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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Encounter
copyright
date	2026-03-21	2026-05-10	Values Differ
description	Profile Encounter cho Việt Nam. Bao gồm extension loại KCB BHYT (trường MALYDO), thông tin chẩn đoán, cơ sở y tế, và kết quả điều trị/tình trạng ra viện. Căn cứ: - **NĐ 102/2025/NĐ-CP** — 13/5/2025 — quản lý dữ liệu y tế số và CSDL quốc gia về y tế - **TT 13/2025/TT-BYT** — 06/6/2025 — bệnh án điện tử - **TT 30/2023/TT-BYT** — 30/12/2023 — khám bệnh, chữa bệnh từ xa khi Encounter.class = VR/virtual - **Luật 51/2024/QH15** — 27/11/2024 — sửa đổi Luật BHYT, hiệu lực 01/7/2025 - **QĐ 130/QĐ-BYT** — 18/01/2023; **QĐ 4750/QĐ-BYT** — 29/12/2023; **QĐ 3176/QĐ-BYT** — 29/10/2024 — chuẩn dữ liệu KCB phục vụ BHXH.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#VN
kind	resource
name	VNCoreEncounter
publisher	Omi HealthTech / VN Core FHIR Community Initiative
purpose
status	draft
title	Lượt khám/nhập viện VN Core — VN Core Encounter Profile
type	Encounter
url	http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter
version	0.5.0	0.5.1	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Encounter		0..*	Encounter	An interaction during which services are provided to the patient		0..*	Encounter	An interaction during which services are provided to the patient
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	Σ	0..*	Identifier	Identifier(s) by which this encounter is known	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	1..1	code	Trạng thái lượt khám Binding: ?? (required): Current state of the encounter.	?!SΣ	1..1	code	Trạng thái lượt khám Binding: ?? (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses		0..*	BackboneElement	List of past encounter statuses
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
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) Binding: ?? (extensible): Classification of the encounter.	SΣ	1..1	Coding	Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) Binding: ?? (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes		0..*	BackboneElement	List of past encounter classes
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
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class		1..1	Period	The time that the episode was in the specified class
type	SΣ	0..*	CodeableConcept	Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: ?? (extensible)	SΣ	0..*	CodeableConcept	Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: ?? (extensible)
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided.	Σ	0..1	CodeableConcept	Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter.		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Bệnh nhân
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	Bác sĩ/NVYT tham gia	Σ	0..*	BackboneElement	Bác sĩ/NVYT tham gia
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
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated		0..1	Period	Period of time during the encounter that the participant participated
individual	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)	Persons involved in the encounter other than the patient	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)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	Thời gian khám/nhập viện	S	0..1	Period	Thời gian khám/nhập viện
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Lý do đến khám/chief complaint Binding: ?? (extensible)	SΣ	0..*	CodeableConcept	Lý do đến khám/chief complaint Binding: ?? (extensible)
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
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Diễn giải tự do của lý do đến khám	SΣ	0..1	string	Diễn giải tự do của lý do đến khám
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	SΣ	0..*	BackboneElement	Chẩn đoán	SΣ	0..*	BackboneElement	Chẩn đoán
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
condition	SΣ	1..1	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	The diagnosis or procedure relevant to the encounter	SΣ	1..1	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Loại chẩn đoán (chính, phụ, nhập viện, ra viện) Binding: ?? (preferred): The type of diagnosis this condition represents.		0..1	CodeableConcept	Loại chẩn đoán (chính, phụ, nhập viện, ra viện) Binding: ?? (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Thông tin nhập viện/ra viện		0..1	BackboneElement	Thông tin nhập viện/ra viện
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
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted.		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter.		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Tình trạng ra viện Binding: ?? (extensible)		0..1	CodeableConcept	Tình trạng ra viện Binding: ?? (extensible)
location		0..*	BackboneElement	List of locations where the patient has been		0..*	BackboneElement	List of locations where the patient has been
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
location		1..1	Reference(Location)	Location the encounter takes place		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: ?? (required): The status of the location.		0..1	code	planned | active | reserved | completed Binding: ?? (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location.		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở KCB	S	0..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở KCB
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format