Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.6.0 - Draft for Community Review
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-encounter | Phiên bản: 0.6.0 | ||||
| Computable Name: VNCoreEncounter | |||||
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:
Usages:
You can also check for usages in the FHIR IG Statistics
Mô tả profile, differential, snapshot và các biểu diễn liên quan.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |
  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:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) |
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) |
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) |
 extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier |
Σ | 0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system |
 identifier:maLuotKcb |
SΣ | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT |
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
  type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb |
 value |
Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!SΣ | 1..1 | code | Trạng thái lượt khám Binding: EncounterStatus (required): Current state of the encounter. |
| class |
SΣ | 1..1 | Coding | Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter. |
| type |
SΣ | 0..* | CodeableConcept | Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) |
 subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
| participant |
Σ | 0..* | BackboneElement | Bác sĩ/NVYT tham gia |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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 |
| period |
S | 0..1 | Period | Thời gian khám/nhập viện |
| reasonCode |
SΣ | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| text |
SΣ | 0..1 | string | Diễn giải tự do của lý do đến khám |
| diagnosis |
SΣ | 0..* | BackboneElement | Chẩn đoán |
| modifierExtension |
?!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 |
| use |
0..1 | CodeableConcept | Loại chẩn đoán (chính, phụ, nhập viện, ra viện) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |
| serviceProvider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ sở KCB |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier:maLuotKcb.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | 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: |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) |
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) |
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| Slices for identifier |
0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system | |
| identifier:maLuotKcb |
S | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT |
 type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb | |
| value |
1..1 | string | The value that is unique | |
| status |
S | 1..1 | code | Trạng thái lượt khám |
| class |
S | 1..1 | Coding | Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) |
| type |
S | 0..* | CodeableConcept | Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) |
| subject |
S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
| participant |
0..* | BackboneElement | Bác sĩ/NVYT tham gia | |
| individual |
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 | |
| period |
S | 0..1 | Period | Thời gian khám/nhập viện |
| reasonCode |
S | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| text |
S | 0..1 | string | Diễn giải tự do của lý do đến khám |
| diagnosis |
S | 0..* | BackboneElement | Chẩn đoán |
| condition |
S | 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) | |
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |
| serviceProvider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ sở KCB |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |||||
| 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.
| |||||
| 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:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) | ||||
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) | ||||
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) | ||||
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
Σ | 0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system | ||||
| identifier:maLuotKcb |
SΣ | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb | ||||
| value |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái lượt khám Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| 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 | ||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period |
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: V3 Value SetActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory |
0..* | BackboneElement | List of past encounter classes | |||||
| 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 | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter. | |||||
| period |
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: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
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 | ||||
| basedOn |
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant |
Σ | 0..* | BackboneElement | Bác sĩ/NVYT tham gia | ||||
| 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 | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period |
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 | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | Thời gian khám/nhập viện | ||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
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) | ||||
| diagnosis |
SΣ | 0..* | BackboneElement | Chẩn đoán | ||||
| 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 | ||||
| condition |
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: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank |
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 | |||||
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |||||
| 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 | ||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
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: AdmitSource (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: v2.0092 (2.9)  (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |||||
| location |
0..* | BackboneElement | List of locations where the patient has been | |||||
| 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 | ||||
| location |
1..1 | Reference(Location) | Location the encounter takes place | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (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: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 1..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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.classHistory.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | v3 Code System ActPriority | 📦2018-08-12 | FHIR Std. |
| Encounter.participant.type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example |
v2 RE-ADMISSION INDICATOR
|
📍2.9 | tx.fhir.org |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | 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(3 nested mandatory elements)
Must-Support: 14 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |
| 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:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) |
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) |
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
Σ | 0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system |
| identifier:maLuotKcb |
SΣ | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb |
| value |
Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!SΣ | 1..1 | code | Trạng thái lượt khám Binding: EncounterStatus (required): Current state of the encounter. |
| class |
SΣ | 1..1 | Coding | Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter. |
| type |
SΣ | 0..* | CodeableConcept | Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) |
| subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
| participant |
Σ | 0..* | BackboneElement | Bác sĩ/NVYT tham gia |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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 |
| period |
S | 0..1 | Period | Thời gian khám/nhập viện |
| reasonCode |
SΣ | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| text |
SΣ | 0..1 | string | Diễn giải tự do của lý do đến khám |
| diagnosis |
SΣ | 0..* | BackboneElement | Chẩn đoán |
| modifierExtension |
?!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 |
| use |
0..1 | CodeableConcept | Loại chẩn đoán (chính, phụ, nhập viện, ra viện) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |
| serviceProvider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ sở KCB |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier:maLuotKcb.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | 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: |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) |
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) |
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) |
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |
| Slices for identifier |
0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system | |
| identifier:maLuotKcb |
S | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT |
| type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb | |
| value |
1..1 | string | The value that is unique | |
| status |
S | 1..1 | code | Trạng thái lượt khám |
| class |
S | 1..1 | Coding | Loại hình KCB: AMB (ngoại trú), IMP (nội trú), EMER (cấp cứu), VR (khám từ xa) |
| type |
S | 0..* | CodeableConcept | Loại KCB (MA_LOAI_KCB): 01=khám, 02=ngoại trú, 03=nội trú, 04=nội trú ban ngày... Binding: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) |
| subject |
S | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân |
| participant |
0..* | BackboneElement | Bác sĩ/NVYT tham gia | |
| individual |
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 | |
| period |
S | 0..1 | Period | Thời gian khám/nhập viện |
| reasonCode |
S | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) |
| text |
S | 0..1 | string | Diễn giải tự do của lý do đến khám |
| diagnosis |
S | 0..* | BackboneElement | Chẩn đoán |
| condition |
S | 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) | |
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |
| serviceProvider |
S | 1..1 | Reference(Cơ sở y tế VN Core — VN Core Organization Profile) | Cơ sở KCB |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | Encounter | An interaction during which services are provided to the patient | |||||
| 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.
