Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.4.0 - STU1 Draft
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-imaging | Phiên bản: 0.4.0 | ||||
| Computable Name: VNCoreDiagnosticReportImaging | |||||
Bản quyền/Pháp lý: Bộ Y tế Việt Nam — QĐ 1227/QĐ-BYT (11/4/2025), TT 23/2024/TT-BYT, TT 13/2025/TT-BYT, TT 38/2024/TT-BYT, QĐ 3176/QĐ-BYT (29/10/2024), QĐ 697/QĐ-BYT (19/3/2026). |
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Profile DiagnosticReport chẩn đoán hình ảnh cho Việt Nam, áp dụng cho X-quang, CT, MRI, siêu âm, DSA và các báo cáo CĐHA khác. Kế thừa VNCoreDiagnosticReport và siết category theo HL7 v2-0074 RAD cùng nhóm chi phí CĐHA theo QĐ 697/QĐ-BYT. Căn cứ: QĐ 1227/QĐ-BYT (11/4/2025) — nhóm Điện quang/CĐHA 1.240 mã; TT 23/2024/TT-BYT — danh mục kỹ thuật hiện hành; TT 13/2025/TT-BYT Điều 1, 3 — bệnh án điện tử, lưu trữ và xác nhận điện tử; TT 38/2024/TT-BYT — Hệ thống thông tin khám bệnh, chữa bệnh; QĐ 3176/QĐ-BYT (29/10/2024) — XML3/XML6: MA_DICH_VU, KET_QUA, MA_LOAI_DVKT; QĐ 697/QĐ-BYT (19/3/2026) — nhóm chi phí 4 Chẩn đoán hình ảnh.
Usages:
You can also check for usages in the FHIR IG Statistics
Mô tả profile, differential, snapshot và các biểu diễn liên quan.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣ | 1..1 | code | Trạng thái báo cáo Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
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SΣ | 2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) Slice: Unordered, Open by pattern:$this Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) |
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SΣ | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |
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1..1 | string | Representation defined by the system Fixed Value: Radiology | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
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1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | CodeableConcept | Mã xét nghiệm/CĐHA (LOINC hoặc mã CLS VN per QĐ 1227) Binding: Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet (extensible) |
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SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
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SΣ | 0..1 | Thời điểm thực hiện | |
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dateTime | |||
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Period | |||
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SΣ | 0..1 | instant | Ngày phát hành kết quả |
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SΣ | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả |
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S | 0..* | Reference(Observation) | Kết quả chi tiết (Observation) |
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S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan |
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SΣ | 0..* | BackboneElement | Ảnh đại diện hoặc key images |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image |
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S | 0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:diagnosticService | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:vnCostCategory | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.code | Base | extensible | Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet | 📦0.4.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) | |
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Content/Rules for all slices | |||
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S | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |
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1..1 | string | Representation defined by the system Fixed Value: Radiology | |
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S | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
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1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |
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S | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả |
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0..0 | Mẫu bệnh phẩm liên quan | ||
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S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan |
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S | 0..* | BackboneElement | Ảnh đại diện hoặc key images |
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S | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image |
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0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile) | Chỉ định cận lâm sàng gốc | |||||
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?!SΣ | 1..1 | code | Trạng thái báo cáo Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
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SΣ | 2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) Slice: Unordered, Open by pattern:$this Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) | ||||
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SΣ | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |||||
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1..1 | string | Representation defined by the system Fixed Value: Radiology | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | CodeableConcept | Mã xét nghiệm/CĐHA (LOINC hoặc mã CLS VN per QĐ 1227) Binding: Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet (extensible) | ||||
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SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân | ||||
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Σ | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | ||||
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SΣ | 0..1 | Thời điểm thực hiện | |||||
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dateTime | |||||||
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Period | |||||||
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SΣ | 0..1 | instant | Ngày phát hành kết quả | ||||
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Σ | 0..* | 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) | Người thực hiện / phê duyệt kết quả | ||||
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SΣ | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả | ||||
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S | 0..* | Reference(Observation) | Kết quả chi tiết (Observation) | ||||
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S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan | ||||
