HL7 Vietnam VN Core FHIR Implementation Guide

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

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

Hồ sơ tài nguyên: Thuốc VN Core — VN Core Medication Profile - Mô tả chi tiết

Draft tại thời điểm 2026-05-10

Các định nghĩa cho vn-core-medication hồ sơ tài nguyên

Guidance on how to interpret the contents of this table can be foundhere

0. Medication
Definition

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

ShortDefinition of a Medication
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Medication.extension:registrationNumber
    Slice NameregistrationNumber
    Definition

    Số đăng ký lưu hành dạng chuỗi. Từ v0.9.0, số đăng ký được mô hình hoá đúng tầng bằng Medication.identifier slice drugRegistrationNumber (NamingSystem VNDrugRegistrationNumberNS); extension này giữ lại để đọc dữ liệu tạo theo v0.8.x và dự kiến gỡ ở v1.0.0.

    ShortSố đăng ký thuốc (SO_DANG_KY) — LEGACY, dùng identifier[drugRegistrationNumber] cho dữ liệu mới
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Số đăng ký thuốc (Visa) — Medication Registration Number) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Medication.extension:tenderInfo
    Slice NametenderInfo
    Definition

    Thông tin thầu của dòng thuốc/vật tư/thiết bị trong dữ liệu KCB/BHYT, đặc biệt dùng cho XML2/XML3 trường TT_THAU theo QĐ 130/QĐ-BYT và QĐ 3176/QĐ-BYT. Đây là chuỗi nghiệp vụ phục vụ thanh toán/gateway, không phải procurement package đầy đủ và không thay thế hồ sơ đấu thầu riêng.

    ShortThông tin thầu (TT_THAU)
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Thông tin thầu — Tender Information Extension) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Medication.extension:processingMethod
    Slice NameprocessingMethod
    Definition

    Phương pháp chế biến vị thuốc, dược liệu hoặc thuốc y học cổ truyền — mang trường MA_PP_CHEBIEN của dữ liệu BHYT/KCB. Từ bản 0.9.0 đã có danh mục mã chính thức: vn-tcm-processing-method-vs (Phụ lục 3 QĐ 824/QĐ-BYT, 40 mã). Ưu tiên ghi valueCodeableConcept theo danh mục này. Vẫn cho phép valueString vì hai lý do thực tế: TT 14/2024/TT-BYT bổ sung ba phương pháp phức chế (chưng, tôi, rán dầu) mà bộ mã dùng chung chưa cấp mã riêng, và Điều 4 khoản 2 TT 14/2024/TT-BYT cho phép cơ sở tự xây dựng phương pháp chế biến khi phương pháp đó chưa được quy định.

    ShortPhương pháp chế biến YHCT (MA_PP_CHEBIEN)
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Phương pháp chế biến YHCT — Traditional Medicine Processing Method) (Extension Type: Choice of: string, CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Medication.extension:controlledClass
    Slice NamecontrolledClass
    Definition

    Mức kiểm soát đặc biệt của một thuốc hoặc nguyên liệu làm thuốc, theo trục bảy giá trị tại mục 6.4.4 QĐ 232/QĐ-TTYQG. Đặt trên VNCoreMedication để sổ xuất–nhập–tồn, sổ sử dụng và các chế độ báo cáo tại QĐ 2716/QĐ-BYT tổng hợp được theo nhóm kiểm soát. / Special-control classification of a medicine or drug material per section 6.4.4 of Decision 232/QĐ-TTYQG.

    ShortNhóm kiểm soát đặc biệt (special_control_type)
    Comments

    Bảy giá trị 0–6 theo mục 6.4.4 QĐ 232/QĐ-TTYQG. Để trống khi chưa xác định được nhóm; giá trị 0 nghĩa là ĐÃ xác định và thuốc KHÔNG thuộc diện kiểm soát đặc biệt — hai tình huống khác nhau, đừng dùng 0 thay cho vắng mặt. Sổ xuất–nhập–tồn và các chế độ báo cáo tại QĐ 2716/QĐ-BYT tổng hợp theo trường này.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Phân loại kiểm soát đặc biệt — VN Core Controlled Substance Class Extension) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Obligations
      ObligationsActor
      SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
      SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. Medication.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. Medication.identifier
      Definition

      Business identifier for this medication.

      ShortĐịnh danh thuốc: số đăng ký lưu hành, GTIN bao góiBusiness identifier for this medication
      Comments

      The serial number could be included as an identifier.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Obligations
        ObligationsActor
        SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
        SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Medication.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 18. Medication.identifier:drugRegistrationNumber
          Slice NamedrugRegistrationNumber
          Definition

          Số đăng ký lưu hành do Cục Quản lý Dược cấp, định danh một sản phẩm được cấp phép. Ánh xạ trường SO_DANG_KY của QĐ 3176/QĐ-BYT (kể cả quy ước UBND.YYYY.X.S cho thuốc hiếm nhập khẩu theo QĐ 1931/QĐ-BYT).


          Business identifier for this medication.

          ShortSố đăng ký lưu hành (GPLH) — 12 chữ số theo TT 12/2025/TT-BYT hoặc định dạng legacy VD-xxxxx-yyBusiness identifier for this medication
          Comments

          The serial number could be included as an identifier.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1*
          TypeIdentifier
          Is Modifierfalse
          Must Supporttrue
          Obligations
            ObligationsActor
            SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
            SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. Medication.identifier:drugRegistrationNumber.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Medication.identifier:drugRegistrationNumber.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttp://fhir.hl7.org.vn/core/sid/so-dang-ky-thuoc
            ExampleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. Medication.identifier:drugRegistrationNumber.value
            Definition

            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            ExampleGeneral: 123456
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Medication.identifier:gtin
            Slice Namegtin
            Definition

            Business identifier for this medication.

            ShortGTIN bao gói (GS1) — một GTIN ứng với một quy cách đóng gói cụ thểBusiness identifier for this medication
            Comments

            The serial number could be included as an identifier.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. Medication.identifier:gtin.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. Medication.identifier:gtin.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttps://www.gs1.org/gtin
            ExampleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. Medication.identifier:gtin.value
            Definition

            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            ExampleGeneral: 123456
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. Medication.code
            Definition

            Mã thuốc ở tầng SẢN PHẨM hoặc clinical drug (hoạt chất + hàm lượng + dạng bào chế). Khi có mã sản phẩm quốc gia thì dùng mã đó; nếu chưa có, dùng SNOMED CT clinical drug, mã nội bộ cơ sở, hoặc text tên thuốc kèm quy cách. ATC (WHO) là hệ thống PHÂN LOẠI giải phẫu-điều trị-hoá học, KHÔNG định danh sản phẩm — chỉ dùng làm coding phụ trong code.coding, không dùng làm coding duy nhất khi cần truy vết sản phẩm cụ thể. Số đăng ký lưu hành KHÔNG thuộc code: đó là định danh, đặt ở Medication.identifier với NamingSystem VNDrugRegistrationNumberNS (analysis/62 #3 tầng 1). Với dược liệu YHCT: dùng mã từ VNYHCTHerbCS (442 dược liệu theo QĐ 3080/QĐ-BYT, PL V).


            A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

            ShortMã thuốc — mã sản phẩm hoặc clinical drug; ATC chỉ là coding phụ (phân loại)Codes that identify this medication
            Comments

            Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

            Control10..1
            BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
            (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

            A coded concept that defines the type of a medication.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
              SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Medication.status
              Definition

              A code to indicate if the medication is in active use.

              Shortactive | inactive | entered-in-error
              Comments

              This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

              Control0..1
              BindingThe codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
              (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

              A coded concept defining if the medication is in active use.

              Typecode
              Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Medication.form
              Definition

              Describes the form of the item. Powder; tablets; capsule.

              ShortDạng bào chế (viên nén, dung dịch, bột...)powder | tablets | capsule +
              Comments

              When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

              Control0..1
              BindingFor example codes, see SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
              (example to http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1)

              A coded concept defining the form of a medication.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Obligations
                ObligationsActor
                SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                40. Medication.amount
                Definition

                Tổng lượng thuốc chứa trong một đơn vị đóng gói được mô tả bởi resource này. Hàm lượng hoạt chất và nồng độ đặt ở ingredient.strength, không đặt ở đây.


                Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

                ShortLượng thuốc trong một đơn vị đóng gói (vd 20 viên/hộp, 3 mL/bút) — KHÔNG phải hàm lượngAmount of drug in package
                Control0..1
                TypeRatio
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                42. Medication.ingredient
                Definition

                Thành phần hoạt chất của thuốc. Với thuốc Tây y: hoạt chất chính + phụ. Với bài thuốc YHCT: từng vị thuốc (dược liệu) kèm trọng lượng gram/thang. Mã dược liệu YHCT dùng VNYHCTHerbCS (442 mã theo QĐ 3080/QĐ-BYT, PL V).


                Identifies a particular constituent of interest in the product.

                ShortThành phần hoạt chất / dược liệu YHCTActive or inactive ingredient
                Comments

                The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                  SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  44. Medication.ingredient.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  46. Medication.ingredient.item[x]
                  Definition

                  The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                  ShortHoạt chất / dược liệu (mã hoặc tên)The actual ingredient or content
                  Control1..1
                  TypeChoice of: CodeableConcept, Reference(Substance, Medication)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summaryfalse
                  Requirements

                  The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  48. Medication.ingredient.isActive
                  Definition

                  Indication of whether this ingredient affects the therapeutic action of the drug.

                  ShortHoạt chất chính (true) hay phụ (false)Active ingredient indicator
                  Control0..1
                  Typeboolean
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Requirements

                  True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  50. Medication.ingredient.strength
                  Definition

                  Hàm lượng hoạt chất hoặc trọng lượng dược liệu YHCT. Đơn vị: mg/g cho Tây y, g hoặc g/thang cho YHCT.


                  Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

                  ShortHàm lượng / trọng lượng (VD: 500mg, 12g/thang)Quantity of ingredient present
                  Control0..1
                  TypeRatio
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  52. Medication.batch
                  Definition

                  Information that only applies to packages (not products).

                  ShortLô sản xuất (truy xuất nguồn gốc, thu hồi)Details about packaged medications
                  Control0..1
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                    SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    54. Medication.batch.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    56. Medication.batch.lotNumber
                    Definition

                    The assigned lot number of a batch of the specified product.

                    ShortSố lô (SO_LO)Identifier assigned to batch
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. Medication.batch.expirationDate
                    Definition

                    When this specific batch of product will expire.

                    ShortHạn sử dụng (HAN_DUNG)When batch will expire
                    Control0..1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. Medication
                    2. Medication.extension
                    SlicingThis element introduces a set of slices on Medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 4. Medication.extension:registrationNumber
                      Slice NameregistrationNumber
                      Definition

                      Số đăng ký lưu hành dạng chuỗi. Từ v0.9.0, số đăng ký được mô hình hoá đúng tầng bằng Medication.identifier slice drugRegistrationNumber (NamingSystem VNDrugRegistrationNumberNS); extension này giữ lại để đọc dữ liệu tạo theo v0.8.x và dự kiến gỡ ở v1.0.0.

                      ShortSố đăng ký thuốc (SO_DANG_KY) — LEGACY, dùng identifier[drugRegistrationNumber] cho dữ liệu mới
                      Control0..1
                      TypeExtension(Số đăng ký thuốc (Visa) — Medication Registration Number) (Extension Type: string)
                      6. Medication.extension:tenderInfo
                      Slice NametenderInfo
                      ShortThông tin thầu (TT_THAU)
                      Control0..1
                      TypeExtension(Thông tin thầu — Tender Information Extension) (Extension Type: string)
                      8. Medication.extension:processingMethod
                      Slice NameprocessingMethod
                      ShortPhương pháp chế biến YHCT (MA_PP_CHEBIEN)
                      Control0..1
                      TypeExtension(Phương pháp chế biến YHCT — Traditional Medicine Processing Method) (Extension Type: Choice of: string, CodeableConcept)
                      10. Medication.extension:controlledClass
                      Slice NamecontrolledClass
                      ShortNhóm kiểm soát đặc biệt (special_control_type)
                      Comments

                      Bảy giá trị 0–6 theo mục 6.4.4 QĐ 232/QĐ-TTYQG. Để trống khi chưa xác định được nhóm; giá trị 0 nghĩa là ĐÃ xác định và thuốc KHÔNG thuộc diện kiểm soát đặc biệt — hai tình huống khác nhau, đừng dùng 0 thay cho vắng mặt. Sổ xuất–nhập–tồn và các chế độ báo cáo tại QĐ 2716/QĐ-BYT tổng hợp theo trường này.

                      Control0..1
                      TypeExtension(Phân loại kiểm soát đặc biệt — VN Core Controlled Substance Class Extension) (Extension Type: CodeableConcept)
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                        SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                        12. Medication.identifier
                        ShortĐịnh danh thuốc: số đăng ký lưu hành, GTIN bao gói
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                          SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                          SlicingThis element introduces a set of slices on Medication.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ system
                          • 14. Medication.identifier:drugRegistrationNumber
                            Slice NamedrugRegistrationNumber
                            Definition

                            Số đăng ký lưu hành do Cục Quản lý Dược cấp, định danh một sản phẩm được cấp phép. Ánh xạ trường SO_DANG_KY của QĐ 3176/QĐ-BYT (kể cả quy ước UBND.YYYY.X.S cho thuốc hiếm nhập khẩu theo QĐ 1931/QĐ-BYT).

                            ShortSố đăng ký lưu hành (GPLH) — 12 chữ số theo TT 12/2025/TT-BYT hoặc định dạng legacy VD-xxxxx-yy
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..1
                            Must Supporttrue
                            Obligations
                              ObligationsActor
                              SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                              SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                              16. Medication.identifier:drugRegistrationNumber.system
                              Control1..?
                              Fixed Valuehttp://fhir.hl7.org.vn/core/sid/so-dang-ky-thuoc
                              18. Medication.identifier:drugRegistrationNumber.value
                              Control1..?
                              20. Medication.identifier:gtin
                              Slice Namegtin
                              ShortGTIN bao gói (GS1) — một GTIN ứng với một quy cách đóng gói cụ thể
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              22. Medication.identifier:gtin.system
                              Control1..?
                              Fixed Valuehttps://www.gs1.org/gtin
                              24. Medication.identifier:gtin.value
                              Control1..?
                              26. Medication.code
                              Definition

                              Mã thuốc ở tầng SẢN PHẨM hoặc clinical drug (hoạt chất + hàm lượng + dạng bào chế). Khi có mã sản phẩm quốc gia thì dùng mã đó; nếu chưa có, dùng SNOMED CT clinical drug, mã nội bộ cơ sở, hoặc text tên thuốc kèm quy cách. ATC (WHO) là hệ thống PHÂN LOẠI giải phẫu-điều trị-hoá học, KHÔNG định danh sản phẩm — chỉ dùng làm coding phụ trong code.coding, không dùng làm coding duy nhất khi cần truy vết sản phẩm cụ thể. Số đăng ký lưu hành KHÔNG thuộc code: đó là định danh, đặt ở Medication.identifier với NamingSystem VNDrugRegistrationNumberNS (analysis/62 #3 tầng 1). Với dược liệu YHCT: dùng mã từ VNYHCTHerbCS (442 dược liệu theo QĐ 3080/QĐ-BYT, PL V).

                              ShortMã thuốc — mã sản phẩm hoặc clinical drug; ATC chỉ là coding phụ (phân loại)
                              Control1..?
                              Must Supporttrue
                              Obligations
                                ObligationsActor
                                SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                28. Medication.form
                                ShortDạng bào chế (viên nén, dung dịch, bột...)
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                  SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                  30. Medication.amount
                                  Definition

                                  Tổng lượng thuốc chứa trong một đơn vị đóng gói được mô tả bởi resource này. Hàm lượng hoạt chất và nồng độ đặt ở ingredient.strength, không đặt ở đây.

                                  ShortLượng thuốc trong một đơn vị đóng gói (vd 20 viên/hộp, 3 mL/bút) — KHÔNG phải hàm lượng
                                  32. Medication.ingredient
                                  Definition

                                  Thành phần hoạt chất của thuốc. Với thuốc Tây y: hoạt chất chính + phụ. Với bài thuốc YHCT: từng vị thuốc (dược liệu) kèm trọng lượng gram/thang. Mã dược liệu YHCT dùng VNYHCTHerbCS (442 mã theo QĐ 3080/QĐ-BYT, PL V).

