Profile Comparison between http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-administration vs http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-administration

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationAdministration
copyright	Căn cứ pháp lý Việt Nam: TT 13/2025/TT-BYT ngày 06/06/2025; Luật Dược 105/2016/QH13 Điều 74; Luật 44/2024/QH15 ngày 21/11/2024; NĐ 163/2025/NĐ-CP ngày 29/06/2025 (thay NĐ 54/2017/NĐ-CP từ 01/07/2025); QĐ 3176/QĐ-BYT ngày 29/10/2024; TT 26/2025/TT-BYT; NĐ 188/2025/NĐ-CP ban hành 01/07/2025, hiệu lực 15/08/2025.
date	2026-06-03
description	Profile MedicationAdministration cho Việt Nam. Ghi nhận sự kiện **cho người bệnh dùng thuốc thực tế** (điều dưỡng thực hiện y lệnh) — khép chuỗi kê đơn → cấp phát → **sử dụng** trong điều trị nội trú và bệnh án điện tử. Bổ sung mắt xích còn thiếu so với VNCoreMedicationRequest (y lệnh) và VNCoreMedicationDispense (cấp phát). Căn cứ pháp lý hiện hành: - **TT 13/2025/TT-BYT (06/6/2025)** — bệnh án điện tử ghi nhận diễn biến dùng thuốc nội trú - **Luật Dược 105/2016/QH13 Điều 74** + **Luật 44/2024/QH15** — nguyên tắc kê đơn/sử dụng thuốc - **NĐ 163/2025/NĐ-CP (29/6/2025)** — hướng dẫn Luật Dược (thay NĐ 54/2017/NĐ-CP từ 01/7/2025) - **QĐ 3176/QĐ-BYT (29/10/2024)** — XML: NGAY_TH_YL (ngày thực hiện y lệnh), MA_THUOC, SO_DANG_KY - **TT 26/2025/TT-BYT** — kê đơn/sử dụng thuốc ngoại trú và sau điều trị nội trú - **NĐ 188/2025/NĐ-CP** — thanh toán BHYT thuốc đã sử dụng. / VN Core MedicationAdministration profile records the actual administration of medication to a patient, completing the prescribe → dispense → administer chain in inpatient EMR workflows.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#VN
kind	resource
name	VNCoreMedicationAdministration
publisher	Omi HealthTech / VN Core FHIR Community Initiative
purpose
status	draft
title	Sử dụng/Cho dùng thuốc VN Core — VN Core Medication Administration Profile
type	MedicationAdministration
url	http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-administration
version	0.8.0	0.9.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
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		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		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!SΣ	1..1	code	Trạng thái dùng thuốc Binding: ?? (required): A set of codes indicating the current status of a MedicationAdministration.	?!SΣ	1..1	code	Trạng thái dùng thuốc Binding: ?? (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason		0..*	CodeableConcept	Reason administration not performed Binding: ?? (example): A set of codes indicating the reason why the MedicationAdministration is negated.		0..*	CodeableConcept	Reason administration not performed Binding: ?? (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category	S	0..1	CodeableConcept	Bối cảnh dùng thuốc: inpatient, outpatient, community Binding: ?? (preferred): A coded concept describing where the medication administered is expected to occur.	S	0..1	CodeableConcept	Bối cảnh dùng thuốc: inpatient, outpatient, community Binding: ?? (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x]	SΣ	1..1	CodeableConcept	Thuốc được dùng Binding: ?? (example): Codes identifying substance or product that can be administered.	SΣ	1..1	CodeableConcept	Thuốc được dùng Binding: ?? (example): Codes identifying substance or product that can be administered.
subject	SΣ	1..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)	Người bệnh được cho dùng thuốc	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh được cho dùng thuốc	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]])
context	S	0..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)	Lượt khám/đợt điều trị liên quan	S	0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Lượt khám/đợt điều trị liên quan	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter]])
supportingInformation		0..*	Reference(Resource)	Additional information to support administration		0..*	Reference(Resource)	Additional information to support administration
effective[x]	SΣ	1..1	dateTime, Period	Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)	SΣ	1..1	dateTime, Period	Thời điểm/khoảng thời gian dùng thuốc (NGAY_TH_YL)
performer	SΣ	0..*	BackboneElement	Who performed the medication administration and what they did	SΣ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: ?? (example): A code describing the role an individual played in administering the medication.		0..1	CodeableConcept	Type of performance Binding: ?? (example): A code describing the role an individual played in administering the medication.
actor	SΣ	1..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)	Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề	SΣ	1..1	Reference(Nhân viên y tế VN Core — VN Core Practitioner Profile | Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile)	Người thực hiện cho dùng thuốc (thường là điều dưỡng) hoặc vai trò hành nghề	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner], CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role]])
reasonCode	S	0..*	CodeableConcept	Lý do dùng thuốc (mã ICD-10 hoặc text) Binding: ?? (example): A set of codes indicating the reason why the MedicationAdministration was made.	S	0..*	CodeableConcept	Lý do dùng thuốc (mã ICD-10 hoặc text) Binding: ?? (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request	S	0..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request)	Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng	S	0..1	Reference(Đơn thuốc VN Core — VN Core MedicationRequest Profile)	Y lệnh thuốc tương ứng — bảo toàn chuỗi kê đơn → cấp phát → sử dụng	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request]])
device		0..*	Reference(Device)	Device used to administer		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration		0..*	Annotation	Information about the administration
dosage	SC	0..1	BackboneElement	Liều dùng thực tế	SC	0..1	BackboneElement	Liều dùng thực tế
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.		0..1	CodeableConcept	Body site administered to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route	S	0..1	CodeableConcept	Đường dùng thuốc Binding: ?? (extensible)	S	0..1	CodeableConcept	Đường dùng thuốc Binding: ?? (extensible)
method		0..1	CodeableConcept	How drug was administered Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.		0..1	CodeableConcept	How drug was administered Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
dose	S	0..1	??	Liều một lần dùng	S	0..1	??	Liều một lần dùng
rate[x]		0..1	Ratio, ??	Dose quantity per unit of time		0..1	Ratio, ??	Dose quantity per unit of time
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format