| |||||
| 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:insuranceVisitType |
S | 0..1 | CodeableConcept | Loại KCB BHYT — trường MALYDO (đúng tuyến, trái tuyến, thông tuyến, cấp cứu, KCB ban đầu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-insurance-visit-type Binding: Loại khám chữa bệnh BHYT — Vietnam Insurance Visit Type ValueSet (required) | ||||
| extension:referralMode |
S | 0..1 | CodeableConcept | Hình thức chuyển tuyến — trường HTCHUYEN (tự đến, chuyển lên, chuyển xuống, cùng tuyến, cấp cứu) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-referral-mode Binding: Hình thức chuyển tuyến — VN Referral Mode ValueSet (required) | ||||
| extension:treatmentOutcome |
S | 0..1 | CodeableConcept | Kết quả điều trị — trường KETQUA (khỏi, đỡ, không thay đổi, nặng hơn, tử vong) URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-treatment-outcome Binding: Kết quả điều trị — Vietnam Treatment Outcome ValueSet (required) | ||||
| extension:paymentMethod |
0..1 | CodeableConcept | Phương thức thanh toán BHYT (FFS/Capitation/DRG) — trường MA_PTTT_QT URL: http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method Binding: Phương thức thanh toán BHYT — VN Payment Method ValueSet (extensible) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
Σ | 0..* | Identifier | Định danh lượt khám (gồm slice MA_LUOT_KCB) Slice: Unordered, Open by value:system | ||||
| identifier:maLuotKcb |
SΣ | 0..1 | Identifier | Mã lượt KCB (MA_LUOT_KCB) — liên thông dữ liệu BHXH per QĐ 3176/QĐ-BYT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hl7.org.vn/core/CodeSystem/vn-identifier-type-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MA_LUOT_KCB | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Mã lượt khám chữa bệnh | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.hl7.org.vn/core/sid/ma-luot-kcb | ||||
| value |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái lượt khám Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| 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 | ||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period |
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: V3 Value SetActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory |
0..* | BackboneElement | List of past encounter classes | |||||
| 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 | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter. | |||||
| period |
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: Loại khám chữa bệnh — Vietnam Encounter Type ValueSet (extensible) | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
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 | ||||
| basedOn |
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant |
Σ | 0..* | BackboneElement | Bác sĩ/NVYT tham gia | ||||
| 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 | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period |
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 | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | Thời gian khám/nhập viện | ||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Lý do đến khám/chief complaint Binding: Mã chẩn đoán — VN Core Condition Code ValueSet (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
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) | ||||
| diagnosis |
SΣ | 0..* | BackboneElement | Chẩn đoán | ||||
| 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 | ||||
| condition |
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: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank |
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 | |||||
| hospitalization |
0..1 | BackboneElement | Thông tin nhập viện/ra viện | |||||
| 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 | ||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
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: AdmitSource (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: v2.0092 (2.9) (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
0..1 | CodeableConcept | Tình trạng ra viện Binding: Tình trạng ra viện — Vietnam Discharge Disposition ValueSet (extensible) | |||||
| location |
0..* | BackboneElement | List of locations where the patient has been | |||||
| 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 | ||||
| location |
1..1 | Reference(Location) | Location the encounter takes place | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (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: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 1..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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:maLuotKcb.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.classHistory.class | Base | extensible | V3 Value SetActEncounterCode | 📦2014-03-26 | FHIR Std. |
| Encounter.type | Base | extensible | Loại khám chữa bệnh — Vietnam Encounter Type ValueSet | 📦0.6.0 | This IG |
| Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | v3 Code System ActPriority | 📦2018-08-12 | FHIR Std. |
| Encounter.participant.type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | extensible | Mã chẩn đoán — VN Core Condition Code ValueSet | 📦0.6.0 | This IG |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example |
v2 RE-ADMISSION INDICATOR
|
📍2.9 | tx.fhir.org |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | Tình trạng ra viện — Vietnam Discharge Disposition ValueSet | 📦0.6.0 | This IG |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | 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(3 nested mandatory elements)
Must-Support: 14 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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