HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.4.0 - STU1 Draft Viet Nam cờ

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

Hồ sơ tài nguyên: Báo cáo Giải phẫu bệnh VN Core — VN Core Pathology DiagnosticReport

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report-pathology Phiên bản: 0.4.0
Computable Name: VNCoreDiagnosticReportPathology

Bản quyền/Pháp lý: Bộ Y tế Việt Nam — QĐ 1227/QĐ-BYT (11/4/2025), QĐ 2427/QĐ-BYT (25/7/2025), QĐ 2493/QĐ-BYT (08/2025), 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).

Profile DiagnosticReport giải phẫu bệnh cho Việt Nam, áp dụng cho mô bệnh học, tế bào học và báo cáo GPB liên quan mẫu bệnh phẩm. Kế thừa VNCoreDiagnosticReport và siết category theo HL7 v2-0074 PAT cùng nhóm chi phí XN vì QĐ 697/QĐ-BYT gộp GPB vào nhóm xét nghiệm. Căn cứ: QĐ 1227/QĐ-BYT (11/4/2025) — nhóm Giải phẫu bệnh 81 mã; QĐ 2427/QĐ-BYT (25/7/2025) — SNOMED CT VN Body Structure phục vụ bodySite; QĐ 2493/QĐ-BYT (08/2025) — SNOMED CT VN Morphologic Abnormality phục vụ conclusionCode với binding extensible; 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 3 Xét nghiệm.

Usages:

You can also check for usages in the FHIR IG Statistics

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Trạng thái báo cáo
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... category:diagnosticService SΣ 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:vnCostCategory SΣ 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code 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)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... effective[x] SΣ 0..1 Thời điểm thực hiện
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Ngày phát hành kết quả
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... result S 0..* Reference(Observation) Kết quả chi tiết (Observation)
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm S 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings

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
DiagnosticReport.conclusionCode Base extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG

Constraints

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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... category 2..* CodeableConcept Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH)
... Slices for category Content/Rules for all slices
.... category:diagnosticService S 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
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://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
.... category:vnCostCategory S 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile) Chỉ định cận lâm sàng gốc
... status ?!SΣ 1..1 code Trạng thái báo cáo
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category 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)
.... category:diagnosticService SΣ 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:vnCostCategory SΣ 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code 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)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... encounter Σ 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám liên quan
... effective[x] SΣ 0..1 Thời điểm thực hiện
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Ngày phát hành kết quả
... performer 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
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... result S 0..* Reference(Observation) Kết quả chi tiết (Observation)
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm S 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings

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 extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG

Constraints

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: 3 elements
Must-Support: 5 elements
Prohibited: 1 element

Dạng xem phần tử chính

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Trạng thái báo cáo
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... category:diagnosticService SΣ 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:vnCostCategory SΣ 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code 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)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... effective[x] SΣ 0..1 Thời điểm thực hiện
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Ngày phát hành kết quả
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... result S 0..* Reference(Observation) Kết quả chi tiết (Observation)
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm S 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings

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
DiagnosticReport.conclusionCode Base extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... category 2..* CodeableConcept Nhóm CLS: xét nghiệm (LAB), hình ảnh (RAD), chức năng (OTH)
... Slices for category Content/Rules for all slices
.... category:diagnosticService S 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
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://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
.... category:vnCostCategory S 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* VNCoreDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(Yêu cầu DVKT/Cận lâm sàng VN Core — VN Core ServiceRequest Profile) Chỉ định cận lâm sàng gốc
... status ?!SΣ 1..1 code Trạng thái báo cáo
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category 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)
.... category:diagnosticService SΣ 1..1 CodeableConcept HL7 v2-0074 PAT — giải phẫu bệnh
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
...... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:vnCostCategory SΣ 1..1 CodeableConcept QĐ 697/QĐ-BYT nhóm chi phí 3 — xét nghiệm, bao gồm GPB
Binding: Loại dịch vụ y tế — VN Service Request Category ValueSet (extensible)

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://fhir.hl7.org.vn/core/CodeSystem/vn-cost-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 3
...... display 1..1 string Representation defined by the system
Fixed Value: Xét nghiệm
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code 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)
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Bệnh nhân
... encounter Σ 0..1 Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) Lượt khám liên quan
... effective[x] SΣ 0..1 Thời điểm thực hiện
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Ngày phát hành kết quả
... performer 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
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Mẫu bệnh phẩm VN Core — VN Core Specimen Profile) Mẫu mô/tế bào bắt buộc cho báo cáo giải phẫu bệnh
... result S 0..* Reference(Observation) Kết quả chi tiết (Observation)
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion S 0..1 string Kết luận giải phẫu bệnh
... conclusionCode S 0..* CodeableConcept Mã bất thường hình thái SNOMED CT VN
Binding: Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet (extensible)
... presentedForm S 0..* Attachment Phiếu trả kết quả giải phẫu bệnh đã phát hành

doco Documentation for this format

Terminology Bindings

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 extensible Morphologic Abnormality SNOMED CT VN — VN Morphology ValueSet 📦0.4.0 This IG

Constraints

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: 3 elements
Must-Support: 5 elements
Prohibited: 1 element

 

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