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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright
date	2026-05-10
description	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: - **Luật 44/2024/QH15** — 21/11/2024 — sửa đổi Luật Dược, hiệu lực 01/7/2025 - **TT 26/2025/TT-BYT** — 30/6/2025 — kê đơn thuốc hóa dược, sinh phẩm trong điều trị ngoại trú; hiệu lực 01/7/2025 - **NĐ 102/2025/NĐ-CP** — 13/5/2025 — quản lý dữ liệu y tế số và dữ liệu đơn thuốc trong CSDL quốc gia về y tế. / VN Core MedicationRequest profile for electronic prescriptions (ePrescription). Supports outpatient, inpatient, and emergency prescriptions. Links to insurance via Coverage/Claim. Based on TT 13/2025/TT-BYT (EMR), QĐ 3176/QĐ-BYT (BHXH data standard — MA_THUOC field), Pharmaceutical Law 2016 Art.74 as amended by Law 44/2024/QH15, and TT 26/2025/TT-BYT for outpatient/electronic prescribing.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#VN
kind	resource
name	VNCoreMedicationRequest
publisher	Omi HealthTech / VN Core FHIR Community Initiative
purpose
status	draft
title	Đơn thuốc VN Core — VN Core MedicationRequest Profile
type	MedicationRequest
url	http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request
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
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group		0..*	MedicationRequest	Ordering of medication for patient or group
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 ids for this request	S	0..*	Identifier	Mã dòng thuốc trong đơn (mã nội bộ của cơ sở kê đơn) — KHÔNG dùng cho mã đơn quốc gia	Elements differ in definition for mustSupport: 'false' vs 'true'
status	?!SΣ	1..1	code	Trạng thái đơn thuốc Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!SΣ	1..1	code	Trạng thái đơn thuốc Binding: ?? (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: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	Ý định: order (kê đơn) | proposal | plan Binding: ?? (required): The kind of medication order.	?!SΣ	1..1	code	Ý định: order (kê đơn) | proposal | plan Binding: ?? (required): The kind of medication order.
category	S	0..*	CodeableConcept	Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: ?? (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.	S	0..*	CodeableConcept	Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: ?? (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: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record
medication[x]	SΣ	1..1	CodeableConcept, Reference(Medication)	Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: ?? (example): A coded concept identifying substance or product that can be ordered.	SΣ	1..1	CodeableConcept, Reference(Medication)	Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
subject	SΣ	1..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)	Bệnh nhân được kê đơn	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân được kê đơn	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]])
encounter		0..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)	Lượt khám liên quan		0..1	Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile)	Lượt khám 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)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	Ngày kê đơn	SΣ	1..1	dateTime	Ngày kê đơn
requester	SΣ	0..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)	Bác sĩ kê đơn	SΣ	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	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]])
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		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: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Lý do kê đơn (mã ICD-10) Binding: ?? (extensible)		0..*	CodeableConcept	Lý do kê đơn (mã ICD-10) Binding: ?? (extensible)
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	SΣ	0..1	Identifier	Mã đơn thuốc quốc gia — định danh CẢ ĐƠN, dùng chung cho mọi dòng thuốc của đơn	Elements differ in definition for mustSupport: 'false' vs 'true'
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)	Thẻ BHYT (nếu đơn BHYT)		0..*	Reference(Thẻ BHYT VN Core — VN Core Coverage Profile)	Thẻ BHYT (nếu đơn BHYT)	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage]])
note		0..*	Annotation	Ghi chú bổ sung		0..*	Annotation	Ghi chú bổ sung
dosageInstruction	S	1..*	Dosage	Hướng dẫn liều dùng	S	1..*	Dosage	Hướng dẫn liều dùng
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	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)	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: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (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	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	Lịch dùng thuốc (tần suất, thời điểm)	SΣ	0..1	Timing	Lịch dùng thuốc (tần suất, thời điểm)
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (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: ?? (extensible)	SΣ	0..1	CodeableConcept	Đường dùng (uống, tiêm, bôi...) — 56 mã theo Dược điển VN Binding: ?? (extensible)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Liều lượng và tốc độ	SΣ	0..*	Element	Liều lượng và tốc độ
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	Yêu cầu cấp phát	S	0..1	BackboneElement	Yêu cầu cấp phát
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
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
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
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	??	Tổng số lượng cấp phát	S	0..1	??	Tổng số lượng cấp phát
expectedSupplyDuration		0..1	Duration	Số ngày cung cấp		0..1	Duration	Số ngày cung cấp
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Thay thế thuốc		0..1	BackboneElement	Thay thế thuốc
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
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (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		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action		0..*	Reference(DetectedIssue)	Clinical Issue with action
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