                                  ShortThành phần hoạt chất / dược liệu YHCT
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                    SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                    34. Medication.ingredient.item[x]
                                    ShortHoạt chất / dược liệu (mã hoặc tên)
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Must Supporttrue
                                    36. Medication.ingredient.isActive
                                    ShortHoạt chất chính (true) hay phụ (false)
                                    38. Medication.ingredient.strength
                                    Definition

                                    Hàm lượng hoạt chất hoặc trọng lượng dược liệu YHCT. Đơn vị: mg/g cho Tây y, g hoặc g/thang cho YHCT.

                                    ShortHàm lượng / trọng lượng (VD: 500mg, 12g/thang)
                                    Must Supporttrue
                                    40. Medication.batch
                                    ShortLô sản xuất (truy xuất nguồn gốc, thu hồi)
                                    Must Supporttrue
                                    Obligations
                                      ObligationsActor
                                      SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                      SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                      42. Medication.batch.lotNumber
                                      ShortSố lô (SO_LO)
                                      Must Supporttrue
                                      44. Medication.batch.expirationDate
                                      ShortHạn sử dụng (HAN_DUNG)
                                      Must Supporttrue

                                      Guidance on how to interpret the contents of this table can be foundhere

                                      0. Medication
                                      Definition

                                      This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

                                      ShortDefinition of a Medication
                                      Control0..*
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                      dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                      2. Medication.id
                                      Definition

                                      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                      ShortLogical id of this artifact
                                      Comments

                                      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                      Control0..1
                                      Typeid
                                      Is Modifierfalse
                                      Summarytrue
                                      4. Medication.meta
                                      Definition

                                      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                      ShortMetadata about the resource
                                      Control0..1
                                      TypeMeta
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      6. Medication.implicitRules
                                      Definition

                                      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                      ShortA set of rules under which this content was created
                                      Comments

                                      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                      Control0..1
                                      Typeuri
                                      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      8. Medication.language
                                      Definition

                                      The base language in which the resource is written.

                                      ShortLanguage of the resource content
                                      Comments

                                      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                      Control0..1
                                      BindingThe codes SHOULD be taken from CommonLanguages
                                      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                      A human language.

                                      Additional BindingsPurpose
                                      AllLanguagesMax Binding
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      10. Medication.text
                                      Definition

                                      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                      ShortText summary of the resource, for human interpretation
                                      Comments

                                      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                      Control0..1
                                      TypeNarrative
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesnarrative, html, xhtml, display
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      12. Medication.contained
                                      Definition

                                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                      ShortContained, inline Resources
                                      Comments

                                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                      Control0..*
                                      TypeResource
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesinline resources, anonymous resources, contained resources
                                      14. Medication.extension
                                      Definition

                                      An Extension

                                      ShortExtension
                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 16. Medication.extension:registrationNumber
                                        Slice NameregistrationNumber
                                        Definition

                                        Số đăng ký lưu hành dạng chuỗi. Từ v0.9.0, số đăng ký được mô hình hoá đúng tầng bằng Medication.identifier slice drugRegistrationNumber (NamingSystem VNDrugRegistrationNumberNS); extension này giữ lại để đọc dữ liệu tạo theo v0.8.x và dự kiến gỡ ở v1.0.0.

                                        ShortSố đăng ký thuốc (SO_DANG_KY) — LEGACY, dùng identifier[drugRegistrationNumber] cho dữ liệu mới
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Số đăng ký thuốc (Visa) — Medication Registration Number) (Extension Type: string)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        18. Medication.extension:tenderInfo
                                        Slice NametenderInfo
                                        Definition

                                        Thông tin thầu của dòng thuốc/vật tư/thiết bị trong dữ liệu KCB/BHYT, đặc biệt dùng cho XML2/XML3 trường TT_THAU theo QĐ 130/QĐ-BYT và QĐ 3176/QĐ-BYT. Đây là chuỗi nghiệp vụ phục vụ thanh toán/gateway, không phải procurement package đầy đủ và không thay thế hồ sơ đấu thầu riêng.

