HL7 Vietnam VN Core FHIR Implementation Guide

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

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Hồ sơ tài nguyên: Sổ Sức khoẻ điện tử VN Core — VN Core Health Record Summary (Patient Summary) Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-record-summary Phiên bản: 0.10.0
Computable Name: VNCoreCompositionHealthRecordSummary
Định danh khác: OID:2.25.161089673617632664299011809196868855799.42.42

Profile Composition cho Sổ Sức khoẻ điện tử tích hợp trên VNeID — bản tóm tắt sức khoẻ tổng hợp (longitudinal) của người dân, theo pattern International Patient Summary (IPS). Khác với VNCoreCompositionHealthCheckup (1 đợt KSK) và VNCoreComposition (bệnh án EMR): đây là VIEW tổng hợp hiển thị cho người dân trên VNeID, ánh xạ trực tiếp cấu trúc Sổ SKĐT của QĐ 1332/QĐ-BYT (Mục A: Hành chính + Tiền sử + Thông tin đợt KCB). Các mục QĐ 1332/QĐ-BYT → section IPS:

  • Tiền sử dị ứng → allergies (LOINC 48765-2)
  • Tiền sử bệnh tật / chẩn đoán → problems (11450-4)
  • Tiền sử tiêm chủng → immunizations (11369-6)
  • Chỉ số theo dõi (nhóm máu, chiều cao, cân nặng, sinh hiệu) → vitalSigns (8716-3)
  • Kết quả xét nghiệm / CĐHA → results (30954-2)
  • Thuốc đã điều trị → medications (10160-0)
  • Phẫu thuật, thủ thuật → procedures (47519-4) Căn cứ: QĐ 1332/QĐ-BYT (21/5/2024 — Sổ SKĐT VNeID); QĐ 2062/QĐ-BYT (sửa đổi, bổ sung QĐ 1551/QĐ-BYT về dữ liệu KSK); QĐ 1923/QĐ-BYT (chuẩn hoá HL7 FHIR); HL7 IPS làm khung tham chiếu quốc tế.

Usages:

You can also check for usages in the FHIR IG Statistics

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... type SOΣ 1..1 CodeableConcept Sổ Sức khoẻ điện tử (Patient Summary — IPS LOINC 60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... date SOΣ 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SOΣ 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... party 0..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) Who attested the composition
... custodian SOΣ 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... event SOΣ 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period The period covered by the documentation
.... detail SΣ 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Chẩn đoán VN Core — VN Core Condition Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:medications SOC 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:immunizations SOC 0..1 BackboneElement Tiền sử tiêm chủng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
.... section:results SOC 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
.... section:procedures SOC 0..1 BackboneElement Phẫu thuật, thủ thuật đã thực hiện
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile) A reference to data that supports this section
.... section:vitalSigns SOC 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
.... section:planOfCare SOC 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:healthCheckup SOC 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco 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.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section:allergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:problems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​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.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:immunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:results.​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:vitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... identifier SO 0..1 Identifier Mã định danh bản tóm tắt Sổ SKĐT
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... status SO 1..1 code preliminary | final | amended | entered-in-error
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
... subject SO 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... date SO 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SO 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... party 0..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) Who attested the composition
... custodian SO 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... event SO 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... period S 0..1 Period The period covered by the documentation
.... detail S 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SO 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... section:All Slices Content/Rules for all slices
..... text S 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
.... section:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... entry 0..* Reference(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
..... entry 0..* Reference(Chẩn đoán VN Core — VN Core Condition Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:medications SOC 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:immunizations SO 0..1 BackboneElement Tiền sử tiêm chủng
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
..... entry 0..* Reference(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
.... section:results SO 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
.... section:procedures SO 0..1 BackboneElement Phẫu thuật, thủ thuật đã thực hiện
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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) A reference to data that supports this section
.... section:vitalSigns SO 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs note
..... entry 0..* Reference(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
.... section:planOfCare SO 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
.... section:healthCheckup SO 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical note
..... entry 0..* Reference(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
vn-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Mã định danh bản tóm tắt Sổ SKĐT
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... type SOΣ 1..1 CodeableConcept Sổ Sức khoẻ điện tử (Patient Summary — IPS LOINC 60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SOΣ 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..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) Who attested the composition
... custodian SOΣ 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 SOΣ 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 SΣ 0..1 Period The period covered by the documentation
.... detail SΣ 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason SC 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:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... emptyReason SC 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 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason SC 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:immunizations SOC 0..1 BackboneElement Tiền sử tiêm chủng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
..... 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:results SOC 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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 | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
..... 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 Phẫu thuật, thủ thuật đã thực hiện
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:vitalSigns SOC 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
..... 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:planOfCare SOC 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:healthCheckup SOC 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section
..... 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

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco 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:allergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:allergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:problems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:problems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​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:immunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:immunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:immunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:immunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:results.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:results.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:results.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:results.​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:vitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()

