# Ghi nhận sử dụng VTYT VN Core — VN Core DeviceUseStatement Profile - Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam v0.5.0

## Hồ sơ tài nguyên: Ghi nhận sử dụng VTYT VN Core — VN Core DeviceUseStatement Profile 

 
Profile DeviceUseStatement cho Việt Nam. Ghi nhận việc sử dụng vật tư y tế (VTYT) hoặc thiết bị cho bệnh nhân. Liên kết với VNCoreDevice (thông tin VTYT) và VNCoreEncounter (lượt khám). Dùng cho theo dõi VTYT tiêu hao (catheter, kim, băng…) và VTYT lâu bền (implant, stent…). Căn cứ: QĐ 3176/QĐ-BYT (trường MA_VAT_TU trong chuẩn dữ liệu BHXH). Thông tin thanh toán BHYT theo dòng chi phí như PHAM_VI, TYLE_TT và MUC_HUONG phải đặt ở Claim.item/ClaimResponse/EOB; DeviceUseStatement chỉ giữ dữ liệu sử dụng lâm sàng. 

**Usages:**

* Examples for this Profile: [DeviceUseStatement/ExampleDeviceUseStatementImplant](DeviceUseStatement-ExampleDeviceUseStatementImplant.md), [DeviceUseStatement/ExampleDeviceUseStatementMinimal](DeviceUseStatement-ExampleDeviceUseStatementMinimal.md) and [DeviceUseStatement/ExampleDeviceUseStatementVTYT](DeviceUseStatement-ExampleDeviceUseStatementVTYT.md)
* CapabilityStatements using this Profile: [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-device-use-statement)

### 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 (Differential)

#### Terminology Bindings

#### Constraints

** Summary **

Must-Support: 4 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)
* [Thiết bị y tế VN Core — VN Core Device Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device)](StructureDefinition-vn-core-device.md)
* [Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)](StructureDefinition-vn-core-condition.md)
* [Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)](StructureDefinition-vn-core-observation-lab.md)
* [Sinh hiệu VN Core — VN Core Observation Vital Signs Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs)](StructureDefinition-vn-core-observation-vital-signs.md)
* [Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)](StructureDefinition-vn-core-diagnostic-report.md)

**Extensions**

This structure refers to these extensions:

* [http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date](StructureDefinition-vn-ext-order-date.md)

 **Dạng xem phần tử chính** 

#### Terminology Bindings

#### Constraints

 **Dạng xem Differential** 

#### Terminology Bindings (Differential)

 **Dạng xem SnapshotView** 

#### Terminology Bindings

#### Constraints

** Summary **

Must-Support: 4 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)
* [Thiết bị y tế VN Core — VN Core Device Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device)](StructureDefinition-vn-core-device.md)
* [Chẩn đoán VN Core — VN Core Condition Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)](StructureDefinition-vn-core-condition.md)
* [Xét nghiệm VN Core — VN Core Observation Laboratory Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab)](StructureDefinition-vn-core-observation-lab.md)
* [Sinh hiệu VN Core — VN Core Observation Vital Signs Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs)](StructureDefinition-vn-core-observation-vital-signs.md)
* [Báo cáo cận lâm sàng VN Core — VN Core DiagnosticReport Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report)](StructureDefinition-vn-core-diagnostic-report.md)

**Extensions**

This structure refers to these extensions:

* [http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date](StructureDefinition-vn-ext-order-date.md)

 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "vn-core-device-use-statement",
  "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device-use-statement",
  "version" : "0.5.0",
  "name" : "VNCoreDeviceUseStatement",
  "title" : "Ghi nhận sử dụng VTYT VN Core — VN Core DeviceUseStatement 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 DeviceUseStatement cho Việt Nam. Ghi nhận việc sử dụng vật tư y tế (VTYT) hoặc thiết bị cho bệnh nhân.\nLiên kết với VNCoreDevice (thông tin VTYT) và VNCoreEncounter (lượt khám).\nDùng cho theo dõi VTYT tiêu hao (catheter, kim, băng...) và VTYT lâu bền (implant, stent...).\nCăn cứ: QĐ 3176/QĐ-BYT (trường MA_VAT_TU trong chuẩn dữ liệu BHXH).\nThông tin thanh toán BHYT theo dòng chi phí như PHAM_VI, TYLE_TT và MUC_HUONG phải đặt ở Claim.item/ClaimResponse/EOB; DeviceUseStatement chỉ giữ dữ liệu sử dụng lâm sàng.",
  "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" : "quick",
    "uri" : "http://siframework.org/cqf",
    "name" : "Quality Improvement and Clinical Knowledge (QUICK)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DeviceUseStatement",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DeviceUseStatement",
      "path" : "DeviceUseStatement"
    },
    {
      "id" : "DeviceUseStatement.extension",
      "path" : "DeviceUseStatement.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DeviceUseStatement.extension:orderDate",
      "path" : "DeviceUseStatement.extension",
      "sliceName" : "orderDate",
      "short" : "Ngày y lệnh sử dụng VTYT",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date"]
      }]
    },
    {
      "id" : "DeviceUseStatement.status",
      "path" : "DeviceUseStatement.status",
      "short" : "Trạng thái: active | completed | on-hold | stopped",
      "mustSupport" : true
    },
    {
      "id" : "DeviceUseStatement.subject",
      "path" : "DeviceUseStatement.subject",
      "short" : "Bệnh nhân",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DeviceUseStatement.timing[x]",
      "path" : "DeviceUseStatement.timing[x]",
      "short" : "Thời điểm sử dụng VTYT",
      "mustSupport" : true
    },
    {
      "id" : "DeviceUseStatement.device",
      "path" : "DeviceUseStatement.device",
      "short" : "VTYT được sử dụng",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-device"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DeviceUseStatement.reasonCode",
      "path" : "DeviceUseStatement.reasonCode",
      "short" : "Lý do sử dụng VTYT (mã ICD-10)",
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs"
      }
    },
    {
      "id" : "DeviceUseStatement.reasonReference",
      "path" : "DeviceUseStatement.reasonReference",
      "short" : "Tham chiếu chẩn đoán/kết quả liên quan",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition",
        "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab",
        "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-vital-signs",
        "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-diagnostic-report"]
      }]
    },
    {
      "id" : "DeviceUseStatement.bodySite",
      "path" : "DeviceUseStatement.bodySite",
      "short" : "Vị trí đặt VTYT",
      "binding" : {
        "strength" : "preferred",
        "valueSet" : "http://fhir.hl7.org.vn/core/ValueSet/vn-body-site-vs"
      }
    },
    {
      "id" : "DeviceUseStatement.note",
      "path" : "DeviceUseStatement.note",
      "short" : "Ghi chú bổ sung"
    }]
  }
}

```
