Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review
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
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request | Phiên bản: 0.10.0 | ||||
| Computable Name: VNCoreMedicationRequest | |||||
| Định danh khác: OID:2.25.161089673617632664299011809196868855799.42.83 | |||||
Profile MedicationRequest cho Việt Nam. Dùng cho đơn thuốc điện tử (ePrescription). Hỗ trợ đơn thuốc ngoại trú, nội trú, cấp cứu. Liên kết với BHYT qua Coverage/Claim. Căn cứ: TT 13/2025/TT-BYT (bệnh án điện tử), QĐ 130/QĐ-BYT sửa đổi bởi QĐ 3176/QĐ-BYT (trường MA_THUOC trong chuẩn dữ liệu BHXH), Luật Dược 2016 Điều 74 (kê đơn thuốc). Căn cứ bổ sung:
Usages:
You can also check for usages in the FHIR IG Statistics
Mô tả profile, differential, snapshot và các biểu diễn liên quan.
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
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  MedicationRequest |
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  Slices for extension |
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 identifier |
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 status |
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| intent |
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| category |
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 medication[x] |
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 subject |
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| authoredOn |
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| requester |
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| groupIdentifier |
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| dosageInstruction |
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 dispenseRequest |
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| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| dom-3 | error | MedicationRequest | 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()
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| dom-4 | error | MedicationRequest | 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()
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| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
MedicationRequest | |||||||||||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
   extension:registrationNumber |
0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number | |||||||||||
| extension:paymentSource |
0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible) | |||||||||||
| extension:tenderInfo |
0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info | |||||||||||
 extension:processingMethod |
0..1 | CodeableConcept | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method Binding: Phương pháp chế biến vị thuốc cổ truyền — VN Traditional Medicine Processing Method ValueSet (extensible) | |||||||||||
 identifier |
SO | 0..* | Identifier | Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia
| ||||||||||
| status |
SO | 1..1 | code | Trạng thái đơn thuốc
| ||||||||||
| intent |
SO | 1..1 | code | Ý định: order (kê đơn) | proposal | plan
| ||||||||||
| category |
SO | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu
| ||||||||||
| medication[x] |
SO | 1..1 | CodeableConcept, Reference(Medication) | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT)
| ||||||||||
| subject |
SO | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
| ||||||||||
| encounter |
0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | |||||||||||
| authoredOn |
SO | 1..1 | dateTime | Ngày kê đơn
| ||||||||||
| requester |
SO | 0..1 | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Bác sĩ kê đơn
| ||||||||||
| reasonCode |
0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | |||||||||||
| groupIdentifier |
SO | 0..1 | Identifier | Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn
| ||||||||||
| insurance |
0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT) | |||||||||||
| note |
0..* | Annotation | Ghi chú bổ sung | |||||||||||
| dosageInstruction |
SO | 1..* | Dosage | Hướng dẫn liều dùng
| ||||||||||
| text |
S | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn) | ||||||||||
| timing |
S | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm) | ||||||||||
| route |
S | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible) | ||||||||||
| doseAndRate |
S | 0..* | Element | Liều lượng và tốc độ | ||||||||||
| dispenseRequest |
SO | 0..1 | BackboneElement | Yêu cầu cấp phát
| ||||||||||
| quantity |
S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát | ||||||||||
| expectedSupplyDuration |
0..1 | Duration | Số ngày cung cấp | |||||||||||
| substitution |
0..1 | BackboneElement | Thay thế thuốc | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
||||
| Slices for extension |
||||
| identifier |
|
| ||
| status |
|
| ||
| intent |
|
| ||
| category |
|
| ||
| medication[x] |
|
| ||
| subject |
|
| ||
| authoredOn |
|
| ||
| requester |
|
| ||
| groupIdentifier |
|
| ||
| dosageInstruction |
|
| ||
| dispenseRequest |
|
| ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:registrationNumber |
0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number | |||||||||||
| extension:paymentSource |
0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible) | |||||||||||
| extension:tenderInfo |
0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info | |||||||||||
| extension:processingMethod |
0..1 | CodeableConcept | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method Binding: Phương pháp chế biến vị thuốc cổ truyền — VN Traditional Medicine Processing Method ValueSet (extensible) | |||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
SO | 0..* | Identifier | Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia
| ||||||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||
| intent |
?!SOΣ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| category |
SO | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
| ||||||||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||||||||
| reportedBoolean |
boolean | |||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||
| medication[x] |
SOΣ | 1..1 | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| subject |
SOΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
| ||||||||||
| encounter |
0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | |||||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||
| authoredOn |
SOΣ | 1..1 | dateTime | Ngày kê đơn
| ||||||||||
| requester |
SOΣ | 0..1 | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Bác sĩ kê đơn
| ||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
| performerType |
Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||||||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
| reasonCode |
0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | |||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||
| groupIdentifier |
SOΣ | 0..1 | Identifier | Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn
| ||||||||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance |
0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT) | |||||||||||
| note |
0..* | Annotation | Ghi chú bổ sung | |||||||||||
| dosageInstruction |
SO | 1..* | Dosage | Hướng dẫn liều dùng
