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Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam
1.0.0 - CI Build

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: VNCoreFamilyMemberHistory

Thông tin về tiền sử gia đình

Đường dẫn URL chính thức của Profile này: 

http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-familymember-history

Nội dung Profile

Thông tin bổ sung cho các thông tin hiển thị (Nội dung mô tả, Differential Table, Snapshot Table, ...).

Profile này được dựa trên Resource FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... status S 1..1 code partial | completed | entered-in-error | health-unknown
... dataAbsentReason S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... patient S 1..1 Reference(Patient Profile - VN Core R4) Patient history is about
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... reasonReference S 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... condition S 0..* BackboneElement Condition that the related person had
.... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
fhs-1: Can have age[x] or born[x], but not both
fhs-2: Can only have estimatedAge if age[x] is present
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Id(s) for this record
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... status ?!SΣ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.

... dataAbsentReason S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.

... patient SΣ 1..1 Reference(Patient Profile - VN Core R4) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship S 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.

... sex Σ 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

... born[x] C 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.


... reasonReference SΣ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note 0..* Annotation General note about related person
... condition S 0..* BackboneElement Condition that the related person had
.... 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
.... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... outcome 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

.... contributedToDeath 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco Documentation for this format

Differential View

Profile này được dựa trên Resource FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... status S 1..1 code partial | completed | entered-in-error | health-unknown
... dataAbsentReason S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... patient S 1..1 Reference(Patient Profile - VN Core R4) Patient history is about
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... reasonReference S 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... condition S 0..* BackboneElement Condition that the related person had
.... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
fhs-1: Can have age[x] or born[x], but not both
fhs-2: Can only have estimatedAge if age[x] is present
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Id(s) for this record
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... status ?!SΣ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.

... dataAbsentReason S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.

... patient SΣ 1..1 Reference(Patient Profile - VN Core R4) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship S 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.

... sex Σ 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

... born[x] C 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.


... reasonReference SΣ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note 0..* Annotation General note about related person
... condition S 0..* BackboneElement Condition that the related person had
.... 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
.... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... outcome 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

.... contributedToDeath 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSetURI
FamilyMemberHistory.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
FamilyMemberHistory.statusrequiredFamilyHistoryStatus
http://hl7.org/fhir/ValueSet/history-status|4.0.1
from the FHIR Standard
FamilyMemberHistory.dataAbsentReasonexampleFamilyHistoryAbsentReason
http://hl7.org/fhir/ValueSet/history-absent-reason
from the FHIR Standard
FamilyMemberHistory.relationshipexampleFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.sexextensibleAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
FamilyMemberHistory.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
FamilyMemberHistory.condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
FamilyMemberHistory.condition.outcomeexampleConditionOutcomeCodes
http://hl7.org/fhir/ValueSet/condition-outcome
from the FHIR Standard

Constraints

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFamilyMemberHistoryIf 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-4errorFamilyMemberHistoryIf 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-5errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFamilyMemberHistoryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fhs-1errorFamilyMemberHistoryCan have age[x] or born[x], but not both
: age.empty() or born.empty()
fhs-2errorFamilyMemberHistoryCan only have estimatedAge if age[x] is present
: age.exists() or estimatedAge.empty()