HL7 Vietnam VN Core FHIR Implementation Guide

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

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

ValueSet: Mục đích sử dụng trong AuditEvent — VN Audit Purpose of Use ValueSet

URL chính thức: http://fhir.hl7.org.vn/core/ValueSet/vn-audit-purpose-of-use-vs Phiên bản: 0.9.0
Computable Name: VNAuditPurposeOfUseVS
Định danh khác: OID:2.25.161089673617632664299011809196868855799.48.5

Tập giá trị mục đích sử dụng cho AuditEvent quyết định theo căn cứ pháp lý. Tập này giữ toàn bộ mục đích xử lý hiện có của VNConsentPurposeVS và bổ sung ba mã HL7 v3-ActReason cho truy cập cấp cứu: BTG (break-glass thực sự), ETREAT (điều trị cấp cứu) và ERTREAT (quyền truy cập thường trực của khoa cấp cứu). Căn cứ pháp lý xử lý vẫn được ghi riêng bằng VNCoreExtProcessingLegalBasis. / Purpose-of-use values for legal-basis decision AuditEvents. This value set retains all existing VNConsentPurposeVS purposes and adds the HL7 v3-ActReason BTG, ETREAT, and ERTREAT emergency-access codes. The processing legal basis remains separate in VNCoreExtProcessingLegalBasis.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Import all the codes that are contained in the intersection of Mục đích xử lý dữ liệu y tế — VN Consent Purpose ValueSet
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActReason version 📍4.0.0
    CodeDisplayDefinition
    BTG break the glass To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.

    *Map:* Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.
    ETREAT Emergency Treatment To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
    ERTREAT emergency room treatment To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use.

    Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."

    The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.

    There is a semantic gap in concepts. This classification term is described as activities "to inform persons" rather than the rationale for performing actions/operations on information related to the activity.

 

Khai triển

This value set contains 12 concepts

SystemCodeDisplay (vi)DefinitionJSONXML
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  TREATTreatmentXử lý DLCN phục vụ khám bệnh, chữa bệnh, điều trị. Theo Luật 91/2025/QH15 Điều 26 khoản 1 điểm a — thông tin sức khỏe bắt buộc có đồng ý, miễn trừ chỉ theo Điều 19 khoản 1.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  HPAYMTHealthcare PaymentXử lý DLCN phục vụ thanh toán bảo hiểm y tế, giám định BHXH. Theo Luật BHYT, NĐ 188/2025/NĐ-CP.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  PUBHLTHPublic HealthXử lý DLCN phục vụ y tế dự phòng, phòng chống dịch bệnh, thống kê y tế. Báo cáo bắt buộc theo pháp luật đi qua căn cứ Luật 91/2025/QH15 Điều 19 khoản 1 điểm c (hoạt động cơ quan nhà nước); nghiệp vụ phòng bệnh theo Luật 114/2025/QH15.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  ERESRCHMedical ResearchXử lý DLCN phục vụ nghiên cứu y sinh, thử nghiệm lâm sàng. Theo Luật 91/2025/QH15 Điều 9 — đồng ý bắt buộc (Luật KHÔNG có miễn trừ riêng cho nghiên cứu); DPIA theo NĐ 356/2025/NĐ-CP Điều 19 (Mẫu số 10).
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  EMRElectronic Medical RecordXử lý DLCN phục vụ lập, lưu trữ bệnh án điện tử. Theo TT 13/2025/TT-BYT.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  EHRSHAREHealth Record SharingXử lý DLCN để chia sẻ hồ sơ sức khỏe điện tử giữa các CSKCB, VNeID. Theo QĐ 1332/QĐ-BYT.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  REFERRALReferralXử lý DLCN phục vụ chuyển viện, chuyển tuyến khám chữa bệnh. Theo Luật KCB 2023.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  XBORDERCross-border Data TransferChuyển DLCN ra nước ngoài. Theo Luật 91/2025/QH15 Điều 20; hồ sơ đánh giá tác động chuyển xuyên biên giới theo NĐ 356/2025/NĐ-CP Điều 18 (Mẫu số 09), nộp trong 60 ngày kể từ ngày đầu chuyển.
http://fhir.hl7.org.vn/core/CodeSystem/vn-consent-purpose-cs  HMARKTHealthcare MarketingSử dụng DLCN y tế cho mục đích tiếp thị, quảng cáo dịch vụ y tế. Cần có sự đồng ý rõ ràng theo từng mục đích — Luật 91/2025/QH15 Điều 9 khoản 4 điểm a; hoạt động quảng cáo tuân thủ Điều 28. Chủ thể dữ liệu có quyền rút lại bất cứ lúc nào (Điều 10).
http://terminology.hl7.org/CodeSystem/v3-ActReason  BTG

To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.

Map: Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.

http://terminology.hl7.org/CodeSystem/v3-ActReason  ETREAT

To perform one or more operations on information for provision of immediately needed health care for an emergent condition.

http://terminology.hl7.org/CodeSystem/v3-ActReason  ERTREAT

To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use.

Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."

The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.

There is a semantic gap in concepts. This classification term is described as activities "to inform persons" rather than the rationale for performing actions/operations on information related to the activity.


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