Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Hồ sơ tài nguyên: Giấy chứng sinh mang thai hộ — VN Core Surrogacy Birth Certificate Composition

Tài liệu Giấy chứng sinh cho trường hợp MANG THAI HỘ theo QĐ 2919/QĐ-BYT Phụ lục II (hiệu lực 01/10/2025).

Vì sao profile riêng chứ không dùng chung với sinh thường. Phụ lục II mô tả BỐN bên — vợ và chồng bên nhờ mang thai hộ, vợ và chồng bên mang thai hộ — thay vì một người mẹ. Người sinh con và người sẽ nuôi con là hai người khác nhau, nên RelatedPerson.relationship của họ với trẻ cũng khác nhau. Nhét cả hai tình huống vào một profile sẽ buộc phải nới lỏng đúng những ràng buộc khiến profile có ích.

CẢNH BÁO — không sinh XML từ mô hình này. Phụ lục II có sáu cặp chỉ tiêu trùng tên mang hai vai trò khác nhau (chi tiết trong VNSurrogacyBirthCertificateLM). Composition này ghi được dữ liệu ở dạng FHIR, nhưng KHÔNG được dùng để sinh tài liệu XML theo tên chỉ tiêu công bố: bên nhận sẽ không phân biệt được dân tộc của vợ với dân tộc của chồng, hay nơi cư trú của bên nào.

Thiếu sót của Phụ lục II so với Phụ lục I. Phụ lục II không công bố TINH_TRANG_CON (tình trạng trẻ — ở Phụ lục I là trường BẮT BUỘC, yêu cầu ghi cụ thể khi có dị dạng, dị tật) và không công bố NGAY_CS (ngày cấp) dù mẫu giấy vẫn có dòng ngày. Profile này vì vậy KHÔNG bắt buộc date như profile sinh thường — không có chỉ tiêu nguồn để lấy — nhưng vẫn giữ 1..1 theo ràng buộc của chính resource Composition trong R4, và ngày lấy từ thời điểm lập tài liệu.

Usages:

• Examples for this Profile: Composition/ExampleCompositionSurrogacyBirthCertificate and Composition/ExampleCompositionSurrogacyMissingParty
• CapabilityStatements using this Profile: VN Core EMR Server CapabilityStatement and VN e-Service Gateway Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Các dạng xem hình thức của nội dung hồ sơ

Mô tả profile, differential, snapshot và các biểu diễn liên quan.

• Bảng phần tử chính
• Bảng Differential
• Bảng Snapshot
• Nghĩa vụ hỗ trợ
• Thống kê/Tham chiếu
• Tất cả

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester, vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã giấy chứng sinh (MA_GCS) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
text	SΣ	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
date	SOΣ	1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
title	SOΣ	1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
attester	SO	1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
Slices for section	SOC	1..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:surrogacyParties	SOC	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	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()
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) type.text
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
identifier		1..1	Identifier	Mã giấy chứng sinh (MA_GCS)
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	S	1..1	string	The value that is unique
type
text	S	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
subject		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh
date		1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS
author		1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án
title		1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ)
attester		1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu
party		1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian		1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ
section		1..*	BackboneElement	Các phần bệnh án
Slices for section				Content/Rules for all slices
section:surrogacyParties	S	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT)
title		1..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
entry	S	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
Slices for section
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester, vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text
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 Bindings Purpose 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		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã giấy chứng sinh (MA_GCS) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
date	SOΣ	1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
title	SOΣ	1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
attester	SO	1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	1..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
section:All Slices				Content/Rules for all slices
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
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:surrogacyParties	SOC	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	1..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.2
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:history.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:history.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:labResults.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:medications.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:procedures.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	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()
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 10 elements
Must-Support: 6 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-kcb-organization)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)

Extensions

This structure refers to these extensions:

• http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal

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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester, vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã giấy chứng sinh (MA_GCS) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
text	SΣ	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
date	SOΣ	1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
title	SOΣ	1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
attester	SO	1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
Slices for section	SOC	1..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:surrogacyParties	SOC	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	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()
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Dạng xem Differential

