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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: VNCoreSpecimen

Thông tin về mẫu bệnh phẩm

Đường dẫn URL chính thức của Profile này: 

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

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 SpecimenUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen SpecimenUvIps
... type 1..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 0..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
... parent 0..* Reference(Specimen | Specimen profile - VN Core R4) Specimen from which this specimen originated
... collection
.... method 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
.... bodySite 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
.... fastingStatus[x] 0..1 Whether or how long patient abstained from food and/or drink
..... fastingStatusCodeableConcept CodeableConcept(CodeableConceptIPS | VNCoreCodeableConcept)
..... fastingStatusDuration Duration
... container S 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
... condition S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen S 0..* SpecimenUvIps Sample for analysis
... 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 Identifier
... accessionIdentifier Σ 0..1 Identifier Identifier assigned by the lab
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

... type S 1..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Results Specimen Type (GPS) - IPS (extensible)
... subject SΣ 0..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
... parent 0..* Reference(Specimen | Specimen profile - VN Core R4) Specimen from which this specimen originated
... request 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) Why the specimen was collected
... collection S 0..1 BackboneElement Collection details
.... 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
.... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
.... collected[x] Σ 0..1 Collection time
..... collectedDateTime dateTime
..... collectedPeriod Period
.... duration Σ 0..1 Duration How long it took to collect specimen
.... quantity 0..1 SimpleQuantity The quantity of specimen collected
.... method S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Results Specimen Collection Method (GPS) - IPS (extensible)
.... bodySite S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (extensible)
.... fastingStatus[x] SΣ 0..1 Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.

..... fastingStatusCodeableConcept CodeableConcept(CodeableConceptIPS | VNCoreCodeableConcept)
..... fastingStatusDuration Duration
... processing 0..* BackboneElement Processing and processing step details
.... 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
.... description 0..1 string Textual description of procedure
.... procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.

.... additive 0..* Reference(Substance) Material used in the processing step
.... time[x] 0..1 Date and time of specimen processing
..... timeDateTime dateTime
..... timePeriod Period
... container S 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
.... 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
.... identifier Σ 0..* Identifier Id for the container
.... description 0..1 string Textual description of the container
.... type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.

.... capacity 0..1 SimpleQuantity Container volume or size
.... specimenQuantity 0..1 SimpleQuantity Quantity of specimen within container
.... additive[x] 0..1 Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

..... additiveCodeableConcept CodeableConcept
..... additiveReference Reference(Substance)
... condition S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


... note 0..* Annotation Comments

doco Documentation for this format

Differential View

Profile này được dựa trên Resource SpecimenUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen SpecimenUvIps
... type 1..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 0..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
... parent 0..* Reference(Specimen | Specimen profile - VN Core R4) Specimen from which this specimen originated
... collection
.... method 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
.... bodySite 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
.... fastingStatus[x] 0..1 Whether or how long patient abstained from food and/or drink
..... fastingStatusCodeableConcept CodeableConcept(CodeableConceptIPS | VNCoreCodeableConcept)
..... fastingStatusDuration Duration
... container S 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
... condition S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen S 0..* SpecimenUvIps Sample for analysis
... 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 Identifier
... accessionIdentifier Σ 0..1 Identifier Identifier assigned by the lab
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

... type S 1..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Results Specimen Type (GPS) - IPS (extensible)
... subject SΣ 0..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
... parent 0..* Reference(Specimen | Specimen profile - VN Core R4) Specimen from which this specimen originated
... request 0..* Reference(ServiceRequest | ServiceRequest profile - VN Core R4) Why the specimen was collected
... collection S 0..1 BackboneElement Collection details
.... 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
.... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
.... collected[x] Σ 0..1 Collection time
..... collectedDateTime dateTime
..... collectedPeriod Period
.... duration Σ 0..1 Duration How long it took to collect specimen
.... quantity 0..1 SimpleQuantity The quantity of specimen collected
.... method S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: Results Specimen Collection Method (GPS) - IPS (extensible)
.... bodySite S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (extensible)
.... fastingStatus[x] SΣ 0..1 Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.

..... fastingStatusCodeableConcept CodeableConcept(CodeableConceptIPS | VNCoreCodeableConcept)
..... fastingStatusDuration Duration
... processing 0..* BackboneElement Processing and processing step details
.... 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
.... description 0..1 string Textual description of procedure
.... procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.

.... additive 0..* Reference(Substance) Material used in the processing step
.... time[x] 0..1 Date and time of specimen processing
..... timeDateTime dateTime
..... timePeriod Period
... container S 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
.... 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
.... identifier Σ 0..* Identifier Id for the container
.... description 0..1 string Textual description of the container
.... type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.

.... capacity 0..1 SimpleQuantity Container volume or size
.... specimenQuantity 0..1 SimpleQuantity Quantity of specimen within container
.... additive[x] 0..1 Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

..... additiveCodeableConcept CodeableConcept
..... additiveReference Reference(Substance)
... condition S 0..* VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


... note 0..* Annotation Comments

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSetURI
Specimen.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Specimen.statusrequiredSpecimenStatus
http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
from the FHIR Standard
Specimen.typeextensibleResultsSpecimenTypeGpsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-specimen-type-gps-uv-ips
Specimen.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Specimen.collection.methodextensibleResultsSpecimenCollectionMethodGpsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-specimen-collection-method-gps-uv-ips
Specimen.collection.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Specimen.collection.fastingStatus[x]extensibleHl7VSRelevantClincialInformation
http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedureexampleSpecimenProcessingProcedure
http://hl7.org/fhir/ValueSet/specimen-processing-procedure
from the FHIR Standard
Specimen.container.typeexampleSpecimenContainerType
http://hl7.org/fhir/ValueSet/specimen-container-type
from the FHIR Standard
Specimen.container.additive[x]exampleHl7VSAdditivePreservative
http://terminology.hl7.org/ValueSet/v2-0371
Specimen.conditionextensibleHl7VSSpecimenCondition
http://terminology.hl7.org/ValueSet/v2-0493

Constraints

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSpecimenIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSpecimenIf 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-4errorSpecimenIf 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-5errorSpecimenIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSpecimenA 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()