HL7 VN

VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam
0.1.0 - STU1 Draft Viet Nam flag

VN Core FHIR Implementation Guide — Bộ Hướng dẫn Triển khai FHIR Cốt lõi cho Việt Nam - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Lượt khám/nhập viện VN Core — VN Core Encounter Profile

Official URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter Version: 0.1.0
Draft as of 2026-03-21 Computable Name: VNCoreEncounter

Profile Encounter cho Việt Nam. Bao gồm extension loại KCB BHYT (trường MALYDO), thông tin chẩn đoán, cơ sở y tế, và kết quả điều trị/tình trạng ra viện. Căn cứ: QĐ 130/QĐ-BYT (2023), sửa đổi bởi QĐ 4750/QĐ-BYT (2023) và QĐ 3176/QĐ-BYT (29/10/2024), TT 13/2025/TT-BYT, Luật BHYT 2008 sửa đổi 2014.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class SΣ 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
Binding: ActEncounterCode (extensible): Classification of the encounter.
... type SΣ 0..* CodeableConcept Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày...
Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... participant Σ 0..* BackboneElement Bác sĩ/NVYT tham gia
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual Σ 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... period S 0..1 Period Thời gian khám/nhập viện
... diagnosis SΣ 0..* BackboneElement Chẩn đoán
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... status S 1..1 code Trạng thái lượt khám
... class S 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
... subject S 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... participant 0..* BackboneElement Bác sĩ/NVYT tham gia
.... individual 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... period S 0..1 Period Thời gian khám/nhập viện
... diagnosis S 0..* BackboneElement Chẩn đoán
.... condition S 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code Trạng thái lượt khám
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày...
Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement Bác sĩ/NVYT tham gia
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period Thời gian khám/nhập viện
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 0..* BackboneElement Chẩn đoán
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base example ActPriority 📦3.0.0 THO v6.2
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.2
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class SΣ 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
Binding: ActEncounterCode (extensible): Classification of the encounter.
... type SΣ 0..* CodeableConcept Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày...
Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... participant Σ 0..* BackboneElement Bác sĩ/NVYT tham gia
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual Σ 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... period S 0..1 Period Thời gian khám/nhập viện
... diagnosis SΣ 0..* BackboneElement Chẩn đoán
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... status S 1..1 code Trạng thái lượt khám
... class S 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
... subject S 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... participant 0..* BackboneElement Bác sĩ/NVYT tham gia
.... individual 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... period S 0..1 Period Thời gian khám/nhập viện
... diagnosis S 0..* BackboneElement Chẩn đoán
.... condition S 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceVisitType S 0..1 CodeableConcept Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type
Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required)
.... extension:treatmentOutcome S 0..1 CodeableConcept Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong)
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome
Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required)
.... extension:paymentMethod 0..1 CodeableConcept Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method
Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code Trạng thái lượt khám
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu)
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày...
Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement Bác sĩ/NVYT tham gia
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period Thời gian khám/nhập viện
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 0..* BackboneElement Chẩn đoán
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Chẩn đoán VN Core — VN Core Condition Profile) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Loại chẩn đoán (chính, phụ, nhập viện, ra viện)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Thông tin nhập viện/ra viện
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Tình trạng ra viện
Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible)
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Cơ sở KCB
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.2
Encounter.type Base extensible Loại khám chữa bệnh — Vietnam Encounter Type ValueSet 📦0.1.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base example ActPriority 📦3.0.0 THO v6.2
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.2
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Tình trạng ra viện — Vietnam Discharge Disposition ValueSet 📦0.1.0 This IG
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron