Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review
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
| Draft tại thời điểm 2026-08-06 |
Các định nghĩa cho vn-core-relatedperson hồ sơ tài nguyên
Guidance on how to interpret the contents of this table can be foundhere
| 0. RelatedPerson | |||||||||
| Definition | Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process. | ||||||||
| Short | A person that is related to a patient, but who is not a direct target of care | ||||||||
| Control | 0..* | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||||||
| 2. RelatedPerson.implicitRules | |||||||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||||||
| Short | A set of rules under which this content was created | ||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||||||
| Control | 0..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 4. RelatedPerson.extension | |||||||||
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||||
| Short | ExtensionAdditional content defined by implementations | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 6. RelatedPerson.extension:representationAuthority | |||||||||
| Slice Name | representationAuthority | ||||||||
| Definition | Extension ghi nhận THẨM QUYỀN PHÁP LÝ để một người đại diện/giám hộ/được uỷ quyền hành động thay người khác. Mô hình hoá 'token đại diện' phục vụ Policy Decision Point (PDP): miền thẩm quyền, loại thẩm quyền, nguồn xác minh, bằng chứng, thời điểm xác minh, thời hạn. PDP deny-by-default khi quan hệ mâu thuẫn/hết hạn. THAY ĐỔI 0.10.0 đợt 2 (breaking — kiểm toán 06-07/08/2026, analysis/90 §6.2): tách HAI MIỀN thẩm quyền bằng THAY ĐỔI 0.10.0 đợt 1 (breaking): thêm THAY ĐỔI 0.8.0 (breaking — hậu kiểm toán Codex): sub-extension restrictedSensitivity đã XOÁ — ngữ nghĩa hạn chế truy cập là QUYẾT ĐỊNH CHÍNH SÁCH, không phải thuộc tính token: biểu diễn bằng VNCoreConsent.provision (type=deny + securityLabel theo vn-data-sensitivity-class-vs + actor[representative] gắn chính extension này để link token↔consent — PDP resolve một chiều qua Consent). Căn cứ: Bộ luật Dân sự 2015 (đại diện/giám hộ/uỷ quyền); Luật Căn cước 2023 (quan hệ nhân thân CSDLQGDC); Luật 91/2025/QH15 Điều 24 (đại diện theo pháp luật) + Luật Trẻ em 2016 (dữ liệu trẻ em, lớp nhạy cảm). | ||||||||
| Short | Thẩm quyền đại diện/giám hộ/uỷ quyền truy cập dữ liệu (type/source/period/restriction) | ||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||||||
| Type | Extension(Thẩm quyền đại diện truy cập dữ liệu — Representation Authority Extension) (Complex Extension) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())vn-representation-domain-basis: Miền quyết định khám chữa bệnh bắt buộc có căn cứ lựa chọn theo Luật KCB Điều 8 khoản 2; miền quyền chủ thể dữ liệu không dùng trục căn cứ đó. The healthcare-decision domain SHALL carry a selectionBasis; the data-subject-rights domain SHALL NOT. ( (extension.where(url='domain').value.ofType(Coding).code = 'healthcare-decision' implies extension.where(url='selectionBasis').exists()) and (extension.where(url='domain').value.ofType(Coding).code = 'data-subject-rights' implies extension.where(url='selectionBasis').empty()))vn-representation-type-selection-basis: Loại thẩm quyền phải tương thích với nhóm căn cứ lựa chọn tại Luật KCB Điều 8 khoản 2. The authority type SHALL be consistent with the statutory selection basis. ( extension.where(url='selectionBasis').empty() or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'civil-code-representative') and (extension.where(url='type').value.ofType(Coding).code = 'legal-representative' or extension.where(url='type').value.ofType(Coding).code = 'guardian' or extension.where(url='type').value.ofType(Coding).code = 'delegated-proxy')) or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'responsible-legal-entity-appointed') and (extension.where(url='type').value.ofType(Coding).code = 'legal-representative' or extension.where(url='type').value.ofType(Coding).code = 'healthcare-agent')) or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'adult-patient-selected' or extension.where(url='selectionBasis').value.ofType(Coding).code = 'family-selected' or extension.where(url='selectionBasis').value.ofType(Coding).code = 'voluntary-obligation-performer') and extension.where(url='type').value.ofType(Coding).code = 'healthcare-agent'))vn-representation-proxy-evidence: Thẩm quyền theo uỷ quyền phải kèm ít nhất một bằng chứng (văn bản uỷ quyền). A delegated-proxy authority SHALL carry at least one evidence entry. ( extension.where(url='type').value.ofType(Coding).code = 'delegated-proxy' implies extension.where(url='evidence').exists())vn-representation-proxy-bounded: Thẩm quyền theo uỷ quyền phải có GIỚI HẠN máy-đọc: NGÀY KẾT THÚC (period.end của token hoặc validity.end trong bằng chứng — chỉ có ngày bắt đầu là uỷ quyền vô thời hạn) VÀ phạm vi (scope trong ít nhất một bằng chứng) — Bộ luật Dân sự Điều 138/140/141. A delegated-proxy authority SHALL carry a machine-readable validity bound AND scope. ( extension.where(url='type').value.ofType(Coding).code != 'delegated-proxy' or ((extension.where(url='period').value.ofType(Period).end.exists() or extension.where(url='evidence').extension.where(url='validity').value.ofType(Period).end.exists()) and extension.where(url='evidence').extension.where(url='scope').exists())) | ||||||||
| 8. RelatedPerson.extension:ethnicity | |||||||||
| Slice Name | ethnicity | ||||||||
| Definition | Dân tộc theo danh mục 54 dân tộc Việt Nam (QĐ 121-TCTK/PPCĐ). Bắt buộc với bốn bên của giấy chứng sinh mang thai hộ theo QĐ 2919/QĐ-BYT Phụ lục II (STT 6, 12, 17, 23). | ||||||||
| Short | Dân tộc | ||||||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||||||
| Type | Extension(Dân tộc — Vietnam Ethnicity Extension) (Extension Type: CodeableConcept) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||||
| 10. RelatedPerson.modifierExtension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||||
| Short | Extensions that cannot be ignored | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||||||
| Summary | false | ||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||||
| 12. RelatedPerson.identifier | |||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | Định danh người liên quanA human identifier for this person | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..* | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 14. RelatedPerson.identifier:CCCD | |||||||||
| Slice Name | CCCD | ||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | A human identifier for this person | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1* | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) vn-cccd-format: Số định danh cá nhân/CCCD, khi có giá trị, phải đúng 12 chữ số (Luật Căn cước 2023, Điều 12) ( value.empty() or value.extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() or value.matches('^[0-9]{12}$')) | ||||||||
| 16. RelatedPerson.identifier:CCCD.use | |||||||||
| Definition | The purpose of this identifier. | ||||||||
| Short | usual | official | temp | secondary | old (If known) | ||||||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . | ||||||||
| Type | code | ||||||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 18. RelatedPerson.identifier:CCCD.type | |||||||||
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Short | Description of identifier | ||||||||
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||||||
| Control | 10..1 | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||||||
| Pattern Value | { | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 20. RelatedPerson.identifier:CCCD.system | |||||||||
| Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||||||
| Short | The namespace for the identifier value | ||||||||
| Comments | Identifier.system is always case sensitive. | ||||||||
| Control | 10..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||||||
| Fixed Value | http://fhir.hl7.org.vn/core/sid/cccd | ||||||||
| Example | General: http://www.acme.com/identifiers/patient | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 22. RelatedPerson.identifier:CCCD.value | |||||||||
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||||||
| Short | The value that is unique | ||||||||
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||||||
| Control | 10..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Must Support | true | ||||||||
| Summary | true | ||||||||
| Example | General: 123456 | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 24. RelatedPerson.identifier:HC | |||||||||
| Slice Name | HC | ||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | A human identifier for this person | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1* | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 26. RelatedPerson.identifier:HC.use | |||||||||
| Definition | The purpose of this identifier. | ||||||||
| Short | usual | official | temp | secondary | old (If known) | ||||||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . | ||||||||
| Type | code | ||||||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 28. RelatedPerson.identifier:HC.type | |||||||||
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Short | Description of identifier | ||||||||
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||||||
| Control | 10..1 | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||||||
| Pattern Value | { | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 30. RelatedPerson.identifier:HC.system | |||||||||
| Definition | Hộ chiếu Việt Nam dùng Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||||||
| Short | The namespace for the identifier value | ||||||||
| Comments | Identifier.system is always case sensitive. | ||||||||
| Control | 10..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||||||
| Example | General: http://www.acme.com/identifiers/patient | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 32. RelatedPerson.identifier:HC.value | |||||||||
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||||||
| Short | The value that is unique | ||||||||
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||||||
| Control | 10..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Example | General: 123456 | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 34. RelatedPerson.active | |||||||||
| Definition | Whether this related person record is in active use. | ||||||||
| Short | Bản ghi đang hoạt độngWhether this related person's record is in active use | ||||||||
| Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error. | ||||||||
| Control | 10..1 | ||||||||
| Type | boolean | ||||||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Need to be able to mark a related person record as not to be used, such as if it was created in error. | ||||||||
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 36. RelatedPerson.patient | |||||||||
| Definition | The patient this person is related to. | ||||||||
| Short | Bệnh nhân liên quanThe patient this person is related to | ||||||||
| Control | 1..1 | ||||||||
| Type | Reference(Bệnh nhân VN Core — VN Core Patient Profile, Patient) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | We need to know which patient this RelatedPerson is related to. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 38. RelatedPerson.relationship | |||||||||
| Definition | Quan hệ huyết thống/gia đình (mẹ, cha, con...) dùng relatedperson-relationshiptype. LƯU Ý: thẩm quyền pháp lý để truy cập thay (đại diện theo pháp luật / giám hộ / uỷ quyền) ghi ở extension[representationAuthority] — cha/mẹ có relationship=mother/father nhưng thẩm quyền = legal-representative. The nature of the relationship between a patient and the related person. | ||||||||
| Short | Quan hệ GIA ĐÌNH với bệnh nhân (mother/father...) — KHÁC trục thẩm quyền pháp lý ở extension[representationAuthority]The nature of the relationship | ||||||||
| Control | 10..* | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1 (extensible to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype) | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 40. RelatedPerson.name | |||||||||
| Definition | A name associated with the person. | ||||||||
| Short | Họ tên người liên quanA name associated with the person | ||||||||
| Control | 0..* | ||||||||
| Type | HumanName | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 42. RelatedPerson.telecom | |||||||||
| Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||||||
| Short | Thông tin liên lạcA contact detail for the person | ||||||||
| Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||||||
| Control | 0..* | ||||||||
| Type | ContactPoint | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 44. RelatedPerson.address | |||||||||
| Definition | Address where the related person can be contacted or visited. | ||||||||
| Short | Địa chỉAddress where the related person can be contacted or visited | ||||||||
| Control | 0..* | ||||||||
| Type | Address(Địa chỉ VN Core — VN Core Address Profile) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Need to keep track where the related person can be contacted per postal mail or visited. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 46. RelatedPerson.period | |||||||||
| Definition | The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. | ||||||||
| Short | Thời gian quan hệ có hiệu lựcPeriod of time that this relationship is considered valid | ||||||||
| Control | 0..1 | ||||||||
| Type | Period | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. RelatedPerson | |||||||||
| 2. RelatedPerson.extension | |||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 4. RelatedPerson.extension:representationAuthority | |||||||||
| Slice Name | representationAuthority | ||||||||
| Short | Thẩm quyền đại diện/giám hộ/uỷ quyền truy cập dữ liệu (type/source/period/restriction) | ||||||||
| Control | 0..* | ||||||||
| Type | Extension(Thẩm quyền đại diện truy cập dữ liệu — Representation Authority Extension) (Complex Extension) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 6. RelatedPerson.extension:ethnicity | |||||||||
| Slice Name | ethnicity | ||||||||
| Definition | Dân tộc theo danh mục 54 dân tộc Việt Nam (QĐ 121-TCTK/PPCĐ). Bắt buộc với bốn bên của giấy chứng sinh mang thai hộ theo QĐ 2919/QĐ-BYT Phụ lục II (STT 6, 12, 17, 23). | ||||||||
| Short | Dân tộc | ||||||||
| Control | 0..1 | ||||||||
| Type | Extension(Dân tộc — Vietnam Ethnicity Extension) (Extension Type: CodeableConcept) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 8. RelatedPerson.identifier | |||||||||
| Short | Định danh người liên quan | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 10. RelatedPerson.identifier:CCCD | |||||||||
| Slice Name | CCCD | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1 | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Invariants | vn-cccd-format: Số định danh cá nhân/CCCD, khi có giá trị, phải đúng 12 chữ số (Luật Căn cước 2023, Điều 12) (value.empty() or value.extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() or value.matches('^[0-9]{12}$')) | ||||||||
| 12. RelatedPerson.identifier:CCCD.type | |||||||||
| Control | 1..? | ||||||||
| Pattern Value | { | ||||||||
| 14. RelatedPerson.identifier:CCCD.system | |||||||||
| Control | 1..? | ||||||||
| Fixed Value | http://fhir.hl7.org.vn/core/sid/cccd | ||||||||
| 16. RelatedPerson.identifier:CCCD.value | |||||||||
| Control | 1..? | ||||||||
| Must Support | true | ||||||||
| 18. RelatedPerson.identifier:HC | |||||||||
| Slice Name | HC | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1 | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 20. RelatedPerson.identifier:HC.type | |||||||||
| Control | 1..? | ||||||||
| Pattern Value | { | ||||||||
| 22. RelatedPerson.identifier:HC.system | |||||||||
| Definition | Hộ chiếu Việt Nam dùng | ||||||||
| Control | 1..? | ||||||||
| 24. RelatedPerson.identifier:HC.value | |||||||||
| Control | 1..? | ||||||||
| 26. RelatedPerson.active | |||||||||
| Short | Bản ghi đang hoạt động | ||||||||
| Control | 1..? | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 28. RelatedPerson.patient | |||||||||
| Short | Bệnh nhân liên quan | ||||||||
| Type | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 30. RelatedPerson.relationship | |||||||||
| Definition | Quan hệ huyết thống/gia đình (mẹ, cha, con...) dùng relatedperson-relationshiptype. LƯU Ý: thẩm quyền pháp lý để truy cập thay (đại diện theo pháp luật / giám hộ / uỷ quyền) ghi ở extension[representationAuthority] — cha/mẹ có relationship=mother/father nhưng thẩm quyền = legal-representative. | ||||||||
| Short | Quan hệ GIA ĐÌNH với bệnh nhân (mother/father...) — KHÁC trục thẩm quyền pháp lý ở extension[representationAuthority] | ||||||||
| Control | 1..? | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from PatientRelationshipType (extensible to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 32. RelatedPerson.name | |||||||||
| Short | Họ tên người liên quan | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 34. RelatedPerson.telecom | |||||||||
| Short | Thông tin liên lạc | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 36. RelatedPerson.address | |||||||||
| Short | Địa chỉ | ||||||||
| Type | Address(Địa chỉ VN Core — VN Core Address Profile) | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| 38. RelatedPerson.period | |||||||||
| Short | Thời gian quan hệ có hiệu lực | ||||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. RelatedPerson | |||||||||
| Definition | Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process. | ||||||||
| Short | A person that is related to a patient, but who is not a direct target of care | ||||||||
| Control | 0..* | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists()) | ||||||||
| 2. RelatedPerson.id | |||||||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||||||
| Short | Logical id of this artifact | ||||||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||||||
| Control | 0..1 | ||||||||
| Type | id | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| 4. RelatedPerson.meta | |||||||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||||||
| Short | Metadata about the resource | ||||||||
| Control | 0..1 | ||||||||
| Type | Meta | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 6. RelatedPerson.implicitRules | |||||||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||||||
| Short | A set of rules under which this content was created | ||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||||||
| Control | 0..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 8. RelatedPerson.language | |||||||||
| Definition | The base language in which the resource is written. | ||||||||
| Short | Language of the resource content | ||||||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||||||
| Type | code | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 10. RelatedPerson.text | |||||||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||||||
| Short | Text summary of the resource, for human interpretation | ||||||||
| Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||||||
| Control | 0..1 | ||||||||
| Type | Narrative | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | narrative, html, xhtml, display | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 12. RelatedPerson.contained | |||||||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||||||
| Short | Contained, inline Resources | ||||||||
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||||||
| Control | 0..* | ||||||||
| Type | Resource | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||||||
| 14. RelatedPerson.extension | |||||||||
| Definition | An Extension | ||||||||
| Short | Extension | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 16. RelatedPerson.extension:representationAuthority | |||||||||
| Slice Name | representationAuthority | ||||||||
| Definition | Extension ghi nhận THẨM QUYỀN PHÁP LÝ để một người đại diện/giám hộ/được uỷ quyền hành động thay người khác. Mô hình hoá 'token đại diện' phục vụ Policy Decision Point (PDP): miền thẩm quyền, loại thẩm quyền, nguồn xác minh, bằng chứng, thời điểm xác minh, thời hạn. PDP deny-by-default khi quan hệ mâu thuẫn/hết hạn. THAY ĐỔI 0.10.0 đợt 2 (breaking — kiểm toán 06-07/08/2026, analysis/90 §6.2): tách HAI MIỀN thẩm quyền bằng THAY ĐỔI 0.10.0 đợt 1 (breaking): thêm THAY ĐỔI 0.8.0 (breaking — hậu kiểm toán Codex): sub-extension restrictedSensitivity đã XOÁ — ngữ nghĩa hạn chế truy cập là QUYẾT ĐỊNH CHÍNH SÁCH, không phải thuộc tính token: biểu diễn bằng VNCoreConsent.provision (type=deny + securityLabel theo vn-data-sensitivity-class-vs + actor[representative] gắn chính extension này để link token↔consent — PDP resolve một chiều qua Consent). Căn cứ: Bộ luật Dân sự 2015 (đại diện/giám hộ/uỷ quyền); Luật Căn cước 2023 (quan hệ nhân thân CSDLQGDC); Luật 91/2025/QH15 Điều 24 (đại diện theo pháp luật) + Luật Trẻ em 2016 (dữ liệu trẻ em, lớp nhạy cảm). | ||||||||
| Short | Thẩm quyền đại diện/giám hộ/uỷ quyền truy cập dữ liệu (type/source/period/restriction) | ||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||||||
| Type | Extension(Thẩm quyền đại diện truy cập dữ liệu — Representation Authority Extension) (Complex Extension) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())vn-representation-domain-basis: Miền quyết định khám chữa bệnh bắt buộc có căn cứ lựa chọn theo Luật KCB Điều 8 khoản 2; miền quyền chủ thể dữ liệu không dùng trục căn cứ đó. The healthcare-decision domain SHALL carry a selectionBasis; the data-subject-rights domain SHALL NOT. ( (extension.where(url='domain').value.ofType(Coding).code = 'healthcare-decision' implies extension.where(url='selectionBasis').exists()) and (extension.where(url='domain').value.ofType(Coding).code = 'data-subject-rights' implies extension.where(url='selectionBasis').empty()))vn-representation-type-selection-basis: Loại thẩm quyền phải tương thích với nhóm căn cứ lựa chọn tại Luật KCB Điều 8 khoản 2. The authority type SHALL be consistent with the statutory selection basis. ( extension.where(url='selectionBasis').empty() or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'civil-code-representative') and (extension.where(url='type').value.ofType(Coding).code = 'legal-representative' or extension.where(url='type').value.ofType(Coding).code = 'guardian' or extension.where(url='type').value.ofType(Coding).code = 'delegated-proxy')) or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'responsible-legal-entity-appointed') and (extension.where(url='type').value.ofType(Coding).code = 'legal-representative' or extension.where(url='type').value.ofType(Coding).code = 'healthcare-agent')) or ((extension.where(url='selectionBasis').value.ofType(Coding).code = 'adult-patient-selected' or extension.where(url='selectionBasis').value.ofType(Coding).code = 'family-selected' or extension.where(url='selectionBasis').value.ofType(Coding).code = 'voluntary-obligation-performer') and extension.where(url='type').value.ofType(Coding).code = 'healthcare-agent'))vn-representation-proxy-evidence: Thẩm quyền theo uỷ quyền phải kèm ít nhất một bằng chứng (văn bản uỷ quyền). A delegated-proxy authority SHALL carry at least one evidence entry. ( extension.where(url='type').value.ofType(Coding).code = 'delegated-proxy' implies extension.where(url='evidence').exists())vn-representation-proxy-bounded: Thẩm quyền theo uỷ quyền phải có GIỚI HẠN máy-đọc: NGÀY KẾT THÚC (period.end của token hoặc validity.end trong bằng chứng — chỉ có ngày bắt đầu là uỷ quyền vô thời hạn) VÀ phạm vi (scope trong ít nhất một bằng chứng) — Bộ luật Dân sự Điều 138/140/141. A delegated-proxy authority SHALL carry a machine-readable validity bound AND scope. ( extension.where(url='type').value.ofType(Coding).code != 'delegated-proxy' or ((extension.where(url='period').value.ofType(Period).end.exists() or extension.where(url='evidence').extension.where(url='validity').value.ofType(Period).end.exists()) and extension.where(url='evidence').extension.where(url='scope').exists())) | ||||||||
| 18. RelatedPerson.extension:ethnicity | |||||||||
| Slice Name | ethnicity | ||||||||
| Definition | Dân tộc theo danh mục 54 dân tộc Việt Nam (QĐ 121-TCTK/PPCĐ). Bắt buộc với bốn bên của giấy chứng sinh mang thai hộ theo QĐ 2919/QĐ-BYT Phụ lục II (STT 6, 12, 17, 23). | ||||||||
| Short | Dân tộc | ||||||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||||||
| Type | Extension(Dân tộc — Vietnam Ethnicity Extension) (Extension Type: CodeableConcept) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| 20. RelatedPerson.modifierExtension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||||
| Short | Extensions that cannot be ignored | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||||||
| Summary | false | ||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| 22. RelatedPerson.identifier | |||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | Định danh người liên quan | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..* | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 24. RelatedPerson.identifier:CCCD | |||||||||
| Slice Name | CCCD | ||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | A human identifier for this person | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1 | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))vn-cccd-format: Số định danh cá nhân/CCCD, khi có giá trị, phải đúng 12 chữ số (Luật Căn cước 2023, Điều 12) ( value.empty() or value.extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() or value.matches('^[0-9]{12}$')) | ||||||||
| 26. RelatedPerson.identifier:CCCD.id | |||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||||
| Short | Unique id for inter-element referencing | ||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||||
| Summary | false | ||||||||
| 28. RelatedPerson.identifier:CCCD.extension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||||
| Short | Additional content defined by implementations | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 30. RelatedPerson.identifier:CCCD.use | |||||||||
| Definition | The purpose of this identifier. | ||||||||
| Short | usual | official | temp | secondary | old (If known) | ||||||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . | ||||||||
| Type | code | ||||||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 32. RelatedPerson.identifier:CCCD.type | |||||||||
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Short | Description of identifier | ||||||||
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||||||
| Control | 1..1 | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||||||
| Pattern Value | { | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 34. RelatedPerson.identifier:CCCD.system | |||||||||
| Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||||||
| Short | The namespace for the identifier value | ||||||||
| Comments | Identifier.system is always case sensitive. | ||||||||
| Control | 1..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||||||
| Fixed Value | http://fhir.hl7.org.vn/core/sid/cccd | ||||||||
| Example | General: http://www.acme.com/identifiers/patient | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 36. RelatedPerson.identifier:CCCD.value | |||||||||
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||||||
| Short | The value that is unique | ||||||||
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||||||
| Control | 1..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Must Support | true | ||||||||
| Summary | true | ||||||||
| Example | General: 123456 | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 38. RelatedPerson.identifier:CCCD.period | |||||||||
| Definition | Time period during which identifier is/was valid for use. | ||||||||
| Short | Time period when id is/was valid for use | ||||||||
| Control | 0..1 | ||||||||
| Type | Period | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 40. RelatedPerson.identifier:CCCD.assigner | |||||||||
| Definition | Organization that issued/manages the identifier. | ||||||||
| Short | Organization that issued id (may be just text) | ||||||||
| Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||||||
| Control | 0..1 | ||||||||
| Type | Reference(Organization) | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 42. RelatedPerson.identifier:HC | |||||||||
| Slice Name | HC | ||||||||
| Definition | Identifier for a person within a particular scope. | ||||||||
| Short | A human identifier for this person | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Control | 0..1 | ||||||||
