Profile Comparison between http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-episode-of-care vs http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-episode-of-care

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
copyright	Căn cứ pháp lý Việt Nam: TT 13/2025/TT-BYT ngày 06/06/2025; QĐ 3176/QĐ-BYT ngày 29/10/2024.
date	2026-06-03
description	Profile EpisodeOfCare gom nhiều Encounter thành **một đợt điều trị/chương trình**: quản lý bệnh mạn tính BHYT (ĐTĐ/THA/COPD/ung thư), chương trình DOTS lao, quản lý thai sản, hoặc nối lượt cấp cứu → nội trú trong cùng đợt. Giúp theo dõi liên tục (longitudinal) thay vì rời rạc theo từng lượt. Căn cứ pháp lý: - **TT 13/2025/TT-BYT** — bệnh án điện tử (theo dõi đợt điều trị) - **QĐ 3176/QĐ-BYT (29/10/2024)** — chuẩn dữ liệu đầu ra KCB (đợt KCB). / VN Core EpisodeOfCare grouping multiple encounters into a treatment episode/program.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#VN
kind	resource
name	VNCoreEpisodeOfCare
publisher	Omi HealthTech / VN Core FHIR Community Initiative
purpose	Lớp interoperability cho care-management (TT 13/2025/TT-BYT): ràng buộc hiện ở mức Must Support trên element nền, chưa siết invariant đặc thù VN — sẽ gia cố sau khi có bằng chứng triển khai thực địa (tránh over-constrain cản adoption).
status	draft
title	Đợt chăm sóc VN Core — VN Core EpisodeOfCare Profile
type	EpisodeOfCare
url	http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-episode-of-care
version	0.8.0	0.9.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
EpisodeOfCare		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
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
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!SΣ	1..1	code	Trạng thái đợt: planned, waitlist, active, onhold, finished, cancelled Binding: ?? (required): The status of the episode of care.	?!SΣ	1..1	code	Trạng thái đợt: planned, waitlist, active, onhold, finished, cancelled Binding: ?? (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
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 | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: ?? (required): The status of the episode of care.		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: ?? (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	0..*	CodeableConcept	Loại đợt: bệnh mạn tính, chương trình (lao/thai sản), nối cấp cứu-nội trú Binding: ?? (example): The type of the episode of care.	SΣ	0..*	CodeableConcept	Loại đợt: bệnh mạn tính, chương trình (lao/thai sản), nối cấp cứu-nội trú Binding: ?? (example): The type of the episode of care.
diagnosis	SΣ	0..*	BackboneElement	Chẩn đoán gắn với đợt (bệnh mạn/chính)	SΣ	0..*	BackboneElement	Chẩn đoán gắn với đợt (bệnh mạn/chính)
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	Σ	1..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition)	Conditions/problems/diagnoses this episode of care is for	Σ	1..1	Reference(Chẩn đoán VN Core — VN Core Condition Profile)	Conditions/problems/diagnoses this episode of care is for	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-condition]])
role	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents.	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents.
rank	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SΣ	1..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient)	Người bệnh của đợt chăm sóc	SΣ	1..1	Reference(Bệnh nhân VN Core — VN Core Patient Profile)	Người bệnh của đợt chăm sóc	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient]])
managingOrganization	SΣ	0..1	Reference(http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization)	Cơ sở quản lý đợt	SΣ	0..1	Reference(Cơ sở y tế VN Core — VN Core Organization Profile)	Cơ sở quản lý đợt	Type Mismatch: Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization]]) vs Reference([CanonicalType[http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization]])
period	SΣ	0..1	Period	Khoảng thời gian đợt chăm sóc	SΣ	0..1	Period	Khoảng thời gian đợt chăm sóc
referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
careManager		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format