Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.9.0 - Draft for Community Review
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
| Draft tại thời điểm 2026-07-27 |
Biểu diễn TTL của vn-ext-care-delivery-mode phần mở rộng.
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/StructureDefinition/vn-ext-care-delivery-mode> a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "vn-ext-care-delivery-mode"] ; fhir:Resource.language [ fhir:value "vi"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition vn-ext-care-delivery-mode</b></p><a name=\"vn-ext-care-delivery-mode\"> </a><a name=\"hcvn-ext-care-delivery-mode\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-care-delivery-mode-definitions.html#Extension\" title=\"Phương thức cung cấp dịch vụ khám bệnh, chữa bệnh của một buổi hẹn, khung giờ hoặc lịch cung cấp dịch vụ: trực tiếp, tại nhà, từ xa, hoặc hỗ trợ từ xa giữa hai cơ sở.#xA;Vì sao cần extension: Appointment, Slot và Schedule của FHIR R4 không có element mang được phương thức cung cấp dịch vụ, trong khi người bệnh phải biết ngay khi đặt lịch là đến cơ sở hay chờ cuộc gọi.#xA;KHÔNG dùng cho Encounter: lượt khám từ xa biểu diễn bằng Encounter.class = VR theo chuẩn FHIR, thêm extension ở đó là lặp thông tin.#xA;Căn cứ: Luật 15/2023/QH15 Điều 80 (khám bệnh, chữa bệnh từ xa và hỗ trợ khám bệnh, chữa bệnh từ xa); Luật 114/2025/QH15 Điều 44 khoản 1 (đưa các hình thức này vào phạm vi hưởng bảo hiểm y tế từ 01/07/2026).\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phương thức cung cấp dịch vụ KCB — Care Delivery Mode Extension</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-vn-ext-care-delivery-mode-definitions.html#Extension.extension\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-care-delivery-mode-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-care-delivery-mode\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-ext-care-delivery-mode-definitions.html#Extension.value[x]\" title=\"Giá trị theo VNCareDeliveryModeCS. Binding extensible để cơ sở bổ sung phương thức chưa có mã (ví dụ khám lưu động) mà không phải rẽ nhánh IG.\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phương thức: trực tiếp | tại nhà | từ xa | hỗ trợ từ xa<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-care-delivery-mode-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-care-delivery-mode-vs\" class=\"binding\">Phương thức cung cấp dịch vụ KCB — VN Care Delivery Mode ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>" ] ; fhir:DomainResource.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-legal-basis" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-legal-document-ref-cs" ] ; fhir:Coding.code [ fhir:value "L-15-2023" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-legal-basis" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-legal-document-ref-cs" ] ; fhir:Coding.code [ fhir:value "L-114-2025" ] ] ] ; fhir:StructureDefinition.url [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-care-delivery-mode"] ; fhir:StructureDefinition.identifier [ fhir:index -1 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:2.25.161089673617632664299011809196868855799.42.106" ] ] ; fhir:StructureDefinition.version [ fhir:value "0.9.0"] ; fhir:StructureDefinition.name [ fhir:value "VNCoreExtCareDeliveryMode"] ; fhir:StructureDefinition.title [ fhir:value "Phương thức cung cấp dịch vụ KCB — Care Delivery Mode Extension"] ; fhir:StructureDefinition.status [ fhir:value "draft"] ; fhir:StructureDefinition.date [ fhir:value "2026-07-27"^^xsd:date] ; fhir:StructureDefinition.publisher [ fhir:value "Omi HealthTech / VN Core FHIR Community Initiative"] ; fhir:StructureDefinition.contact [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Omi HealthTech / VN Core FHIR Community Initiative" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://hl7.org.vn" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "[email protected]" ] ] ], [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Omi HealthTech (OmiGroup)" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://omihealthtech.vn" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://omigroup.vn" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "[email protected]" ] ] ] ; fhir:StructureDefinition.description [ fhir:value "Phương thức cung cấp dịch vụ khám bệnh, chữa bệnh của một buổi hẹn, khung giờ hoặc lịch cung cấp dịch vụ: trực tiếp, tại nhà, từ xa, hoặc hỗ trợ từ xa giữa hai cơ sở.\nVì sao cần extension: Appointment, Slot và Schedule của FHIR R4 không có element mang được phương thức cung cấp dịch vụ, trong khi người bệnh phải biết ngay khi đặt lịch là đến cơ sở hay chờ cuộc gọi.\nKHÔNG dùng cho Encounter: lượt khám từ xa biểu diễn bằng Encounter.class = VR theo chuẩn FHIR, thêm extension ở đó là lặp thông tin.