| Type | Identifier | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 44. RelatedPerson.identifier:HC.id | |||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||||
| Short | Unique id for inter-element referencing | ||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||||
| Summary | false | ||||||||
| 46. RelatedPerson.identifier:HC.extension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||||
| Short | Additional content defined by implementations | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| Slicing | This element introduces a set of slices on RelatedPerson.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||||
| 48. RelatedPerson.identifier:HC.use | |||||||||
| Definition | The purpose of this identifier. | ||||||||
| Short | usual | official | temp | secondary | old (If known) | ||||||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . | ||||||||
| Type | code | ||||||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 50. RelatedPerson.identifier:HC.type | |||||||||
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Short | Description of identifier | ||||||||
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||||||
| Control | 1..1 | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||||||
| Pattern Value | { | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 52. RelatedPerson.identifier:HC.system | |||||||||
| Definition | Hộ chiếu Việt Nam dùng | ||||||||
| Short | The namespace for the identifier value | ||||||||
| Comments | Identifier.system is always case sensitive. | ||||||||
| Control | 1..1 | ||||||||
| Type | uri | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||||||
| Example | General: http://www.acme.com/identifiers/patient | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 54. RelatedPerson.identifier:HC.value | |||||||||
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||||||
| Short | The value that is unique | ||||||||
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||||||
| Control | 1..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Example | General: 123456 | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 56. RelatedPerson.identifier:HC.period | |||||||||
| Definition | Time period during which identifier is/was valid for use. | ||||||||
| Short | Time period when id is/was valid for use | ||||||||
| Control | 0..1 | ||||||||
| Type | Period | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 58. RelatedPerson.identifier:HC.assigner | |||||||||
| Definition | Organization that issued/manages the identifier. | ||||||||
| Short | Organization that issued id (may be just text) | ||||||||
| Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||||||
| Control | 0..1 | ||||||||
| Type | Reference(Organization) | ||||||||
| Is Modifier | false | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 60. RelatedPerson.active | |||||||||
| Definition | Whether this related person record is in active use. | ||||||||
| Short | Bản ghi đang hoạt động | ||||||||
| Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error. | ||||||||
| Control | 1..1 | ||||||||
| Type | boolean | ||||||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Need to be able to mark a related person record as not to be used, such as if it was created in error. | ||||||||
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 62. RelatedPerson.patient | |||||||||
| Definition | The patient this person is related to. | ||||||||
| Short | Bệnh nhân liên quan | ||||||||
| Control | 1..1 | ||||||||
| Type | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | We need to know which patient this RelatedPerson is related to. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 64. RelatedPerson.relationship | |||||||||
| Definition | Quan hệ huyết thống/gia đình (mẹ, cha, con...) dùng relatedperson-relationshiptype. LƯU Ý: thẩm quyền pháp lý để truy cập thay (đại diện theo pháp luật / giám hộ / uỷ quyền) ghi ở extension[representationAuthority] — cha/mẹ có relationship=mother/father nhưng thẩm quyền = legal-representative. | ||||||||
| Short | Quan hệ GIA ĐÌNH với bệnh nhân (mother/father...) — KHÁC trục thẩm quyền pháp lý ở extension[representationAuthority] | ||||||||
| Control | 1..* | ||||||||
| Binding | Unless not suitable, these codes SHALL be taken from PatientRelationshipType (extensible to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype) | ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 66. RelatedPerson.name | |||||||||
| Definition | A name associated with the person. | ||||||||
| Short | Họ tên người liên quan | ||||||||
| Control | 0..* | ||||||||
| Type | HumanName | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 68. RelatedPerson.telecom | |||||||||
| Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||||||
