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

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Hồ sơ tài nguyên: Bệnh án điện tử VN Core — VN Core Composition Profile

Profile Composition cho bệnh án điện tử (EMR) Việt Nam. Cấu trúc tài liệu y tế có phân mục: tiền sử, chẩn đoán, xét nghiệm, điều trị, ra viện. Căn cứ:

• Luật 20/2023/QH15 — Luật Giao dịch điện tử, đọc theo sửa đổi tại Luật 60/2024/QH15
• Luật 60/2024/QH15 — Luật Dữ liệu, nền tảng quản trị dữ liệu số
• TT 13/2025/TT-BYT — 06/6/2025 — bệnh án điện tử, hiệu lực 21/7/2025
• TT 38/2024/TT-BYT — 16/11/2024 (hiệu lực 01/01/2027, chưa áp dụng) — hệ thống thông tin quản lý hoạt động KCB
• NĐ 102/2025/NĐ-CP — 13/5/2025 — quản lý dữ liệu y tế số
• NĐ 278/2025/NĐ-CP — ban hành 22/10/2025, hiệu lực từ ngày ký 22/10/2025 — kết nối, chia sẻ dữ liệu bắt buộc giữa cơ quan thuộc hệ thống chính trị; mốc chuẩn hoá/kết nối thống nhất chậm nhất 31/12/2026
• QĐ 11/2026/QĐ-TTg — 28/3/2026 — danh mục CSDL quốc gia, bao gồm CSDL quốc gia về y tế
• NĐ 23/2025/NĐ-CP — chữ ký điện tử và dịch vụ tin cậy
• NĐ 68/2024/NĐ-CP — áp dụng khi cơ sở y tế công lập dùng chữ ký số chuyên dùng công vụ
• NĐ 137/2024/NĐ-CP — chỉ khi giao dịch thuộc phạm vi cơ quan nhà nước/hệ thống thông tin phục vụ giao dịch điện tử
• Luật KCB 2023 — hồ sơ bệnh án.

Usages:

• Derived from this Profile: Giấy chứng sinh — VN Core Birth Certificate Composition and Giấy chứng sinh mang thai hộ — VN Core Surrogacy Birth Certificate Composition
• Examples for this Profile: Composition/ExampleCompositionDischargeSummary, Composition/ExampleCompositionEMR, Composition/ExampleCompositionFinalNoAttester and Composition/ExampleCompositionReferralLetter
• CapabilityStatements using this Profile: VN Core EMR Server CapabilityStatement and VN Core Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Các dạng xem hình thức của nội dung hồ sơ

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

• Bảng phần tử chính
• Bảng Differential
• Bảng Snapshot
• Nghĩa vụ hỗ trợ
• Thống kê/Tham chiếu
• Tất cả

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SOΣ	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SOΣ	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
Slices for section	SOC	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
identifier	SO	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	SO	1..1	code	Trạng thái Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SO	1..1	CodeableConcept	Loại bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
subject	SO	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SO	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SO	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SO	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SO	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SO	0..1	code	Mức bảo mật Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official)
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SO	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
Slices for section	SO	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC)
text		0..1	Narrative	Nội dung tường thuật
entry		0..*	Reference(Resource)	Tài nguyên liên quan
section:chiefComplaint	SO	0..1	BackboneElement	Lý do đến khám / nhập viện Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
section:history	SO	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
section:physicalExam	SO	0..1	BackboneElement	Kết quả khám lâm sàng Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
section:diagnosis	SO	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
entry		0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
section:labResults	SO	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
entry		0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
section:medications	SO	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
entry		0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
section:procedures	SO	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
entry		0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
section:dischargeSummary	SO	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SOΣ	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SOΣ	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.2
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:history.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:history.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:labResults.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:medications.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:procedures.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)
• Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)
• Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)
• Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)
• Đơn thuốc VN Core — VN Core MedicationRequest Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request)
• Thuốc VN Core — VN Core Medication Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication)
• Thủ thuật/DVKT VN Core — VN Core Procedure Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Composition.section

Dạng xem phần tử chính

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SOΣ	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SOΣ	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
Slices for section	SOC	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Dạng xem Differential

