# Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile - Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam v0.5.0

## Hồ sơ tài nguyên: Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance Profile 

 
Profile AllergyIntolerance cho ghi nhận dị ứng và bất dung nạp tại Việt Nam. Sử dụng SNOMED CT IPS Terminology (miễn phí, CC-BY-4.0) cho mã hóa chất gây dị ứng. Việt Nam không có bộ mã dị ứng quốc gia — SNOMED CT IPS cung cấp ~15.000+ concepts bao gồm substances, pharmaceutical products, allergens. Căn cứ: TT 13/2025/TT-BYT (bệnh án điện tử), Luật KCB 2023. 

**Usages:**

* Examples for this Profile: [AllergyIntolerance/ExampleAllergyIntoleranceFood](AllergyIntolerance-ExampleAllergyIntoleranceFood.md), [AllergyIntolerance/ExampleAllergyIntoleranceMinimal](AllergyIntolerance-ExampleAllergyIntoleranceMinimal.md), [AllergyIntolerance/ExampleAllergyIntoleranceNKA](AllergyIntolerance-ExampleAllergyIntoleranceNKA.md) and [AllergyIntolerance/ExampleAllergyPenicillin](AllergyIntolerance-ExampleAllergyPenicillin.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-allergy-intolerance)

### 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 **

Mandatory: 1 element
 Must-Support: 10 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)

 **Dạng xem phần tử chính** 

#### Terminology Bindings

#### Constraints

 **Dạng xem Differential** 

#### Terminology Bindings (Differential)

 **Dạng xem SnapshotView** 

#### Terminology Bindings

#### Constraints

** Summary **

Mandatory: 1 element
 Must-Support: 10 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)

 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "vn-core-allergy-intolerance",
  "url" : "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-allergy-intolerance",
  "version" : "0.5.0",
  "name" : "VNCoreAllergyIntolerance",
  "title" : "Dị ứng/Bất dung nạp VN Core — VN Core AllergyIntolerance 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 AllergyIntolerance cho ghi nhận dị ứng và bất dung nạp tại Việt Nam.\nSử dụng SNOMED CT IPS Terminology (miễn phí, CC-BY-4.0) cho mã hóa chất gây dị ứng.\nViệt Nam không có bộ mã dị ứng quốc gia — SNOMED CT IPS cung cấp ~15.000+ concepts\nbao gồm substances, pharmaceutical products, allergens.\nCăn cứ: TT 13/2025/TT-BYT (bệnh án điện tử), Luật KCB 2023.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "VN",
      "display" : "Viet Nam"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "AllergyIntolerance",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "AllergyIntolerance",
      "path" : "AllergyIntolerance"
    },
    {
      "id" : "AllergyIntolerance.clinicalStatus",
      "path" : "AllergyIntolerance.clinicalStatus",
      "short" : "Trạng thái lâm sàng (active, inactive, resolved)",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.verificationStatus",
      "path" : "AllergyIntolerance.verificationStatus",
      "short" : "Trạng thái xác minh",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.type",
      "path" : "AllergyIntolerance.type",
      "short" : "Loại: dị ứng (allergy) hay bất dung nạp (intolerance)",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.category",
      "path" : "AllergyIntolerance.category",
      "short" : "Phân loại: thức ăn, thuốc, môi trường, sinh học",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.criticality",
      "path" : "AllergyIntolerance.criticality",
      "short" : "Mức độ nguy hiểm (low, high, unable-to-assess)",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.code",
      "path" : "AllergyIntolerance.code",
      "short" : "Chất gây dị ứng/bất dung nạp",
      "definition" : "Mã chất gây dị ứng theo SNOMED CT IPS Terminology.\nBinding extensible — cho phép text mô tả nếu không có mã SNOMED phù hợp.",
      "min" : 1,
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://fhir.hl7.org.vn/core/ValueSet/vn-allergy-code-vs"
      }
    },
    {
      "id" : "AllergyIntolerance.patient",
      "path" : "AllergyIntolerance.patient",
      "short" : "Bệnh nhân",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.encounter",
      "path" : "AllergyIntolerance.encounter",
      "short" : "Lượt khám phát hiện dị ứng",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter"]
      }]
    },
    {
      "id" : "AllergyIntolerance.onset[x]",
      "path" : "AllergyIntolerance.onset[x]",
      "short" : "Thời điểm khởi phát"
    },
    {
      "id" : "AllergyIntolerance.recordedDate",
      "path" : "AllergyIntolerance.recordedDate",
      "short" : "Ngày ghi nhận",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.recorder",
      "path" : "AllergyIntolerance.recorder",
      "short" : "Người ghi nhận",
      "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"]
      }]
    },
    {
      "id" : "AllergyIntolerance.reaction",
      "path" : "AllergyIntolerance.reaction",
      "short" : "Phản ứng dị ứng cụ thể"
    },
    {
      "id" : "AllergyIntolerance.reaction.substance",
      "path" : "AllergyIntolerance.reaction.substance",
      "short" : "Chất cụ thể gây phản ứng"
    },
    {
      "id" : "AllergyIntolerance.reaction.manifestation",
      "path" : "AllergyIntolerance.reaction.manifestation",
      "short" : "Biểu hiện lâm sàng (buồn nôn, ban đỏ, phù nề...)",
      "mustSupport" : true
    },
    {
      "id" : "AllergyIntolerance.reaction.severity",
      "path" : "AllergyIntolerance.reaction.severity",
      "short" : "Mức độ (mild, moderate, severe)",
      "mustSupport" : true
    }]
  }
}

```