Summary

Mandatory: 9 elements(6 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... type SOΣ 1..1 CodeableConcept Sổ Sức khoẻ điện tử (Patient Summary — IPS LOINC 60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... date SOΣ 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SOΣ 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... party 0..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) Who attested the composition
... custodian SOΣ 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... event SOΣ 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period The period covered by the documentation
.... detail SΣ 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Chẩn đoán VN Core — VN Core Condition Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:medications SOC 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:immunizations SOC 0..1 BackboneElement Tiền sử tiêm chủng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
.... section:results SOC 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Xét nghiệm VN Core — VN Core Observation Laboratory Profile | Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
.... section:procedures SOC 0..1 BackboneElement Phẫu thuật, thủ thuật đã thực hiện
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Thủ thuật/DVKT VN Core — VN Core Procedure Profile) A reference to data that supports this section
.... section:vitalSigns SOC 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
.... section:planOfCare SOC 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:healthCheckup SOC 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco 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.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section:allergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:problems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​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.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:immunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:results.​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:vitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... identifier SO 0..1 Identifier Mã định danh bản tóm tắt Sổ SKĐT
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... status SO 1..1 code preliminary | final | amended | entered-in-error
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
... subject SO 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... date SO 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SO 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... party 0..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) Who attested the composition
... custodian SO 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... event SO 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... period S 0..1 Period The period covered by the documentation
.... detail S 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SO 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... section:All Slices Content/Rules for all slices
..... text S 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
.... section:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... entry 0..* Reference(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
..... entry 0..* Reference(Chẩn đoán VN Core — VN Core Condition Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:medications SOC 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason S 0..1 CodeableConcept Why the section is empty
.... section:immunizations SO 0..1 BackboneElement Tiền sử tiêm chủng
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
..... entry 0..* Reference(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
.... section:results SO 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
.... section:procedures SO 0..1 BackboneElement Phẫu thuật, thủ thuật đã thực hiện
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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) A reference to data that supports this section
.... section:vitalSigns SO 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs note
..... entry 0..* Reference(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
.... section:planOfCare SO 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
.... section:healthCheckup SO 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical note
..... entry 0..* Reference(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
vn-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()

Dạng xem SnapshotView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... text SO 1..1 Narrative Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332/QĐ-BYT Điều 4)
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Mã định danh bản tóm tắt Sổ SKĐT
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... type SOΣ 1..1 CodeableConcept Sổ Sức khoẻ điện tử (Patient Summary — IPS LOINC 60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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: 60591-5
..... display 1..1 string Representation defined by the system
Fixed Value: Patient summary Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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) Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Thời điểm tạo lập/cập nhật bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 | Thiết bị y tế VN Core — VN Core Device Profile) Cơ sở KCB / hệ thống tạo lập (QĐ 1332/QĐ-BYT: CSKCB tạo lập, ký số)
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... title SOΣ 1..1 string Tiêu đề (vd: 'Sổ Sức khoẻ điện tử')
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Đơn vị/người ký số bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..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) Who attested the composition
... custodian SOΣ 1..1 Reference(Cơ sở y tế VN Core — VN Core Organization Profile) Đơn vị lưu trữ/quản lý bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
... 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 SOΣ 0..* BackboneElement Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 SΣ 0..1 Period The period covered by the documentation
.... detail SΣ 0..* Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
.... 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 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:allergies SOC 1..1 BackboneElement Tiền sử dị ứng
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile) A reference to data that supports this section
..... emptyReason SC 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:problems SOC 1..1 BackboneElement Tiền sử bệnh tật / chẩn đoán (ICD-10)
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... emptyReason SC 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 1..1 BackboneElement Thuốc đã/đang điều trị
Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile | Đơn thuốc VN Core — VN Core MedicationRequest Profile | Cấp phát thuốc VN Core — VN Core Medication Dispense Profile) A reference to data that supports this section
..... emptyReason SC 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:immunizations SOC 0..1 BackboneElement Tiền sử tiêm chủng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Tiêm chủng — VN Core Immunization) A reference to data that supports this section
..... 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:results SOC 0..1 BackboneElement Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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 | Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport | Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport) A reference to data that supports this section
..... 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 Phẫu thuật, thủ thuật đã thực hiện
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:vitalSigns SOC 0..1 BackboneElement Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Sinh hiệu VN Core — VN Core Observation Vital Signs Profile) A reference to data that supports this section
..... 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:planOfCare SOC 0..1 BackboneElement Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332/QĐ-BYT 8.4)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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) A reference to data that supports this section
..... 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:healthCheckup SOC 0..* BackboneElement Các đợt KSK theo ba nhóm tuổi hoặc KSK tâm thần hiện hành (section đặc thù VN, ngoài IPS)
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:no-error & SHALL:handle Ứng dụng người dân (Citizen App)
..... 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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConcept Classification of section (recommended)
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: 34117-2
....... display 1..1 string Representation defined by the system
Fixed Value: History and physical 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 SC 0..1 Narrative Tường thuật của phần (IPS: SHALL populate; phục vụ hiển thị VNeID)
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(Giấy khám sức khoẻ định kỳ VN Core — VN Core Health Checkup Composition Profile) A reference to data that supports this section
..... 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

doco Documentation for this format
NameỨng dụng người dân (Citizen App)doco
.. Composition
... text
... identifier
... status
... subject
... date
... author
... title
... attester
... custodian
... event
... Slices for section
.... section:All Slices
.... section:allergies
.... section:problems
.... section:medications
.... section:immunizations
.... section:results
.... section:procedures
.... section:vitalSigns
.... section:planOfCare
.... section:healthCheckup

doco 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:allergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:allergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:allergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:problems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:problems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:problems.​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:immunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:immunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:immunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:immunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:results.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:results.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:results.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:results.​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:vitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:vitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:planOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:healthCheckup.​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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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:allergies, Composition.section:problems, Composition.section:medications, Composition.section:immunizations, Composition.section:results, Composition.section:procedures, Composition.section:vitalSigns, Composition.section:planOfCare, Composition.section:healthCheckup 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-ips-section-entry-or-empty error Composition.section:allergies, Composition.section:problems, Composition.section:medications Section bắt buộc (allergies/problems/medications) phải có entry tham chiếu HOẶC emptyReason (vd list-empty-reason#nilknown / 'No known allergy' SNOMED 716186003). Theo HL7 IPS. entry.exists() or emptyReason.exists()

Summary

Mandatory: 9 elements(6 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

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