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
identifier		1..1	Identifier	Mã giấy chứng sinh (MA_GCS)
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	S	1..1	string	The value that is unique
type
text	S	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
subject		1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh
date		1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS
author		1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án
title		1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ)
attester		1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu
party		1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian		1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ
section		1..*	BackboneElement	Các phần bệnh án
Slices for section				Content/Rules for all slices
section:surrogacyParties	S	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT)
title		1..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
entry	S	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
Slices for section
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Dạng xem SnapshotView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	VNCoreComposition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester, vn-birth-certificate-gcs-identifier, vn-surrogacy-parties-complete Obligations Actor Elements SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​attester SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​author SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​custodian SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​date SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.system SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​identifier.value SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.code SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.entry SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​section:surrogacyParties.title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​status SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​subject SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​title SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type SHALL:no-error Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway) ​type.text
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 Bindings Purpose 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		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:issueOrdinal	SO	1..1	code	Lần cấp (LAN_CAP): 0 cấp lần đầu, 1 cấp lại URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Cổng liên thông thủ tục hành chính (e-Service Gateway)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã giấy chứng sinh (MA_GCS) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/gcs
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept Fixed Value: Giấy chứng sinh (mang thai hộ)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Trẻ được cấp giấy chứng sinh Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
date	SOΣ	1..1	dateTime	Thời điểm lập tài liệu — Phụ lục II KHÔNG công bố chỉ tiêu NGAY_CS Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
title	SOΣ	1..1	string	Tên tài liệu — ghi Giấy chứng sinh (mang thai hộ) Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
attester	SO	1..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	1..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
section:All Slices				Content/Rules for all slices
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
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:surrogacyParties	SOC	1..1	BackboneElement	Ba bên bắt buộc + chồng bên mang thai hộ nếu có (Phụ lục II QĐ 2919/QĐ-BYT) Constraints: cmp-1, cmp-2 Obligations Actor Source SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) from Bệnh án điện tử VN Core — VN Core Composition Profile SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository) from Bệnh án điện tử VN Core — VN Core Composition Profile
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
title	S	1..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: surrogacy-parties
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	3..*	Reference(Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.2
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:history.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:history.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:labResults.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:medications.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:procedures.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:surrogacyParties.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary, Composition.section:surrogacyParties	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	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()
vn-birth-certificate-gcs-identifier	error	Composition	Mã giấy chứng sinh phải đúng dạng XXXXX.GCS.ZZZZZ.YY. The birth certificate identifier SHALL follow the published pattern.	identifier.where(system = 'http://fhir.hl7.org.vn/core/sid/gcs').value.all(matches('^[0-9]{5}\\.GCS\\.[0-9]{5}\\.[0-9]{2}$'))
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()
vn-surrogacy-parties-complete	error	Composition	Giấy chứng sinh mang thai hộ phải có section các-bên (mã surrogacy-parties) với TỐI THIỂU BA entry — người vợ bên mang thai hộ (người sinh trẻ), người vợ và người chồng bên nhờ mang thai hộ (Phụ lục II QĐ 2919/QĐ-BYT). Người chồng bên mang thai hộ là entry thứ tư TUỲ CHỌN: Phụ lục II cho phép bỏ trống khi không có thông tin. A surrogacy birth certificate SHALL carry the surrogacy-parties section with at least three party entries; the gestational mother's spouse is optional.	section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).exists() and section.where(code.coding.where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-composition-section-cs' and code = 'surrogacy-parties').exists()).all(entry.count() >= 3)

Name	Kho hồ sơ EMR (Repository)	Cổng liên thông thủ tục hành chính (e-Service Gateway)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
Slices for extension
extension:issueOrdinal	SHALL:no-error & SHALL:persist	SHALL:no-error & SHALL:persist	SHALL:populate-if-known SHALL:populate-if-known
identifier	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
section:surrogacyParties	SHALL:no-error & SHALL:persist		SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 10 elements
Must-Support: 6 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-kcb-organization)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)

Extensions

This structure refers to these extensions:

• http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-birth-certificate-issue-ordinal