HL7 Vietnam VN Core FHIR Implementation Guide

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.5.0 - Draft for Community Review

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Hồ sơ tài nguyên: Đơn thuốc VN Core — VN Core MedicationRequest Profile

URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-medication-request | Phiên bản: 0.5.0 | Làm nổi bật phần thay đổi?
| Computable Name: VNCoreMedicationRequest

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. Per TT 13/2025/TT-BYT (EMR), QĐ 3176/QĐ-BYT (BHXH data standard — MA_THUOC field), Pharmaceutical Law 2016 Art.74 and amended by Law 44/2024/QH15; TT 26/2025/TT-BYT for outpatient/electronic prescribing.

Usages:

- Refer to this Profile: Bệnh án điện tử VN Core — VN Core Composition Profile and Cấp phát thuốc VN Core — VN Core Medication Dispense Profile
- Examples for this Profile: MedicationRequest/ExampleMedicationRequestAmoxicillin, MedicationRequest/ExampleMedicationRequestHypertension and MedicationRequest/ExampleMedicationRequestYHCT
- CapabilityStatements using this Profile: VN Core EMR Server CapabilityStatement and VN Core Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

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

Mô tả profile, differential, snapshot và các biểu diễn liên quan.

- Bảng phần tử chính
- Bảng Differential
- Bảng Snapshot
- Thống kê/Tham chiếu
- Tất cả

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent | ?!S Σ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (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.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
authoredOn | S Σ | 1..1 | dateTime | Ngày kê đơn
requester | S Σ | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S Σ | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn)
timing | S Σ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
route | S Σ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
doseAndRate | S Σ | 0..* | Element | Liều lượng và tốc độ
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
status | S | 1..1 | code | Trạng thái đơn thuốc
intent | S | 1..1 | code | Ý định: order (kê đơn) | proposal | plan
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT)
subject | S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
authoredOn | S | 1..1 | dateTime | Ngày kê đơn
requester | S | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
text | S | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn)
timing | S | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
route | S | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
doseAndRate | S | 0..* | Element | Liều lượng và tốc độ
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!S Σ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (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: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S Σ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (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: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 |  | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | Ngày kê đơn
requester | S Σ | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
performer |  | 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: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 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
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 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: SNOMEDCTAdditionalDosageInstructions (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
timing | S Σ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S Σ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Liều lượng và tốc độ
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 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: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
initialFill |  | 0..1 | BackboneElement | First fill details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std.
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Mandatory: 2 elements
Must-Support: 14 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)
- Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
- Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
- Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
- Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
- Thẻ BHYT VN Core — VN Core Coverage Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)

Extensions

This structure refers to these extensions:

- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method

Dạng xem phần tử chính

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent | ?!S Σ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (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.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
authoredOn | S Σ | 1..1 | dateTime | Ngày kê đơn
requester | S Σ | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S Σ | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn)
timing | S Σ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
route | S Σ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
doseAndRate | S Σ | 0..* | Element | Liều lượng và tốc độ
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Dạng xem Differential

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
status | S | 1..1 | code | Trạng thái đơn thuốc
intent | S | 1..1 | code | Ý định: order (kê đơn) | proposal | plan
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT)
subject | S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
authoredOn | S | 1..1 | dateTime | Ngày kê đơn
requester | S | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
text | S | 0..1 | string | Hướng dẫn dạng text (VD: Uống 500mg, 3 lần/ngày, sau ăn)
timing | S | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
route | S | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
doseAndRate | S | 0..* | Element | Liều lượng và tốc độ
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG

Dạng xem SnapshotView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:insuranceCostInfo |  | 0..1 | (Complex) | Thông tin BHYT: phạm vi (PHAM_VI), tỷ lệ TT (TYLE_TT), mức hưởng (MUC_HUONG) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
extension:registrationNumber |  | 0..1 | string | Số đăng ký thuốc (SO_DANG_KY) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
extension:orderDate |  | 0..1 | dateTime | Ngày y lệnh (NGAY_YL) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
extension:paymentSource |  | 0..1 | CodeableConcept | Nguồn chi trả cho dòng thuốc (NGUON_CTRA) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source Binding: Nguồn chi trả — Vietnam Payment Source ValueSet (extensible)
extension:tenderInfo |  | 0..1 | string | Thông tin thầu (TT_THAU) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
extension:processingMethod |  | 0..1 | string | Phương pháp chế biến YHCT (MA_PP_CHEBIEN) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!S Σ | 1..1 | code | Trạng thái đơn thuốc Binding: medicationrequest Status (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: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S Σ | 1..1 | code | Ý định: order (kê đơn) | proposal | plan Binding: medicationRequest Intent (required): The kind of medication order.
category | S | 0..* | CodeableConcept | Loại đơn thuốc: ngoại trú (outpatient), nội trú (inpatient), cấp cứu Binding: medicationRequest Category Codes (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: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 |  | Thuốc được kê (ATC/SNOMED CT/tên thuốc / bài thuốc YHCT) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được kê đơn
encounter |  | 0..1 | Reference(Lượt khám/nhập viện VN Core — VN Core Encounter Profile) | Lượt khám liên quan
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | Ngày kê đơn
requester | S Σ | 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 | Cơ sở y tế VN Core — VN Core Organization Profile) | Bác sĩ kê đơn
performer |  | 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: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Lý do kê đơn (mã ICD-10) Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible)
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Thẻ BHYT VN Core — VN Core Coverage Profile) | Thẻ BHYT (nếu đơn BHYT)
note |  | 0..* | Annotation | Ghi chú bổ sung
dosageInstruction | S | 1..* | Dosage | Hướng dẫn liều dùng
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 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
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 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: SNOMEDCTAdditionalDosageInstructions (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
timing | S Σ | 0..1 | Timing | Lịch dùng thuốc (tần suất, thời điểm)
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S Σ | 0..1 | CodeableConcept | Đường dùng (uống, tiêm, bôi...) — 55 mã per Dược điển VN Binding: Đường dùng thuốc — Vietnam Medication Route ValueSet (extensible)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Liều lượng và tốc độ
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 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: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 0..1 | BackboneElement | Yêu cầu cấp phát
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
initialFill |  | 0..1 | BackboneElement | First fill details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Tổng số lượng cấp phát
expectedSupplyDuration |  | 0..1 | Duration | Số ngày cung cấp
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution |  | 0..1 | BackboneElement | Thay thế thuốc
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std.
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.5.0 | This IG
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | extensible | Đường dùng thuốc — Vietnam Medication Route ValueSet | 📦0.5.0 | This IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Mandatory: 2 elements
Must-Support: 14 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)
- Lượt khám/nhập viện VN Core — VN Core Encounter Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter)
- Nhân viên y tế VN Core — VN Core Practitioner Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner)
- Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role)
- Cơ sở y tế VN Core — VN Core Organization Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)
- Thẻ BHYT VN Core — VN Core Coverage Profile (http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage)

Extensions

This structure refers to these extensions:

- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-cost-info
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-med-reg-number
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-order-date
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info
- http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method

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