HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.6.0 - Draft for Community Review Viet Nam cờ

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Hồ sơ tài nguyên: Sử dụng/Cho dùng thuốc VN Core — VN Core Medication Administration Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-administration Phiên bản: 0.6.0
Computable Name: VNCoreMedicationAdministration

Bản quyền/Pháp lý: Căn cứ pháp lý Việt Nam: TT 13/2025/TT-BYT ngày 06/06/2025; Luật Dược 105/2016/QH13 Điều 74; Luật 44/2024/QH15 ngày 21/11/2024; NĐ 163/2025/NĐ-CP ngày 29/06/2025 (thay NĐ 54/2017 từ 01/07/2025); QĐ 3176/QĐ-BYT ngày 29/10/2024; TT 26/2025/TT-BYT; NĐ 188/2025/NĐ-CP ban hành 01/07/2025, hiệu lực 15/08/2025.

Profile MedicationAdministration cho Việt Nam. Ghi nhận sự kiện cho người bệnh dùng thuốc thực tế (điều dưỡng thực hiện y lệnh) — khép chuỗi kê đơn → cấp phát → sử dụng trong điều trị nội trú và bệnh án điện tử. Bổ sung mắt xích còn thiếu so với VNCoreMedicationRequest (y lệnh) và VNCoreMedicationDispense (cấp phát). Căn cứ pháp lý hiện hành:

  • TT 13/2025/TT-BYT (06/6/2025) — bệnh án điện tử ghi nhận diễn biến dùng thuốc nội trú
  • Luật Dược 105/2016/QH13 Điều 74 + Luật 44/2024/QH15 — nguyên tắc kê đơn/sử dụng thuốc
  • NĐ 163/2025/NĐ-CP (29/6/2025) — hướng dẫn Luật Dược (thay NĐ 54/2017 từ 01/7/2025)
  • QĐ 3176/QĐ-BYT (29/10/2024) — XML: NGAY_TH_YL (ngày thực hiện y lệnh), MA_THUOC, SO_DANG_KY
  • TT 26/2025/TT-BYT — kê đơn/sử dụng thuốc ngoại trú và sau điều trị nội trú
  • NĐ 188/2025/NĐ-CP — thanh toán BHYT thuốc đã sử dụng. / VN Core MedicationAdministration profile records the actual administration of medication to a patient, completing the prescribe → dispense → administer chain in inpatient EMR workflows.

Usages:

You can also check for usages in the FHIR IG Statistics

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... medication[x] SΣ 1..1 CodeableConcept Thuốc được dùng
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... effective[x] SΣ 1..1 Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... dosage SC 0..1 BackboneElement Liều dùng thực tế
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration 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 MedicationAdministration 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 MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration 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()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... status S 1..1 code Trạng thái dùng thuốc
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
... subject S 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... effective[x] S 1..1 dateTime, Period Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
... performer S 0..* BackboneElement Who performed the medication administration and what they did
.... actor S 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... dosage S 0..1 BackboneElement Liều dùng thực tế
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!SΣ 1..1 code Trạng thái dùng thuốc
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... medication[x] SΣ 1..1 CodeableConcept Thuốc được dùng
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... 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
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
.... actor SΣ 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... device 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage SC 0..1 BackboneElement Liều dùng thực tế
Constraints: mad-1
.... 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
.... text 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base example SNOMED CT Reason Medication Not Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​performer.function Base example Medication administration performer function codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration 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 MedicationAdministration 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 MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration 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()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

Dạng xem phần tử chính

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... medication[x] SΣ 1..1 CodeableConcept Thuốc được dùng
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... effective[x] SΣ 1..1 Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... dosage SC 0..1 BackboneElement Liều dùng thực tế
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration 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 MedicationAdministration 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 MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration 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()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

Dạng xem Differential

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... status S 1..1 code Trạng thái dùng thuốc
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
... subject S 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... effective[x] S 1..1 dateTime, Period Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
... performer S 0..* BackboneElement Who performed the medication administration and what they did
.... actor S 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... dosage S 0..1 BackboneElement Liều dùng thực tế
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG

Dạng xem SnapshotView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:insuranceCostInfo S 0..1 (Complex) Thông tin BHYT: phạm vi, tỷ lệ thanh toán, mức hưởng của dòng thuốc đã dùng
URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!SΣ 1..1 code Trạng thái dùng thuốc
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
... category S 0..1 CodeableConcept Bối cảnh dùng thuốc: inpatient, outpatient, community
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... medication[x] SΣ 1..1 CodeableConcept Thuốc được dùng
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh được cho dùng thuốc
... context S 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám/đợt điều trị liên quan
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... 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
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
.... actor SΣ 1..1 Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề
... reasonCode S 0..* CodeableConcept Lý do dùng thuốc (mã ICD-10 hoặc text)
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request S 0..1 Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile) Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng
... device 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage SC 0..1 BackboneElement Liều dùng thực tế
Constraints: mad-1
.... 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
.... text 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route S 0..1 CodeableConcept Đường dùng thuốc
Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
.... method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... dose S 0..1 SimpleQuantity(4.0.1) Liều một lần dùng
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base example SNOMED CT Reason Medication Not Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​performer.function Base example Medication administration performer function codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base extensible Đường dùng thuốc — Vietnam Medication Route ValueSet 📦0.6.0 This IG
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration 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 MedicationAdministration 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 MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration 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()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

 

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