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
identifier	SO	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	SO	1..1	code	Trạng thái Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SO	1..1	CodeableConcept	Loại bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
subject	SO	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SO	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SO	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SO	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SO	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SO	0..1	code	Mức bảo mật Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official)
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SO	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
Slices for section	SO	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC)
text		0..1	Narrative	Nội dung tường thuật
entry		0..*	Reference(Resource)	Tài nguyên liên quan
section:chiefComplaint	SO	0..1	BackboneElement	Lý do đến khám / nhập viện Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
section:history	SO	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
section:physicalExam	SO	0..1	BackboneElement	Kết quả khám lâm sàng Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
section:diagnosis	SO	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
entry		0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
section:labResults	SO	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
entry		0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
section:medications	SO	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
entry		0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
section:procedures	SO	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
entry		0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
section:dischargeSummary	SO	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title		0..1	string	Tên phần
code		1..1	CodeableConcept	Mã phần (LOINC) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Dạng xem SnapshotView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: vn-composition-final-requires-attester
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SOΣ	1..1	Identifier	Mã bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
status	?!SOΣ	1..1	code	Trạng thái Binding: CompositionStatus (required): The workflow/clinical status of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
type	SOΣ	1..1	CodeableConcept	Loại bệnh án Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SOΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
encounter	SOΣ	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Đợt khám/điều trị Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
date	SOΣ	1..1	dateTime	Ngày lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
author	SOΣ	1..*	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Bác sĩ lập bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
title	SOΣ	1..1	string	Tiêu đề bệnh án Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
confidentiality	SOΣ	0..1	code	Mức bảo mật Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
attester	SO	0..*	BackboneElement	Người ký hoặc xác nhận điện tử tài liệu Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	Tư cách xác nhận (personal | professional | legal | official) Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	Thời điểm ký/xác nhận điện tử
party	S	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Bệnh nhân VN Core — VN Core Patient Profile | Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile | Cơ sở y tế VN Core — VN Core Organization Profile)	Chủ thể xác nhận — nhân viên y tế, người bệnh, người đại diện hoặc tổ chức
custodian	SOΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	CSKCB lưu trữ Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	0..*	BackboneElement	Các phần bệnh án Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	0..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:chiefComplaint	SOC	0..1	BackboneElement	Lý do đến khám / nhập viện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:history	SOC	0..1	BackboneElement	Tiền sử bệnh tật, dị ứng, gia đình Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of Past illness note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:physicalExam	SOC	0..1	BackboneElement	Kết quả khám lâm sàng Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:diagnosis	SOC	0..1	BackboneElement	Chẩn đoán sơ bộ và xác định (ICD-10 VN) Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29548-5
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:labResults	SOC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:medications	SOC	0..1	BackboneElement	Đơn thuốc, y lệnh dùng thuốc Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		1..1	string	Representation defined by the system Fixed Value: History of Medication use Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile | Thuốc VN Core — VN Core Medication Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SOC	0..1	BackboneElement	Thủ thuật, phẫu thuật đã thực hiện Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:dischargeSummary	SOC	0..1	BackboneElement	Tình trạng ra viện, hướng điều trị tiếp Constraints: cmp-1, cmp-2 Obligations Actor SHALL:populate-if-known Nguồn tạo hồ sơ lâm sàng (Document Source) SHALL:no-error & SHALL:persist Kho hồ sơ EMR (Repository)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Tên phần
code	S	1..1	CodeableConcept	Mã phần (LOINC) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Nội dung tường thuật This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	Tài nguyên liên quan
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.2
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:chiefComplaint.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:history.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:history.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:history.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:history.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:physicalExam.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:diagnosis.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:labResults.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:labResults.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:labResults.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:medications.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:medications.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:medications.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:procedures.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:procedures.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:procedures.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:dischargeSummary.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:chiefComplaint, Composition.section:history, Composition.section:physicalExam, Composition.section:diagnosis, Composition.section:labResults, Composition.section:medications, Composition.section:procedures, Composition.section:dischargeSummary	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
vn-composition-final-requires-attester	error	Composition	Tài liệu ở trạng thái final hoặc amended phải có ít nhất một người ký/xác nhận điện tử. A composition in final or amended status SHALL carry at least one attester.	status.exists() and (status = 'final' or status = 'amended') implies attester.exists()

Name	Kho hồ sơ EMR (Repository)	Nguồn tạo hồ sơ lâm sàng (Document Source)
Composition
identifier	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
status	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
type	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
subject	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
encounter	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
date	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
author	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
title	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
confidentiality	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
attester	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
custodian	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Slices for section	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:All Slices
section:chiefComplaint	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:history	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:physicalExam	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:diagnosis	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:labResults	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:medications	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:procedures	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
section:dischargeSummary	SHALL:no-error & SHALL:persist	SHALL:populate-if-known
Documentation for this format

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Người liên quan/người giám hộ VN Core — VN Core RelatedPerson Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-relatedperson)
• Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)
• Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)
• Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)
• Đơn thuốc VN Core — VN Core MedicationRequest Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request)
• Thuốc VN Core — VN Core Medication Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication)
• Thủ thuật/DVKT VN Core — VN Core Procedure Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Composition.section