HL7.FHIR.VN.CORE - FHIR v4.0.1

Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam, published by Cục Công nghệ thông tin - Bộ Y tế. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7vn/vn-core-ig/ and changes regularly. See the Directory of published versions

Resource Profile: VNCoreEncounter

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Đường dẫn URL chính thức của Profile này:

http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-encounter

Nội dung Profile

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Tất cả

Profile này được dựa trên Resource Encounter

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 23 elements
Fixed: 9 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Encounter.identifier
The element 2 is sliced based on the values of Encounter.diagnosis

Profile này được dựa trên Resource Encounter

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Slices for identifier		0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:MaBenhAn		0..1	Identifier	Identifier(s) by which this encounter is known
use		1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type		0..1	CodeableConcept	Description of identifier Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical record number
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.ehealth.gov.vn/core/sid/MRN
value		1..1	string	The value that is unique
identifier:MaDotThamKham		0..1	Identifier	Identifier(s) by which this encounter is known
use		1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type		0..1	CodeableConcept	Description of identifier Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		1..1	string	Representation defined by the system Fixed Value: Visit number
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.ehealth.gov.vn/core/sid/VisitNumber
value		1..1	string	The value that is unique
identifier:MaLuuTru		0..1	Identifier	Identifier(s) by which this encounter is known
use		0..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type		0..1	CodeableConcept	Description of identifier Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical record number
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.ehealth.gov.vn/core/sid/ArchiveNumber
value		1..1	string	The value that is unique
status	S	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +
class		1..1	VNCoreCoding	Classification of patient encounter
classHistory	S	0..*	BackboneElement	List of past encounter classes
class		1..1	VNCoreCoding	inpatient \| outpatient \| ambulatory \| emergency +
type	S	0..*	VNCoreCodeableConcept	Specific type of encounter
serviceType	S	0..1	VNCoreCodeableConcept	Specific type of service
priority		0..1	VNCoreCodeableConcept	Indicates the urgency of the encounter
subject	S	0..1	Reference(Patient Profile - VN Core R4)	The patient or group present at the encounter
basedOn	S	0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	S	0..*	BackboneElement	List of participants involved in the encounter
type		0..*	VNCoreCodeableConcept	Role of participant in encounter
appointment	S	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
length	S	0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	S	0..*	VNCoreCodeableConcept	Coded reason the encounter takes place
reasonReference	S	0..*	Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
Slices for diagnosis	S	0..*	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:use.coding.system, value:use.coding.code
diagnosis:All Slices				Content/Rules for all slices
condition		1..1	Reference(Condition - Encounter Diagnosis- VN Core R4)	The diagnosis or procedure relevant to the encounter
diagnosis:AdmissionDiagnosis-CDVaoVien		0..1	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AD
display		1..1	string	Representation defined by the system Fixed Value: Admission diagnosis
text		1..1	string	Plain text representation of the concept Fixed Value: Admission diagnosis
rank		0..0
diagnosis:DischargeDiagnosis-CDRaVien		0..1	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DD
display		1..1	string	Representation defined by the system Fixed Value: Discharge diagnosis
text		1..1	string	Plain text representation of the concept Fixed Value: Discharge diagnosis
rank		0..0
diagnosis:ChiefComplaint_CDBenhChinh		1..1	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
text		1..1	string	Plain text representation of the concept Fixed Value: Chief complaint
rank		0..0
diagnosis:ComorbidityDiagnosis-CDBenhPhu		0..*	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CM
display		1..1	string	Representation defined by the system Fixed Value: Comorbidity diagnosis
diagnosis:Pre_opDiagnosis_CDTruocPTTT		0..*	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pre-op
display		1..1	string	Representation defined by the system Fixed Value: pre-op diagnosis
text		1..1	string	Plain text representation of the concept Fixed Value: pre-op diagnosis
diagnosis:Post_opDiagnosis_CDSauPTTT		0..*	BackboneElement	The list of diagnosis relevant to this encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) 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://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: post-op
display		1..1	string	Representation defined by the system Fixed Value: post-op diagnosis
text		1..1	string	Plain text representation of the concept Fixed Value: post-op diagnosis
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
preAdmissionIdentifier	S	0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(Location \| Organization)	The location/organization from which the patient came before admission
admitSource	S	0..1	VNCoreCodeableConcept	From where patient was admitted (physician referral, transfer)
reAdmission	S	0..1	VNCoreCodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
dietPreference		0..*	VNCoreCodeableConcept	Diet preferences reported by the patient
specialCourtesy		0..*	VNCoreCodeableConcept	Special courtesies (VIP, board member)
specialArrangement		0..*	VNCoreCodeableConcept	Wheelchair, translator, stretcher, etc.
destination	S	0..1	Reference(Location \| Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	VNCoreCodeableConcept	Category or kind of location after discharge
location	S	0..*	BackboneElement	List of locations where the patient has been
location		1..1	Reference(Location Profile - VN Core R4)	Location the encounter takes place
serviceProvider	S	0..1	Reference(Provider Profile - VN Core R4 \| HealthcareDepartment Profile - VN Core R4)	The organization (facility) responsible for this encounter
partOf	S	0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Description & Constraints Filter: Filters

Encounter

0..*

Encounter

An interaction during which services are provided to the patient

0..1

Logical id of this artifact

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

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

0..*

Extension

Extensions that cannot be ignored

Slices for identifier

0..*

Identifier

Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system

identifier:MaBenhAn

0..1

Identifier

Identifier(s) by which this encounter is known

0..1

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier:MaBenhAn.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:MaBenhAn.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:MaDotThamKham.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:MaDotThamKham.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:MaLuuTru.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:MaLuuTru.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	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Encounter.participant.type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:AdmissionDiagnosis-CDVaoVien.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:DischargeDiagnosis-CDRaVien.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:ChiefComplaint_CDBenhChinh.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:ComorbidityDiagnosis-CDBenhPhu.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:Pre_opDiagnosis_CDTruocPTTT.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis:Post_opDiagnosis_CDSauPTTT.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	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
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	example	Discharge disposition	📍4.0.1	FHIR Std.
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()`

Resource Profile: VNCoreEncounter

Nội dung Profile

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

Constraints

Constraints