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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: VNCoreMedicationDispense

Thông tin liên quan đến việc cấp dược cho 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-dispense

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 MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense MedicationDispense
... identifier S 0..* Identifier External identifier
... partOf S 0..* Reference(Procedure) Event that dispense is part of
... category S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... Slices for medicationCodeableConcept Content/Rules for all slices
.... medicationCodeableConcept:medicationCodeableConcept 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dược phẩm (extensible)
... Slices for medicationReference Content/Rules for all slices
.... medicationReference:medicationReference 0..1 Reference(Medication | Medication Profile - VN Core R4) What medication was supplied
... subject 1..1 Reference(Patient Profile - VN Core R4) Who the dispense is for
... context S 0..1 Reference(Encounter Profile - VN Core R4) Encounter / Episode associated with event
... performer S 0..* BackboneElement Who performed event
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4) Individual who was performing
... location S 0..1 Reference(Location | Location Profile - VN Core R4) Where the dispense occurred
... type 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... quantity 0..1 SimpleQuantity, SimpleQuantityIPS Amount dispensed
... destination 0..1 Reference(Location | Location Profile - VN Core R4) Where the medication was sent
... receiver 0..* Reference(Patient Profile - VN Core R4 | Practitioner Profile - VN Core R4) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* VNCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 S 0..* Identifier External identifier
... partOf S 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dược phẩm (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication | Medication Profile - VN Core R4) What medication was supplied
... subject Σ 1..1 Reference(Patient Profile - VN Core R4) Who the dispense is for
... context S 0..1 Reference(Encounter Profile - VN Core R4) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer S 0..* BackboneElement Who performed event
.... 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
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4) Individual who was performing
... location S 0..1 Reference(Location | Location Profile - VN Core R4) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest) Medication order that authorizes the dispense
... type 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

... quantity 0..1 SimpleQuantity, SimpleQuantityIPS Amount dispensed
... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(Location | Location Profile - VN Core R4) Where the medication was sent
... receiver 0..* Reference(Patient Profile - VN Core R4 | Practitioner Profile - VN Core R4) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* VNCoreDosage How the medication is/was taken or should be taken
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.


.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Differential View

Profile này được dựa trên Resource MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense MedicationDispense
... identifier S 0..* Identifier External identifier
... partOf S 0..* Reference(Procedure) Event that dispense is part of
... category S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... Slices for medicationCodeableConcept Content/Rules for all slices
.... medicationCodeableConcept:medicationCodeableConcept 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dược phẩm (extensible)
... Slices for medicationReference Content/Rules for all slices
.... medicationReference:medicationReference 0..1 Reference(Medication | Medication Profile - VN Core R4) What medication was supplied
... subject 1..1 Reference(Patient Profile - VN Core R4) Who the dispense is for
... context S 0..1 Reference(Encounter Profile - VN Core R4) Encounter / Episode associated with event
... performer S 0..* BackboneElement Who performed event
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4) Individual who was performing
... location S 0..1 Reference(Location | Location Profile - VN Core R4) Where the dispense occurred
... type 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... quantity 0..1 SimpleQuantity, SimpleQuantityIPS Amount dispensed
... destination 0..1 Reference(Location | Location Profile - VN Core R4) Where the medication was sent
... receiver 0..* Reference(Patient Profile - VN Core R4 | Practitioner Profile - VN Core R4) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* VNCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 S 0..* Identifier External identifier
... partOf S 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dược phẩm (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication | Medication Profile - VN Core R4) What medication was supplied
... subject Σ 1..1 Reference(Patient Profile - VN Core R4) Who the dispense is for
... context S 0..1 Reference(Encounter Profile - VN Core R4) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer S 0..* BackboneElement Who performed event
.... 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
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4) Individual who was performing
... location S 0..1 Reference(Location | Location Profile - VN Core R4) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest) Medication order that authorizes the dispense
... type 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

... quantity 0..1 SimpleQuantity, SimpleQuantityIPS Amount dispensed
... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(Location | Location Profile - VN Core R4) Where the medication was sent
... receiver 0..* Reference(Patient Profile - VN Core R4 | Practitioner Profile - VN Core R4) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* VNCoreDosage How the medication is/was taken or should be taken
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.


.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptextensibleValueSet-VN_Core_Medication_Code
http://fhir.ehealth.gov.vn/core/ValueSet/vn-medication-code
from this IG
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA 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()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared