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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: VNCoreServiceRequest

Thông tin mô tả về chỉ định dịch vụ kỹ thuật

Đường dẫn URL chính thức của Profile này: 

http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request

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 ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest ServiceRequest
... identifier S 0..* Identifier Identifiers assigned to this order
... basedOn S 0..* Reference(CarePlan | ServiceRequest | MedicationRequest | ServiceRequest profile - VN Core R4) What request fulfills
... replaces 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) What request replaces
... category S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... priority S 0..1 code routine | urgent | asap | stat
... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dịch vụ kỹ thuật (preferred)
... orderDetail 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 1..1 Reference(Patient Profile - VN Core R4) Individual or Entity the service is ordered for
... encounter S 0..1 Reference(Encounter Profile - VN Core R4) Encounter in which the request was created
... occurrence[x] S 0..1 dateTime, Period, Timing When service should occur
... authoredOn S 0..1 dateTime Date request signed
... requester S 0..1 Reference(Practitioner Profile - VN Core R4 | PractitionerRole | Organization | Patient | Device | RelatedPerson) Who/what is requesting service
... performerType 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | HealthcareDepartment Profile - VN Core R4) Requested performer
... locationReference 0..* Reference(Location | Location Profile - VN Core R4) Requested location
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã bệnh tật (required)
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... specimen S 0..* Reference(Specimen) Procedure Samples
... bodySite S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... patientInstruction S 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code 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
... 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 SΣ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest | ServiceRequest profile - VN Core R4) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) What request replaces
... requisition SΣ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... category S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dịch vụ kỹ thuật (preferred)
... orderDetail 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient Profile - VN Core R4) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(Encounter Profile - VN Core R4) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner Profile - VN Core R4 | PractitionerRole | Organization | Patient | Device | RelatedPerson) Who/what is requesting service
... performerType 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | HealthcareDepartment Profile - VN Core R4) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location | Location Profile - VN Core R4) Requested location
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã bệnh tật (required)
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... bodySite S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Differential View

Profile này được dựa trên Resource ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest ServiceRequest
... identifier S 0..* Identifier Identifiers assigned to this order
... basedOn S 0..* Reference(CarePlan | ServiceRequest | MedicationRequest | ServiceRequest profile - VN Core R4) What request fulfills
... replaces 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) What request replaces
... category S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... priority S 0..1 code routine | urgent | asap | stat
... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dịch vụ kỹ thuật (preferred)
... orderDetail 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 1..1 Reference(Patient Profile - VN Core R4) Individual or Entity the service is ordered for
... encounter S 0..1 Reference(Encounter Profile - VN Core R4) Encounter in which the request was created
... occurrence[x] S 0..1 dateTime, Period, Timing When service should occur
... authoredOn S 0..1 dateTime Date request signed
... requester S 0..1 Reference(Practitioner Profile - VN Core R4 | PractitionerRole | Organization | Patient | Device | RelatedPerson) Who/what is requesting service
... performerType 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | HealthcareDepartment Profile - VN Core R4) Requested performer
... locationReference 0..* Reference(Location | Location Profile - VN Core R4) Requested location
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã bệnh tật (required)
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... specimen S 0..* Reference(Specimen) Procedure Samples
... bodySite S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
... patientInstruction S 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code 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
... 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 SΣ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest | ServiceRequest profile - VN Core R4) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) What request replaces
... requisition SΣ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... category S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code 1..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã dịch vụ kỹ thuật (preferred)
... orderDetail 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient Profile - VN Core R4) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(Encounter Profile - VN Core R4) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner Profile - VN Core R4 | PractitionerRole | Organization | Patient | Device | RelatedPerson) Who/what is requesting service
... performerType 0..1 VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | HealthcareDepartment Profile - VN Core R4) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location | Location Profile - VN Core R4) Requested location
... reasonCode S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: ValueSet dành cho Mã bệnh tật (required)
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... bodySite S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codepreferredValueSet-VN_Core_Procedure_Code
http://fhir.ehealth.gov.vn/core/ValueSet/vn-procedure-code
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCoderequiredValueSet-VN_Core_Condition_Code
http://fhir.ehealth.gov.vn/core/ValueSet/vn-core-condition-code
from this IG
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA 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()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()