HL7 Vietnam VN Core FHIR Implementation Guide

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

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

Hồ sơ tài nguyên: Định nghĩa chỉ tiêu đo lường VN Core — VN Core Measure Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-measure Phiên bản: 0.9.0
Computable Name: VNCoreMeasure
Định danh khác: OID:2.25.161089673617632664299011809196868855799.42.67

Profile Measure cho Việt Nam. Dùng để định nghĩa chỉ tiêu đánh giá chất lượng cơ sở khám bệnh, chữa bệnh và chỉ tiêu hoạt động y tế công cộng (tỷ lệ tiêm chủng, tỷ lệ sàng lọc). Trường hợp dùng đã có căn cứ: tiêu chuẩn chất lượng cơ bản đối với bệnh viện theo TT 35/2024/TT-BYT — năm nhóm tiêu chuẩn tại Phụ lục, đánh giá một lần mỗi năm, thực hiện trong Quý I của năm liền kề (Điều 1 khoản 3). LƯU Ý VỀ CÁCH TÍNH: TT 35/2024/TT-BYT xếp loại NHỊ PHÂN — đạt khi và chỉ khi toàn bộ tiêu chuẩn đều Có; chỉ cần một tiêu chuẩn Không là không đạt. Tỷ lệ phần trăm tiêu chuẩn đạt KHÔNG có giá trị pháp lý, chỉ dùng theo dõi nội bộ. Quy tắc này diễn đạt được bằng chính FHIR: scoring = composite kèm compositeScoring = all-or-nothing; guidance chỉ giải thích thêm chứ không thay thế phần khai máy-đọc-được. NGUỒN DỮ LIỆU cho chỉ tiêu dạng checklist: khi tiêu chuẩn là điều kiện về cơ sở vật chất, tổ chức hoặc quy chế — không tính được từ dữ liệu lâm sàng — thì nguồn đúng là QuestionnaireResponse của phiếu tự đánh giá, và criteria viết bằng FHIRPath trên chính bản ghi đó. Không dùng CQL cho loại này: CQL sinh ra để truy vấn dữ liệu lâm sàng theo quần thể, ở đây không có gì để truy vấn. Căn cứ: TT 35/2024/TT-BYT (tiêu chuẩn chất lượng cơ bản bệnh viện); Luật 15/2023/QH15 Điều 58 (đánh giá và công khai chất lượng); Luật 114/2025/QH15 (chỉ tiêu phòng bệnh). / VN Core Measure profile for facility quality standards and public-health indicators. Note that Circular 35/2024/TT-BYT scores hospitals as pass/fail on the conjunction of all standards; a percentage is not a legal result.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical URL của chỉ tiêu
... version SΣ 0..1 string Phiên bản định nghĩa chỉ tiêu
... name SΣC 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... description SΣ 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... effectivePeriod SΣ 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... scoring SΣ 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
... compositeScoring SΣ 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... improvementNotation SΣ 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... guidance SΣ 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
Binding: MeasurePopulationType (extensible): The type of population.
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.subject[x]:subjectCodeableConcept Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure 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 Measure 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 Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure 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()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A quality measure definition
... url S 1..1 uri Canonical URL của chỉ tiêu
... identifier S 0..* Identifier Mã chỉ tiêu theo văn bản hoặc theo hệ thống báo cáo
... version S 0..1 string Phiên bản định nghĩa chỉ tiêu
... title S 1..1 string Name for this measure (human friendly)
... status S 1..1 code draft | active | retired | unknown
... experimental S 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 CodeableConcept, Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
... date S 0..1 dateTime Date last changed
... publisher S 0..1 string Name of the publisher (organization or individual)
... description S 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... effectivePeriod S 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... scoring S 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
... compositeScoring S 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
... improvementNotation S 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
... guidance S 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... code S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... code S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical URL của chỉ tiêu
... identifier SΣ 0..* Identifier Mã chỉ tiêu theo văn bản hoặc theo hệ thống báo cáo
... version SΣ 0..1 string Phiên bản định nghĩa chỉ tiêu
... name SΣC 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod SΣ 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣ 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
... compositeScoring SΣ 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
... riskAdjustment Σ 0..1 string How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 string How is rate aggregation performed for this measure
... rationale Σ 0..1 markdown Detailed description of why the measure exists
... clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines
... improvementNotation SΣ 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance SΣ 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... 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 S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... 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 S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
Binding: MeasurePopulationType (extensible): The type of population.
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)
..... 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 0..1 CodeableConcept Meaning of the stratifier
..... description 0..1 string The human readable description of this stratifier
..... criteria 0..1 Expression How the measure should be stratified
..... component 0..* BackboneElement Stratifier criteria component for the measure
...... 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 0..1 CodeableConcept Meaning of the stratifier component
...... description 0..1 string The human readable description of this stratifier component
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData 0..* BackboneElement What other data should be reported with the measure
.... 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 0..1 CodeableConcept Meaning of the supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.subject[x]:subjectCodeableConcept Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.jurisdiction Base extensible Jurisdiction 📍4.0.1 FHIR Std.
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
Measure.supplementalData.​usage Base extensible MeasureDataUsage 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure 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 Measure 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 Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure 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()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 25 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Measure.subject[x]