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SΣ | 0..* | BackboneElement | Ảnh đại diện hoặc key images | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Comment about the image (e.g. explanation) | |||||
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SΣ | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image | ||||
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0..1 | string | Kết luận / Nhận xét | |||||
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0..* | CodeableConcept | Mã kết luận (ICD-10 nếu có) Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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S | 0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:diagnosticService | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:vnCostCategory | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.code | Base | extensible | Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | 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()
|
Summary
Mandatory: 2 elements
Must-Support: 6 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái báo cáo Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
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SΣ | 2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) Slice: Unordered, Open by pattern:$this Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) |
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SΣ | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Radiology | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Mã xét nghiệm/CĐHA (LOINC hoặc mã CLS VN per QĐ 1227) Binding: Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet (extensible) |
![]() ![]() |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
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SΣ | 0..1 | Thời điểm thực hiện | |
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dateTime | |||
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Period | |||
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SΣ | 0..1 | instant | Ngày phát hành kết quả |
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SΣ | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả |
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S | 0..* | Reference(Observation) | Kết quả chi tiết (Observation) |
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S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan |
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SΣ | 0..* | BackboneElement | Ảnh đại diện hoặc key images |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image |
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S | 0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:diagnosticService | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:vnCostCategory | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.code | Base | extensible | Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet | 📦0.4.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | 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()
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) | |
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Content/Rules for all slices | |||
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S | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Radiology | |
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S | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |
![]() ![]() |
S | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả |
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0..0 | Mẫu bệnh phẩm liên quan | ||
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S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan |
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S | 0..* | BackboneElement | Ảnh đại diện hoặc key images |
![]() ![]() ![]() |
S | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image |
![]() ![]() |
0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành | |
Documentation for this format | ||||
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | VNCoreDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile) | Chỉ định cận lâm sàng gốc | |||||
![]() ![]() |
?!SΣ | 1..1 | code | Trạng thái báo cáo Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
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SΣ | 2..* | CodeableConcept | Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH) Slice: Unordered, Open by pattern:$this Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | HL7 v2-0074 RAD — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RAD | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Radiology | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | QĐ 697/QĐ-BYT nhóm chi phí 4 — chẩn đoán hình ảnh Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chẩn đoán hình ảnh | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Mã xét nghiệm/CĐHA (LOINC hoặc mã CLS VN per QĐ 1227) Binding: Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet (extensible) | ||||
![]() ![]() |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân | ||||
![]() ![]() |
Σ | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | ||||
![]() ![]() |
SΣ | 0..1 | Thời điểm thực hiện | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
SΣ | 0..1 | instant | Ngày phát hành kết quả | ||||
![]() ![]() |
Σ | 0..* | 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) | Người thực hiện / phê duyệt kết quả | ||||
![]() ![]() |
SΣ | 0..* | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ đọc phim / người diễn giải kết quả | ||||
![]() ![]() |
S | 0..* | Reference(Observation) | Kết quả chi tiết (Observation) | ||||
![]() ![]() |
S | 0..* | Reference(Nghiên cứu CĐHA VN Core — VN Core Imaging Study Profile) | Nghiên cứu hình ảnh liên quan | ||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Ảnh đại diện hoặc key images | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Media) | Media chứa ảnh đại diện/key image | ||||
![]() ![]() |
0..1 | string | Kết luận / Nhận xét | |||||
![]() ![]() |
0..* | CodeableConcept | Mã kết luận (ICD-10 nếu có) Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() |
S | 0..* | Attachment | Phiếu trả kết quả CĐHA đã phát hành | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:diagnosticService | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.category:vnCostCategory | Base | extensible | Loại dịch vụ y tế — VN Service Request Category ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.code | Base | extensible | Chỉ số cận lâm sàng — VN Clinical Lab Indicator ValueSet | 📦0.4.0 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | 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()
|
Summary
Mandatory: 2 elements
Must-Support: 6 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Biểu diễn khác của hồ sơ: CSV, Excel, Schematron