systolic blood pressure |
value |
value : 120 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
referenceRange |
low |
value : 90 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
high |
value : 130 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
component |
code |
coding |
system : http://loinc.org |
code : 8462-4 |
display : Diastolic blood pressure |
value |
value : 80 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
referenceRange |
low |
value : 60 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
high |
value : 90 |
unit : mm[Hg] |
system : http://unitsofmeasure.org |
code : mm[Hg] |
component |
code |
coding |
system : http://loinc.org |
code : 8867-4 |
display : Heart rate |
value |
value : 75 |
unit : beats/minute |
system : http://unitsofmeasure.org |
code : /min |
referenceRange |
low |
value : 60 |
unit : /min |
system : http://unitsofmeasure.org |
code : /min |
high |
value : 100 |
unit : /min |
system : http://unitsofmeasure.org |
code : /min |
component |
code |
coding |
system : http://loinc.org |
code : 8310-5 |
display : Body temperature |
value |
value : 37.2 |
unit : Cel |
system : http://unitsofmeasure.org |
code : Cel |
referenceRange |
low |
value : 36.5 |
unit : Cel |
system : http://unitsofmeasure.org |
code : Cel |
high |
value : 37.5 |
unit : Cel |
system : http://unitsofmeasure.org |
code : Cel |
entry |
fullUrl : urn:uuid:0198281b-5e47-73d3-8622-0eba9d0d15fa |
resource |
id : 0198281b-5e47-73d3-8622-0eba9d0d15fa |
text |
status : generated |
identifier |
use : official |
system : http://my-hospital.vn/fhir/servicerequest-ids |
value : SR-LAB-2025-1122 |
status : completed |
intent : order |
category |
coding |
system : http://snomed.info/sct |
code : 103693007 |
display : Diagnostic procedure |
text : Xét nghiệm chẩn đoán |
priority : routine |
code |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
display : Lần khám ngày 18/07/2025 |
authoredOn : 2025-07-16T09:22:00+07:00 |
requester |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
display : BS. Trần Thị Bích |
performerType |
coding |
system : http://snomed.info/sct |
code : 15941000 |
display : Laboratorian |
text : Kỹ thuật viên xét nghiệm |
bodySite |
note |
text : Yêu cầu thực hiện xét nghiệm nhanh (rapid strep test) để loại trừ nhiễm liên cầu khuẩn nhóm A. |
entry |
fullUrl : urn:uuid:e5f6a7b8-c9d0-1234-e5f6-a7b8c9d01234 |
resource |
id : 14 |
text |
status : generated |
identifier |
use : official |
system : http://my-hospital.vn/fhir/diagnosticreport-ids |
value : LAB-RPT-2025-5566 |
basedOn |
reference : urn:uuid:d4e5f6a7-b8c9-0123-d4e5-f6a7b8c90123 |
status : final |
category |
coding |
system : http://loinc.org |
code : 11502-2 |
display : Laboratory report |
code |
coding |
system : http://loinc.org |
code : 31943-3 |
display : Streptococcus pyogenes antigen test |
text : Xét nghiệm nhanh kháng nguyên liên cầu khuẩn |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b4 |
effective : 2025-07-16T10:00:00+07:00 |
issued : 2025-07-16T10:15:00+07:00 |
performer |
reference : urn:uuid:7ede870d-7f4b-4772-827f-82eee9cd6d46 |
display : BS. Trần Thị Bích |
conclusion : Âm tính với liên cầu khuẩn nhóm A. |
conclusionCode |
coding |
system : http://snomed.info/sct |
code : 260385009 |
display : Negative |
entry |
fullUrl : urn:uuid:f6a7b8c9-d0e1-2345-f6a7-b8c9d0e12345 |
resource |
id : 16 |
text |
status : generated |
status : final |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/observation-category |
code : laboratory |
display : Laboratory |
code |
coding |
system : http://loinc.org |
code : 31943-3 |
display : Streptococcus pyogenes antigen test |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
effective : 2025-07-16T10:00:00+07:00 |
performer |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
value |
coding |
system : http://snomed.info/sct |
code : 260385009 |
display : Negative |
text : Âm tính |
entry |
fullUrl : urn:uuid:b2c3d4e5-f6a7-8901-b2c3-d4e5f6a78901 |
resource |
id : 17 |
text |
status : generated |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/medicationrequest-category |
code : outpatient |
display : Outpatient |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
authoredOn : 2025-07-16T09:25:00+07:00 |
requester |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
dosageInstruction |
text : Uống 1 viên mỗi 8 giờ, uống trong 7 ngày. |
timing |
repeat |
frequency : 3 |
period : 1 |
periodUnit : d |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : Oral route |
text : Đường uống |
doseAndRate |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/dose-rate-type |
code : ordered |
display : Ordered |
dose |
value : 1 |
unit : viên |
system : http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm |
code : TAB |
dispenseRequest |
quantity |
value : 21 |
unit : viên |
system : http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm |
code : TAB |
expectedSupplyDuration |
value : 7 |
unit : ngày |
system : http://unitsofmeasure.org |
code : d |
substitution |
allowed : True |
entry |
fullUrl : urn:uuid:c3d4e5f6-a7b8-9012-c3d4-e5f6a7b89012 |
resource |
id : 18 |
text |
status : generated |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/medicationrequest-category |
code : outpatient |
display : Outpatient |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
authoredOn : 2025-07-16T09:25:00+07:00 |
requester |
reference : urn:uuid:a3a4b5b6-c7d8-40e1-b234-567890abcdef |
dosageInstruction |
text : Uống 1 viên khi sốt hoặc đau, cách nhau 4-6 giờ, không quá 4 viên/ngày. |
route |
coding |
system : http://snomed.info/sct |
code : 26643006 |
display : Oral route |
text : Đường uống |
doseAndRate |
type |
coding |
system : http://terminology.hl7.org/CodeSystem/dose-rate-type |
code : ordered |
display : Ordered |
dose |
value : 1 |
unit : viên |
system : http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm |
code : TAB |
maxDosePerPeriod |
dispenseRequest |
quantity |
value : 10 |
unit : viên |
system : http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm |
code : TAB |
substitution |
allowed : True |
entry |
fullUrl : urn:uuid:0198281b-86de-744e-80e1-e0d72cecc7f5 |
resource |
id : 0198281b-86de-744e-80e1-e0d72cecc7f5 |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/service-category |
code : XN |
display : Xét nghiệm |
code |
text : Xét nghiệm công thức máu toàn phần (CBC) |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
display : Lần khám ngày 18/07/2025 |
authoredOn : 2025-07-19T21:32:00.000+07:00 |
requester |
reference : urn:uuid:7ede870d-7f4b-4772-827f-82eee9cd6d46 |
display : BS. Trần Thị Bích |
reasonCode |
coding |
system : http://hl7.org/fhir/sid/icd-10 |
code : R50.9 |
display : Sốt, không rõ nguyên nhân |
entry |
fullUrl : urn:uuid:0198281b-b4ec-788d-932c-59165489eef5 |
resource |
id : 0198281b-b4ec-788d-932c-59165489eef5 |
status : completed |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/service-category |
code : CDHA |
display : Chẩn đoán hình ảnh |
code |
text : Chụp X-quang đầu gối |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
display : Lần khám ngày 18/07/2025 |
authoredOn : 2025-07-19T21:45:00.000+07:00 |
requester |
reference : urn:uuid:7ede870d-7f4b-4772-827f-82eee9cd6d46 |
display : BS. Trần Thị Bích |
reasonCode |
coding |
system : http://hl7.org/fhir/sid/icd-10 |
code : R05 |
display : Đau đầu gối |
patientInstruction |
entry |
fullUrl : urn:uuid:0198281b-d64f-714d-a43c-11b5a2a63379 |
resource |
id : 0198281b-d64f-714d-a43c-11b5a2a63379 |
status : active |
intent : order |
category |
coding |
system : https://vby.vn/service-category |
code : PTTT |
display : Phẫu thuật - Thủ thuật |
code |
text : Phẫu thuật cắt ruột thừa viêm qua nội soi ổ bụng |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
display : Lần khám ngày 18/07/2025 |
authoredOn : 2025-07-19T22:00:00.000+07:00 |
requester |
reference : urn:uuid:7ede870d-7f4b-4772-827f-82eee9cd6d46 |
display : BS. Trần Thị Bích |
entry |
fullUrl : urn:uuid:0198281b-ff0e-78ed-84e3-a7d99c639193 |
resource |
id : 0198281b-ff0e-78ed-84e3-a7d99c639193 |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/service-category |
code : DVCK |
display : Dịch vụ chuyên khoa |
code |
text : Khám và tư vấn chuyên khoa Tim mạch |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Nguyễn Văn An |
encounter |
reference : urn:uuid:e1f2a3b4-c5d6-7890-e1f2-a3b4c5d67890 |
display : Lần khám ngày 18/07/2025 |
authoredOn : 2025-07-19T22:10:00.000+07:00 |
requester |
reference : urn:uuid:7ede870d-7f4b-4772-827f-82eee9cd6d46 |
display : BS. Trần Thị Bích |
entry |
fullUrl : urn:uuid:0198281c-4cfb-78a4-8f6b-5a2525e72e2d |
resource |
id : 0198281c-4cfb-78a4-8f6b-5a2525e72e2d |
identifier |
system : https://his.benhviena.vn/requests |
value : SR-2025-00001 |
status : active |
intent : order |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/service-category |
code : REF |
display : Yêu cầu chuyển tuyến |
priority : urgent |
subject |
reference : urn:uuid:8c33a3c2-f15d-49e2-9b6b-31627e1f4acb |
display : Vũ Minh Trang |
encounter |
reference : urn:uuid:e0e1e2e3-f4f5-4647-a8a9-b0b1b2b3b4b5 |
authoredOn : 2025-07-19T21:15:00.000+07:00 |
requester |
reference : urn:uuid:019820e7-336a-7001-9901-705517e5779e |
display : Bệnh viện Đa khoa Quốc Tế Thu Cúc |
performer |
reference : urn:uuid:019820ea-de21-7a04-a050-f2a3d7f54c36 |
display : Bệnh viện Đa Khoa Phú Thọ |
note |
author : BS. Nguyễn Thanh Tùng |
time : 2025-07-19T21:15:00.000+07:00 |
text : Bệnh nhân có tiền sử dị ứng với penicillin. Đã liên hệ và được sự đồng ý tiếp nhận từ phía Bệnh viện Đa Khoa Phú Thọ. |