Dạng xem phần tử chính

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical URL của chỉ tiêu
... version SΣ 0..1 string Phiên bản định nghĩa chỉ tiêu
... name SΣC 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... description SΣ 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... effectivePeriod SΣ 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... scoring SΣ 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
... compositeScoring SΣ 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... improvementNotation SΣ 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... guidance SΣ 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
Binding: MeasurePopulationType (extensible): The type of population.
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.subject[x]:subjectCodeableConcept Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure 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 Measure 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 Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure 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()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

Dạng xem Differential

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A quality measure definition
... url S 1..1 uri Canonical URL của chỉ tiêu
... identifier S 0..* Identifier Mã chỉ tiêu theo văn bản hoặc theo hệ thống báo cáo
... version S 0..1 string Phiên bản định nghĩa chỉ tiêu
... title S 1..1 string Name for this measure (human friendly)
... status S 1..1 code draft | active | retired | unknown
... experimental S 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 CodeableConcept, Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
... date S 0..1 dateTime Date last changed
... publisher S 0..1 string Name of the publisher (organization or individual)
... description S 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... effectivePeriod S 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... scoring S 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
... compositeScoring S 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
... improvementNotation S 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
... guidance S 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... code S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... code S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG

Dạng xem SnapshotView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical URL của chỉ tiêu
... identifier SΣ 0..* Identifier Mã chỉ tiêu theo văn bản hoặc theo hệ thống báo cáo
... version SΣ 0..1 string Phiên bản định nghĩa chỉ tiêu
... name SΣC 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... Slices for subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Slice: Unordered, Open by type:$this
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
.... subject[x]:subjectCodeableConcept S 0..1 CodeableConcept Đối tượng được đo: Patient, Organization, Location...
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown Mô tả chỉ tiêu, nêu rõ nguồn văn bản
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod SΣ 0..1 Period Khoảng thời gian định nghĩa chỉ tiêu có hiệu lực
... topic S 0..* CodeableConcept Nhóm tiêu chuẩn chất lượng khi chỉ tiêu thuộc TT 35/2024/TT-BYT
Binding: Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet (extensible)
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣ 0..1 CodeableConcept Kiểu tính: proportion | ratio | composite | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
... compositeScoring SΣ 0..1 CodeableConcept Cách gộp điểm khi scoring = composite: all-or-nothing cho TT 35/2024/TT-BYT
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
... riskAdjustment Σ 0..1 string How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 string How is rate aggregation performed for this measure
... rationale Σ 0..1 markdown Detailed description of why the measure exists
... clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines
... improvementNotation SΣ 0..1 CodeableConcept Chiều cải thiện: tăng hay giảm là tốt
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance SΣ 0..1 markdown Quy tắc diễn giải kết quả — bắt buộc khi quy tắc xếp loại không suy ra được từ scoring
... group S 0..* BackboneElement Population criteria group
.... 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 S 0..1 CodeableConcept Mã của nhóm chỉ tiêu con
.... description S 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... 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 S 1..1 CodeableConcept Vai trò quần thể: initial-population | denominator | numerator | denominator-exclusion
Binding: MeasurePopulationType (extensible): The type of population.
..... description S 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression Tiêu chí xác định quần thể
.... stratifier S 0..* BackboneElement Chiều phân tổ kết quả (theo tỉnh, theo hạng bệnh viện, theo nhóm tuổi)
..... 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 0..1 CodeableConcept Meaning of the stratifier
..... description 0..1 string The human readable description of this stratifier
..... criteria 0..1 Expression How the measure should be stratified
..... component 0..* BackboneElement Stratifier criteria component for the measure
...... 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 0..1 CodeableConcept Meaning of the stratifier component
...... description 0..1 string The human readable description of this stratifier component
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData 0..* BackboneElement What other data should be reported with the measure
.... 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 0..1 CodeableConcept Meaning of the supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.subject[x]:subjectCodeableConcept Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.jurisdiction Base extensible Jurisdiction 📍4.0.1 FHIR Std.
Measure.topic Base extensible Nhóm tiêu chuẩn chất lượng cơ bản bệnh viện — VN Hospital Basic Quality Standard Group ValueSet 📦0.9.0 This IG
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
Measure.supplementalData.​usage Base extensible MeasureDataUsage 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure 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 Measure 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 Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure 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()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 25 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Measure.subject[x]

 

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