\nCăn cứ: Luật 15/2023/QH15 Điều 80 (khám bệnh, chữa bệnh từ xa và hỗ trợ khám bệnh, chữa bệnh từ xa); Luật 114/2025/QH15 Điều 44 khoản 1 (đưa các hình thức này vào phạm vi hưởng bảo hiểm y tế từ 01/07/2026)."] ; fhir:StructureDefinition.jurisdiction [ fhir:index -1 ; fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "VN" ] ; fhir:Coding.display [ fhir:value "Viet Nam" ] ] ] ; fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ; fhir:StructureDefinition.mapping [ fhir:index -1 ; fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ] ] ; fhir:StructureDefinition.kind [ fhir:value "complex-type"] ; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ; fhir:StructureDefinition.context [ fhir:index -1 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "Appointment" ] ], [ fhir:index -1 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "Slot" ] ], [ fhir:index -1 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "Schedule" ] ], [ fhir:index -1 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "HealthcareService" ] ] ; fhir:StructureDefinition.type [ fhir:value "Extension"] ; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ; fhir:StructureDefinition.derivation [ fhir:value "constraint"] ; fhir:StructureDefinition.snapshot [ fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ; fhir:Extension.valueString [ fhir:value "4.0.1" ] ] ; fhir:StructureDefinition.snapshot.element [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.short [ fhir:value "Phương thức cung cấp dịch vụ KCB — Care Delivery Mode Extension" ] ; fhir:ElementDefinition.definition [ fhir:value "Phương thức cung cấp dịch vụ khám bệnh, chữa bệnh của một buổi hẹn, khung giờ hoặc lịch cung cấp dịch vụ: trực tiếp, tại nhà, từ xa, hoặc hỗ trợ từ xa giữa hai cơ sở.\nVì sao cần extension: Appointment, Slot và Schedule của FHIR R4 không có element mang được phương thức cung cấp dịch vụ, trong khi người bệnh phải biết ngay khi đặt lịch là đến cơ sở hay chờ cuộc gọi.\nKHÔNG dùng cho Encounter: lượt khám từ xa biểu diễn bằng Encounter.class = VR theo chuẩn FHIR, thêm extension ở đó là lặp thông tin.\nCăn cứ: Luật 15/2023/QH15 Điều 80 (khám bệnh, chữa bệnh từ xa và hỗ trợ khám bệnh, chữa bệnh từ xa); Luật 114/2025/QH15 Điều 44 khoản 1 (đưa các hình thức này vào phạm vi hưởng bảo hiểm y tế từ 01/07/2026)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.condition [ fhir:value "ele-1" ; fhir:index -1 ] ; fhir:ElementDefinition.constraint [ fhir:index -1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [ fhir:index -1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.id" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index -1 ] ; fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index -1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index -1 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ] ; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ; fhir:ElementDefinition.short [ fhir:value "Extension" ] ; fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index -1 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index -1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [ fhir:index -1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index -1 ] ; fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ; fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "uri" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.fixedUri [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-care-delivery-mode" ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index -1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Phương thức: trực tiếp | tại nhà | từ xa | hỗ trợ từ xa" ] ; fhir:ElementDefinition.definition [ fhir:value "Giá trị theo VNCareDeliveryModeCS. Binding extensible để cơ sở bổ sung phương thức chưa có mã (ví dụ khám lưu động) mà không phải rẽ nhánh IG." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index -1 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index -1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://fhir.hl7.org.vn/core/ValueSet/vn-care-delivery-mode-vs" ; fhir:link <http://fhir.hl7.org.vn/core/ValueSet/vn-care-delivery-mode-vs> ] ] ; fhir:ElementDefinition.mapping [ fhir:index -1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ] ] ; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.short [ fhir:value "Phương thức cung cấp dịch vụ KCB — Care Delivery Mode Extension" ] ; fhir:ElementDefinition.definition [ fhir:value "Phương thức cung cấp dịch vụ khám bệnh, chữa bệnh của một buổi hẹn, khung giờ hoặc lịch cung cấp dịch vụ: trực tiếp, tại nhà, từ xa, hoặc hỗ trợ từ xa giữa hai cơ sở.\nVì sao cần extension: Appointment, Slot và Schedule của FHIR R4 không có element mang được phương thức cung cấp dịch vụ, trong khi người bệnh phải biết ngay khi đặt lịch là đến cơ sở hay chờ cuộc gọi.\nKHÔNG dùng cho Encounter: lượt khám từ xa biểu diễn bằng Encounter.class = VR theo chuẩn FHIR, thêm extension ở đó là lặp thông tin.\nCăn cứ: Luật 15/2023/QH15 Điều 80 (khám bệnh, chữa bệnh từ xa và hỗ trợ khám bệnh, chữa bệnh từ xa); Luật 114/2025/QH15 Điều 44 khoản 1 (đưa các hình thức này vào phạm vi hưởng bảo hiểm y tế từ 01/07/2026)." ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.fixedUri [ fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-care-delivery-mode" ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Phương thức: trực tiếp | tại nhà | từ xa | hỗ trợ từ xa" ] ; fhir:ElementDefinition.definition [ fhir:value "Giá trị theo VNCareDeliveryModeCS. Binding extensible để cơ sở bổ sung phương thức chưa có mã (ví dụ khám lưu động) mà không phải rẽ nhánh IG." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.type [ fhir:index -1 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://fhir.hl7.org.vn/core/ValueSet/vn-care-delivery-mode-vs" ; fhir:link <http://fhir.hl7.org.vn/core/ValueSet/vn-care-delivery-mode-vs> ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/StructureDefinition/vn-ext-care-delivery-mode.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/StructureDefinition/vn-ext-care-delivery-mode.ttl> .
IG © 2026+ Omi HealthTech / VN Core FHIR Community Initiative.
Package hl7.fhir.vn.core#0.9.0 based on FHIR 4.0.1.
Sinh ngày
2026-07-31
Liên kết: Mục lục |
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