                                        ShortThông tin thầu (TT_THAU)
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Thông tin thầu — Tender Information Extension) (Extension Type: string)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        20. Medication.extension:processingMethod
                                        Slice NameprocessingMethod
                                        Definition

                                        Phương pháp chế biến vị thuốc, dược liệu hoặc thuốc y học cổ truyền — mang trường MA_PP_CHEBIEN của dữ liệu BHYT/KCB. Từ bản 0.9.0 đã có danh mục mã chính thức: vn-tcm-processing-method-vs (Phụ lục 3 QĐ 824/QĐ-BYT, 40 mã). Ưu tiên ghi valueCodeableConcept theo danh mục này. Vẫn cho phép valueString vì hai lý do thực tế: TT 14/2024/TT-BYT bổ sung ba phương pháp phức chế (chưng, tôi, rán dầu) mà bộ mã dùng chung chưa cấp mã riêng, và Điều 4 khoản 2 TT 14/2024/TT-BYT cho phép cơ sở tự xây dựng phương pháp chế biến khi phương pháp đó chưa được quy định.

                                        ShortPhương pháp chế biến YHCT (MA_PP_CHEBIEN)
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Phương pháp chế biến YHCT — Traditional Medicine Processing Method) (Extension Type: Choice of: string, CodeableConcept)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        22. Medication.extension:controlledClass
                                        Slice NamecontrolledClass
                                        Definition

                                        Mức kiểm soát đặc biệt của một thuốc hoặc nguyên liệu làm thuốc, theo trục bảy giá trị tại mục 6.4.4 QĐ 232/QĐ-TTYQG. Đặt trên VNCoreMedication để sổ xuất–nhập–tồn, sổ sử dụng và các chế độ báo cáo tại QĐ 2716/QĐ-BYT tổng hợp được theo nhóm kiểm soát. / Special-control classification of a medicine or drug material per section 6.4.4 of Decision 232/QĐ-TTYQG.

                                        ShortNhóm kiểm soát đặc biệt (special_control_type)
                                        Comments

                                        Bảy giá trị 0–6 theo mục 6.4.4 QĐ 232/QĐ-TTYQG. Để trống khi chưa xác định được nhóm; giá trị 0 nghĩa là ĐÃ xác định và thuốc KHÔNG thuộc diện kiểm soát đặc biệt — hai tình huống khác nhau, đừng dùng 0 thay cho vắng mặt. Sổ xuất–nhập–tồn và các chế độ báo cáo tại QĐ 2716/QĐ-BYT tổng hợp theo trường này.

                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Phân loại kiểm soát đặc biệt — VN Core Controlled Substance Class Extension) (Extension Type: CodeableConcept)
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Obligations
                                          ObligationsActor
                                          SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                          SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          24. Medication.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                          Summaryfalse
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          26. Medication.identifier
                                          Definition

                                          Business identifier for this medication.

                                          ShortĐịnh danh thuốc: số đăng ký lưu hành, GTIN bao gói
                                          Comments

                                          The serial number could be included as an identifier.

                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          Control0..*
                                          TypeIdentifier
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Obligations
                                            ObligationsActor
                                            SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                            SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Medication.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ system
                                            • 28. Medication.identifier:drugRegistrationNumber
                                              Slice NamedrugRegistrationNumber
                                              Definition

                                              Số đăng ký lưu hành do Cục Quản lý Dược cấp, định danh một sản phẩm được cấp phép. Ánh xạ trường SO_DANG_KY của QĐ 3176/QĐ-BYT (kể cả quy ước UBND.YYYY.X.S cho thuốc hiếm nhập khẩu theo QĐ 1931/QĐ-BYT).

                                              ShortSố đăng ký lưu hành (GPLH) — 12 chữ số theo TT 12/2025/TT-BYT hoặc định dạng legacy VD-xxxxx-yy
                                              Comments

                                              The serial number could be included as an identifier.

                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control0..1
                                              TypeIdentifier
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                                SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                30. Medication.identifier:drugRegistrationNumber.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                32. Medication.identifier:drugRegistrationNumber.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Medication.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 34. Medication.identifier:drugRegistrationNumber.use
                                                  Definition

                                                  The purpose of this identifier.

                                                  Shortusual | official | temp | secondary | old (If known)
                                                  Comments

                                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                  Control0..1
                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                  Identifies the purpose for this identifier, if known .

                                                  Typecode
                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  36. Medication.identifier:drugRegistrationNumber.type
                                                  Definition

                                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                  ShortDescription of identifier
                                                  Comments

                                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                  Control0..1
                                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Requirements

                                                  Allows users to make use of identifiers when the identifier system is not known.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  38. Medication.identifier:drugRegistrationNumber.system
                                                  Definition

                                                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                  ShortThe namespace for the identifier value
                                                  Comments

                                                  Identifier.system is always case sensitive.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                  Fixed Valuehttp://fhir.hl7.org.vn/core/sid/so-dang-ky-thuoc
                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  40. Medication.identifier:drugRegistrationNumber.value
                                                  Definition

                                                  The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                  ShortThe value that is unique
                                                  Comments

                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  ExampleGeneral: 123456
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  42. Medication.identifier:drugRegistrationNumber.period
                                                  Definition

                                                  Time period during which identifier is/was valid for use.

                                                  ShortTime period when id is/was valid for use
                                                  Control0..1
                                                  TypePeriod
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  44. Medication.identifier:drugRegistrationNumber.assigner
                                                  Definition

                                                  Organization that issued/manages the identifier.

                                                  ShortOrganization that issued id (may be just text)
                                                  Comments

                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                  Control0..1
                                                  TypeReference(Organization)
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  46. Medication.identifier:gtin
                                                  Slice Namegtin
                                                  Definition

                                                  Business identifier for this medication.

                                                  ShortGTIN bao gói (GS1) — một GTIN ứng với một quy cách đóng gói cụ thể
                                                  Comments

                                                  The serial number could be included as an identifier.

                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..1
                                                  TypeIdentifier
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  48. Medication.identifier:gtin.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  50. Medication.identifier:gtin.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Medication.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 52. Medication.identifier:gtin.use
                                                    Definition

                                                    The purpose of this identifier.

                                                    Shortusual | official | temp | secondary | old (If known)
                                                    Comments

                                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                    Control0..1
                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                    Identifies the purpose for this identifier, if known .

                                                    Typecode
                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    54. Medication.identifier:gtin.type
                                                    Definition

                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                    ShortDescription of identifier
                                                    Comments

                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                    Control0..1
                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    56. Medication.identifier:gtin.system
                                                    Definition

                                                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                    ShortThe namespace for the identifier value
                                                    Comments

                                                    Identifier.system is always case sensitive.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                    Fixed Valuehttps://www.gs1.org/gtin
                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    58. Medication.identifier:gtin.value
                                                    Definition

                                                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                    ShortThe value that is unique
                                                    Comments

                                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                    Control1..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    ExampleGeneral: 123456
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    60. Medication.identifier:gtin.period
                                                    Definition

                                                    Time period during which identifier is/was valid for use.

                                                    ShortTime period when id is/was valid for use
                                                    Control0..1
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    62. Medication.identifier:gtin.assigner
                                                    Definition

                                                    Organization that issued/manages the identifier.

                                                    ShortOrganization that issued id (may be just text)
                                                    Comments

                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                    Control0..1
                                                    TypeReference(Organization)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    64. Medication.code
                                                    Definition

                                                    Mã thuốc ở tầng SẢN PHẨM hoặc clinical drug (hoạt chất + hàm lượng + dạng bào chế). Khi có mã sản phẩm quốc gia thì dùng mã đó; nếu chưa có, dùng SNOMED CT clinical drug, mã nội bộ cơ sở, hoặc text tên thuốc kèm quy cách. ATC (WHO) là hệ thống PHÂN LOẠI giải phẫu-điều trị-hoá học, KHÔNG định danh sản phẩm — chỉ dùng làm coding phụ trong code.coding, không dùng làm coding duy nhất khi cần truy vết sản phẩm cụ thể. Số đăng ký lưu hành KHÔNG thuộc code: đó là định danh, đặt ở Medication.identifier với NamingSystem VNDrugRegistrationNumberNS (analysis/62 #3 tầng 1). Với dược liệu YHCT: dùng mã từ VNYHCTHerbCS (442 dược liệu theo QĐ 3080/QĐ-BYT, PL V).

                                                    ShortMã thuốc — mã sản phẩm hoặc clinical drug; ATC chỉ là coding phụ (phân loại)
                                                    Comments

                                                    Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

                                                    Control1..1
                                                    BindingFor example codes, see SNOMEDCTMedicationCodes
                                                    (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

                                                    A coded concept that defines the type of a medication.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                                      SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      66. Medication.status
                                                      Definition

                                                      A code to indicate if the medication is in active use.

                                                      Shortactive | inactive | entered-in-error
                                                      Comments

                                                      This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

                                                      Control0..1
                                                      BindingThe codes SHALL be taken from Medication Status Codes
                                                      (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

                                                      A coded concept defining if the medication is in active use.

                                                      Typecode
                                                      Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      68. Medication.manufacturer
                                                      Definition

                                                      Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

                                                      ShortManufacturer of the item
                                                      Control0..1
                                                      TypeReference(Organization)
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      70. Medication.form
                                                      Definition

                                                      Describes the form of the item. Powder; tablets; capsule.

                                                      ShortDạng bào chế (viên nén, dung dịch, bột...)
                                                      Comments

                                                      When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

                                                      Control0..1
                                                      BindingFor example codes, see SNOMEDCTFormCodes
                                                      (example to http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1)

                                                      A coded concept defining the form of a medication.

                                                      TypeCodeableConcept
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                                        SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        72. Medication.amount
                                                        Definition

                                                        Tổng lượng thuốc chứa trong một đơn vị đóng gói được mô tả bởi resource này. Hàm lượng hoạt chất và nồng độ đặt ở ingredient.strength, không đặt ở đây.

                                                        ShortLượng thuốc trong một đơn vị đóng gói (vd 20 viên/hộp, 3 mL/bút) — KHÔNG phải hàm lượng
                                                        Control0..1
                                                        TypeRatio
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        74. Medication.ingredient
                                                        Definition

                                                        Thành phần hoạt chất của thuốc. Với thuốc Tây y: hoạt chất chính + phụ. Với bài thuốc YHCT: từng vị thuốc (dược liệu) kèm trọng lượng gram/thang. Mã dược liệu YHCT dùng VNYHCTHerbCS (442 mã theo QĐ 3080/QĐ-BYT, PL V).

                                                        ShortThành phần hoạt chất / dược liệu YHCT
                                                        Comments

                                                        The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                                                        Control0..*
                                                        TypeBackboneElement
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                                          SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          76. Medication.ingredient.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          78. Medication.ingredient.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          80. Medication.ingredient.modifierExtension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                          Summarytrue
                                                          Requirements

                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                          Alternate Namesextensions, user content, modifiers
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          82. Medication.ingredient.item[x]
                                                          Definition

                                                          The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                                          ShortHoạt chất / dược liệu (mã hoặc tên)
                                                          Control1..1
                                                          TypeChoice of: CodeableConcept, Reference(Substance, Medication)
                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                                          Summaryfalse
                                                          Requirements

                                                          The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          84. Medication.ingredient.isActive
                                                          Definition

                                                          Indication of whether this ingredient affects the therapeutic action of the drug.

                                                          ShortHoạt chất chính (true) hay phụ (false)
                                                          Control0..1
                                                          Typeboolean
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summaryfalse
                                                          Requirements

                                                          True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          86. Medication.ingredient.strength
                                                          Definition

                                                          Hàm lượng hoạt chất hoặc trọng lượng dược liệu YHCT. Đơn vị: mg/g cho Tây y, g hoặc g/thang cho YHCT.

                                                          ShortHàm lượng / trọng lượng (VD: 500mg, 12g/thang)
                                                          Control0..1
                                                          TypeRatio
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          88. Medication.batch
                                                          Definition

                                                          Information that only applies to packages (not products).

                                                          ShortLô sản xuất (truy xuất nguồn gốc, thu hồi)
                                                          Control0..1
                                                          TypeBackboneElement
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:populate-if-knownNguồn tạo hồ sơ lâm sàng (Document Source)
                                                            SHALL:no-error & SHALL:persistKho hồ sơ EMR (Repository)
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            90. Medication.batch.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            92. Medication.batch.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            94. Medication.batch.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            96. Medication.batch.lotNumber
                                                            Definition

                                                            The assigned lot number of a batch of the specified product.

                                                            ShortSố lô (SO_LO)
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            98. Medication.batch.expirationDate
                                                            Definition

                                                            When this specific batch of product will expire.

                                                            ShortHạn sử dụng (HAN_DUNG)
                                                            Control0..1
                                                            TypedateTime
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))