HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.6.0 - Draft for Community Review Viet Nam cờ

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

Hồ sơ tài nguyên: Mục tiêu điều trị VN Core — VN Core Goal Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-goal Phiên bản: 0.6.0
Computable Name: VNCoreGoal

Bản quyền/Pháp lý: Căn cứ pháp lý Việt Nam: TT 13/2025/TT-BYT ngày 06/06/2025.

Profile Goal ghi nhận mục tiêu điều trị/chăm sóc của người bệnh (vd kiểm soát huyết áp, đường huyết mục tiêu). Thường gắn với CarePlan/EpisodeOfCare trong quản lý bệnh mạn tính. Căn cứ pháp lý:

  • TT 13/2025/TT-BYT — bệnh án điện tử (mục tiêu điều trị). / VN Core Goal for treatment/care goals.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... lifecycleStatus ?!SΣ 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... description SΣ 1..1 CodeableConcept Mô tả mục tiêu điều trị
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh
... target SC 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 Goal 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 Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal 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()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... lifecycleStatus S 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
... category S 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
... description S 1..1 CodeableConcept Mô tả mục tiêu điều trị
... target S 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
... expressedBy S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... 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 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... achievementStatus Σ 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals.
... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Mô tả mục tiêu điều trị
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
Constraints: gol-1
.... 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
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".
... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred Goal achievement status 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.detail[x] Base example Not State Unknown
Goal.outcomeCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 Goal 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 Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal 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()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

Dạng xem phần tử chính

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... lifecycleStatus ?!SΣ 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... description SΣ 1..1 CodeableConcept Mô tả mục tiêu điều trị
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh
... target SC 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 Goal 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 Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal 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()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Dạng xem Differential

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... lifecycleStatus S 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
... category S 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
... description S 1..1 CodeableConcept Mô tả mục tiêu điều trị
... target S 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
... expressedBy S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu

doco Documentation for this format

Dạng xem SnapshotView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... 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 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code Trạng thái vòng đời: proposed, active, on-hold, completed, cancelled...
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... achievementStatus Σ 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals.
... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Mô tả mục tiêu điều trị
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
... subject SΣ 1..1 Reference(Bệnh nhân VN Core — VN Core Patient Profile) Người bệnh
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Đích cụ thể (chỉ số + ngưỡng + thời hạn)
Constraints: gol-1
.... 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
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Người đặt mục tiêu
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".
... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred Goal achievement status 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.detail[x] Base example Not State Unknown
Goal.outcomeCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 Goal 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 Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal 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()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

 

Biểu diễn khác của hồ sơ: CSV, Excel, Schematron