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||||||
| text |
SΣ | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn) | ||||||||||
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||||
| timing |
SΣ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm) | ||||||||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||||
| asNeededBoolean |
boolean | |||||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||||||||
| route |
SΣ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible) | ||||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||||||
| doseAndRate |
SΣ | 0..* | Element | Liều lượng và tốc độ | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||||||
| doseRange |
Range | |||||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||||||
 rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||||||
 rateRatio |
Ratio | |||||||||||||
| rateRange |
Range | |||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | ||||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | ||||||||||
| dispenseRequest |
SO | 0..1 | BackboneElement | Yêu cầu cấp phát
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | First fill quantity | |||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||||||||
| quantity |
S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát | ||||||||||
| expectedSupplyDuration |
0..1 | Duration | Số ngày cung cấp | |||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||
| substitution |
0..1 | BackboneElement | Thay thế thuốc | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||
| allowedBoolean |
boolean | |||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
||||
| Slices for extension |
||||
| identifier |
|
| ||
| status |
|
| ||
| intent |
|
| ||
| category |
|
| ||
| medication[x] |
|
| ||
| subject |
|
| ||
| authoredOn |
|
| ||
| requester |
|
| ||
| groupIdentifier |
|
| ||
| dosageInstruction |
|
| ||
| dispenseRequest |
|
| ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.2 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
||||
| Slices for extension |
||||
| identifier |
|
| ||
| status |
|
| ||
| intent |
|
| ||
| category |
|
| ||
| medication[x] |
|
| ||
| subject |
|
| ||
| authoredOn |
|
| ||
| requester |
|
| ||
| groupIdentifier |
|
| ||
| dosageInstruction |
|
| ||
| dispenseRequest |
|
| ||
| Documentation for this format | ||||
Summary
Mandatory: 2 elements
Must-Support: 16 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:registrationNumber |
0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number | |||||||||||
| extension:paymentSource |
0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible) | |||||||||||
| extension:tenderInfo |
0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info | |||||||||||
| extension:processingMethod |
0..1 | CodeableConcept | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method Binding: Phương pháp chế biến vị thuốc cổ truyền — VN Traditional Medicine Processing Method ValueSet (extensible) | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
SO | 0..* | Identifier | Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia
| ||||||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| intent |
?!SOΣ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| category |
SO | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
| ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| medication[x] |
SOΣ | 1..1 | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| subject |
SOΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
| ||||||||||
| encounter |
0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | |||||||||||
| authoredOn |
SOΣ | 1..1 | dateTime | Ngày kê đơn
| ||||||||||
| requester |
SOΣ | 0..1 | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Bác sĩ kê đơn
| ||||||||||
| reasonCode |
0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | |||||||||||
| groupIdentifier |
SOΣ | 0..1 | Identifier | Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn
| ||||||||||
| insurance |
0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT) | |||||||||||
| note |
0..* | Annotation | Ghi chú bổ sung | |||||||||||
| dosageInstruction |
SO | 1..* | Dosage | Hướng dẫn liều dùng
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| text |
SΣ | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn) | ||||||||||
| timing |
SΣ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm) | ||||||||||
| route |
SΣ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible) | ||||||||||
| doseAndRate |
SΣ | 0..* | Element | Liều lượng và tốc độ | ||||||||||
| dispenseRequest |
SO | 0..1 | BackboneElement | Yêu cầu cấp phát
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| quantity |
S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát | ||||||||||
| expectedSupplyDuration |
0..1 | Duration | Số ngày cung cấp | |||||||||||
| substitution |
0..1 | BackboneElement | Thay thế thuốc | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||
| allowedBoolean |
boolean | |||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||
| Documentation for this format | ||||||||||||||
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
||||
| Slices for extension |
||||
| identifier |
|
| ||
| status |
|
| ||
| intent |
|
| ||
| category |
|
| ||
| medication[x] |
|
| ||
| subject |
|
| ||
| authoredOn |
|
| ||
| requester |
|
| ||
| groupIdentifier |
|
| ||
| dosageInstruction |
|
| ||
| dispenseRequest |
|
| ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
MedicationRequest | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:registrationNumber |
0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number | |||||||||||
| extension:paymentSource |
0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible) | |||||||||||
| extension:tenderInfo |
0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info | |||||||||||
| extension:processingMethod |
0..1 | CodeableConcept | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method Binding: Phương pháp chế biến vị thuốc cổ truyền — VN Traditional Medicine Processing Method ValueSet (extensible) | |||||||||||
| identifier |
SO | 0..* | Identifier | Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia
| ||||||||||
| status |
SO | 1..1 | code | Trạng thái đơn thuốc
| ||||||||||
| intent |
SO | 1..1 | code | Ý định: order (kê đơn) | proposal | plan
| ||||||||||
| category |
SO | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu
| ||||||||||
| medication[x] |
SO | 1..1 | CodeableConcept, Reference(Medication) | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT)
| ||||||||||
| subject |
SO | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
| ||||||||||
| encounter |
0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | |||||||||||
| authoredOn |
SO | 1..1 | dateTime | Ngày kê đơn
| ||||||||||
| requester |
SO | 0..1 | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Bác sĩ kê đơn
| ||||||||||
| reasonCode |
0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | |||||||||||
| groupIdentifier |
SO | 0..1 | Identifier | Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn
| ||||||||||
| insurance |
0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT) | |||||||||||
| note |
0..* | Annotation | Ghi chú bổ sung | |||||||||||
| dosageInstruction |
SO | 1..* | Dosage | Hướng dẫn liều dùng
| ||||||||||
