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
Thông tin mô tả liên quan đến quá trình sử dụng thuốc của người bệnh. Tham khảo thêm: https://www.hl7.org/fhir/medications-module.html
Đường dẫn URL chính thức của Profile này:
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-administration
Profile này được dựa trên Resource MedicationAdministration
Summary
Mandatory: 0 element(1 nested mandatory element)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Profile này được dựa trên Resource MedicationAdministration
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
S | 0..* | Identifier | External identifier | ||||
![]() ![]() ![]() |
Σ | 0..* | uri | Instantiates protocol or definition | ||||
![]() ![]() ![]() |
SΣ | 0..* | Reference(MedicationAdministration | Procedure | MedicationAdministration Profile - VN Core R4 | Procedure Profile - VN Core R4) | Part of referenced event | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
![]() ![]() ![]() |
S | 0..* | VNCoreCodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | ||||
![]() ![]() ![]() |
S | 0..1 | VNCoreCodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() |
Reference(Medication) | |||||||
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Σ | 0..1 | VNCoreCodeableConcept | What was administered Binding: ValueSet dành cho Mã dược phẩm (extensible) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Reference(Medication | Medication Profile - VN Core R4) | What was administered | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Patient Profile - VN Core R4) | Who received medication | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(Encounter Profile - VN Core R4) | Encounter or Episode of Care administered as part of | ||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Additional information to support administration | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Start and end time of administration | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
SΣ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Practitioner Profile - VN Core R4) | Who performed the medication administration | ||||
![]() ![]() ![]() |
S | 0..* | VNCoreCodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | ||||
![]() ![]() ![]() |
S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(MedicationRequest Profile - VN Core R4) | Request administration performed against | ||||
![]() ![]() ![]() |
S | 0..* | Reference(Device) | Device used to administer | ||||
![]() ![]() ![]() |
S | 0..* | Annotation | Information about the administration | ||||
![]() ![]() ![]() |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Free text dosage instructions e.g. SIG | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | Body site administered to Binding: ValueSet dành cho Vị trí cơ thể theo giải phẫu học (SNOMED CT) (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | Path of substance into body Binding: ValueSet dành cho Đường dùng thuốc (SNOMED CT) (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity, SimpleQuantityIPS | Amount of medication per dose | |||||
![]() ![]() ![]() ![]() |
0..1 | Dose quantity per unit of time | ||||||
![]() ![]() ![]() ![]() ![]() |
Ratio(RatioIPS) | |||||||
![]() ![]() ![]() ![]() ![]() |
Quantity(SimpleQuantity | SimpleQuantityIPS) | |||||||
![]() ![]() ![]() |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Profile này được dựa trên Resource MedicationAdministration
Summary
Mandatory: 0 element(1 nested mandatory element)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
Profile này được dựa trên Resource MedicationAdministration
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
S | 0..* | Identifier | External identifier | ||||
![]() ![]() ![]() |
Σ | 0..* | uri | Instantiates protocol or definition | ||||
![]() ![]() ![]() |
SΣ | 0..* | Reference(MedicationAdministration | Procedure | MedicationAdministration Profile - VN Core R4 | Procedure Profile - VN Core R4) | Part of referenced event | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
![]() ![]() ![]() |
S | 0..* | VNCoreCodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | ||||
![]() ![]() ![]() |
S | 0..1 | VNCoreCodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() |
Reference(Medication) | |||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | VNCoreCodeableConcept | What was administered Binding: ValueSet dành cho Mã dược phẩm (extensible) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Reference(Medication | Medication Profile - VN Core R4) | What was administered | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Patient Profile - VN Core R4) | Who received medication | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(Encounter Profile - VN Core R4) | Encounter or Episode of Care administered as part of | ||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Additional information to support administration | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Start and end time of administration | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
SΣ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Practitioner Profile - VN Core R4) | Who performed the medication administration | ||||
![]() ![]() ![]() |
S | 0..* | VNCoreCodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | ||||
![]() ![]() ![]() |
S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(MedicationRequest Profile - VN Core R4) | Request administration performed against | ||||
![]() ![]() ![]() |
S | 0..* | Reference(Device) | Device used to administer | ||||
![]() ![]() ![]() |
S | 0..* | Annotation | Information about the administration | ||||
![]() ![]() ![]() |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Free text dosage instructions e.g. SIG | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | Body site administered to Binding: ValueSet dành cho Vị trí cơ thể theo giải phẫu học (SNOMED CT) (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | Path of substance into body Binding: ValueSet dành cho Đường dùng thuốc (SNOMED CT) (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | VNCoreCodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity, SimpleQuantityIPS | Amount of medication per dose | |||||
![]() ![]() ![]() ![]() |
0..1 | Dose quantity per unit of time | ||||||
![]() ![]() ![]() ![]() ![]() |
Ratio(RatioIPS) | |||||||
![]() ![]() ![]() ![]() ![]() |
Quantity(SimpleQuantity | SimpleQuantityIPS) | |||||||
![]() ![]() ![]() |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Hình thức mô tả khác: Schematron
Path | Conformance | ValueSet | URI | |||
MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 From the FHIR Standard | ||||
MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codes From the FHIR Standard | ||||
MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-category From the FHIR Standard | ||||
MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard | ||||
MedicationAdministration.medication[x]:medicationCodeableConcept | extensible | ValueSet-VN_Core_Medication_Codehttp://fhir.ehealth.gov.vn/core/ValueSet/vn-medication-code From this IG | ||||
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-function From the FHIR Standard | ||||
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes From the FHIR Standard | ||||
MedicationAdministration.dosage.site | preferred | ValueSet-SnomedCT_Anatomical_Body_Structurehttp://fhir.ehealth.gov.vn/core/ValueSet/snomedCT-anatomical-body-structure From this IG | ||||
MedicationAdministration.dosage.route | preferred | ValueSet-SnomedCT_Dosage_Administration_Routehttp://fhir.ehealth.gov.vn/core/ValueSet/snomedCT-dosage-administration-route From this IG | ||||
MedicationAdministration.dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationAdministration | 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() | |
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |