# Đánh giá YHCT VN Core — VN Core Observation Traditional Medicine Profile - Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam v0.5.0

## Hồ sơ tài nguyên: Đánh giá YHCT VN Core — VN Core Observation Traditional Medicine Profile 

 
Profile Observation cho đánh giá Y học cổ truyền (YHCT) tại Việt Nam. Dùng cho các phương pháp tứ chẩn: Vọng (nhìn — lưỡi, sắc mặt), Văn (nghe/ngửi), Vấn (hỏi — triệu chứng), Thiết (bắt mạch). Liên kết với VNCoreCondition (chẩn đoán YHCT) và VNCoreProcedure (kỹ thuật YHCT). Căn cứ: QĐ 2552/QĐ-BYT (12/8/2025) — Đợt 1 mã YHCT, QĐ 3080/QĐ-BYT (26/9/2025) — Đợt 2 mã YHCT. 

**Usages:**

* Examples for this Profile: [Observation/ExampleObservationYHCTPulse](Observation-ExampleObservationYHCTPulse.md), [Observation/ExampleObservationYHCTSymptom](Observation-ExampleObservationYHCTSymptom.md) and [Observation/ExampleObservationYHCTTongue](Observation-ExampleObservationYHCTTongue.md)
* CapabilityStatements using this Profile: [VN Core EMR Server CapabilityStatement](CapabilityStatement-vn-core-emr-server.md) and [VN Core Server CapabilityStatement](CapabilityStatement-vn-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.vn.core|current/StructureDefinition/vn-core-observation-yhct)

### Các dạng xem hình thức của nội dung hồ sơ

 [Mô tả profile, differential, snapshot và các biểu diễn liên quan](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

*  [Bảng phần tử chính](#tabs-key) 
*  [Bảng Differential](#tabs-diff) 
*  [Bảng Snapshot](#tabs-snap) 
*  [Thống kê/Tham chiếu](#tabs-summ) 
*  [Tất cả](#tabs-all) 

#### Terminology Bindings

#### Constraints

#### Terminology Bindings

#### Constraints

** Summary **

Mandatory: 3 elements
 Must-Support: 9 elements

**Structures**

This structure refers to these other structures:

* [Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)](StructureDefinition-vn-core-patient.md)
* [Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)](StructureDefinition-vn-core-encounter.md)
* [Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)](StructureDefinition-vn-core-practitioner.md)
* [Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)](StructureDefinition-vn-core-practitioner-role.md)
* [Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)](StructureDefinition-vn-core-organization.md)

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the values of Observation.category

 **Dạng xem phần tử chính** 

#### Terminology Bindings

#### Constraints

 **Dạng xem Differential** 

 **Dạng xem SnapshotView** 

#### Terminology Bindings

#### Constraints

** Summary **

Mandatory: 3 elements
 Must-Support: 9 elements

**Structures**

This structure refers to these other structures:

* [Bệnh nhân VN Core — VN Core Patient Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)](StructureDefinition-vn-core-patient.md)
* [Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)](StructureDefinition-vn-core-encounter.md)
* [Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)](StructureDefinition-vn-core-practitioner.md)
* [Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)](StructureDefinition-vn-core-practitioner-role.md)
* [Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)](StructureDefinition-vn-core-organization.md)

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the values of Observation.category

 

Biểu diễn khác của hồ sơ: [CSV](../StructureDefinition-vn-core-observation-yhct.csv), [Excel](../StructureDefinition-vn-core-observation-yhct.xlsx), [Schematron](../StructureDefinition-vn-core-observation-yhct.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "vn-core-observation-yhct",
  "extension" : [{
    "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-legal-basis",
    "valueCoding" : {
      "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-legal-document-ref-cs",
      "code" : "L-15-2023"
    }
  }],
  "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-yhct",
  "version" : "0.5.0",
  "name" : "VNCoreObservationYHCT",
  "title" : "Đánh giá YHCT VN Core — VN Core Observation Traditional Medicine Profile",
  "status" : "draft",
  "date" : "2026-03-21",
  "publisher" : "Omi HealthTech / VN Core FHIR Community Initiative",
  "contact" : [{
    "name" : "Omi HealthTech / VN Core FHIR Community Initiative",
    "telecom" : [{
      "system" : "url",
      "value" : "https://hl7.org.vn"
    },
    {
      "system" : "email",
      "value" : "info@hl7.org.vn"
    }]
  },
  {
    "name" : "Omi HealthTech (OmiGroup)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://omihealthtech.vn"
    },
    {
      "system" : "url",
      "value" : "https://omigroup.vn"
    },
    {
      "system" : "email",
      "value" : "healthtech@omigroup.vn"
    }]
  }],
  "description" : "Profile Observation cho đánh giá Y học cổ truyền (YHCT) tại Việt Nam.\nDùng cho các phương pháp tứ chẩn: Vọng (nhìn — lưỡi, sắc mặt), Văn (nghe/ngửi),\nVấn (hỏi — triệu chứng), Thiết (bắt mạch).\nLiên kết với VNCoreCondition (chẩn đoán YHCT) và VNCoreProcedure (kỹ thuật YHCT).\nCăn cứ: QĐ 2552/QĐ-BYT (12/8/2025) — Đợt 1 mã YHCT,\nQĐ 3080/QĐ-BYT (26/9/2025) — Đợt 2 mã YHCT.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "VN",
      "display" : "Viet Nam"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation"
    },
    {
      "id" : "Observation.status",
      "path" : "Observation.status",
      "short" : "Trạng thái đánh giá",
      "mustSupport" : true
    },
    {
      "id" : "Observation.category",
      "path" : "Observation.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.category:YHCT",
      "path" : "Observation.category",
      "sliceName" : "YHCT",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://fhir.hl7.org.vn/core/CodeSystem/vn-service-request-category-cs",
          "code" : "YHCT",
          "display" : "Y học cổ truyền"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "short" : "Loại đánh giá YHCT",
      "definition" : "Mã loại đánh giá YHCT per QĐ 2552 + QĐ 3080/QĐ-BYT. Dùng:\nVNYHCTSymptomCS (1.451 triệu chứng), VNYHCTTongueCS (39 mã lưỡi),\nVNYHCTPulseCS (18 mã mạch), VNYHCTTreatmentMethodCS (77 pháp điều trị),\nVNYHCTDiagnosisCS (106 chẩn đoán).",
      "mustSupport" : true
    },
    {
      "id" : "Observation.subject",
      "path" : "Observation.subject",
      "short" : "Bệnh nhân",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.encounter",
      "path" : "Observation.encounter",
      "short" : "Lượt khám liên quan",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"]
      }]
    },
    {
      "id" : "Observation.effective[x]",
      "path" : "Observation.effective[x]",
      "short" : "Thời điểm đánh giá",
      "mustSupport" : true
    },
    {
      "id" : "Observation.performer",
      "path" : "Observation.performer",
      "short" : "Lương y / Bác sĩ YHCT thực hiện",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner",
        "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role",
        "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"]
      }]
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "short" : "Kết quả đánh giá YHCT",
      "mustSupport" : true
    },
    {
      "id" : "Observation.note",
      "path" : "Observation.note",
      "short" : "Nhận xét tổng hợp của thầy thuốc YHCT"
    },
    {
      "id" : "Observation.component",
      "path" : "Observation.component",
      "short" : "Thành phần đánh giá chi tiết"
    },
    {
      "id" : "Observation.component.code",
      "path" : "Observation.component.code",
      "short" : "Mã thành phần (VD: đặc tính mạch, vùng lưỡi)",
      "mustSupport" : true
    },
    {
      "id" : "Observation.component.value[x]",
      "path" : "Observation.component.value[x]",
      "short" : "Giá trị thành phần",
      "mustSupport" : true
    }]
  }
}

```