| text |
S | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn) | ||||||||||
| timing |
S | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm) | ||||||||||
| route |
S | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible) | ||||||||||
| doseAndRate |
S | 0..* | Element | Liều lượng và tốc độ | ||||||||||
| dispenseRequest |
SO | 0..1 | BackboneElement | Yêu cầu cấp phát
| ||||||||||
| quantity |
S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát | ||||||||||
| expectedSupplyDuration |
0..1 | Duration | Số ngày cung cấp | |||||||||||
| substitution |
0..1 | BackboneElement | Thay thế thuốc | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
||||
| Slices for extension |
||||
| identifier |
|
| ||
| status |
|
| ||
| intent |
|
| ||
| category |
|
| ||
| medication[x] |
|
| ||
| subject |
|
| ||
| authoredOn |
|
| ||
| requester |
|
| ||
| groupIdentifier |
|
| ||
| dosageInstruction |
|
| ||
| dispenseRequest |
|
| ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:registrationNumber |
0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number | |||||||||||
| extension:paymentSource |
0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible) | |||||||||||
| extension:tenderInfo |
0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info | |||||||||||
| extension:processingMethod |
0..1 | CodeableConcept | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method Binding: Phương pháp chế biến vị thuốc cổ truyền — VN Traditional Medicine Processing Method ValueSet (extensible) | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
SO | 0..* | Identifier | Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia
| ||||||||||
| status |
?!SOΣ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| ||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||
| intent |
?!SOΣ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||||||
| category |
SO | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
| ||||||||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||||||||
| reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||||||||
| reportedBoolean |
boolean | |||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||
| medication[x] |
SOΣ | 1..1 | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication) | |||||||||||||
| subject |
SOΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
| ||||||||||
| encounter |
0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan | |||||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||
| authoredOn |
SOΣ | 1..1 | dateTime | Ngày kê đơn
| ||||||||||
| requester |
SOΣ | 0..1 | Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile) | Bác sĩ kê đơn
| ||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
| performerType |
Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||||||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
| reasonCode |
0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | |||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||||||||
| groupIdentifier |
SOΣ | 0..1 | Identifier | Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn
| ||||||||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance |
0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT) | |||||||||||
| note |
0..* | Annotation | Ghi chú bổ sung | |||||||||||
| dosageInstruction |
SO | 1..* | Dosage | Hướng dẫn liều dùng
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||||||
| text |
SΣ | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn) | ||||||||||
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||||
| timing |
SΣ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm) | ||||||||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||||
| asNeededBoolean |
boolean | |||||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||||||||
| route |
SΣ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible) | ||||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||||||
| doseAndRate |
SΣ | 0..* | Element | Liều lượng và tốc độ | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||||||
| doseRange |
Range | |||||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||||||
| rateRatio |
Ratio | |||||||||||||
| rateRange |
Range | |||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | ||||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | ||||||||||
| dispenseRequest |
SO | 0..1 | BackboneElement | Yêu cầu cấp phát
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | First fill quantity | |||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||||||||
| quantity |
S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát | ||||||||||
| expectedSupplyDuration |
0..1 | Duration | Số ngày cung cấp | |||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||
| substitution |
0..1 | BackboneElement | Thay thế thuốc | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||||
| allowedBoolean |
boolean | |||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
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| Slices for extension |
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| identifier |
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| status |
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| intent |
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| category |
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| medication[x] |
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| subject |
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| authoredOn |
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| requester |
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| groupIdentifier |
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| dosageInstruction |
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| dispenseRequest |
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| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.10.0 | This IG |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.2 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Bên yêu cầu dữ liệu lõi (Data Requester) | Kho hồ sơ EMR (Repository) | Bên đáp ứng dữ liệu lõi (Data Responder) | Nguồn tạo hồ sơ lâm sàng (Document Source) |
|---|---|---|---|---|
| MedicationRequest |
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| Slices for extension |
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| identifier |
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| status |
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| intent |
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| category |
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| medication[x] |
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| subject |
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| authoredOn |
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| requester |
|
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| groupIdentifier |
|
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| dosageInstruction |
|
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| dispenseRequest |
|
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| Documentation for this format | ||||
Summary
Mandatory: 2 elements
Must-Support: 16 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Biểu diễn khác của hồ sơ: CSV, Excel, Schematron
