Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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

Profile Composition cho Sổ Sức khỏe điện tử tích hợp trên VNeID — bản tóm tắt sức khỏe 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 → 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 1551/QĐ-BYT (bổ sung dữ liệu KSK); QĐ 1923/QĐ-BYT (chuẩn hóa HL7 FHIR); HL7 IPS làm khung tham chiếu quốc tế.

Usages:

• Use this Profile: Document Bundle Sổ Sức khỏe điện tử — VN Core Health Record Summary Bundle
• Examples for this Profile: Composition/ExampleCompositionHealthRecordSummary
• CapabilityStatements using this Profile: VN Core Citizen App Client CapabilityStatement and VN Core Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Các dạng xem hình thức của nội dung hồ sơ

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

• Bảng phần tử chính
• Bảng Differential
• Bảng Snapshot
• Thống kê/Tham chiếu
• Tất cả

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4) This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 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	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
date	SΣ	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	SΣ	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: CSKCB tạo lập, ký số)
title	SΣ	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
attester	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	SΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
event	SΣ	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	SC	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	0..1	BackboneElement	Tiền sử tiêm chủng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4) Constraints: cmp-1, cmp-2
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	SC	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS) Constraints: cmp-1, cmp-2
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 khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile)	A reference to data that supports this section
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
text	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4)
identifier	S	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) 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: 60591-5
display		1..1	string	Representation defined by the system Fixed Value: Patient summary Document
subject	S	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
date	S	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	S	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: CSKCB tạo lập, ký số)
title	S	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
attester	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	S	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
event	S	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	S	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: vn-ips-section-entry-or-empty
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	S	0..1	BackboneElement	Tiền sử tiêm chủng
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	S	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
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	S	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện
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	S	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
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	S	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4)
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	S	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS)
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 khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile)	A reference to data that supports this section
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4) This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 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	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	SΣ	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: CSKCB tạo lập, ký số)
title	SΣ	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
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	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	SΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
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	SΣ	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	SC	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	0..1	BackboneElement	Tiền sử tiêm chủng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4) Constraints: cmp-1, cmp-2
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	SC	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS) Constraints: cmp-1, cmp-2
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 khỏe 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
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	📦2018-08-12	FHIR Std.
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:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Thiết bị y tế VN Core — VN Core Device Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device)
• Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
• Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-allergy-intolerance)
• Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)
• Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-statement)
• Đơn thuốc VN Core — VN Core MedicationRequest Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request)
• Cấp phát thuốc VN Core — VN Core Medication Dispense Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-dispense)
• Tiêm chủng — VN Core Immunization (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-immunization)
• Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)
• Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)
• Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-lab)
• Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-imaging)
• Thủ thuật/DVKT VN Core — VN Core Procedure Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure)
• Sinh hiệu VN Core — VN Core Observation Vital Signs Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs)
• Giấy khám sức khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-checkup)

Slices

This structure defines the following Slices:

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

Dạng xem phần tử chính

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		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	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4) This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 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	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
date	SΣ	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	SΣ	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: CSKCB tạo lập, ký số)
title	SΣ	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
attester	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	SΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
event	SΣ	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	SC	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	0..1	BackboneElement	Tiền sử tiêm chủng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4) Constraints: cmp-1, cmp-2
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	SC	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS) Constraints: cmp-1, cmp-2
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 khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile)	A reference to data that supports this section
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()

Dạng xem Differential

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
text	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4)
identifier	S	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) 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: 60591-5
display		1..1	string	Representation defined by the system Fixed Value: Patient summary Document
subject	S	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
date	S	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	S	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: CSKCB tạo lập, ký số)
title	S	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
attester	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	S	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
event	S	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	S	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: vn-ips-section-entry-or-empty
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	S	0..1	BackboneElement	Tiền sử tiêm chủng
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	S	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng
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	S	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện
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	S	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu
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	S	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4)
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	S	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS)
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 khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile)	A reference to data that supports this section
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Nội dung tường thuật toàn tài liệu (bắt buộc cho hiển thị VNeID — QĐ 1332 Điều 4) This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Mã định danh bản tóm tắt Sổ SKĐT
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Sổ Sức khỏe điện tử (Patient Summary — IPS LOINC 60591-5) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. 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: 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	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Công dân chủ thể Sổ SKĐT (gắn CCCD 12 số)
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Thời điểm tạo lập/cập nhật bản tóm tắt
author	SΣ	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: CSKCB tạo lập, ký số)
title	SΣ	1..1	string	Tiêu đề (vd: 'Sổ Sức khỏe điện tử')
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	S	0..*	BackboneElement	Đơn vị/người ký số bản tóm tắt
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	SΣ	1..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Đơn vị lưu trữ/quản lý bản tóm tắt
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	SΣ	0..*	BackboneElement	Đợt khám, chữa bệnh được phản ánh trong bản tóm tắt
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	SC	3..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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	SC	1..1	BackboneElement	Tiền sử dị ứng Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Tiền sử bệnh tật / chẩn đoán (ICD-10) Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	1..1	BackboneElement	Thuốc đã/đang điều trị Constraints: cmp-1, cmp-2, vn-ips-section-entry-or-empty
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	SC	0..1	BackboneElement	Tiền sử tiêm chủng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Kết quả xét nghiệm, chẩn đoán hình ảnh, thăm dò chức năng Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Phẫu thuật, thủ thuật đã thực hiện Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Chỉ số theo dõi chính: nhóm máu, chiều cao, cân nặng, sinh hiệu Constraints: cmp-1, cmp-2
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	SC	0..1	BackboneElement	Hướng điều trị tiếp theo, lời dặn, lịch tái khám (QĐ 1332 8.4) Constraints: cmp-1, cmp-2
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	SC	0..*	BackboneElement	Các đợt khám sức khỏe định kỳ (QĐ 1551 — section đặc thù VN, ngoài IPS) Constraints: cmp-1, cmp-2
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 khỏe 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
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	📦2018-08-12	FHIR Std.
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:

• Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)
• Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
• Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
• Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
• Thiết bị y tế VN Core — VN Core Device Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device)
• Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
• Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-allergy-intolerance)
• Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)
• Tiền sử dùng thuốc VN Core — VN Core MedicationStatement Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-statement)
• Đơn thuốc VN Core — VN Core MedicationRequest Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request)
• Cấp phát thuốc VN Core — VN Core Medication Dispense Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-dispense)
• Tiêm chủng — VN Core Immunization (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-immunization)
• Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)
• Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)
• Báo cáo Xét nghiệm VN Core — VN Core Lab DiagnosticReport (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-lab)
• Báo cáo Chẩn đoán hình ảnh VN Core — VN Core Imaging DiagnosticReport (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-imaging)
• Thủ thuật/DVKT VN Core — VN Core Procedure Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-procedure)
• Sinh hiệu VN Core — VN Core Observation Vital Signs Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs)
• Giấy khám sức khỏe định kỳ VN Core — VN Core Health Checkup Composition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-composition-health-checkup)

Slices

This structure defines the following Slices:

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