| Short | Thông tin liên lạc | ||||||||
| Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||||||
| Control | 0..* | ||||||||
| Type | ContactPoint | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 70. RelatedPerson.gender | |||||||||
| Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. | ||||||||
| Short | male | female | other | unknown | ||||||||
| Control | 0..1 | ||||||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||||||
| Type | code | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Requirements | Needed for identification of the person, in combination with (at least) name and birth date. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 72. RelatedPerson.birthDate | |||||||||
| Definition | The date on which the related person was born. | ||||||||
| Short | The date on which the related person was born | ||||||||
| Control | 0..1 | ||||||||
| Type | date | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | true | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 74. RelatedPerson.address | |||||||||
| Definition | Address where the related person can be contacted or visited. | ||||||||
| Short | Địa chỉ | ||||||||
| Control | 0..* | ||||||||
| Type | Address(Địa chỉ VN Core — VN Core Address Profile) | ||||||||
| Is Modifier | false | ||||||||
| Must Support | true | ||||||||
| Obligations |
| ||||||||
| Summary | true | ||||||||
| Requirements | Need to keep track where the related person can be contacted per postal mail or visited. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 76. RelatedPerson.photo | |||||||||
| Definition | Image of the person. | ||||||||
| Short | Image of the person | ||||||||
| Control | 0..* | ||||||||
| Type | Attachment | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Requirements | Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 78. RelatedPerson.period | |||||||||
| Definition | The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. | ||||||||
| Short | Thời gian quan hệ có hiệu lực | ||||||||
| Control | 0..1 | ||||||||
| Type | Period | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 80. RelatedPerson.communication | |||||||||
| Definition | A language which may be used to communicate with about the patient's health. | ||||||||
| Short | A language which may be used to communicate with about the patient's health | ||||||||
| Comments | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. | ||||||||
| Control | 0..* | ||||||||
| Type | BackboneElement | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Requirements | If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 82. RelatedPerson.communication.id | |||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||||
| Short | Unique id for inter-element referencing | ||||||||
| Control | 0..1 | ||||||||
| Type | string | ||||||||
| Is Modifier | false | ||||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||||
| Summary | false | ||||||||
| 84. RelatedPerson.communication.extension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||||
| Short | Additional content defined by implementations | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Alternate Names | extensions, user content | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| 86. RelatedPerson.communication.modifierExtension | |||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||||
| Control | 0..* | ||||||||
| Type | Extension | ||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||||
| Summary | true | ||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||||
| Alternate Names | extensions, user content, modifiers | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||||
| 88. RelatedPerson.communication.language | |||||||||
| Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. | ||||||||
| Short | The language which can be used to communicate with the patient about his or her health | ||||||||
| Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. | ||||||||
| Control | 1..1 | ||||||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||||||
| Type | CodeableConcept | ||||||||
| Is Modifier | false | ||||||||
| Summary | false | ||||||||
| Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
| 90. RelatedPerson.communication.preferred | |||||||||
| Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). | ||||||||
| Short | Language preference indicator | ||||||||
| Comments | This language is specifically identified for communicating healthcare information. | ||||||||
| Control | 0..1 | ||||||||
| Type | boolean | ||||||||
| Is Modifier | false | ||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||||
| Summary | false | ||||||||
| Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. | ||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||||
